(Chinhphu.vn) - The mother of Mr. Nguyen Trung (in Nam Dinh Province) was receiving a monthly social allowance and had a health insurance card for the elderly. Currently, his mother's eyes had cataracts and must surgery.

Mr. Trung would like to ask, if he took his mother to the Central Eye Hospital for treatment without going through the lower level, would she be covered by health insurance? If so, how much was the payment? Were there any priority benefits for his mother? How muchwas the total cost of eye examination and vitreous surgery?

Regarding this issue,, Vietnam Social Security responds as follows:

According to the provisions of the Law on Health Insurance, the elderly aged 80 and older who are receiving monthly social protection allowance, they are covered by the health insurance fund 100% of the costs of medical examination and treatment when they are under health insurance examination and treatment according to regulations ( have a deadline for payment of a number of medicines, chemicals, medical supplies and technical services according to the Health Minister's regulations).

In addition, at Point c, Clause 2, Article 9 of Circular No. 40/2015 / TT-BYT dated November 16, 2015 of the Ministry of Health prescribing the initial registration for medical examination and treatment and medical examination and treatment Health insurance, people from 80 years of age or older are given priority to register for initial medical examination and treatment at the provincial, central and equivalent levels of health care facilities, and the priority is queuing up for medical examination and treatment.

In case, he brought his mother to medical examination and treatment at the Central Eye Hospital without going through the lower level and not in case of emergency, only the health insurance fund paid 40% of the cost of inpatient treatment (in case emergency care is entitled to 100% of the cost within the scope of payment of the health insurance fund).

n case, he brought his mother to medical examination and treatment at the Central Eye Hospital without going through the lower level and not in case of emergency, only the health insurance fund paid 40% of the cost of inpatient treatment (in case emergency care is entitled to 100% of the cost within the scope of payment of the health insurance fund).

When people are admitted to hospital in accordance with the regulations on health insurance to perform vitreous replacement surgery, the health insurance fund will pay the following expenses: Technical service "Cataract surgery by Phaco method" is VND 2,615. 000 (including multi-use cassettes, mucus); Medical supplies "Artificial glass (IOL, toric IOL) types, sizes (hard, soft, hanging) are covered by the health insurance fund up to VND 3,000,000 / 1 lens; Other expenses such as tests, drugs, treatment bed days ... within the scope of patients' benefits are paid by the health insurance fund based on the number of appointments used and the price prescribed by law.