Philhealth implements Point of Service for financially-incapable patients

CITY OF TABUK, Kalinga, Aug. 3 (PIA) - - Financially incapable patients  who are not yet members of Philhealth  will benefit from the government’s national health insurance program, this  time  thru  the Point of Service (POS) program.

 

Jean Baawa of Philhealth field office here said the Department of Budget and Management (DBM) appropriated P3 billion in the 2017 General Appropriations Act for POS to pay benefits of non-members not covered by any special provisions. The POS replaces the Point of Care which was terminated on June 30 this year.

“POS is a program provided under RA 10924 or the General Appropriations Act for fiscal year 2017 to attain universal health coverage. Filipino citizens who will be covered under this POS program must be classified as financially incapable to pay his/her Philhealth membership according to the Department of Health classification on indigence,” Baawa explained.

A patient who may qualify for POS benefits is a Filipino citizen, is assessed by the social worker as financially incapable to pay for Philhealth premium, is not a registered Philhealth member or dependent, and is admitted in ward type accommodation in government hospital.

 Non-Philhealth member patient classified as financially incapable are entitled to immediately avail of benefits, ward type accommodation, and no premium payment. “Benefits under POS cover in-patients/out-patient all case rates, Z benefits, and No Balance billing,” she added.

The POS took effect July 1, 2017.

Though the province attained 100% health coverage, Baawa said there are dependents of Philhealth-member parents turning 21 years old, those sponsored members with unrenewed membership and patients from other places outside of Kalinga. Peter A. Balocnit (JDP/PAB-PIA CAR, Kalinga)

 

EL Kikasa

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