Ministry of Health Draft Proposal to Increase Health Insurance Benefits

The Ministry of Health has prepared a draft decree envisaging a gradual increase in reimbursement rates for medical examination and treatment costs for priority groups and specific health services starting in 2027.

Plan to Increase Health Insurance Reimbursement Rates

According to statements by Tran Thi Trang, Director of the Health Insurance Department under the Ministry of Health, the rate covering 80 percent of medical examination and treatment costs for individuals under the draft will be increased to 85 percent starting July 1, 2027, and to 90 percent starting July 1, 2029.

New Regulations for Priority Groups

It is proposed that the reimbursement rate for medical examination costs at the primary and basic levels be raised to 95 percent starting July 1, 2030. This will cover individuals aged 75 and older, those with mild disabilities, persons under 18, and households with average living standards.

Early Diagnosis and Screening Services to Be Covered

Along with the new draft, the scope of health insurance will be expanded to include screening and early diagnosis for eight disease groups, including seven types of cancer—cervical, breast, lung, prostate, colorectal, stomach, and liver cancers—as well as hepatitis B and C.

Chronic Diseases and Special Treatment Expenses

Starting July 1, 2027, expenses for drug-resistant epilepsy in children, acute malnutrition in children under 6, and nutritional therapy for premature infants will be reimbursed. From January 1, 2028, chronic disease management and preventive services will be covered.

Routine Health Check-ups and Financial Balances

The draft also includes the financing of routine health checks for certain groups and support mechanisms along with premium adjustments in order to maintain the balance of the Health Insurance Fund. Organizations and enterprises are encouraged to provide additional support for premium payments.