Important Information About Medical Examination and Treatment Using Health Insurance Cards at Tam Tri Sai Gon

IMPORTANT INFORMATION ABOUT MEDICAL EXAMINATION AND TREATMENT USING HEALTH INSURANCE CARDS AT TAM TRI SAI GON GENERAL HOSPITAL

Currently, most people nationwide register for medical examination and treatment using Health Insurance (HI) cards. However, not everyone fully understands the regulations related to this type of insurance, such as the process of medical examination with HI, the HI benefit levels, how to read the card information, especially for out-of-network HI. Below are important things to know when using a Health Insurance card for medical examination and treatment at Tam Tri Sai Gon General Hospital.

1. Conditions for Using Health Insurance Benefits

All citizens have the right to participate in HI and enjoy its benefits when registering for medical examination and treatment at healthcare facilities within the country. Conditions for using HI benefits are as follows:

1. When going for examination or treatment, patients must present a valid HI card and a valid photo ID. Alternatively, citizens may present a chip-based Citizen Identification Card (CCCD) integrated with the HI code. For children under 6 years old, only a valid HI card is required.

2. Emergency cases: Patients are accepted at any healthcare facility and must present the HI card along with a valid ID proving identity before discharge. During treatment, if some diseases are detected and require treatment, it will be considered as in-network treatment.

3. Referral cases: Patients will be referred for specialized treatment according to regulations when the healthcare facility exceeds its treatment capacity or does not provide certain technical services. The patient must present a valid HI card, a valid photo ID, and a referral document from the referring facility.

4. Transportation cost reimbursement: This applies to officers, military personnel, persons with meritorious services to the revolution, their relatives (parents, children, foster parents of martyrs); children under 6 years old; and monthly welfare recipients. The HI fund will reimburse round-trip transportation costs in case of technical referrals.

5. Follow-up examinations upon treatment request: The HI participant must have a follow-up appointment slip issued by the healthcare facility. The appointment slip is valid for one medical examination/treatment only.

2. Things to Know When Using Health Insurance Cards at Tam Tri Sai Gon Hospital

2.1. Medical Examination Available Every Day of the Week

Currently, Tam Tri Sai Gon General Hospital accepts HI medical examinations every day. Operating hours are Monday to Saturday (7:00 AM – 7:00 PM) and Sunday (7:00 AM – 11:30 AM). Emergency services are available 24/7.

2.2. Nationwide Health Insurance Coverage

The hospital has nationwide HI coverage and payment for all HI cardholders. All HI cards issued nationwide are entitled to full HI benefits at Tam Tri Sai Gon General Hospital as if examined in-network.

According to HI law, regardless of initial registration location, any customer with a valid HI card nationwide is entitled to benefits at 100%, 95%, or 80% coverage (depending on the participant category) at Tam Tri Sai Gon upon presenting a valid HI card and photo ID.

Patients are entitled to all costs covered by HI, including:

• Consultation and hospital bed fees

• Surgery and procedures

• Laboratory tests, imaging, and functional tests

• Medicine and medical supplies

If patients wish to use services outside the HI coverage list, the hospital will warmly assist to ensure the best medical care.

2.3. Using the Chip-Based Citizen Identification Card for HI Medical Examination

Tam Tri Sai Gon Hospital has implemented medical examination using the chip-based Citizen Identification Card (CCCD) integrated with HI codes to shorten administrative procedures. Customers only need to bring the chip-based CCCD integrated with HI codes when visiting the hospital. Additionally, you can install the Vssid app by the Vietnam Social Insurance agency or the VNeID app by the Ministry of Public Security as substitutes for identification documents, especially the HI card.

Children under 6 without an HI card can present their birth certificate or birth notification for HI medical examination.

2.4. Validity of the Health Insurance Card

• For first-time participants or those with a gap of 3 months or more in continuous HI participation, the card is valid 30 days after payment.

• For continuous participants or renewals with gaps no longer than 3 months, the card is valid from the payment date to the collecting unit or agent.

If you need more advice on purchasing Health Insurance or registering for medical examination using the HI card at Tam Tri Sai Gon General Hospital, please contact hospital staff using the information below!

Tam Tri Sai Gon General Hospital
Address: 171 Truong Chinh, Dong Hung Thuan Ward, Ho Chi Minh City
Hotline: 0985 095 100
Switchboard: 0286 2601 100
Email: info.d12@tmmchealthcare.com
Website: https://bvtamtrisaigon.com.vn/
Fanpage: https://www.facebook.com/benhviendakhoatamtrisaigon