Who are Sponsored Members?
- Members of the informal economy from the lower income segment who do not qualify for full subsidy under the means test rule of the DSWD, whose premium contribution shall be subsidized by the LGUs or shall be through cost-sharing mechanisms between/among LGUs, and/or legislative sponsors, and/or other sponsors and/or the member, including the National Government;
- Orphans, abandoned (children who have no known family willing and capable to take care of them and are under the care of the DSWD, orphanages, churches and other institutions) and abused minors, out-of-school youths, street children, persons with disability (PWD), senior citizens and battered women under the care of the DSWD, or any of its accredited institutions run by NGOs or any non-profit private organizations, whose premium contributions shall be paid for by the DSWD;
- Barangay health workers, nutrition scholars, barangay tanods, and other barangay workers and volunteers, whose premium contributions shall be fully borne by the LGUs concerned; and
- Unenrolled women who are about to give birth, whose premium contributions shall be fully borne by the National Government and/or LGUs and/or legislative sponsors or the DSWD if such woman is an indigent as determined by it through the means test.
Para sa katanungan:
ACTION CENTER: (02)441-7442
PhilHealth issued Circular No. 03 in January this year to strengthen and improve the enforcement of the "NBB" policy, which guarantees qualified members that they will no longer have to pay any amount beyond what PhilHealth pays for when admitted in ward-type accommodation in government hospitals.
The policy is pursuant to Section 43 of the Implementing Rules and Regulation of Republic Act No. 10606 (National Health Insurance Act of 2013) which states that, "No other fee or expense shall be charged to the indigent patient, subject to the guidelines issued by the Corporation. All necessary services and complete quality care to attain the best possible health outcomes shall be provided to them".
For 2017, a proposed budget of P3.35-trillion shall cover the healthcare and tuition fee of state universities or colleges in Philippines. According to Sen. Loren Legarda, there is also additional P3 billion allocated to Philippine Health Insurance Corp. (PhilHealth) for the coverage of all Filipinos
“The Department of Health (DOH) said there are some eight million Filipinos still not covered by PhilHealth. It is our duty, in serving the public, to extend basic healthcare protection to all our people. That is why we pushed for the augmentation of the PhilHealth’s budget so that in 2017, we achieve universal healthcare coverage,” Legarda said.
Sen. Legarda said this universal healthcare coverage will help any non-member of PhilHealth to avail healthcare service in public hospitals and be enrolled automatically in the system.
Those who doesn't have the capacity to pay shall be the priority for the program.
Including on those who will receive the benefits are the Indigent patients. They will no longer be required to pay for anything in government hospitals under the “No Balance Billing” as mandated under the Amended National Health Insurance Act or Republic Act 10606, which Legarda principally authored.
Republic Act No. 10606 (National Health Insurance Act of 2013) states that, "No other fee or expense shall be charged to the indigent patient, subject to the guidelines issued by the Corporation. All necessary services and complete quality care to attain the best possible health outcomes shall be provided to them".
The budget will also allocate P96.336 billion for Department Of Health, this will then be used for the construction of additional health facilities and drug rehabilitation centers in the country.
The Filipino citizens who will be covered under this provision, through a POINT of Service (POS) Program, must be classified as financially incapable to pay his/her Philhealth membership according to the DOH classification on indigence.
Filipino citizens who are financially capable shall be assessed and shall be enrolled based on their financial capability at the Point of Service to be covered as regular contributing PHILHEALTH member. They shall be included in the Philhealth membership data base and shall be billed annually.