Health🇻🇳 Ho Chi Minh City, Vietnam

Health & social insurance

As of July 2025, compulsory social insurance applies to most foreign workers — it's payroll-deducted, not something you apply for. Here's what's taken from your salary and where the gaps are.

Total cost
Social insurance: employee 8% of salary, employer 17% (25% total), capped at 20× the statutory reference level — VND 50.6 million a month since 1 July 2026, up from VND 46.8 million. Health insurance (BHYT) enrolled in parallel.
Time needed
Set up at onboarding; deducted monthly.
Validity
Continuous while employed on a qualifying contract.
Verified
August 2026
Medium confidence·Foreign workers on a Vietnamese labour contract of 12+ months. Intra-company transferees on a foreign payroll, and nationals of countries with a bilateral SI treaty, may be exempt.

Before you start

  • A Vietnamese labour contract of 12+ months
  • A work permit
  • (Your employer runs enrolment — you don't apply yourself)

Step-by-step

  1. 1

    Confirm whether you're in scope

    From 1 July 2025, foreign workers on 12-month+ labour contracts must join compulsory social insurance — unless you're an intra-company transferee on a foreign payroll or from a country with a bilateral SI agreement.

    Via employerWho: Employer + youAt onboarding
  2. 2

    Employer enrols & deducts

    Your employer registers you and deducts from payroll. Social insurance: 8% employee + 17% employer. Health insurance (BHYT) is enrolled in parallel under the 2024 Health Insurance Law.

    Via employerWho: Your employerMonthly8% of salary (employee share)
  3. 3

    Use public care — or top up privately

    BHYT covers public hospitals at subsidised rates. Many expats add private/international insurance for English-speaking and international clinics.

    In personWho: YouPrivate insurance optional/extra

Documents you’ll need

  • Work permit
  • Labour contract (12+ months)
  • Passport / TRC
  • (Employer handles SI/BHYT registration)

Things most newcomers don’t know

It's mandatory and automatic — not a choice (since July 2025).

Foreign workers on 12-month+ contracts must be in the scheme; it's deducted from payroll. Budget for the 8% employee share rather than expecting take-home to match the headline salary.

Source: EY / PwC / law-firm consensus

You might be exempt — check before contributing.

Intra-company transferees on a foreign payroll, and nationals of countries with a bilateral SI agreement who already contribute abroad, can be exempt. Confirm with HR.

Source: law-firm consensus

Public BHYT ≠ international-clinic access.

BHYT covers public hospitals at subsidised rates, but most expats want private/international clinics (English-speaking, shorter waits) and carry separate private cover for that.

Source: provider consensus

There's a contribution cap, and it moved this year.

Contributions are capped at 20× the statutory reference level, which rose to VND 50.6 million a month on 1 July 2026 (from VND 46.8 million). Very high earners don't pay 8% on the entire salary — but the ceiling is re-set whenever the reference level is, so check the current figure rather than the one in an older payroll guide.

Source: PwC / Vietnam Social Security

Common mistakes to avoid

  • Assuming public BHYT gets you into international clinics
  • Not budgeting for the 8% employee deduction
  • Missing an exemption you qualify for (intra-company transfer / treaty country)

Some of this may be out of date. Spotted something inaccurate? Help us keep it right for the next newcomer.

Make it your personal checklist

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Sources

Last verified August 2026. Government processes change — always confirm critical details against the official source before acting.