PhilHealth members avail ‘No Hospital Deposit’ in CDO

Philippine Health Insurance Corporation Regional Office 10 (PhilHealth 10) signed a landmark Memorandum of Agreement (MOA) with six Cagayan de Oro City PhilHealth-accredited hospitals on 8 December 2017 at SEDA Hotel, Cagayan de Oro City, that provides for a No Hospital Deposit Policy for PhilHealth members.

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Dr. Ruben Go, (Medical Director of CDO Polymedic Plaza), Dr. Miguel E. Kho (Madonna and Child Hospital), Dr. Jesus M. Jardin (Capitol University Medical Center) Mr. Dexter R. Garcia (Cagayan de Oro Medical Center), Dr. Michael C. Sabal (Sabal Hospital), SPC Sr. Mercy Corazon G. Bangot (Maria Reyna XU Hospital) and Datu Masiding M. Alonto, Jr., (Area Vice-President for Mindanao) signed the historic document. The partnership was sealed in the presence of Hon. Oscar Moreno, CDO City Mayor, Atty. Carlo Franco Thomas Limjoco, DOH 10, Dr. Ma. Lourdes S. Gaane, City Councilor, Dr. Jonathan T. Ortigoza, HCDMMD Chief-PRO 10, and Atty. Ian Alfredo T, Magno, Deputy Legal Officer, PRO 10.

The MOA seeks to strengthen RA 10932, or the “No Hospital Deposit Law”. It mandates that, “in emergency or serious cases, it shall be unlawful for any hospital or medical clinic to request, solicit, demand or accept any deposit or any other form of advance payment as prerequisite for administering basic emergency care, for confinement or medical treatment, or to refuse to administer medical treatment and support any patient”.

Under the agreement, the PhilHealth accredited hospital shall not impose a deposit requirement for eligible PhilHealth members and their dependents that come to the facility for confinement or admission. This would apply to both emergency and non-emergency cases. It also allows admission or confinement of all eligible PhilHealth members without any deposit requirement in all types of room accommodation.

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“We are hopeful that this will encourage other private hospitals and facilities to follow suit and prioritize the treatment of patients rather than compromising their health and safety due to financial constraints”, RVP Alonto stressed. PhilHealth 10 intends to intensify and expand its campaign for the No Hospital Deposit Policy to all Private Health Care Institutions in 2018. (PhilHealth 10)

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Fun walk held to honor elderly

The Department of Health (DOH) and Philippine Health Insurance Corporation (Philhealth) spearheaded a fun walk on October 1 to honor elderly Filipinos while the entire country observes the “Elderly Filipino Week’ every first week of October with the theme “Pagmamahal at Respecto ng Nakababata, Nagpapaligaya sa Nakatatanda.”

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Dubbed as “Walk for Life” the activity started with as fun walk, followed by a Zumba and program at the SM City grounds. Elderly participants likewise received medical services like anti-flu vaccines and blood testing for glucose and more.

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The activity aims to promote health and wellness amongst senior citizens as well as raise awareness on programs and benefits accorded to them by the government.

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The same event was done simultaneously in all key cities across the region as well as in other parts of the country.

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“Through this activity we seek to enhance cooperation with agencies especially those directly implementing the expanded senior citizens act,” DOH Chief Administrative Officer Edward Acta said. (JCV/PIA-10)

PhilHealth conducts ‘Alaga Ka’ Municipal Caravan

The Local Health Insurance Office in Iligan City/Lanao del Norte (LHIO-PHilHealth) has included five municipalities in Lanao del Norte province for the month of June 2016 in its annual conduct of ‘Alaga Ka para sa Maayos na Buhay.’

These municipalities included Kauswagan, Linamon, Tubod, Maigo, and Kolambugan.

 

In partnership with the local government units (LGUs), rural health units (RHUs), Provincial Health Office (DOH-PHO), provincial government, and 4Ps DSWD (Department of Social Welfare and Development) municipal links, some PhilHealth members, and 4Ps members were gathered to avail services:

 

Information Education and Communication (IEC) materials were distributed on updates and new benefits for PhilHealth members.

 

Rural Health Unit personnel provided free consultation and basic check-up and enlistment.

 

Advocacy on health programs of the municipalities and the provincial government.

 

Membership and Data Record (MDR) verification thru MCIS web.

 

MDR distribution (pre-identified).

 

Member assistance on Data Record Updating, correction among others.

 

Provision of fliers/leaflets/guide customized by LHIO Iligan for their easy reference.

 

Also, Provision of some PhilHealth community basic services such as consultation with their municipal health officers, and blood pressure measurement, among others.

 

This year, LHIO Iligan was able to partner with Globe which provided free internet services for the online verification thru MCIS web and WIFI access to the members/participants during the caravan.

 

Meanwhile, RHUs create a fiesta like atmosphere in their own concept in order for the member participants to enjoy and feel the ease and essence of the ‘Alaga Ka para sa Maayos na Buhay.’

 

RHU staff prepared a video presentation on services of the RHU, dance number and zumba. The trivia question, games and prizes added merriment to the event, too. Other perks for the participants during the caravan are playing games called ‘Pabitin,’ ‘Toktok Palayok,’ and the Superman mascot.

 

It also prepared a comical skit citing the difference between a PhilHealth and Non-PhilHealth member.

Some RHU put up photobooth with free picture as souvenir of their attendance to the caravan. (LVG/PIA-10 LDN/LHIO Iligan)

PhilHealth extends dialysis coverage to 90 days

The Philippine Health Insurance Corporation (PhilHealth) today announced that coverage for hemodialysis is now expanded from 45 to 90 sessions per year in order to help lessen the financial burden of its members undergoing the said treatment.

The PhilHealth Board of Directors approved the expansion due to the growing incidence of kidney diseases in the country and to respond to the increasing clamour from different stakeholders to increase PhilHealth coverage for hemodialysis.

“Based on a series of consultative meetings and dialogues with our stakeholders, our current coverage of P4,000 for hemodialysis is more than enough to cover the treatment cost per session, thus, we are adjusting the case rate amount to P2,500.00 per session but extending the number of sessions per year,” said PhilHealth President and CEO Alexander A. Padilla.

Padilla also explained that the reduction in the package amount will extend the members’ accessibility to the treatment of up to 90 sessions per year instead of the current maximum allowable sessions of 45 per year.

“We want to assure our members that this adjustment will not in any way affect the quality of care being provided by our accredited facilities,” Padilla added.

With this new development, PhilHealth members including their qualified dependents undergoing dialysis treatment are ensured of longer sessions in a year thereby reducing out-of-pocket expenses to achieve better health outcomes. The adjusted PhilHealth coverage of P2,500.00 per session includes payment for facilities and professional fees of attending physicians.

PhilHealth records show that in 2014, hemodialysis posted the most number of filed claims among procedures at 691,489, with total benefit payments amounting to P4,666,806,642.

PhilHealth members can avail themselves of the benefit package at any of its accredited Free Standing Dialysis Centers and hospitals nationwide. (PHIC/PIA)

DOH, POPCOM organize regional implementation team for RPRH law

The Department of Health (DOH) and Commission on Population (POPCOM) in region 10 organized on February 24, 2015 here the Regional Implementation Team (RIT) for Republic Act (RA) 10354 or Responsible Parenthood and Reproductive Health Act of 2012.

Administrative Order 2015-0002 dated January 26, 2015 mandated the creation of a National Implementation Team (NIT) and Regional Implementation Team (RIT) for RA 10354 or Responsible Parenthood and Reproductive Health Act of 2012 after the Status Quo Ante Order was lifted by the Supreme Court on April 8, 2014.

In region 10, the team consists of DOH, POPCOM, PhilHealth, Department of Education (DepEd), Department of Interior and Local Government (DILG), National Economic and Development Authority (NEDA), Department of Social Welfare and Development (DSWD), and Civil Society organization representatives, including health officers and academe.

According to DOH regional director Dr. Aristides Conception Tan, the first intention of the law is to promote good health.

 

He said that in 1994 we have the highest maternal death rate and infant death rate above original target of 52 maternal deaths over 100,000 live births. Currently it is still 96 maternal deaths over 100,000 live births.

 

The law provides opportunity to maternal death reduction, he said.

 

Dr. Tan added that there is a need to do advocacy campaign and capability building for the youth especially on adolescent reproductive health, sexuality and behaviour.

 

The youth should be provided information regarding marriage, family, sexuality and even sexually transmitted diseases. Providing them the right information will help them make the right decision and judgement for themselves. In the long run, there will be less teenage pregnancy and sexually transmitted diseases and become responsible parents in the future, he said.

 

Meanwhile law does not promote abortion.

 

Chief of the Local Health Support Division, Elleneta D. Gamolo said that abortion is never legal in the Philippines but as part of the RPRH law, whenever there are cases of abortion, and they are referred to facilities, they should be managed especially if they are life threatening.

 

She said that we also have abortions that are not induced. Those are spontaneous abortions. They should be managed by the hospitals to avoid maternal deaths.

 

DOH assistant regional director Dr. Adriano Suba-an meanwhile said that the law is comprehensive and encompassing and goes beyond health sector.

 

The directive and priority is the poor. The most important thing is that no one will be left out, he said. (JMOR/PIA10)

PhilHealth assures DSWD to fast track processing of health benefits of Pantawid Pamilya grantees

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The Regional Office of Philippine Health Insurance Corporation (PhilHealth) here has promised the Department of Social Welfare and Development (DSWD) northern Mindanao that it will fast track processing of health benefit claims of Pantawid Pamilyang Pilipino Program (Pantawid Pamilya) grantees.

Chief social insurance officer of PhilHealth Region 10, Ian Alfredo T. Magno, said health benefit claims submitted by accredited hospitals will be processes immediately, as long as Pantawid Pamilya beneficiaries will present the authentic and official identification card issued by DSWD northern Mindanao.

Magno, along with Social Insurance Officer Fatmah Guiling and Social Insurance Assistant Remea Vera Dacut, visited DSWD northern Mindanao to discuss issues and concerns relative to hastening the processing of claims.

Pantawid beneficiaries are covered by PhilHealth as Sponsored members. They are issued their Member Data Record and PhilHealth Identification Number which will serve as their pass when availing of health care benefits at any accredited facilities in the country.

As Sponsored members, they are entitled to full benefits including the recently introduced case rate payments for 23 medical and surgical cases wherein they no longer need to pay in excess of the PhilHealth set benefits in government facilities.

They can also avail of the ‘Z’ benefit package for catastrophic illnesses such as childhood acute lymphocytic leukemia, breast and prostate cancer, and kidney transplant, with financial coverage of P210,000, P100,000 (each), and P600,000 respectively. PhilHealth has initially partnered with selected reference and contracted government hospitals nationwide to provide the Z benefits.

Pantawid beneficiaries also enjoy primary care benefits such as consultations, regular blood pressure monitoring, and promotive health education on breastfeeding and counseling on lifestyle modification and smoking cessation. Medicines for diseases like asthma and acute gastroenteritis with no or mild dehydration, upper respiratory tract infection/pneumonia and urinary tract infection are also provided for by accredited healthcare providers.

To ensure access, PhilHealth has automatically accredited all DOH licensed hospitals as Centers of Safety.

Guiling emphasized that PhilHealth will only honor untampered ID.

In case of lost, Pantawid Pamilya beneficiaries can present certification duly signed only by either the Regional Project Coordinator (RPC) or Provincial Link (PL).

Pantawid Pamilya RPC Kenneth Haze Sanchez disclosed that municipal links are not allowed to issue certification for PhilHealth benefit claims.(OBI/DSWD/PIA10)

MNLF beneficiaries avail Philhealth cards, study grants

BACOLOD, Lanao del Norte, October 28 (PIA)—Some 79 beneficiaries who are now in the folds of the law were awarded PhilHealth cards in a ceremony at the civic auditorium in Bacolod town, Lanao del Norte.

Mayor Joselito E. Miquiabas of the host town said being a cardholder of this health card insurance, when presented at the hospital for admission would serve a privilege for discount as compared to those non-cardholders.

“We’re grateful that the national government has looked into this privilege/assistance to our brothers from the Moro National Liberation Front (MNLF) who now feel that they belong or part of the community,” said mayor Miquiabas.

Also, some 17 students/children of MNLF returnees received their certificates on the study grant from the Commission on Higher Education (CHED), as per guidelines on the course offered to them.

While Allan S. Almoite, PAMANA area manager, said students qualified for this study grant are children of our MNLF beneficiaries as recommendation attached from the MNLF commander border command.

Almoite added, this is part of the assistance availed from the PAyapa at MAsaganang PamayaNAn (PAMANA) projects to MNLFreturnees and communities in Bacolod, and other areas in the six municipalities of Lanao del Norte.

For his part, Abidin Sanguila, MNLF commander border command, expressed his gratitude to the PNoy administration in its quest to conquer poverty. According to Sanguila, poverty is the root cause of being into uprising rebel groups.

PAMANA is the national government’s framework and program for peace and development in conflict-affected areas (CAAs), as well as communities covered by existing Kapit-Bisig Laban sa Kahirapan – Comprehensive and Integrated Delivery of Social Services (KALAHI CIDSS) Region X.

Meanwhile, Musa Mohamad Sanguila, as senior consultant of the Office of the Presidential Adviser on Peace Process (OPAPP), who is also the director of the Pakigdait, Inc., said that with the creation of Bantay Kalilintad, a third party organization composed of civil society organization, is  PAMANA Project’s partner, which takes charge to monitor what has the Armed Forces of the Philippines (AFP) done in the province in the implementation of the IPSP-Bayanihan (Internal Peace and Security Plan).

The Bantay Kalilintad coordinates with the 2nd Mechanized Infantry Brigade as to security issues and concerns and to different national line agencies that provide assistance to the local government units in the province and in the municipalities concerned. (LVG/PIA-10 LDN)