Latest Standardized Certificate for Sick Leave and Social Insurance Benefits

As one of the crucial documents confirming the number of sick leave days for employees undergoing treatment, caring for a sick child, etc., the Certificate for Sick Leave and Social Insurance Benefits plays a vital role in receiving Social Insurance benefits. What are the current regulations for this document?

Latest 2023 Certificate for Sick Leave and Social Insurance Benefits

1. Template of the Certificate for Sick Leave and Social Insurance Benefits and its writing guidelines

* Certificate Form

Download the form HERE.

Currently, the certificate template in use is the one specified in Appendix 7 of Circular 18/2022/TT-BYT.

* Content on the Certificate for Sick Leave and Social Insurance Benefits

The certificate contains the following information:

- Patient information;

- Diagnosis and treatment method;

- Parental information (only applicable for cases where the patient is a child under 07 years old);

- Confirmation section.

* How to Write the Certificate for Sick Leave and Social Insurance Benefits

- Patient Information Section

+ Line 1 records full name: Write in uppercase. Provide complete name, date, and month of birth for the patient issued the Certificate for Sick Leave and Social Insurance Benefits. If only the year of birth is available, write the year of birth;

+ Line 2: Record the social insurance number or write the health insurance card number. If writing the health insurance card number, include both letters and numbers.

+ Line 3: Specify the gender.

+ Line 4: Provide workplace and social insurance coverage details; if the child is sick, write the name of the unit where the father/mother is currently working and has social insurance coverage.

- Diagnosis and Treatment Section

+ This section will detail the diagnosis: write the name of the disease or provide a specific description of the health condition. If the illness requires long-term treatment, include the disease code; if there is no disease code, write the name of the disease. In the case of miscarriage, include the gestational age and the reason for suspension.

+ Treatment method: Specify the treatment plan

+ Number of days off: The starting day off will coincide with the day the patient comes for examination.

The total number of days off will depend on the patient's health condition, with a maximum of 30 days per certificate issuance.

If treating tuberculosis according to the national anti-tuberculosis program => Maximum leave time is not more than 180 days per certificate issuance.

- Parental Information Section

Only fill in the case where the patient is a child under 7 years old: Provide complete last name, middle name, and first name of the patient's parents.

- Confirmation Section

+ The head of the medical facility or the authorized person (by the head) will sign and stamp the medical facility.

+ The head/authorized person is also the examining physician => only need to sign and stamp in this section, not in the doctor's name, KCB section. Note to provide complete date of certificate issuance.

Detailed instructions on how to write a certificate for sick leave enjoying social insurance benefits

2. When do you need to apply for a certificate of sick leave for social insurance benefits?

According to Article 4 of Decision 166/QD-BHXH 2019, the following cases require a certificate of sick leave for social insurance benefits:

- Outpatient treatment (Section 2.1.2 Article 2)

- Female workers going for antenatal, miscarriage, dilation and curettage, suction curettage, retained fetus or abortion due to illness; employees using outpatient treatment as a contraceptive measure (point b Section 2.2.1 Article 2)

+ Female workers giving birth while pregnant must take leave for prenatal care according to outpatient treatment regulations (point d2 Section 2.2.2 Article 2).

3. Where to apply for a certificate of sick leave for social insurance benefits?

According to Article 20 Circular 56/2017/TT-BYT, patients must apply for a certificate of sick leave at the licensed medical facility. After the examination, the medical facility will issue a certificate of sick leave with the appropriate time off based on the patient's condition and health.

In addition, only one certificate of sick leave for social insurance benefits will be issued per examination.

+ If the patient needs more than 30 days off => When approaching/expiring the leave period in the sick leave certificate, a re-examination is required, and the healthcare provider will consider issuing a new certificate.

+ If examined by 2 or 3 different specialties in different medical facilities and issued sick leave certificates for each => Only entitled to the one with the longest leave duration.

+ If examined for multiple specialties on the same day at the same medical facility => Only one sick leave certificate will be issued.

4. Cases requesting reissuance of a certificate of sick leave for social insurance benefits

According to Article 26 Circular 56/2017/TT-BYT, the following cases, the healthcare facility will reissue the certificate of sick leave for social insurance benefits:

- Loss of the certificate of sick leave for social insurance benefits;

- The certificate is damaged and unusable;

- The person signing the Certificate is not authorized;

- Incorrect stamp placement on the certificate;

- Errors in the information recorded on the certificate.

Upon reissuance, the certificate will be stamped with 'Reissued' to distinguish it from the original certificate.

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Here is the information about the certificate of sick leave for social insurance benefits that everyone needs to know to correctly request the certificate. This helps complete the documentation, ensuring eligibility for Social Insurance benefits.