Sunday, October 18, 2015

PhilHealth introduces innovations in services and benefits

DAGUPAN CITY – The Philippine Health Insurance Corporation (PhilHealth) introduced technical innovations and new packages to be ‘in’ with the times and give members  the benefit they deserve.

Joseph Manuel, information officer of PhilHealth in the Ilocos, said that development in services are intended to make benefit availment easier and make premium remittance more convenient for its partner-employers.

One of the developments, he said, is the deployment of the Health Care Institution (HCI) portal wherein checking of member’s eligibility to avail of PhilHealth benefit is on real-time in the hospital.

“PhilHealth members no longer need to submit the requisite documents because once the portal says YES, entitlement to benefits is a go,” Manuel said during the Pantongtongan Tayo radio program of PIA-Pangasinan on Tuesday.

PhilHealth also introduced system enhancement to make premium remittance more convenient for its partner-employers through its Electronic Premium Remittance System (EPRS).

“Formerly known as the Electronic Premium Reporting System, the new EPRS enables employers especially those with hundreds or thousands of employees to remit their premium contributions online,” he said.

The state-run health insurer also now has a benefit package for diseases like Ebola and MERS-CoV or Middle East Respiratory Syndrome - Corona Virus.

Manuel said the medical assistance for Ebola is P110, 000 for the first seven days, and an additional P16, 000 per day for the next seven days.

“On the other hand, the package for MERS-CoV is P100, 000 for health workers and P50, 000 for non-health workers,” he said.

PhilHealth also made some significant adjustments in compensating for hemodialysis and peritoneal dialysis through the case rate mechanism.

“The available number of days was extended from 45 to 90 per year through a benefit-sharing arrangement between and among principal members and dependents, and the per session rate was rationalized to P2, 600,” he added. (VHS/AMM/PIA-1, Pangasinan/PhilHealth)

No comments:

Post a Comment