Wider coverage of free Philhealth benefits approved

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Friday, January 17, 2014


A WIDER coverage of free Philhealth benefits in Negros Occidental will be launched after the Provincial Board unanimously approved on Wednesday the request of Gov. Alfredo Marañon Jr. to use P4 million of the P19 million fund from the Capitol’s revolving fund for the "point of care enrollment" of patients who are non-members of the Philippine Health Insurance Corporation (PHIC).

The amount of P4 million will be transferred from the "Revolving Fund for Drugs and Medicines" to a "trust fund" which shall be called the "PHIC Point of Care Enrollment (PPCE)."

Atty. Japhet Masculino, head of the Economic Enterprise Development Department (EEDD), in a letter to the governor dated January 8, said the Philhealth has a program called Point of Care Enrollment, where qualified admitted patients who are non-Philhealth members are enrolled upon admission to the hospital.

The Philhealth enrollment fee of P2,400 per year of the qualified hospital-sponsored member (HSM) will first be paid by the hospital, which will be taken from the PPCE after which the hospital submits to Philhealth the claim for reimbursement, and the agency then reimburses the claims based on the case rate.

The P2,400 reimbursement shall then be returned to the PPCE fund, Masculino said.

Masculino added that the "Revolving Fund for Drugs and Medicines," created during the administration of former governor Rafael Coscolluela, has a total of P19.6 million in funds as of Dec. 31, 2013.

The P4-million PPCE Fund shall be allocated to the following hospitals:
Teresita L. Jalandoni Provincial Hospital, P1 million; Cadiz District Hospital, P500,000; Vicente Gustilo District Hospital, P500,000; Lorenzo D. Zayco District Hospital, P500,000; Valladolid District Hospital, P400,000; Gov. Valeriano M. Gatuslao Memorial Hospital, P400,000; Don Salvador Benedicto Memorial District Hospital, P250,000; Ignacio L. Arroyo Sr. Memorial District Hospital, P250,000; Calatrava Municipal Hospital, P100,000; and Eleuterio T. Decena Memorial Hospital, P100,000.

Published in the Sun.Star Bacolod newspaper on January 17, 2014.

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