PhilHealth presents payment options to members prior to rate increase in June

May 17, 2012 at 7:21 pm Leave a comment


DAGUPAN CITY– The Philippine Health insurance Corporation presents payment options to its members before the implementation of the rate increase this June.
Members under the Individually Paying Program (IPP), KaSAPI (Kalusugang Sigurado at Abot-kaya sa PhilHealth Insurance) and Group
Enrolment Schemes with average monthly income of P25,000 and below, may
avail of the annual premium rate of P1,200 if full payment is made on or before June 30, 2012.
Members also have the option to lock-in, or advance the premium payment
for two years at the rate of P1,200 per year, as long as full payment is completed on or before the said date.
It can be recalled that PhilHealth has sent out advisories to members for the increase of their premium payments to P2,400 per year starting July 1,2012. Members shall be required to sign a Policy Contract.
PhilHealth’s Public Relations Officer Irene Martinez said all payments may be made through PhilHealth’s Local Health Insurance Offices (LHIOs) or accredited collecting partners nationwide.
Members under the IPP and Organized Group Enrolment Scheme are
entitled to in-patient benefits subject to existing policies on eligibility requirements.
However, only KaSAPI members and their dependents are entitled to avail of
Primary Care Benefits I (PCB I) effective April 1, 2012 as provided for in PhilHealth
Circular No. 10, series of 2012.

Martinez told the Philippine Information Agency that KASAPI was developed generally to provide social health insurance through partnerships with Organized Groups (OG) for members in the informal sector. It specifically aims to provide access to quality health care services to a wider membership base and sustain membership of the OG members.

The Kasapi Program is open to OGs with at least 1,000 members, and at least 700 members are required to enroll. Mode of payment is quarterly, semi-annually, and annually and may be coursed through the cooperative which is required to remit collections to the Philhealth at regular intervals. (PIA-Pangasinan)

PhilHealth deploys 32 CARES nurses in Region I

DAGUPAN CITY– The Philippine Health Insurance Corporation has deployed 32 registered nurses to accredited hospitals in Region I on May 2 to become Customer Assistance, Relations and Empowerment Staff (CARES).
PhilHealth’s Regional Public Relations Officer Irene Martinez said these nurses were carefully screened from among 23,000 online applicants nationwide.
Prior to their deployment, the CARES underwent a two-week intensive training simultaneously in all regions nationwide from April 16-27, 2012 on various aspects of PhilHealth operations and guidelines, she said.
In Region I, the distribution of the 32 nurses are as follows: five each for Ilocos Norte, Ilocos Sur and La Union; and 17 for Pangasinan.
At the Communication and News Exchange (CNEX) Forum at the Philippine Information Agency recently, PhilHealth President and Chief Executive Officer Dr. Eduardo P. Banzon formally announced the deployment schedule, emphasizing that the move was designed to provide PhilHealth members with essential information about their benefits at the point-of-service.
The CARES were deployed in all accredited Levels 3 and 4 hospitals, and Levels 1 and 2 government hospitals on rotation basis.

They will be at their posts on Mondays to Fridays, from 9:00 a.m. to 5:00 p.m. and on Saturdays, from 9:00 a.m. to 2:00 p.m.

Aside from responding to basic member and stakeholder inquiries, the CARES may also be tapped to administer surveys and studies initiated by PhilHealth but are not authorized to collect premium remittances from existing or prospective members at the hospital, Banzon clarified. (PIA-Pangasinan with reports from PhilHealth)

Entry filed under: News.

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