{"id":9438,"date":"2015-08-17T08:48:03","date_gmt":"2015-08-17T08:48:03","guid":{"rendered":"https:\/\/centax.dsoftware.vn\/?p=9438"},"modified":"2015-08-24T02:06:04","modified_gmt":"2015-08-24T02:06:04","slug":"tu-nam-2015-kham-chua-benh-ngoai-tru-vuot-tuyen-khong-duoc-huong-bao-hiem-y-te","status":"publish","type":"post","link":"https:\/\/centax.dsoftware.vn\/?p=9438","title":{"rendered":"T\u1eeb n\u0103m 2015: Kh\u00e1m ch\u1eefa b\u1ec7nh ngo\u1ea1i tr\u00fa tr\u00e1i tuy\u1ebfn kh\u00f4ng \u0111\u01b0\u1ee3c h\u01b0\u1edfng b\u1ea3o hi\u1ec3m y t\u1ebf"},"content":{"rendered":"

\"T\u1eeb<\/h2>\n

Tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p, ng\u01b0\u1eddi lao \u0111\u1ed9ng tham gia b\u1ea3o hi\u1ec3m y t\u1ebf c\u00f3 th\u1ec3 \u0111i kh\u00e1m b\u1ec7nh kh\u00f4ng \u0111\u00fang tuy\u1ebfn, ho\u1eb7c v\u01b0\u1ee3t tuy\u1ebfn. Khi \u0111\u00f3, quy\u1ec1n l\u1ee3i h\u01b0\u1edfng b\u1ea3o hi\u1ec3m y t\u1ebf khi kh\u00e1m ch\u1eefa b\u1ec7nh c\u1ee7a ng\u01b0\u1eddi lao \u0111\u1ed9ng\u00a0\u0111\u01b0\u1ee3c quy \u0111\u1ecbnh nh\u01b0 th\u1ebf n\u00e0o? K\u1ebf to\u00e1n Centax<\/a><\/strong> xin chia s\u1ebb v\u1edbi b\u1ea1n m\u1ee9c h\u01b0\u1edfng b\u1ea3o hi\u1ec3m y t\u1ebf trong\u00a0 tr\u01b0\u1eddng h\u1ee3p kh\u00e1m ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang tuy\u1ebfn \u1edf b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/span><\/p>\n

Khi b\u1eaft \u0111\u1ea7u tham gia b\u1ea3o hi\u1ec3m, ng\u01b0\u1eddi lao \u0111\u1ed9ng ph\u1ea3i \u0111\u0103ng k\u00fd B\u1ec7nh vi\u1ec7n m\u00ecnh s\u1ebd kh\u00e1m ch\u1eefa b\u1ec7nh theo s\u1ed5 b\u1ea3o hi\u1ec3m y t\u1ebf.\u00a0Ng\u01b0\u1eddi lao \u0111\u1ed9ng s\u1ebd kh\u00e1m ch\u1eefa b\u1ec7nh \u1edf b\u1ec7nh vi\u1ec7n m\u00ecnh \u0111\u0103ng k\u00fd. \u0110\u00f3 l\u00e0 b\u1ec7nh vi\u1ec7n- tuy\u1ebfn kh\u00e1m ch\u1eefa b\u1ec7nh c\u1ee7a h\u1ecd<\/span><\/p>\n

T\u1ea1i Kho\u1ea3n 15 \u0110i\u1ec1u 1 Lu\u1eadt b\u1ea3o hi\u1ec3m y t\u1ebf s\u1ed1 46\/2014\/QH13<\/a><\/strong> s\u1eeda \u0111\u1ed5i, b\u1ed5 sung \u0110i\u1ec1u 22 Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf s\u1ed1 25\/2008\/QH12<\/a><\/strong> quy \u0111\u1ecbnh v\u1ec1 m\u1ee9c h\u01b0\u1edfng b\u1ea3o hi\u1ec3m y t\u1ebf trong tr\u01b0\u1eddng h\u1ee3p kh\u00e1m ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang tuy\u1ebfn nh\u01b0 sau:<\/span><\/p>\n

\u201c 3.Tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi c\u00f3 th\u1ebb b\u1ea3o hi\u1ec3m y t\u1ebf 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 theo m\u1ee9c h\u01b0\u1edfng quy \u0111\u1ecbnh t\u1ea1i kho\u1ea3n 1 \u0110i\u1ec1u n\u00e0y theo t\u1ef7 l\u1ec7 nh\u01b0 sau, tr\u1eeb tr\u01b0\u1eddng h\u1ee3p quy \u0111\u1ecbnh t\u1ea1i kho\u1ea3n 5 \u0110i\u1ec1u n\u00e0y:<\/em><\/span><\/p>\n

a) T\u1ea1i b\u1ec7nh vi\u1ec7n tuy\u1ebfn trung \u01b0\u01a1ng l\u00e0 40% chi ph\u00ed \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa;<\/em><\/span><\/p>\n

b) T\u1ea1i b\u1ec7nh vi\u1ec7n tuy\u1ebfn t\u1ec9nh l\u00e0 60% chi ph\u00ed \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa t\u1eeb ng\u00e0y Lu\u1eadt n\u00e0y c\u00f3 hi\u1ec7u l\u1ef1c \u0111\u1ebfn ng\u00e0y 31 th\u00e1ng 12 n\u0103m 2020; 100% chi ph\u00ed \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa t\u1eeb ng\u00e0y 01 th\u00e1ng 01 n\u0103m 2021 trong ph\u1ea1m vi c\u1ea3 n\u01b0\u1edbc;<\/em><\/span><\/p>\n

c) T\u1ea1i b\u1ec7nh vi\u1ec7n tuy\u1ebfn huy\u1ec7n l\u00e0 70% chi ph\u00ed kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh t\u1eeb ng\u00e0y Lu\u1eadt n\u00e0y c\u00f3 hi\u1ec7u l\u1ef1c \u0111\u1ebfn ng\u00e0y 31 th\u00e1ng 12 n\u0103m 2015; 100% chi ph\u00ed kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh t\u1eeb ng\u00e0y 01 th\u00e1ng 01 n\u0103m 2016.\u201d<\/em><\/span><\/p>\n

Theo quy \u0111\u1ecbnh tr\u00ean th\u00ec m\u1ee9c h\u01b0\u1edfng b\u1ea3o hi\u1ec3m y t\u1ebf trong tr\u01b0\u1eddng h\u1ee3p kh\u00e1m ch\u1eefa b\u1ec7nh kh\u00e1c tuy\u1ebfn nh\u01b0 sau:<\/span><\/p>\n