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Tôi là B (TP Hồ Chí Minh) đăng ký khám chữa bệnh tại Bệnh viện Quận 4. Vừa qua, tôi bị bệnh, đi khám và chữa bệnh trái tuyến tại Bệnh viện Gia Định và được kết luận bị lao phổi, phải điều trị dài ngày. Xin hỏi, tôi khám trái tuyến thì có được hưởng chế độ nghỉ ốm không, nếu được thì thủ tục sẽ như thế nào?

 Theo quy định tại Khoản 1 Điều 22 Luật BHXH, Ä‘iều kiện hưởng chế Ä‘á»™ ốm Ä‘au đối vá»›i người lao Ä‘á»™ng tham gia BHXH bắt buá»™c là bị ốm Ä‘au, tai nạn rủi ro phải nghỉ việc và có xác nhận của cÆ¡ sở y tế.

Theo đó, không có quy định bắt buộc phải khám đúng tuyến mới được hưởng chế độ nghỉ ốm mà chỉ cần xác nhận của cơ sở y tế.

Khoản 2 Điều 23 Luật BHXH về thời gian hưởng chế độ ốm đau đối với người lao động mắc bệnh thuộc danh mục bệnh cần chữa trị dài ngày do Bộ Y tế ban hành thì được hưởng chế độ ốm đau tối đa không quá 180 ngày trong một năm tính cả ngày nghỉ lễ, nghỉ Tết, ngày nghỉ hàng tuần. Hết thời hạn nêu trên mà vẫn tiếp tục điều trị thì được hưởng tiếp chế độ ốm đau với mức thấp hơn.

Do bạn không nêu rõ bạn có thuộc đối tượng tham gia BHXH bắt buộc hay không và thời gian tham gia BHXH, thời gian điều trị bệnh là bao lâu, nên chúng tôi tư vấn chung để bạn tham khảo.