New points of the Law on Social Insurance and Health Insurance taking effect from July 1, 2025

From July 1, the amended Law on Health Insurance (HI) and Law on Social Insurance (SI) took effect, bringing about important changes in the rights of participants. HI has many new points, such as: Payment for medical examination and treatment at home, medical examination and treatment regardless of geographical area, support for more subjects and changes in the conditions for receiving HI for 5 consecutive years; the level of benefits for sickness and maternity, expansion of participants and addition of subsidy regime for employees who are not eligible for pension.

Disseminate social insurance and health insurance policies to the people

New points of the Social Insurance Law

Supplementing social pension benefits to form a multi-level social insurance system, in which the age of receiving social pension benefits is reduced to 75 years old (currently 80 years old). Particularly for people in poor and near-poor households, those from 70 years old to under 75 years old are entitled to social pension benefits. Supplementing regulations to increase the connection between the social pension benefit level and basic social insurance. Supplementing monthly allowance regime for employees who are not eligible for pension and are not old enough to receive social pension benefits. Accordingly, Vietnamese citizens who are old enough to retire, but do not have enough time to pay for pension (not enough 15 years of payment) and are not old enough to receive social pension benefits (not old enough to receive social pension benefits) if they do not receive one-time social insurance and do not reserve it but have a request, will receive monthly allowances from their own contributions.

Expand the subjects eligible to participate and fully enjoy social insurance regimes by expanding the subjects participating in compulsory social insurance to business owners with business registration; part-time workers at the commune, village, and residential group levels; part-time workers; business managers, and cooperative managers who do not receive salaries. Add the right to enjoy sick leave and maternity benefits to part-time workers at the commune level. Add maternity benefits to the voluntary social insurance policy: Voluntary social insurance participants who meet the conditions are eligible for a maternity allowance of 2 million VND for each newborn child. Paying social insurance for at least 15 years will be entitled to a pension...

The 2024 Social Insurance Law supplements regulations on supplementary pension insurance, creating conditions for employers and employees to have more options to participate in contributions to receive higher pensions. At the same time, it enhances compliance with the law, protects the legitimate rights and interests of employees; handles acts of late payment and evasion of social insurance payments, etc.

. 8 new points of the amended and supplemented Law on Health Insurance

From July 1, 2025, when the Law on Health Insurance is amended and supplemented in 2024, there will be some changes compared to the old law. Specifically, the group of subjects participating in health insurance will be expanded, including: People participating in the force to protect security and order at the grassroots level, the elderly aged 75 and over who are receiving monthly pensions, people aged 70 to under 75 from near-poor households who are receiving monthly pensions. Adding subjects such as village health workers and village midwives. In addition, the new regulations in the law have adjustments to the responsibility to pay health insurance, the method, payment period, responsibility to make a list of health insurance payments, and the validity period of health insurance cards.

New regulations on registration of initial medical examination and treatment facilities, procedures for registration of initial medical examination and treatment facilities are simplified and more convenient. The new law also clearly stipulates the rights of health insurance card holders to register for initial medical examination and treatment facilities covered by health insurance at primary and basic medical examination and treatment facilities. Transfer patients between health insurance medical examination and treatment facilities according to technical expertise level. The hospital transfer process is clearly regulated, ensuring that patients have access to the best medical management and care services, even for patients with chronic diseases.

Regulations on health insurance benefits when providing health insurance services in the direction of not distinguishing administrative boundaries by province. Accordingly, health insurance participants will enjoy: 100% of health insurance benefits when receiving medical examination and treatment at medical facilities that are the initial health insurance service providers nationwide, 100% of benefits when receiving inpatient medical examination and treatment at basic health insurance service facilities nationwide. 100% of benefits when receiving medical examination and treatment at any basic or specialized health insurance service facility that, before January 1, 2025, has been determined by competent authorities to be district level.

In particular, in some cases, patients with rare or serious diseases will be transferred directly to specialized medical facilities. The new Health Insurance Law also expands some benefits for people with health insurance cards when treating strabismus and refractive errors of the eyes for people under 18 years old. With this new benefit level, patients with health insurance cards will enjoy more health insurance benefits than before, helping them have the opportunity to receive maximum health insurance support when going to medical examination and treatment.

The new Health Insurance Law stipulates an increase in the allocation from health insurance revenue to spend on health insurance activities to 92%, and a reduction in the amount for the reserve fund and organization of health insurance fund activities to 8%. At the same time, it adds a mechanism for payment of drugs and medical equipment transferred between health insurance facilities and payment of paraclinical service costs transferred to other facilities in case of shortage of drugs and medical equipment. The new law also amends the form of handling when late payment or evasion of health insurance payment...

By the end of May 2025, the whole An Giang province had 119,736 people participating in compulsory social insurance, 17,863 people participating in voluntary social insurance; 1,680,371 people participating in health insurance, with coverage accounting for 87.93% of the population. In order for the amended Law on Social Insurance and Health Insurance to come into life, the social insurance sector actively propagates and creates a "bridge" in implementing social insurance and health insurance policies, with the common goal of ensuring and serving policy participants better and better.

BLUE

Source: https://baoangiang.com.vn/nhung-diem-moi-luat-bao-hiem-xa-hoi-bao-hiem-y-te-co-hieu-luc-tu-ngay-1-7-2025-a422743.html