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Official Publication of the Philippine Information Agency Bicol Regional Office, in cooperation with the RIAC-REDIRAS - RDC Bicol



Friday, August 30, 2013

PhilHealth reaches above 100% health insurance coverage in Cam Norte

BY: ROSALITA B. MANLANGIT

DAET, Camarines Norte, Aug. 30 (PIA) – The Philippine Health Insurance Corporation (PhilHealth) here announced that the province has already reached the above 100 percent health insurance coverage based on the number of population of the province of 566,708 this year, according to the provincial official of the agency during the "Talakayan sa PIA” of the Philippine Information Agency (PIA) recently.

Social Insurance Office chief Ireneo A. Dacillo of PhilHelath in Camarines Norte said that total enrollment or members registered are 160,467, including 10,344 from government agencies; 22,074 in private companies; 26,196 regular individual paying members; 91,108 under sponsored program from National Household Targetting System (NHTS) and Non-NHTS; 6,500 overseas Filipino workers; and 4,245 under the lifetime membership program.

He said that there are 573,885 insured in the province from the principal members and projected number of dependents, including 36,101 from the government; 74,169 from private; 362,610 from sponsored program; 11,419 from lifetime membership program;  71,777 from regular individual paying program; and 17,810 from overseas Filipino workers.
Dacillo said that the high turn out of enlisting members to PhilHealth conformed with the promised of President Benigno Aquino III in his State of the Nation Address (SONA) to include more FIlipino benefit from the universal health care program oof the government.

He said that Philhealth already collected more than P41 million or 53 percent of the P78M targets for the period January to June this year.

He added that that the agency has recorded P127.9 million claims which is higher than the collection of P41M.

He said that there are already Rural Health Units (RHUs) in the eight municipalities which are accredited by PhilHealth for Maternal Care Providers (MCP), eight  for TB-DOTS and all the 12 towns for the Primary Care Benefits (PCB) 1 aside from the five accredited private MCP providers.

MCP program ensures that all births will be institution-based to prevent death among infant and mothers.

PhilHealth Camarines Norte admin officer Khristine Mae Oleguera said that the agency is now implementing case payment packages that will enable members to know outright how much benefit will PhilHealth provide for medical conditions and surgical procedures treated or performed at accredited facilities.

She explained that case payment will enable PhilHealth to reimburse accredited providers faster.

The case payment for medical cases are: dengue I and II, pneumonia I and II, essential hypertension, cerebral infarction, cerebro-vascular accident, acute gastroenteritis, asthma, typhoid fever, newborn care package in hospital and lying –in clinics.

For surgical cases include radiotherapy, hemodialysis, maternal care package, normal spontaneous delivery, caesarean section, appendectomy, cholecystectomy, dilatation and curettage, thyroidectomy, herniorrhapy, mastectomy, hysterectomy and cataract surgery.

She said that per case payment there were corresponding amount coverage and this packages has started last September 11, 2011.

Olegera also said that starting February this year, they also added case type C such as leukemia for children, P210,000; breast cancer and prostate cancers both P100,000; kidney transplant, P600,000; coronary artery by-pass graft, P550,000; tetralogy of fallot (TOF), P320,000; ventricular septal defect (VSD), P250,000 and cervical cancer, P120,000.

Social Insurance Office chief Eva Buan and P-AIMS Marissa Mago discussed membership, remittances, claims and other concerns of PhilHealth members.

The “Talakayan sa PIA” was facilitated by ICM Rose Manlangit and participated in by members of media from UNTV, Hello Bicol and Dateline Camarines Norte of STV6, Nation News, Bicolandia Updates, People’s Today News, Bicol Insights, Pilipino Star, DZMD, DWYD, DWSR and DWCN-Radyo ng Bayan and DWLB. (MAL/RBM-PIA5/Camarines Norte)

- See more at: http://r05.pia.gov.ph/index.php?article=871377136534#sthash.AUEamvZD.dpuf

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