1.2. KCB khiing dung tuyJn du{J'chuiing:

I.

Loal blob Tuyenchuyen mon Muc hlfcmg

KCB ky thu,t~ -....~~~~~bttn!BV tuyen huyen 100% chi phi KCB,w 'II

BV tuyen huyen 100% chi phi KCB

4Jill1i BV tuyen tinh 60% chi phi KCB0

BV tuyen Trung uong 40% chi phi KCB

1.3. Trutmg hf/PKCB BHYT khong du thutyc KCB BHYT theo quy dinh:

Duoc quy BHYT thanh toan tnrc ti€p tai coquan BHXH trong pham vi quyen loi va rmrchuang BHYT theo quy dinh.

2. KCB t~i CO' sO'khdng ky hC}'Pdang KCBBHYT

Diroc quy BHYT thanh toan theo chi phithuc t€ trong pham vi quyen loi va rmrc huangBHYT theo quy dinh.

3. Truong hC}'Pcap cuu:HSSV tham gia BHYT duoc KCB tai bftt ky

co So' y t€ nao. Phai xuftt trinh the BHYT vagifty to' my than co anh truac khi ra vi~n d~duqc huang quy~n lqi BHYT theo quy dinh.

BAo HIEM Y rE -DONG GOP KHI LANH DE nANH KHI DAU OM BAD HIEM YTIt HQC SINH, SINH VIENDONG HANH CUNG NAM HQC Men

In 100.000 ban, kh6 20;5 x 29,5 em tili GOngty GP In T6ng hQpC~nTM s6 500 dll~ng 30/4, phll~ng HlIng LQi,q~n Ninh Kieu, thanh ph6 G~nTha.GPXB s6: 163/GP-STTTT do S/1ThOngtin va Truyen thOng TP. CanTho cap ngay 29 thang 8 nJm 2018. In xong nOp IUlJchi~u thang 9 nJm 2018.

VI. TRAcH NHJ..tM CVA HSSV

-/ Dong BHYT diy du, dung thai han-/ Sir dung the BHYT dung muc dich.-/ Thirc hien diy du thu tuc khi den KCB.-/ Thanh toan chi phi KCB ngoai phan chi phido quy BHYT chi tra.-/ Chftp hanh cac quy dinh va hirong d~n cuat6 chirc BHYT, co So' KCB.

D~ bi~t them chi ti~t hay lien h~ vtri:- BHXH qu~n, huy~n, truOng hQc, d~i Iy thu.- Truy c~p website www.baohiemxahoi.gov.vn

BAo HIEM xA HOI VIET NAM. .

NHUNG BrEu CAN BlET VE? N K

BAOHIEMYTEHOC SINH SINH VIEN.

TicH cut THAM GIAHOC SINH, SINH VIEN

Cac van ban phap l~~t v~ Bao hi~m y t~(BHYT) quy djnh ve BHYT hoc sinh,sinh vien (HSSV) nlnr sau:

I. DOl TI1QNG

HQc sinh, sinh vien.(HSSV) dang thea hoc tai cacco sa giao due, tnr tnrong hQ'Pda tham gia BHYTthea cac nhom d6i nrong khac.

II. MirC DONG, HO TRQ Mirc DONGPHUONG THUC DONG, THU TVC THAM G~

1.Muc dong BHYT cua HSSV: Bing 4,5% mucluang Co'sa. Ngan sach nha nuach6 tn;r 30% mucdong. HSSV dong 70% con l:;ti

2.PhU'O'ngthuc dong:Dong dinhk)r 03 thang, 06thang ho~c 12 thang.

3. Bfa diim dong: T:;ticac Co'sa giao dvc HSSVdang thea hQc.

4. Thu t{lc tham gia: HSSV chua co rna s6BHXH l~p Ta khai tham gia BHYT thea mftu d~duqc cAprna s6; trnang hQ'Pda co rna s6 BHXH chidn cung cAprna s6 BHXH cho nha trnang.

*MQt sa lUll Y:- HQCsinh dil 06 tu6i va co ngay sinh trnac 30/9

cila nam nh~p hQc thi thu va cApthe BHYT co gia trtillngay 01/10 cilanam do; congay sinh sau 30/9 cilanam nh~p hQc thi thu va cApthe BHYT co gia trt sauthang sinh nh~t.

- Trnang hQ'PhQc sinh tham gia BHYT Iftn dftuho~c tham gia kh6ng lien tI,lctir 3 thang tra len theBHYT co gia tri sir dl,lng sau 30 ngay k~ ill ngaydongBHYT.

III. THU TVC KID DI KCB BHYT

* HSSV phai xuat trinh cac gi~y ta ngay khi d~nkham chua benh (KCB) g6m: The BHYT con han srrdung va mot trong nhfrng gi~y ta chirng minh nhanthan co anh (Chung minh nhan dan; The Doan vien;The hoc sinh, sinh vien, ... ).Phai xu~t trinh them mQttrong nhfmg gi~y ta sau:- Giay hen cAp lai, d6i the BHYT (neu dang cho

cAplai, d6i the);- Giay chuyen tuyen (neu chuyen tuyen KCB);- Quy~t dinh Clrdi hQc, gi~y dang ky t:;tmtrU (n~u di

hQc t~p trung thea cac hinh thuc dao t:;to, chuangtrinh dao t:;to,t:;tmtrU);- Gi~y chUng nh~n kh6ng cung chi tra trong nam

(n~uco). .* HSSV kh6ng xu~t trinh dfty dil mQt trong nhfrng

gi~y tada neu tren duqc coi la KCB kh6ng dung quydinb·

1. DuqccApthe BHYT thea rna s6 Bao hiSm xa hQi(BHXH), dung rna s6 BHXH d~ lam thil tI,lctham giava huang BHYT. .2. Duqc thay d6i nO'idang kY KCB ban dftu vao

thang dftum6i quy.3. Duqccham soc suc kh6e ban dftu theo quy dinh.4. Duqc Quy BHYT chi tra chi phi KCB trong

ph:;tm vi quy~n lqi va muc hu~g thea quy dinl?-;duqc thanh toan chi phi v~n chuyen nguai b~nh d6iv6'imQts6 d6i tuqng. ,5. DuqcCo'quan BHXH giai thich, cung cap th6ng

tinv~BHYT.6. Duqc khi~u n:;ti, t6 cao hanh vi vi ph:;tm phap

lu~t v~BHYT.

v. snrc HUONG

1. KCB t~iCO'sfry t~co ky hQP dAng KCB BHYT:1.1KCB dung noi dang kj ban dau va thlfc hifn

day du thu t{lc.*100%chi phiKCB khi:+The BHYT co rna quyen loi lei2.+KCB tai tuy~nxa.+ T6ng chi phi cua 011ftn KCB th~p han 15%

rmrc luang Co'sa+Co thai gian tham gia BHYT 5 nam lien tI,lctra

len, d6ng thai co s6 ti~n cung chi tra chi phi KCBtrong nam Ian han 6 thang luang Co'sa va duqc Co'quan BHXH cApGi~y chUng nh~n kh6ng cung chitnl trong nam.* 95% chi phi KCB khi the BHYT co rna quy~n

lqi la 3.* 80% chi phi KCB khi the BHYT co rna quy~n

lqi la 4.

HSSV tra c.ru thOi hl,lnsir d\mg the BHYT tl,lidia chi:https:/lbaohiernxahoi.gov.vnltracuu/pages/tra­cuu-thoi-han-su-dung-the-bhyt.aspx