{"id":21364,"date":"2025-10-09T01:20:20","date_gmt":"2025-10-08T18:20:20","guid":{"rendered":"https:\/\/nopphatnguoi.vn\/blog\/the-bao-hiem-y-te-co-the-bi-thu-hoi-hoac-khoa-neu-vi-pham-quy-dinh\/"},"modified":"2025-10-09T01:21:00","modified_gmt":"2025-10-08T18:21:00","slug":"the-bao-hiem-y-te-co-the-bi-thu-hoi-hoac-khoa-neu-vi-pham-quy-dinh","status":"publish","type":"post","link":"https:\/\/nopphatnguoi.vn\/blog\/the-bao-hiem-y-te-co-the-bi-thu-hoi-hoac-khoa-neu-vi-pham-quy-dinh\/","title":{"rendered":"Th\u1ebb b\u1ea3o hi\u1ec3m y t\u1ebf c\u00f3 th\u1ec3 b\u1ecb thu h\u1ed3i ho\u1eb7c kh\u00f3a n\u1ebfu vi ph\u1ea1m quy \u0111\u1ecbnh"},"content":{"rendered":"<div>\n<p>Ch&iacute;nh ph&#7911; &#273;&atilde; ban h&agrave;nh Ngh&#7883; &#273;&#7883;nh s&#7889; 188\/2025\/N&#272;-CP, c&oacute; hi&#7879;u l&#7921;c t&#7915; ng&agrave;y 15\/8\/2025, nh&#7857;m h&#432;&#7899;ng d&#7851;n chi ti&#7871;t m&#7897;t s&#7889; &#273;i&#7873;u c&#7911;a Lu&#7853;t B&#7843;o hi&#7875;m y t&#7871; (BHYT). Ngh&#7883; &#273;&#7883;nh n&agrave;y &#273;&#432;a ra nhi&#7873;u thay &#273;&#7893;i quan tr&#7885;ng, &#273;&#7863;c bi&#7879;t l&agrave; c&aacute;c quy &#273;&#7883;nh v&#7873; vi&#7879;c x&#7917; l&yacute; th&#7867; BHYT trong tr&#432;&#7901;ng h&#7907;p vi ph&#7841;m. &#272;i&#7873;u n&agrave;y gi&uacute;p ng&#432;&#7901;i d&acirc;n n&#7855;m r&otilde; &#273;&#7875; &#273;&#7843;m b&#7843;o quy&#7873;n l&#7907;i v&agrave; ngh&#297;a v&#7909; c&#7911;a m&igrave;nh.<\/p>\n<figure><img decoding=\"async\" src=\"https:\/\/media.tripmap.vn\/blog-npn\/2025\/10\/the-bao-hiem-y-te-co-the-bi-thu-hoi-hoac-khoa-neu-vi-pham-quy-dinh.webp\" alt=\"G&#7847;n 50 qu&#7889;c gia tham d&#7921; L&#7877; h&#7897;i V&#259;n h&oacute;a Th&#7871; gi&#7899;i t&#7841;i H&agrave; N&#7897;i l&#7847;n th&#7913; nh&#7845;t\" width=\"100%\"><figcaption>G&#7847;n 50 qu&#7889;c gia tham d&#7921; L&#7877; h&#7897;i V&#259;n h&oacute;a Th&#7871; gi&#7899;i t&#7841;i H&agrave; N&#7897;i l&#7847;n th&#7913; nh&#7845;t<\/figcaption><\/figure>\n<p>Theo quy &#273;&#7883;nh m&#7899;i, th&#7867; BHYT c&oacute; th&#7875; b&#7883; thu h&#7891;i ho&#7863;c t&#7841;m kh&oacute;a t&ugrave;y theo m&#7913;c &#273;&#7897; vi ph&#7841;m. Th&#7867; s&#7869; b&#7883; thu h&#7891;i n&#7871;u ng&#432;&#7901;i c&oacute; t&ecirc;n tr&ecirc;n th&#7867; kh&ocirc;ng c&ograve;n ti&#7871;p t&#7909;c tham gia BHYT ho&#7863;c n&#7871;u ph&aacute;t hi&#7879;n gian l&#7853;n trong qu&aacute; tr&igrave;nh c&#7845;p th&#7867;, nh&#432; khai b&aacute;o kh&ocirc;ng trung th&#7921;c v&#7873; &#273;&#7889;i t&#432;&#7907;ng ho&#7863;c m&#7913;c h&#432;&#7903;ng. Bi&#7879;n ph&aacute;p n&agrave;y nh&#7857;m ng&#259;n ch&#7863;n h&agrave;nh vi tr&#7909;c l&#7907;i ch&iacute;nh s&aacute;ch.<\/p>\n<figure><img decoding=\"async\" src=\"https:\/\/media.tripmap.vn\/blog-npn\/2025\/10\/the-bao-hiem-y-te-co-the-bi-thu-hoi-hoac-khoa-neu-vi-pham-quy-dinh-2.webp\" alt=\"H&#7885;c sinh c&oacute; b&#7855;t bu&#7897;c ph&#7843;i mua BHYT kh&ocirc;ng?\" width=\"100%\"><figcaption>H&#7885;c sinh c&oacute; b&#7855;t bu&#7897;c ph&#7843;i mua BHYT kh&ocirc;ng?<\/figcaption><\/figure>\n<p>Ngo&agrave;i ra, n&#7871;u ng&#432;&#7901;i &#273;i kh&aacute;m ch&#7919;a b&#7879;nh s&#7917; d&#7909;ng th&#7867; BHYT kh&ocirc;ng ph&#7843;i c&#7911;a m&igrave;nh, s&#7869; b&#7883; x&#7917; l&yacute; nghi&ecirc;m. C&#417; s&#7903; kh&aacute;m ch&#7919;a b&#7879;nh c&oacute; quy&#7873;n gi&#7919; l&#7841;i th&#7867; v&agrave; th&ocirc;ng b&aacute;o cho c&#417; quan B&#7843;o hi&#7875;m x&atilde; h&#7897;i &#273;&#7875; x&#7917; l&yacute;. Ng&#432;&#7901;i vi ph&#7841;m ch&#7881; &#273;&#432;&#7907;c ho&agrave;n tr&#7843; th&#7867; ho&#7863;c m&#7903; kh&oacute;a sau khi &#273;&atilde; n&#7897;p ph&#7841;t v&agrave; kh&#7855;c ph&#7909;c h&#7853;u qu&#7843; theo quy &#273;&#7883;nh.<\/p>\n<figure><img decoding=\"async\" src=\"https:\/\/media.tripmap.vn\/blog-npn\/2025\/10\/the-bao-hiem-y-te-co-the-bi-thu-hoi-hoac-khoa-neu-vi-pham-quy-dinh-3.webp\" alt=\"Chi ti&#7871;t m&#7913;c &#273;&oacute;ng BHYT h&#7885;c sinh n&#259;m h&#7885;c 2025 - 2026\" width=\"100%\"><figcaption>Chi ti&#7871;t m&#7913;c &#273;&oacute;ng BHYT h&#7885;c sinh n&#259;m h&#7885;c 2025 &#8211; 2026<\/figcaption><\/figure>\n<p>C&#417; quan B&#7843;o hi&#7875;m x&atilde; h&#7897;i c&oacute; tr&aacute;ch nhi&#7879;m x&#7917; l&yacute; c&aacute;c tr&#432;&#7901;ng h&#7907;p n&agrave;y theo &#273;&uacute;ng th&#7849;m quy&#7873;n v&agrave; th&ocirc;ng b&aacute;o c&ocirc;ng khai, minh b&#7841;ch v&#7873; t&igrave;nh tr&#7841;ng th&#7867; cho ng&#432;&#7901;i tham gia BHYT. Vi&#7879;c n&agrave;y kh&ocirc;ng ch&#7881; gi&uacute;p &#273;&#7843;m b&#7843;o quy&#7873;n l&#7907;i c&#7911;a ng&#432;&#7901;i tham gia BHYT m&agrave; c&ograve;n g&oacute;p ph&#7847;n ng&#259;n ch&#7863;n c&aacute;c h&agrave;nh vi gian l&#7853;n.<\/p>\n<p>Ngh&#7883; &#273;&#7883;nh c&#361;ng l&agrave;m r&otilde; v&#7873; c&aacute;c h&igrave;nh th&#7913;c th&#7867; BHYT hi&#7879;n h&agrave;nh, bao g&#7891;m th&#7867; gi&#7845;y truy&#7873;n th&#7889;ng do BHXH c&#7845;p v&agrave; th&#7867; &#273;i&#7879;n t&#7917; c&oacute; t&iacute;ch h&#7907;p s&#7889; &#273;&#7883;nh danh c&aacute; nh&acirc;n v&agrave; m&atilde; s&#7889; BHYT. C&aacute;c th&ocirc;ng tin quan tr&#7885;ng &#273;&#432;&#7907;c in tr&ecirc;n th&#7867; BHYT v&#7851;n &#273;&#432;&#7907;c gi&#7919; nguy&ecirc;n, g&#7891;m h&#7885; t&ecirc;n, gi&#7899;i t&iacute;nh, ng&agrave;y th&aacute;ng n&#259;m sinh; m&#7913;c h&#432;&#7903;ng BHYT; n&#417;i &#273;&#259;ng k&yacute; kh&aacute;m ch&#7919;a b&#7879;nh ban &#273;&#7847;u; ng&agrave;y th&#7867; c&oacute; hi&#7879;u l&#7921;c v&agrave; m&#7889;c th&#7901;i gian &#273;&#7911; 5 n&#259;m li&ecirc;n t&#7909;c.<\/p>\n<p>&#272;&#7891;ng th&#7901;i, vi&#7879;c tri&#7875;n khai &#273;&#7891;ng b&#7897; c&aacute;c bi&#7879;n ph&aacute;p ki&#7875;m so&aacute;t ch&#7863;t ch&#7869; t&#7915; kh&acirc;u c&#7845;p ph&aacute;t &#273;&#7871;n s&#7917; d&#7909;ng th&#7867; BHYT kh&ocirc;ng ch&#7881; l&agrave; ng&#259;n ch&#7863;n c&aacute;c h&agrave;nh vi tr&#7909;c l&#7907;i, m&agrave; c&ograve;n b&#7843;o v&#7879; s&#7921; c&ocirc;ng b&#7857;ng, minh b&#7841;ch c&#7911;a ch&iacute;nh s&aacute;ch an sinh x&atilde; h&#7897;i. Ng&#432;&#7901;i d&acirc;n c&#7847;n ch&#7911; &#273;&#7897;ng n&#7855;m b&#7855;t nh&#7919;ng quy &#273;&#7883;nh m&#7899;i n&agrave;y &#273;&#7875; &#273;&#7843;m b&#7843;o s&#7917; d&#7909;ng th&#7867; BHYT &#273;&uacute;ng m&#7909;c &#273;&iacute;ch v&agrave; hi&#7879;u qu&#7843; nh&#7845;t.<\/p>\n<p>&#272;&#7875; bi&#7871;t th&ecirc;m th&ocirc;ng tin chi ti&#7871;t v&#7873; Ngh&#7883; &#273;&#7883;nh s&#7889; 188\/2025\/N&#272;-CP, vui l&ograve;ng truy c&#7853;p v&agrave;o trang web c&#7911;a Ch&iacute;nh ph&#7911; ho&#7863;c li&ecirc;n h&#7879; v&#7899;i c&#417; quan B&#7843;o hi&#7875;m x&atilde; h&#7897;i &#273;&#7883;a ph&#432;&#417;ng.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Ngh\u1ecb \u0111\u1ecbnh 188\/2025\/N\u0110-CP quy \u0111\u1ecbnh v\u1ec1 b\u1ea3o hi\u1ec3m y t\u1ebf, c\u00f3 hi\u1ec7u l\u1ef1c t\u1eeb 15\/8\/2025. Theo \u0111\u00f3, th\u1ebb b\u1ea3o hi\u1ec3m y t\u1ebf c\u00f3 th\u1ec3 b\u1ecb thu h\u1ed3i ho\u1eb7c t\u1ea1m kh\u00f3a n\u1ebfu vi ph\u1ea1m. Th\u1ebb b\u1ecb thu h\u1ed3i khi ng\u01b0\u1eddi c\u00f3 t\u00ean tr\u00ean th\u1ebb kh\u00f4ng c\u00f2n tham gia b\u1ea3o hi\u1ec3m y t\u1ebf ho\u1eb7c ph\u00e1t hi\u1ec7n gian l\u1eadn. Th\u1ebb b\u1ecb t\u1ea1m kh\u00f3a n\u1ebfu ng\u01b0\u1eddi s\u1eed d\u1ee5ng th\u1ebb \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh s\u1eed d\u1ee5ng kh\u00f4ng ph\u1ea3i c\u1ee7a m\u00ecnh.<\/p>\n","protected":false},"author":1,"featured_media":21368,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[3],"tags":[351,16529,10063,8961],"class_list":["post-21364","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-thoi-su","tag-bao-hiem-y-te","tag-gian-lan-bao-hiem","tag-nghi-dinh-188","tag-the-bao-hiem-y-te"],"_links":{"self":[{"href":"https:\/\/nopphatnguoi.vn\/blog\/wp-json\/wp\/v2\/posts\/21364","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nopphatnguoi.vn\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nopphatnguoi.vn\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nopphatnguoi.vn\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nopphatnguoi.vn\/blog\/wp-json\/wp\/v2\/comments?post=21364"}],"version-history":[{"count":0,"href":"https:\/\/nopphatnguoi.vn\/blog\/wp-json\/wp\/v2\/posts\/21364\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nopphatnguoi.vn\/blog\/wp-json\/wp\/v2\/media\/21368"}],"wp:attachment":[{"href":"https:\/\/nopphatnguoi.vn\/blog\/wp-json\/wp\/v2\/media?parent=21364"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nopphatnguoi.vn\/blog\/wp-json\/wp\/v2\/categories?post=21364"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nopphatnguoi.vn\/blog\/wp-json\/wp\/v2\/tags?post=21364"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}