From the Website of PIA
links: http://news.pia.gov.ph/index.php?article=2131386239553
PhilHealth to pay for hospitalization of Yolanda survivors
QUEZON
CITY, Dec 6 -- The Philippine Health Insurance Corporation (PhilHealth)
announced Wednesday it will pay for the hospitalization of all
supertyphoon Yolanda survivors who need medical or hospital care.
Alexander
A. Padilla, PhilHealth President and CEO, announced that the state
insurance firm will grant PhilHealth benefits to members and nonmembers
alike who are confined or availed of PhilHealth covered medical services
from any DOH licensed facility, even if the said facility is not
accredited by PhilHealth.
“This new policy of PhilHealth is
consistent with its mandate to provide responsive health care benefits
to its members at all times, more so during a fortuitous event where
help is needed the most,” added the PhilHealth Chief.
PhilHealth
Circular No. 34 s. 2013 (Guidelines on the provision of special
privileges to those affected by a fortuitous event) covers PhilHealth
claims of those affected by a fortuitous event that covers any of the
following conditions: (1) members and non-members and their dependents;
(2) accredited or non-accredited (must be DOH licensed or DOH certified)
facilities; (3) accredited or non-accredited health care professionals
duly licensed by the PRC; (4) Claims for treatment done as an outpatient
or inpatient relative to the direct and indirect effects of the
fortuitous event within the Health Care Institution or an
improvised/satellite facility; and (5) transferred from or managed by
health care personnel from accredited facilities in an evacuation area,
or improvised health care facilities.
Padilla likewise assured
Health Care Institutions who suffered lost or destroyed PhilHealth claim
documents that are for submission to PhilHealth shall have the option
to choose the mode of payment of such claims either through
reconstruction of the destroyed claims or payment based on the average
reimbursement per day counting from last filing date up to the date
specified by the Corporation.
Moreover, the new policy of
PhilHealth extend certain privileges like extension of filing up to 120
days, exemption from the 45 day limit and singe period of confinement,
extension of payment of premium contributions or extension of coverage,
reimbursement for both referring and receiving health care institution,
exemption to the less than 24 hour confinement rule, 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. (PhilHealth) - See more at:
http://news.pia.gov.ph/index.php?article=2131386239553#sthash.ImB7fWY1.dpuf
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