Thứ Sáu, 3 tháng 6, 2016

Sickness entitlement procedures of social insurance



Insurance company: IEC certification for sick leave granting to enjoy the social insurance based only depends on the health status of the patient.
Q: I have a medical examination at the district hospital in the city. Ho Chi Minh City, a doctor admitted 5 days leave granted for enjoying social insurance. Then I go home and re-examination convalescence in a hospital in the city of Vung Tau, Ba Ria - Vung Tau.
After examining, I gave them the health insurance card, and I also asked to off some more days because I still felt tired. However, doctors do not grant sick leave to explore the reasons I left and did not produce the online health insurance since procedures. So did the doctor resolve that problem in a right way? 
insurance company

Thank you for sending your questions to the page of the Life Counselling & Legal newspaper. With your question, please be offering advisory opinion as follows:
Insurance company: The doctor at the hospital in Vung Tau city, Ba Ria-Vung Tau province is not granted sick leave that are entitled to social care for patients is wrong because of the left line and not presenting the health insurance card when entering information procedures. The reason is the granting of sick leave certificates to enjoy the social insurance only depends on the health status of the patient. It does not involve the case that the patient has health insurance or not.
Insurance company: Under the guidance information recorded on sick leave paper which is entitled to social insurance, in line 2 Model C65-HD1; C65-HD2 is clearly directed only records the patient's health insurance card number, if the person is not the health insurance card or health insurance card is yet to be clearly labeled as "not the health insurance" or "not yet issued health insurance cards."
Sicknesses enjoy social insurance
Conditions entitled to sickness:
1. Laborers specified at Points a, b, c, d, e, Clause 1 and Clause 2, Article 2 point b of the Decree 115/2015 / ND-CP are entitled to sickness in the following cases:
 - The employee illnesses and accidents which are not occupational accidents or treatment of injury, disease recurrence due to labor accidents and occupational diseases have to quit and be certified by the medical facility, competent medical treatment prescribed by the Ministry of Health.
- The employee must take leave to care for a child under age 07 who get sick and be certified by the medical facility, competent treatment.
- Women workers go to work before the expiration of maternity leave, but in one of the cases provided for in points a and b of this paragraph.
2. Do not settle sickness regime for the following cases:
- The employee illnesses and accidents must leave due to health self-destructive, because drunk or using drugs, drug precursors.
- Workers leave the first treatment labor accidents and occupational diseases.
- The employee illnesses and accidents which are not occupational accidents while on leave every year, leave for personal reasons, leave without pay under the provisions of the labor law; leave under the maternity regime as prescribed by the law on social insurance.

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