Here is the main content of Circular 04/2017/TT-BYT stipulating the List, rates, and conditions for payment for medical supplies within the entitlement scope of participants of health insurance (HI). Accordingly:
- Medical supplies that have been included in the cost of technical service fees, medical examination fees, or treatment bed fees, or in a full-package charge will not be separately paid by the Health Insurance Fund (HIF);- Medical supplies that have not been included in the cost of technical service fees, medical examination fees, treatment bed fees, or in a full-package charge will be covered by the HIF based on:- The actual quantity of medical supplies used for the patient;- The purchase price of the medical supplies;- The conditions, payment rate, and payment level;- The scope and level of benefits.
The maximum payment level for the total cost of medical supplies is up to 45 months of the statutory pay rate per use of technical service and does not apply to certain groups and types of medical supplies.
Refer to the detailed List of Medical Supplies in the annexes attached to Circular 04/2017/TT-BYT, which takes effect from June 1, 2017.
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