{"id":17952,"date":"2015-11-13T15:28:09","date_gmt":"2015-11-13T15:28:09","guid":{"rendered":"https:\/\/centax.dsoftware.vn\/?p=17952"},"modified":"2016-12-09T06:40:31","modified_gmt":"2016-12-09T06:40:31","slug":"quy-dinh-phuong-thuc-dong-bao-hiem-y-te-moi-nhat","status":"publish","type":"post","link":"https:\/\/centax.dsoftware.vn\/?p=17952","title":{"rendered":"Quy \u0111\u1ecbnh ph\u01b0\u01a1ng th\u1ee9c \u0111\u00f3ng b\u1ea3o hi\u1ec3m y t\u1ebf m\u1edbi nh\u1ea5t"},"content":{"rendered":"

\"Quy<\/h2>\n

\u0110i\u1ec1u 19\u00a0Quy\u1ebft \u0111\u1ecbnh 959\/Q\u0110- BHXH<\/a> quy \u0111\u1ecbnh c\u1ee5 th\u1ec3 c\u00e1ch \u0111\u00f3ng ti\u1ec1n b\u1ea3o hi\u1ec3m y t\u1ebf, cho t\u1eebng \u0111\u1ed1i t\u01b0\u1ee3ng tham gia B\u1ea3o hi\u1ec3m y t\u1ebf, \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1eeb 1\/1\/2016. K\u1ebf to\u00e1n Centax<\/a> xin chia s\u1ebb v\u1edbi c\u00e1c b\u1ea1n quy \u0111\u1ecbnh n\u00e0y th\u00f4ng qua b\u00e0i vi\u1ebft:<\/span><\/p>\n

\u00a0Quy \u0111\u1ecbnh ph\u01b0\u01a1ng th\u1ee9c \u0111\u00f3ng b\u1ea3o hi\u1ec3m y t\u1ebf m\u1edbi nh\u1ea5t<\/strong><\/span><\/h2>\n

1. \u0110\u00f3ng h\u00e0ng th\u00e1ng, 3 th\u00e1ng, ho\u1eb7c 6 th\u00e1ng m\u1ed9t l\u1ea7n<\/span><\/h2>\n

Theo quy \u0111\u1ecbnh t\u1ea1i \u0111i\u1ec1u 19 Quy \u0111\u1ecbnh 959\/Q\u0110- BHXH<\/strong> nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u00f3ng h\u00e0ng th\u00e1ng, 3 th\u00e1ng ho\u1eb7c 6 th\u00e1ng m\u1ed9t l\u1ea7n g\u1ed3m:<\/span><\/p>\n

“1.1 Ng\u01b0\u1eddi lao \u0111\u1ed9ng l\u00e0m vi\u1ec7c theo H\u0110L\u0110 kh\u00f4ng x\u00e1c \u0111\u1ecbnh th\u1eddi h\u1ea1n, H\u0110L\u0110 c\u00f3 th\u1eddi h\u1ea1n t\u1eeb \u0111\u1ee7 3 th\u00e1ng tr\u1edf l\u00ean, ng\u01b0\u1eddi lao \u0111\u1ed9ng l\u00e0 ng\u01b0\u1eddi qu\u1ea3n l\u00fd doanh nghi\u1ec7p<\/span><\/em><\/p>\n

qu\u1ea3n l\u00fd \u0111i\u1ec1u h\u00e0nh H\u1ee3p t\u00e1c x\u00e3 h\u01b0\u1edfng ti\u1ec1n l\u01b0\u01a1ng, l\u00e0m vi\u1ec7c t\u1ea1i c\u00e1c c\u01a1 quan, \u0111\u01a1n v\u1ecb, t\u1ed5 ch\u1ee9c quy \u0111\u1ecbnh t\u1ea1i Kho\u1ea3n 3 \u0110i\u1ec1u 4;<\/span><\/em><\/p>\n

1.2 C\u00e1n b\u1ed9, c\u00f4ng ch\u1ee9c, vi\u00ean ch\u1ee9c theo quy \u0111\u1ecbnh c\u1ee7a ph\u00e1p lu\u1eadt v\u1ec1 c\u00e1n b\u1ed9, c\u00f4ng ch\u1ee9c, vi\u00ean ch\u1ee9c;<\/span><\/em><\/p>\n

1.3 Ng\u01b0\u1eddi ho\u1ea1t \u0111\u1ed9ng kh\u00f4ng chuy\u00ean tr\u00e1ch \u1edf x\u00e3, ph\u01b0\u1eddng, th\u1ecb tr\u1ea5n theo quy \u0111\u1ecbnh c\u1ee7a ph\u00e1p lu\u1eadt v\u1ec1 c\u00e1n b\u1ed9, c\u00f4ng ch\u1ee9c.<\/em>“<\/span><\/p>\n

2.\u00a0H\u1eb1ng qu\u00fd, c\u01a1 quan t\u00e0i ch\u00ednh, c\u01a1 quan qu\u1ea3n l\u00fd \u0111\u1ed1i t\u01b0\u1ee3ng chuy\u1ec3n ti\u1ec1n \u0111\u00f3ng BHYT v\u00e0o qu\u1ef9 BHYT; ch\u1eadm nh\u1ea5t \u0111\u1ebfn ng\u00e0y 31\/12 h\u1eb1ng n\u0103m ph\u1ea3i th\u1ef1c hi\u1ec7n xong vi\u1ec7c chuy\u1ec3n kinh ph\u00ed v\u00e0o qu\u1ef9 BHYT c\u1ee7a n\u0103m \u0111\u00f3.<\/span><\/h2>\n

Theo quy \u0111\u1ecbnh t\u1ea1i \u0111i\u1ec1u 19 Quy \u0111\u1ecbnh 959\/Q\u0110- BHYT<\/strong> nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng\u00a0do c\u01a1 quan t\u00e0i ch\u00ednh c\u01a1 quan qu\u1ea3n l\u00fd \u0111\u1ed1i t\u01b0\u1ee3ng chuy\u1ec3n ti\u1ec1n \u0111\u00f3ng BHYT v\u00e0o qu\u1ef9 BHYT, Chi ti\u1ebft\u00a0Quy \u0111\u1ecbnh \u0111\u1ed1i t\u01b0\u1ee3ng tham gia b\u1ea3o hi\u1ec3m y t\u1ebf m\u1edbi nh\u1ea5t<\/a><\/span><\/p>\n

“Tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi thu\u1ed9c h\u1ed9 gia \u0111\u00ecnh ngh\u00e8o t\u1ea1i \u0110i\u1ec3m 3.7 Kho\u1ea3n 3 v\u00e0 ng\u01b0\u1eddi thu\u1ed9c h\u1ed9 gia \u0111\u00ecnh c\u1eadn ngh\u00e8o \u0111\u01b0\u1ee3c ng\u00e2n s\u00e1ch nh\u00e0 n\u01b0\u1edbc h\u1ed7 tr\u1ee3 100% m\u1ee9c \u0111\u00f3ng t\u1ea1i \u0110i\u1ec3m 4.1 Kho\u1ea3n 4 \u0110i\u1ec1u 17 m\u00e0 c\u01a1 quan BHXH nh\u1eadn \u0111\u01b0\u1ee3c danh s\u00e1ch \u0111\u1ed1i t\u01b0\u1ee3ng tham gia BHYT k\u00e8m theo Quy\u1ebft \u0111\u1ecbnh ph\u00ea duy\u1ec7t danh s\u00e1ch ng\u01b0\u1eddi thu\u1ed9c h\u1ed9 gia \u0111\u00ecnh ngh\u00e8o, ng\u01b0\u1eddi thu\u1ed9c h\u1ed9 gia \u0111\u00ecnh c\u1eadn ngh\u00e8o c\u1ee7a c\u01a1 quan nh\u00e0 n\u01b0\u1edbc c\u00f3 th\u1ea9m quy\u1ec1n sau ng\u00e0y 01\/01 th\u00ec th\u1ef1c hi\u1ec7n thu v\u00e0 c\u1ea5p th\u1ebb BHYT t\u1eeb ng\u00e0y Quy\u1ebft \u0111\u1ecbnh c\u00f3 hi\u1ec7u l\u1ef1c.”<\/em><\/span><\/p>\n

3. \u0110\u1ed1i t\u01b0\u1ee3ng \u0111\u01b0\u1ee3c\u00a0\u00a0C\u01a1 quan, \u0111\u01a1n v\u1ecb c\u1ea5p h\u1ecdc b\u1ed5ng chuy\u1ec3n ti\u1ec1n \u0111\u00f3ng BHYT v\u00e0o qu\u1ef9 BHYT h\u00e0ng th\u00e1ng<\/span><\/h2>\n

4.\u00a0 \u0110\u1ed1i t\u01b0\u1ee3ng l\u00e0\u00a0Ng\u01b0\u1eddi thu\u1ed9c h\u1ed9 gia \u0111\u00ecnh c\u1eadn ngh\u00e8o<\/span><\/h2>\n

Ng\u01b0\u1eddi thu\u1ed9c h\u1ed9 gia \u0111\u00ecnh l\u00e0m n\u00f4ng nghi\u1ec7p, l\u00e2m nghi\u1ec7p, ng\u01b0 nghi\u1ec7p v\u00e0 di\u00eam nghi\u1ec7p c\u00f3 m\u1ee9c s\u1ed1ng trung b\u00ecnh: \u0111\u1ecbnh k\u1ef3 3 th\u00e1ng, 6 th\u00e1ng ho\u1eb7c 12 th\u00e1ng, \u0111\u1ea1i di\u1ec7n h\u1ed9 gia \u0111\u00ecnh, c\u00e1 nh\u00e2n \u0111\u00f3ng ph\u1ea7n thu\u1ed9c tr\u00e1ch nhi\u1ec7m ph\u1ea3i \u0111\u00f3ng cho \u0110\u1ea1i l\u00fd thu ho\u1eb7c \u0111\u00f3ng t\u1ea1i c\u01a1 quan BHXH. Tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng tham gia \u0111\u00fang th\u1eddi h\u1ea1n \u0111\u01b0\u1ee3c h\u01b0\u1edfng ch\u00ednh s\u00e1ch theo quy\u1ebft \u0111\u1ecbnh ph\u00ea duy\u1ec7t c\u1ee7a c\u1ea5p c\u00f3 th\u1ea9m quy\u1ec1n, khi tham gia th\u00ec ph\u1ea3i tham gia h\u1ebft th\u1eddi h\u1ea1n c\u00f2n l\u1ea1i theo quy\u1ebft \u0111\u1ecbnh \u0111\u01b0\u1ee3c h\u01b0\u1edfng ch\u00ednh s\u00e1ch nh\u01b0ng t\u1ed1i thi\u1ec3u l\u00e0 01 th\u00e1ng.<\/span><\/p>\n

5. \u0110\u1ed1i t\u01b0\u1ee3ng l\u00e0\u00a0H\u1ecdc sinh, sinh vi\u00ean \u0111ang theo h\u1ecdc t\u1ea1i c\u00e1c c\u01a1 s\u1edf gi\u00e1o d\u1ee5c thu\u1ed9c h\u1ec7 th\u1ed1ng gi\u00e1o d\u1ee5c qu\u1ed1c d\u00e2n<\/span><\/h2>\n

\u0110\u1ecbnh k\u1ef3 6 th\u00e1ng ho\u1eb7c 12 th\u00e1ng h\u1ecdc sinh, sinh vi\u00ean \u0111\u00f3ng ph\u1ea7n thu\u1ed9c tr\u00e1ch nhi\u1ec7m ph\u1ea3i \u0111\u00f3ng cho nh\u00e0 tr\u01b0\u1eddng \u0111ang h\u1ecdc.<\/span><\/p>\n

6.\u00a0\u0110\u1ed1i t\u01b0\u1ee3ng thu\u1ed9c\u00a0Nh\u00f3m tham gia BHYT theo h\u1ed9 gia \u0111\u00ecnh<\/span><\/h2>\n

\u0110\u1ecbnh, k\u1ef3 3 th\u00e1ng, 6 th\u00e1ng ho\u1eb7c 12 th\u00e1ng, ng\u01b0\u1eddi \u0111\u1ea1i di\u1ec7n h\u1ed9 gia \u0111\u00ecnh tr\u1ef1c ti\u1ebfp n\u1ed9p ti\u1ec1n \u0111\u00f3ng BHYT cho t\u1ed5 ch\u1ee9c BHXH ho\u1eb7c \u0111\u1ea1i l\u00fd thu BHYT t\u1ea1i c\u1ea5p x\u00e3.<\/span><\/p>\n

7. X\u00e1c \u0111\u1ecbnh s\u1ed1 ti\u1ec1n \u0111\u00f3ng, h\u1ed7 tr\u1ee3 \u0111\u00f3ng \u0111\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 \u0111\u1ed1i t\u01b0\u1ee3ng khi Nh\u00e0 n\u01b0\u1edbc \u0111i\u1ec1u ch\u1ec9nh m\u1ee9c \u0111\u00f3ng b\u1ea3o hi\u1ec3m y t\u1ebf, m\u1ee9c l\u01b0\u01a1ng c\u01a1 s\u1edf<\/span><\/h2>\n

7.1 \u0110\u1ed1i v\u1edbi nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng thu\u1ed9c\u00a0Nh\u00f3m do ng\u00e2n s\u00e1ch nh\u00e0 n\u01b0\u1edbc \u0111\u00f3ng v\u00e0 \u0111\u1ed1i t\u01b0\u1ee3ng ng\u01b0\u1eddi thu\u1ed9c h\u1ed9 gia \u0111\u00ecnh c\u1eadn ngh\u00e8o quy \u0111\u1ecbnh \u0111\u01b0\u1ee3c ng\u00e2n s\u00e1ch nh\u00e0 n\u01b0\u1edbc h\u1ed7 tr\u1ee3 100% m\u1ee9c \u0111\u00f3ng:<\/span><\/p>\n

S\u1ed1 ti\u1ec1n ng\u00e2n s\u00e1ch nh\u00e0 n\u01b0\u1edbc \u0111\u00f3ng, h\u1ed7 tr\u1ee3 100% m\u1ee9c \u0111\u00f3ng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh theo m\u1ee9c \u0111\u00f3ng BHYT v\u00e0 m\u1ee9c l\u01b0\u01a1ng c\u01a1 s\u1edf t\u01b0\u01a1ng \u1ee9ng v\u1edbi th\u1eddi h\u1ea1n s\u1eed d\u1ee5ng ghi tr\u00ean th\u1ebb BHYT. Khi Nh\u00e0 n\u01b0\u1edbc \u0111i\u1ec1u ch\u1ec9nh m\u1ee9c \u0111\u00f3ng BHYT, \u0111i\u1ec1u ch\u1ec9nh m\u1ee9c l\u01b0\u01a1ng c\u01a1 s\u1edf th\u00ec s\u1ed1 ti\u1ec1n ng\u00e2n s\u00e1ch nh\u00e0 n\u01b0\u1edbc \u0111\u00f3ng, h\u1ed7 tr\u1ee3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh k\u1ec3 t\u1eeb ng\u00e0y \u00e1p d\u1ee5ng m\u1ee9c \u0111\u00f3ng BHYT m\u1edbi, m\u1ee9c l\u01b0\u01a1ng c\u01a1 s\u1edf m\u1edbi.<\/span><\/p>\n

7.2 Tr\u01b0\u1eddng h\u1ee3p \u0111\u1ed1i t\u01b0\u1ee3ng Nh\u00f3m \u0111\u01b0\u1ee3c ng\u00e2n s\u00e1ch nh\u00e0 n\u01b0\u1edbc h\u1ed7 tr\u1ee3 m\u1ee9c \u0111\u00f3ng, Nh\u00f3m tham gia BHYT theo h\u1ed9 gia \u0111\u00ecnh, \u0111\u00e3 \u0111\u00f3ng BHYT m\u1ed9t l\u1ea7n cho 3 th\u00e1ng, 6 th\u00e1ng ho\u1eb7c 12 th\u00e1ng m\u00e0 trong th\u1eddi gian n\u00e0y Nh\u00e0 n\u01b0\u1edbc \u0111i\u1ec1u ch\u1ec9nh m\u1ee9c l\u01b0\u01a1ng c\u01a1 s\u1edf th\u00ec kh\u00f4ng ph\u1ea3i \u0111\u00f3ng b\u1ed5 sung ph\u1ea7n ch\u00eanh l\u1ec7ch theo m\u1ee9c l\u01b0\u01a1ng c\u01a1 s\u1edf m\u1edbi.<\/span><\/p>\n

\n","protected":false},"excerpt":{"rendered":"

K\u1ebf to\u00e1n Centax xin chia s\u1ebb v\u1edbi c\u00e1c b\u1ea1n quy \u0111\u1ecbnh n\u00e0y th\u00f4ng qua b\u00e0i vi\u1ebft Quy \u0111\u1ecbnh c\u00e1ch \u0111\u00f3ng b\u1ea3o hi\u1ec3m y t\u1ebf m\u1edbi nh\u1ea5t. M\u1eddi b\u1ea1n \u0111\u1ecdc c\u00f9ng tham kh\u1ea3o<\/p>\n","protected":false},"author":7,"featured_media":18425,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"tags":[2160],"_links":{"self":[{"href":"https:\/\/centax.dsoftware.vn\/index.php?rest_route=\/wp\/v2\/posts\/17952"}],"collection":[{"href":"https:\/\/centax.dsoftware.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/centax.dsoftware.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/centax.dsoftware.vn\/index.php?rest_route=\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/centax.dsoftware.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=17952"}],"version-history":[{"count":0,"href":"https:\/\/centax.dsoftware.vn\/index.php?rest_route=\/wp\/v2\/posts\/17952\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/centax.dsoftware.vn\/index.php?rest_route=\/wp\/v2\/media\/18425"}],"wp:attachment":[{"href":"https:\/\/centax.dsoftware.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17952"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/centax.dsoftware.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17952"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}