Guide to Health Insurance Procedures for Non-referral Visits at University Medical Center Ho Chi Minh City, Effective July 1, 2026

To ensure that patients receive their full Health Insurance benefits for non-referral visits when receiving medical care at the Hospital, please review the following information and present all required documents correctly and completely.

🎯 Applicable patients:
Outpatients receiving medical care from July 1, 2026 onward.

📋 Procedures for Health Insurance for Non-referral Visits:
Patients must present their Health Insurance information and a photo identification document when registering for medical examination.

💳 Health Insurance coverage:
Patients are entitled to 50% of their standard Health Insurance benefit level, specifically:

For Health Insurance cards with a 100% benefit level: coverage of 50% of eligible medical expenses.
For Health Insurance cards with a 95% benefit level: coverage of 47.5% of eligible medical expenses.
For Health Insurance cards with an 80% benefit level: coverage of 40% of eligible medical expenses.

❌ Cases not covered by Health Insurance
(applicable to both referral and non-referral visits)

Medical examination, treatment, rehabilitation, routine antenatal care, and childbirth expenses that have already been covered by the State budget.
Nursing and convalescent care at nursing or convalescent facilities.
General health check-ups.
Pregnancy testing and diagnosis not intended for treatment purposes.
Assisted reproductive technologies, family planning services, uterine aspiration, and abortion, except where termination of pregnancy is medically required due to a pathological condition of the fetus or the pregnant woman.
Cosmetic and aesthetic services.
Treatment of strabismus and refractive errors for persons aged 18 years and older.
Use of replacement medical devices, including prosthetic legs, prosthetic arms, artificial eyes, dentures, eyeglasses, hearing aids, and mobility aids used in medical examination, treatment, and rehabilitation.
Medical examination, treatment, and rehabilitation in disaster situations.
Treatment for addiction to drugs, alcohol, or other addictive substances.
Medical assessment, forensic examination, and forensic psychiatric examination.
Participation in clinical trials or scientific research.

⚠️ Important notes:

On the same day, a patient cannot receive Health Insurance reimbursement for both a specialty covered under referral benefits and another specialty covered under Health Insurance for Non-referral Visits.
Patients must register for Health Insurance for Non-referral Visits before entering the consultation room.
Patients classified as poor households, near-poor households, or households that have recently risen above the near-poor threshold in Ho Chi Minh City will not be eligible for the City’s additional Health Insurance medical expense support when using Health Insurance for Non-referral Visits.

For further information, please contact the Health Insurance Office, University Medical Center Ho Chi Minh City, during office hours at (028) 3952 5363.