Philhealth's Indigent Program
CHAPTER I. RATIONALE
Introduction
The Philippine Health Insurance Corporation was created by Republic Act No. 7875 to administer the National Health Insurance Program which is designed to provide health insurance coverage and ensure affordable, acceptable and health services for all Filipinos. The Enhanced "PCSO Greater Medicare Access (GMA) Program" is a partnership forged by four important agencies of the government: the Philippine Charity Sweepstakes Office (PCSO), the Local Government Unit (LGU), Department of Budget and Management (DBM), the Philippine Health Insurance Corporation (PhilHealth) and other national government agencies (NGAs) such as DILG, DSWD, DAR, DOH. The Enhanced PCSO GMA Program is a realization of the common goals of PCSO, PhilHealth, DBM and the LGUs of the intention to enroll 5 million indigent families nationwide institutionalizing an integrated health care financing and delivery mechanism that ensures accessible, affordable and quality health care to all underprivileged Filipinos. The Program started its enrollment on February 2004 and ended on May 2004. The validity of this card is for a year and can be renewed through the Local Government Units (LGUs). For the implementation of the Program, PCSO allocated P1.5 billion as assistance for the payment of the local government unit (LGU) premium counterpart to PhilHealth for 2004, initially utilized the P1 billion "Stand By Fund" approved by the PCSO Board. DBM, on the other hand, assured the release of P1.5 billion to PhilHealth for the national government (NG) premium counterpart for the would be indigent.
CHAPTER II. OBEJCTIVES
1. To be able to identify the qualified members
2. To be able to know the membership process
3. To be able to identify the program benefits
4. To be able know the number of indigents enrolled in Region VIII.
5. To be able to identify the number of claims from the enrolled members.
6. To determine the controversies behind the card
CHAPTER III. SCOPE AND
Introduction
The Philippine Health Insurance Corporation was created by Republic Act No. 7875 to administer the National Health Insurance Program which is designed to provide health insurance coverage and ensure affordable, acceptable and health services for all Filipinos. The Enhanced "PCSO Greater Medicare Access (GMA) Program" is a partnership forged by four important agencies of the government: the Philippine Charity Sweepstakes Office (PCSO), the Local Government Unit (LGU), Department of Budget and Management (DBM), the Philippine Health Insurance Corporation (PhilHealth) and other national government agencies (NGAs) such as DILG, DSWD, DAR, DOH. The Enhanced PCSO GMA Program is a realization of the common goals of PCSO, PhilHealth, DBM and the LGUs of the intention to enroll 5 million indigent families nationwide institutionalizing an integrated health care financing and delivery mechanism that ensures accessible, affordable and quality health care to all underprivileged Filipinos. The Program started its enrollment on February 2004 and ended on May 2004. The validity of this card is for a year and can be renewed through the Local Government Units (LGUs). For the implementation of the Program, PCSO allocated P1.5 billion as assistance for the payment of the local government unit (LGU) premium counterpart to PhilHealth for 2004, initially utilized the P1 billion "Stand By Fund" approved by the PCSO Board. DBM, on the other hand, assured the release of P1.5 billion to PhilHealth for the national government (NG) premium counterpart for the would be indigent.
CHAPTER II. OBEJCTIVES
1. To be able to identify the qualified members
2. To be able to know the membership process
3. To be able to identify the program benefits
4. To be able know the number of indigents enrolled in Region VIII.
5. To be able to identify the number of claims from the enrolled members.
6. To determine the controversies behind the card
CHAPTER III. SCOPE AND
References: "Manual of Operating Procedures." Philippine Health Insurance Corporation, 2004. "OWWA Fund Transfer to PhilHealth Exposed." The Manila Times. March 12, 2004. http://www.globalpinoy.com http://www.abs-cbn.com/news http://www.philhealth.gov.ph