Saturday, April 30, 2022

PhilHealth exec: Pay on time for eligibility

BAGUIO CITY -- The Philippine Health Insurance Corp. urged residents who are 21 years old and above to register at the nearest branch office of the State insurance firm to enable them to immediately avail of benefit packages in accredited hospitals and other health care facilities for their illnesses.
    Janet Palaez, chief social insurance officer of PhilHealth Baguio, said mandatory registration of all Filipinos to the State insurance corporation is in compliance to Republic Act 11223 known as Universal Health Care Act of 2019.
    She said prior to effectivity of this law in November 2019, PhilHealth members were required to pay their contributions for a certain period of time before they can claim PhilHealth benefits for their confinement in a health facility, but now, individuals being treated for their illnesses are immediately eligible for coverage once they pay their initial contribution of P300 representing the first month of membership to the corporation.
    Palaez urged residents who are not yet registered members of the insurance firm to  register to avail of  lower rate of P300 per month as the firm may increase this to P400 per month.
     Last year, President Rodrigo Duterte ordered the suspension of the proposed increase in the contribution of PhilHealth members as part of government initiative to help in mitigating impact of the pandemic.
     For PhilHealth members who failed to pay their contributions religiously, Palaez said they will be required to pay their contributions dating back to November 2019 when the Universal Health Care Act took effect and still continue paying the same for them to be provided with immediate eligibility coverage.
    Most individuals, she added, are compelled to pay their membership contribution or settle their back contributions when they are already confined in the various health care facilities for them to be able to avail of the benefit packages for their diagnosed illnesses.
    Palaez said accreditation of district health centers as primary health care providers pursuant to the Universal Health Care Act will help in providing more facilities where patients can seek treatment.
    She expressed hope that residents who are already 21 years old and above will be convinced to register as members of the insurance firm and religiously pay their monthly contributions for PhilHealth to sustain the payment of benefit packages it developed for illnesses.
    Initially, the PhilHealth accredited some 10 district health centers in Baguio as primary health care facilities that could provide prospective patients with consultation packages for certain diagnosis and 13 laboratory examinations.
    The accredited primary health care facilities in the city are the Asin, Atab, Aurora Hill, City Camp, Engineers Hill, Irisan, Lucban, Pacdal, Pinsao and Quirino Hill district health centers. – Dexter A. See
 

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