The list of dangerous diseases will be adjusted
According to the regulations on dangerous diseases issued by the Ministry of Health, there are currently 42 diseases on this list. Among them, there are a number of diseases such as cancer, lupus erythematosus, organ transplant, severe burns, severe traumatic brain injury, multiple sclerosis, heart valve replacement surgery, multiple sclerosis, liver failure, stroke. stroke, coma, Alzheimer’s disease or dementia, kidney failure, total and permanent disability.
Doctors are taking cancer diagnostic tests. This is one of the diseases on the list of dangerous diseases.
However, according to the Department of Insurance 의료 (Ministry of Health), the list of serious diseases has been issued for many years and needs to be adjusted and updated in accordance with disease patterns and advances in treatment. The Ministry of Health is drafting a circular to issue a list of dangerous diseases, which are diseases that do not require a referral for treatment, in accordance with the provisions of the recently amended Health Insurance Law.
For more information about patients being referred directly to a higher level for treatment, the leader of the Health Insurance Department said that diseases that go directly to a higher level of care are serious diseases and beyond the professional capabilities of medical facilities. locally. Health departments will proactively publish a list of technical services that have not yet been implemented, so that local people can know.
According to the Department of Health Insurance, the regulation on direct referral makes it easier for patients to access treatment, especially those with serious illnesses and high costs.
Currently, many cases treated at higher levels have to apply for referral documents every year, because on December 31, the referral certificate covered by health insurance expires, patients are forced to go through procedures to apply for referral, which is very difficult, and often have to travel long distances.
Enjoy 100% of benefits when crossing the route according to regulations
Regarding the regulation on exceeding treatment levels expected to be applied from 2025, Director of the Health Insurance Department Tran Thi Trang gave an example, with some rare diseases, diseases that require the use of high technology that cannot be found at acute hospitals. For example, if basic treatment at the district or provincial level has not been able to be treated or the technical list has not been approved, people can go straight to a specialized facility, for example to a terminal or leading hospital to be diagnosed and treated. treat. At that time, they are still considered to have the right level of technical expertise and are entitled to 100% cost benefits.
According to Ms. Trang, with the new regulations, people with serious illnesses that the local hospital does not have the professional qualifications to treat because the technical list has not been approved will of course be examined and treated outside the hospital. higher level hospital.
In addition, a new feature of the Health Insurance law also has a great impact on many people with chronic diseases, which is the case of chronic diseases transferred from higher levels to grassroots health care for management in some cases. In some cases, patients can still use expensive drugs, as prescribed by their superiors.
