PhilHealth assures health care benefits even to non- members in quake-affected areas in Mindanao » Manila Bulletin News

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PhilHealth assures health care benefits even to non- members in quake-affected areas in Mindanao

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By Analou De Vera

The Philippine Health Insurance Corporation (PhilHealth) expressed readiness to provide health care benefits to its members as well as non-members who were affected by the series of earthquakes in Mindanao.

Philippine Health Insurance Corporation (PhilHealth) (MANILA BULLETIN)

Philippine Health Insurance Corporation (PhilHealth) (MANILA BULLETIN)

“While Philhealth members may continue to experience responsive health care benefit access, non-members can likewise avail themselves of the PhilHealth benefits even if confined in non-accredited facility subject to certain conditions,” the state-run insurance corporation said in a statement.

“In these trying times, PhilHealth assures the public that despite these seemingly insurmountable situation, the state-health insurance company remains committed to its promise of providing the best quality health care services for the Filipino people,” it added.

The PhilHealth said that in accordance with the provision of its Circular 34-2013, special privileges to those affected by “fortuitous events” may be provided to non-members.

According to PhilHealth, the special privilege covers its members, non-members, and their dependents; admission to accredited or non-accredited facilities that are DOH-licensed or DOH-certified; and treatment and management by accredited or non-accredited health care professionals who are duly licensed by the Professional Regulations Commission (PRC).

The PhilHealth said that it also covers claims for medical treatment done as “an outpatient or in-patient relative to the direct and indirect effects of the fortuitous event within the Health Care Institution or an improvised/satellite facility; and patients transferred from or managed by health care personnel from accredited facilities in an evacuation area, or improvised health care facilities.”

“In addition, the policy extends to certain privileges like exemption from the 45 days annual benefit limit, Single Period of Confinement (SPC) and the less than 24 hour confinement policies; extension of filing up to 120 days, payment of premium contributions or extension of coverage, reimbursement for both referring and receiving health care institutions; priority in the processing of claims, extension of the deadline for submission of health care facility reports and extension of accreditation of providers, as applicable,” the PhilHealth said.

Three strong tremors struck parts of Mindanao above the magnitude 6.0 scale last October 16, 29, and 31.

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