{"id":19979,"date":"2015-12-28T07:16:17","date_gmt":"2015-12-28T07:16:17","guid":{"rendered":"https:\/\/centax.dsoftware.vn\/?p=19979"},"modified":"2016-12-05T08:32:51","modified_gmt":"2016-12-05T08:32:51","slug":"muc-huong-bao-hiem-y-te-dung-tuyen-trai-tuyen-chuyen-tuyen","status":"publish","type":"post","link":"https:\/\/centax.dsoftware.vn\/?p=19979","title":{"rendered":"M\u1ee9c h\u01b0\u1edfng b\u1ea3o hi\u1ec3m y t\u1ebf \u0111\u00fang tuy\u1ebfn, tr\u00e1i tuy\u1ebfn, chuy\u1ec3n tuy\u1ebfn"},"content":{"rendered":"<h2><img decoding=\"async\" loading=\"lazy\" class=\"alignright  wp-image-20140\" src=\"https:\/\/centax.dsoftware.vn\/wp-content\/uploads\/2015\/12\/Muc-huong-bao-hiem-y-te-dung-tuyen-trai-tuyen-chuyen-tuyen-anh-chinh1-300x200.jpg\" alt=\"Muc huong bao hiem y te dung tuyen, trai tuyen, chuyen tuyen - anh chinh\" width=\"192\" height=\"128\" srcset=\"https:\/\/centax.dsoftware.vn\/wp-content\/uploads\/2015\/12\/Muc-huong-bao-hiem-y-te-dung-tuyen-trai-tuyen-chuyen-tuyen-anh-chinh1-300x200.jpg 300w, https:\/\/centax.dsoftware.vn\/wp-content\/uploads\/2015\/12\/Muc-huong-bao-hiem-y-te-dung-tuyen-trai-tuyen-chuyen-tuyen-anh-chinh1.jpg 450w\" sizes=\"(max-width: 192px) 100vw, 192px\" \/><\/h2>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">Khi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf, ng\u01b0\u1eddi lao \u0111\u1ed9ng s\u1ebd \u0111\u0103ng k\u00fd kh\u00e1m ch\u1eefa b\u1ec7nh t\u1ea1i m\u1ed9t b\u1ec7nh vi\u1ec7n ph\u00f9 h\u1ee3p v\u1edbi n\u01a1i \u1edf v\u00e0 l\u00e0m vi\u1ec7c c\u1ee7a m\u00ecnh. Nh\u01b0ng trong khi kh\u00e1m ch\u1eefa b\u1ec7nh, ng\u01b0\u1eddi lao \u0111\u1ed9ng c\u00f3 th\u1ec3 kh\u00f4ng kh\u00e1m ch\u1eefa b\u1ec7nh t\u1ea1i n\u01a1i m\u00ecnh \u0111\u0103ng k\u00fd ban \u0111\u1ea7u, ho\u1eb7c kh\u00e1m ch\u1eefa b\u1ec7nh v\u01b0\u1ee3t tuy\u1ebfn. Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, m\u1ee9c thanh to\u00e1n c\u1ee7a b\u1ea3o hi\u1ec3m c\u00f3 kh\u00e1c nhau. <a href=\"https:\/\/centax.dsoftware.vn\/gioi-thieu-ve-ke-toan-centax\/\" target=\"_blank\">K\u1ebf to\u00e1n thu\u1ebf Centax<\/a> xin chia s\u1ebb v\u1edbi c\u00e1c b\u1ea1n m\u1ee9c thanh to\u00e1n c\u1ee7a b\u1ea3o hi\u1ec3m qua b\u00e0i vi\u1ebft:\u00a0<strong>M\u1ee9c h\u01b0\u1edfng b\u1ea3o hi\u1ec3m y t\u1ebf \u0111\u00fang tuy\u1ebfn, tr\u00e1i tuy\u1ebfn, chuy\u1ec3n tuy\u1ebfn<\/strong><\/span><\/p>\n<p><span style=\"font-family: helvetica, arial, sans-serif;\">C\u01a1 s\u1edf ph\u00e1p l\u00fd:<\/span><\/p>\n<ul>\n<li><span style=\"font-family: helvetica, arial, sans-serif;\">Lu\u1eadt b\u1ea3o hi\u1ec3m y t\u1ebf 2014<\/span><\/li>\n<li><span style=\"font-family: helvetica, arial, sans-serif;\"><a href=\"https:\/\/centax.dsoftware.vn\/nghi-dinh-1052014-quy-dinh-chi-tiet-va-huong-dan-thi-hanh-mot-so-dieu-cua-luat-bao-hiem-y-te\/\" target=\"_blank\">Ngh\u1ecb \u0111\u1ecbnh 105\/2014\/N\u0110-CP<\/a><\/span><\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\"><span style=\"font-size: 12pt; color: #000000; font-family: helvetica, arial, sans-serif;\"><strong>1. M\u1ee9c h\u01b0\u1edfng b\u1ea3o \u00a0hi\u1ec3m y t\u1ebf kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u00fang tuy\u1ebfn<\/strong><\/span><\/h2>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">&#8211; H\u01b0\u1edfng <strong>100% <\/strong>\u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">+ \u0110\u1ed1i t\u01b0\u1ee3ng quy \u0111\u1ecbnh t\u1ea1i c\u00e1c \u0111i\u1ec3m a, d, e, g, h v\u00e0 i kho\u1ea3n 3.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">+ \u00a0Chi ph\u00ed cho m\u1ed9t l\u1ea7n kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh th\u1ea5p h\u01a1n m\u1ee9c do Ch\u00ednh ph\u1ee7 quy \u0111\u1ecbnh v\u00e0 kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh t\u1ea1i tuy\u1ebfn x\u00e3.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">+ Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1eddi gian tham gia b\u1ea3o hi\u1ec3m y t\u1ebf 5 n\u0103m li\u00ean t\u1ee5c tr\u1edf l\u00ean v\u00e0 c\u00f3 s\u1ed1 ti\u1ec1n c\u00f9ng chi tr\u1ea3 chi ph\u00ed kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh trong n\u0103m l\u1edbn h\u01a1n 6 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf, tr\u1eeb tr\u01b0\u1eddng h\u1ee3p t\u1ef1 \u0111i kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang tuy\u1ebfn.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">&#8211; H\u01b0\u1edfng<strong> 95%<\/strong> \u0111\u1ed1i v\u1edbi \u0111\u1ed1i t\u01b0\u1ee3ng quy \u0111\u1ecbnh t\u1ea1i \u0111i\u1ec3m a kho\u1ea3n 2, \u0111i\u1ec3m k kho\u1ea3n 3 v\u00e0 \u0111i\u1ec3m a kho\u1ea3n 4<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">&#8211;\u00a0 H\u01b0\u1edfng <strong>80%<\/strong> chi ph\u00ed kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh \u0111\u1ed1i v\u1edbi c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng kh\u00e1c<\/span><\/p>\n<h2 style=\"text-align: justify;\"><span style=\"font-size: 12pt; color: #000000; font-family: helvetica, arial, sans-serif;\"><strong>2. M\u1ee9c h\u01b0\u1edfng b\u1ea3o \u00a0hi\u1ec3m y t\u1ebf kh\u00e1m ch\u1eefa b\u1ec7nh tr\u00e1i tuy\u1ebfn<\/strong><\/span><\/h2>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">&#8211; H\u01b0\u1edfng\u00a0<strong>40%<\/strong>\u00a0chi ph\u00ed \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa t\u1ea1i b\u1ec7nh vi\u1ec7n tuy\u1ebfn trung \u01b0\u01a1ng.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">&#8211; H\u01b0\u1edfng\u00a0<strong>60%<\/strong>\u00a0chi ph\u00ed \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa t\u1eeb 01\/01\/2015 \u0111\u1ebfn 31\/12\/2020;\u00a0<strong>100%<\/strong>\u00a0chi ph\u00ed \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa t\u1eeb 01\/01\/2021\u00a0trong\u00a0ph\u1ea1m vi c\u1ea3 n\u01b0\u1edbc;<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">&#8211; H\u01b0\u1edfng\u00a0<strong>70%<\/strong>\u00a0chi ph\u00ed kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh t\u1eeb 01\/01\/2015 \u0111\u1ebfn 31\/12\/2015;<strong>100%<\/strong>\u00a0chi ph\u00ed kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh t\u1eeb 01\/01\/2016.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">Nh\u01b0 v\u1eady, tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa v\u01b0\u1ee3t tuy\u1ebfn s\u1ebd<strong> kh\u00f4ng <\/strong>\u0111\u01b0\u1ee3c h\u01b0\u1edfng BHYT<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">Tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u, ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf\u00a0\u0111\u01b0\u1ee3c\u00a0kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh\u00a0t\u1ea1i b\u1ea5t k\u1ef3 c\u01a1 s\u1edf\u00a0kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh n\u00e0o\u00a0v\u00e0 \u0111\u01b0\u1ee3c h\u01b0\u1edfng\u00a0BHYT nh\u01b0 \u0111\u00fang tuy\u1ebfn<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">Ng\u01b0\u1eddi d\u00e2n t\u1ed9c thi\u1ec3u s\u1ed1 v\u00e0 ng\u01b0\u1eddi thu\u1ed9c h\u1ed9 gia \u0111\u00ecnh ngh\u00e8o tham gia b\u1ea3o hi\u1ec3m y t\u1ebf \u0111ang sinh s\u1ed1ng t\u1ea1i v\u00f9ng c\u00f3 \u0111i\u1ec1u ki\u1ec7n kinh t\u1ebf &#8211; x\u00e3 h\u1ed9i kh\u00f3 kh\u0103n, v\u00f9ng c\u00f3 \u0111i\u1ec1u ki\u1ec7n kinh t\u1ebf &#8211; x\u00e3 h\u1ed9i \u0111\u1eb7c bi\u1ec7t kh\u00f3 kh\u0103n; ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf \u0111ang sinh s\u1ed1ng t\u1ea1i x\u00e3 \u0111\u1ea3o, huy\u1ec7n \u0111\u1ea3o khi t\u1ef1 \u0111i kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang tuy\u1ebfn \u0111\u01b0\u1ee3c qu\u1ef9 b\u1ea3o hi\u1ec3m y t\u1ebf thanh to\u00e1n chi ph\u00ed kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh \u0111\u1ed1i v\u1edbi b\u1ec7nh vi\u1ec7n tuy\u1ebfn huy\u1ec7n, \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa \u0111\u1ed1i v\u1edbi b\u1ec7nh vi\u1ec7n tuy\u1ebfn t\u1ec9nh, tuy\u1ebfn trung \u01b0\u01a1ng v\u00e0 c\u00f3 m\u1ee9c h\u01b0\u1edfng theo \u0111\u00fang tuy\u1ebfn.<\/span><\/p>\n<h2 style=\"text-align: justify;\"><span style=\"font-size: 12pt; color: #000000; font-family: helvetica, arial, sans-serif;\"><strong>3. M\u1ee9c h\u01b0\u1edfng b\u1ea3o hi\u1ec3m y t\u1ebf kh\u00e1m ch\u1eefa b\u1ec7nh chuy\u1ec3n tuy\u1ebfn<\/strong><\/span><\/h2>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">Ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf khi \u0111i kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh chuy\u1ec3n tuy\u1ebfn \u0111i\u1ec1u tr\u1ecb, c\u00f3 \u00a0h\u1ed3 s\u01a1 chuy\u1ec3n vi\u1ec7n c\u1ee7a c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh h\u1ee3p l\u1ec7 th\u00ec:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">&#8211; H\u01b0\u1edfng\u00a0<strong>100%<\/strong>\u00a0\u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">+ \u0110\u1ed1i t\u01b0\u1ee3ng theo quy \u0111\u1ecbnh.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">+ Ng\u01b0\u1eddi ho\u1ea1t \u0111\u1ed9ng c\u00e1ch m\u1ea1ng tr\u01b0\u1edbc ng\u00e0y 01 th\u00e1ng 01 n\u0103m 1945; ng\u01b0\u1eddi ho\u1ea1t \u0111\u1ed9ng c\u00e1ch m\u1ea1ng t\u1eeb ng\u00e0y 01 th\u00e1ng 01 n\u0103m 1945 \u0111\u1ebfn ng\u00e0y kh\u1edfi ngh\u0129a th\u00e1ng T\u00e1m n\u0103m 1945; B\u00e0 m\u1eb9 Vi\u1ec7t Nam anh h\u00f9ng; th\u01b0\u01a1ng binh, ng\u01b0\u1eddi h\u01b0\u1edfng ch\u00ednh s\u00e1ch nh\u01b0 th\u01b0\u01a1ng binh, th\u01b0\u01a1ng binh lo\u1ea1i B, b\u1ec7nh binh suy gi\u1ea3m kh\u1ea3 n\u0103ng lao \u0111\u1ed9ng t\u1eeb 81% tr\u1edf l\u00ean; th\u01b0\u01a1ng binh, ng\u01b0\u1eddi h\u01b0\u1edfng ch\u00ednh s\u00e1ch nh\u01b0 th\u01b0\u01a1ng binh, th\u01b0\u01a1ng binh lo\u1ea1i B, b\u1ec7nh binh khi \u0111i\u1ec1u tr\u1ecb v\u1ebft th\u01b0\u01a1ng, b\u1ec7nh t\u1eadt t\u00e1i ph\u00e1t; tr\u1ebb em d\u01b0\u1edbi 6 tu\u1ed5i;<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">+ Chi ph\u00ed kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh t\u1ea1i tuy\u1ebfn x\u00e3;<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">+ Chi ph\u00ed cho m\u1ed9t l\u1ea7n kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh th\u1ea5p h\u01a1n 15% m\u1ee9c l\u01b0\u01a1ng c\u01a1 s\u1edf;<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\">+ Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1eddi gian tham gia b\u1ea3o hi\u1ec3m y t\u1ebf 5 n\u0103m li\u00ean t\u1ee5c t\u00ednh t\u1eeb th\u1eddi \u0111i\u1ec3m ng\u01b0\u1eddi \u0111\u00f3 tham gia b\u1ea3o hi\u1ec3m y t\u1ebf \u0111\u1ebfn th\u1eddi \u0111i\u1ec3m \u0111i kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh v\u00e0 c\u00f3 s\u1ed1 ti\u1ec1n c\u00f9ng chi tr\u1ea3 chi ph\u00ed kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh l\u0169y k\u1ebf trong n\u0103m l\u1edbn h\u01a1n 6 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf, t\u00ednh t\u1eeb th\u1eddi \u0111i\u1ec3m tham gia b\u1ea3o hi\u1ec3m y t\u1ebf \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c, tr\u1eeb tr\u01b0\u1eddng h\u1ee3p t\u1ef1 \u0111i kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang tuy\u1ebfn; M\u1ee9c h\u01b0\u1edfng c\u00f3 th\u1ec3 l\u00e0 95% ho\u1eb7c 80% theo t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ng\u01b0\u1eddi lao \u0111\u1ed9ng khi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf  kh\u00f4ng kh\u00e1m ch\u1eefa b\u1ec7nh t\u1ea1i n\u01a1i m\u00ecnh \u0111\u0103ng k\u00fd ban \u0111\u1ea7u, ho\u1eb7c kh\u00e1m ch\u1eefa b\u1ec7nh v\u01b0\u1ee3t tuy\u1ebfn (v\u00ec m\u1ed9t s\u1ed1 l\u00fd do ri\u00eang). Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, m\u1ee9c thanh to\u00e1n c\u1ee7a b\u1ea3o hi\u1ec3m s\u1ebd kh\u00e1c nhau. K\u1ebf to\u00e1n Centax xin chia s\u1ebb c\u00f9ng b\u1ea1n \u0111\u1ecdc b\u00e0i vi\u1ebft. M\u1ee9c h\u01b0\u1edfng b\u1ea3o hi\u1ec3m y t\u1ebf \u0111\u00fang tuy\u1ebfn, tr\u00e1i tuy\u1ebfn, chuy\u1ec3n tuy\u1ebfn, m\u1eddi c\u00e1c b\u1ea1n c\u00f9ng tham kh\u1ea3o<\/p>\n","protected":false},"author":7,"featured_media":20160,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"tags":[2437,2443,2444],"_links":{"self":[{"href":"https:\/\/centax.dsoftware.vn\/index.php?rest_route=\/wp\/v2\/posts\/19979"}],"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=19979"}],"version-history":[{"count":0,"href":"https:\/\/centax.dsoftware.vn\/index.php?rest_route=\/wp\/v2\/posts\/19979\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/centax.dsoftware.vn\/index.php?rest_route=\/wp\/v2\/media\/20160"}],"wp:attachment":[{"href":"https:\/\/centax.dsoftware.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=19979"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/centax.dsoftware.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=19979"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}