Bagong benefit package ng Philhealth na tutulong sa mga may malalang karamdaman, pormal na inilunsad sa Malakanyang

UNTV News   •   July 3, 2012   •   4228

Si President Benigno Aquino III sa paglulunsad ng DOH rotavirus vaccine at PhilHealth “Z” benefit package. (Malacañang Photo Bureau)

 MANILA, Philippines — Pormal na inilunsad sa Palasyo ng Malakanyang ang pinakamalaking health benefit package o ang Case Type ‘Z’ Category Package ng Philippine Health Insurance (Philhealth) na tutulong sa mga may malalang karamdaman.

Naniniwala naman si Pangulong Benigno Aquino III na malaki ang maitutulong nito partikular sa mga kababayan nating mga mahihirap.

“For the first time in the history Philhealth now provides benefits can cover the treatment diseases that causes roughly 100 to 200 thousand pesos.”

Ang mga kwalipikadong miyembro o sponsored member ng Philhealth ay makatatanggap ng  benepisyo na nagkakahalaga ng mahigit P200,000 para sa may sakit na Acute Lymphomatic Leukemia. P100,000 naman para sa mga maysakit na early stage breast cancer at prostate cancer.

Nasa P600,000 naman ang benepisyo na matatanggap ng may end stage renal disease na nangangailangan na ng kidney transplant.

Ayon pa kay Pangulong Aquino, ang bagong benefit package na ito ay bahagi ng universal health care program ng gobyerno.

“Our people should not overcome this illnesses alone, and this idea is the heart of the universal health care program.”

Target rin ng gobyerno na sa susunod na buwan ay maisama na rin sa naturang package ang ilan pang mabibigat na karamdaman. (Ito Ang Balita ni Beth Lamodo / Ruth Navales, UNTV News)

Velasco files bills granting president power to suspend PhilHealth, SSS rate hikes

Robie de Guzman   •   January 7, 2021

MANILA, Philippines – House Speaker Lord Allan Velasco on Thursday said he has filed two separate bills seeking to grant the president the power to suspend the scheduled increases in the contribution rates of the Philippine Health Insurance Corp. (PhilHealth) and the Social Security System (SSS) in times of national emergencies.

In a statement, Velasco said his twin measures propose to amend Republic Act (RA) 11223 or the Universal Health Care Act, and RA 11199 or the Social Security Act of 2018, which provide for gradual increases in monthly premium contributions in PhilHealth and SSS, respectively.

The bills authorize the president to suspend the implementation of the scheduled increases in premium rates in times of national emergencies “when public interest so requires.”

But this should be in consultation with the secretaries of health and finance departments as chairpersons of PhilHealth and SSS, respectively.

The measures were filed after President Rodrigo Duterte ordered the suspension of the premium rate increase.

Velasco said RA 11223 was enacted in 2018 to ensure that all Filipinos are guaranteed equitable access to quality and affordable health care goods and services, and protected against financial risk.

He said the intent of the law is clear and cannot be overemphasized—Filipinos need and deserve a comprehensive set of health services that are cost-effective, of high quality, and responsive.

The House speaker, however, stressed that the current situation is extraordinary and that Congress must respond accordingly as he called for the swift approval of the bills aimed at alleviating the financial burden faced by many Filipino workers amid the crisis.

“While we recognize that the [PhilHealth] only aims to implement the provisions of RA 11223, imposing a higher premium rate to our kababayans under our current conditions will definitely enforce a new round of financial burden to its members,” Velasco said in the explanatory note of House Bill 8316.

“Suspending the imposition of the new PhilHealth premium rates will provide a much-needed relief from the negative effects of the pandemic and will assure Filipinos that the government is sensitive to their sentiments,” he said.

In filing HB 8317, Velasco said the temporary suspension of the hike in SSS contributions will help the workforce achieve faster recovery from the impact of the pandemic.

“We are witnesses to the negative impact of this COVID-19 outbreak. Under this pretext, the sovereign government must be given the prerogative to bend the rules of the social security law in favor of the greater good,” Velasco said.

He likewise said that increasing the rate of contributions of SSS members will “strikingly undermine the recovery effort of everyone suffering from job losses, wage reduction, business closures, and health-related issues.”

PhilHealth to pay partial amount of P265-M in debt to Philippine Red Cross this week

Marje Pelayo   •   January 6, 2021

MANILA, Philippines – The Philippine Health Insurance Corporation (PhilHealth) is likely to pay a partial amount of its debt to the Philippine Red Cross (PRC) this week amounting to P265 million pesos.

According to the agency’s spokesperson Rey Baleña, the state insurer’s outstanding balance with PRC is at P728.6 million pesos from its coronavirus disease (COVID-19) testing.

Baleña assures that they have enough funds to pay its debt only that it needs to go through proper procedure.

“Hindi issue dito ang pondo o pambayad. Ito ay ginagarantiyahan natin na meron tayong pondo. In fact nakalaan na ang ating pondo para sa COVID response natin (Funding is not an issue. We guarantee that we have the fund. In fact, we have already allocated our funds for COVID-19 response),” he said.  

Meanwhile, PhilHealth said they have returned around P103.4 million worth of defective claims to the PRC.

Baleña said as required by the Commission on Audit (COA) claims must be carefully scrutinized before they are processed.

“Hindi natin sinama sa mga kuwenta na yan yung mga claims na ibinalik natin sa kanila for compliance (We did not include in the computations claims which we returned to them for compliance),” Baleña said.

“Mayroong mga claims na nakita kami na hindi natin pwedeng iprocess, hindi natin pwedeng bayaran sapagkat may mga defect. Sa aming tala ay mga 103.4 million yung worth nung mga claims na ibinalik natin sa kanila for compliance (We identified claims which we couldn’t process for payment because of defects. In our data, it’s about P103.4 million worth of claims that we returned for compliance),” he added.

Apart from COVID-19 tests to frontliners and qualified members, PhilHealth also shoulders isolation expenses when a member is required to go on quarantine. This amounts to P23,000 per member.

In  case of COVID-19 positive members or severe COVID-19 conditions, PhilHealth is shouldering about P43,000 to P786,000 worth of expenses depending on the severity of the case. MNP (with reports from Rey Pelayo)

PhilHealth programs to continue despite deferment of premium rate increase

Marje Pelayo   •   January 6, 2021

MANILA, Philippines – The Philippine Health Insurance Corporation (PhilHealth) will lose up to P13-B from its supposed collection of premium contribution this year due to the suspension of the .5 percent increase mandated under the Universal Health Care Law.

But the agency ensures that all of its programs and services will continue through government subsidy and from the support of various agencies.

PhilHealth Spokesperson Rey Baleño also noted that a high percentage of members is remitting their contributions despite the current coronavirus disease (COVID-19) pandemic.

“Mayroong P13 billion (pesos) na hindi natin mare-realize kung ito ay madedefer sa taong ito,” he explained.

“Ngayon umaasa naman tayo sapagkat ang commitment ng pangulo sa tulong narin ng iba-ibang mga ahensya na humanap ng pondo na kakailanganin ng PhilHealth na dapat sana ay mage-generate ng nasabing premium adjustment,” he added.

President Rodrigo Duterte on Monday evening (January 4) asked PhilHealth Chief Atty. Dante Gierran to postpone the scheduled increase in members contribution this year while the public is facing a pandemic.

In a statement, PhilHealth heeded the Chief Executive’s call and deferred the premium rate hike until Congress passes an amendment on the said provision of the UHC.

READ: PhilHealth defers contribution rate hike until Congress passes amendment on UHC Law

Should there be no new legislation passed for this purpose, the state health insurer will proceed with the rate increase as mandated by the law. MNP (with reports from Rey Pelayo)

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