Davao hospital tops PhilHealth enrollment for poor individuals

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Sunday, August 24, 2014

DAVAO City-based Southern Philippines Medical Center has the most number of poor beneficiaries of the point-of-care (POC) enrollment program of the Philippine Health Insurance Corporation (PhilHealth).

According to PhilHealth, the hospital bested 161 participating local government unit-owned and national government-run hospitals.

In just less than a year since the start of the POC program, 6,548 new PhilHealth members have been registered at the Southern Philippines Medical Center.

“We are very thankful for the support of the hospitals and LGUs in the successful implementation of the POC,” said PhilHealth president Alexander Padilla.

Nationwide, he said there are already 73,107 new beneficiaries that have been enrolled through the POC program.

“We believe that poor Filipinos are no longer be afraid to seek medical attention knowing that their government and the hospitals are working together to give them the financial help that they need,” said Padilla.

The POC was launched in November last year and was initially implemented in 85 retained hospitals of the Department of Health (DOH) nationwide.

The program aims to provide an effective mechanism to cover those from the C3 to D segments of the population, who are confined in the government or LGU-owned hospitals but are either non-members or existing members but lacking qualifying contributions.

The program was born after DOH Secretary Enrique Ona said that the government is still in the process of looking for “segments” of the 5.4 million poorest Filipino families entitled to PhilHealth memberships under the so-called “sponsored program”.

Under the POC, the patient needs to pass the medical social worker’s assessment to become a sponsored member, with the hospital shouldering the annual premium contribution of P2,400 to PhilHealth.

The hospital-sponsored member (HSM) is automatically granted PhilHealth coverage starting on the first day of admission up to the end of the year.

The HSM will also be entitled to the “No Balance Billing” policy, wherein he will no longer pay anything on top of his PhilHealth coverage when confined in a ward in government hospitals. (HDT/Sunnex)

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