Archive | February 11th, 2015

PhilHealth to DSWD: We will fast track processing of health benefits of Pantawid Pamilya grantees

Cagayan de Oro City — The Regional Office of Philippine Health Insurance Corporation (PhilHealth) here has promised the Department of Social Welfare and Development (DSWD) Northern Mindanao that it will fast track processing of health benefit claims of Pantawid Pamilyang Pilipino Program (Pantawid Pamilya) grantees.

Chief Social Insurance Officer of PhilHealth Region 10, Ian Alfredo T. Magno said health benefit claims submitted by accredited hospitals will be processes immediately, as long as Pantawid Pamilya beneficiaries will present the authentic and official identification card issued by DSWD Northern Mindanao.

Magno, along with Social Insurance Officer Fatmah Guiling and Social Insurance Assistant Remea Vera Dacut, visited DSWD Northern Mindanao to discuss issues and concerns relative to hastening the processing of claims.

 

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Pantawid are issued their Member Data Record and PhilHealth Identification Number which will serve as their pass when availing of health care benefits at any accredited facilities in the country.

As Sponsored members, they are entitled to full benefits including the recently introduced case rate payments for 23 medical and surgical cases wherein they no longer need to pay in excess of the PhilHealth set benefits in government facilities.

They can also avail of the ‘Z’ benefit package for catastrophic illnesses such as childhood acute lymphocytic leukemia, breast and prostate cancer, and kidney transplant, with financial coverage of P210,000, P100,000 (each), and P600,000 respectively. PhilHealth has initially partnered with selected reference and contracted government hospitals nationwide to provide the Z benefits.

Pantawid beneficiaries also enjoy primary care benefits such as consultations, regular blood pressure monitoring, and promotive health education on breastfeeding and counseling on lifestyle modification and smoking cessation. Medicines for diseases like asthma and acute gastroenteritis with no or mild dehydration, upper respiratory tract infection/pneumonia and urinary tract infection are also provided for by accredited healthcare providers.

To ensure access, PhilHealth has automatically accredited all DOH licensed hospitals as Centers of Safety.

Guiling emphasized that PhilHealth will only honor untampered ID.

In case of lost, Pantawid Pamilya beneficiaries can present certification duly signed only by either the Regional Project Coordinator (RPC) or Provincial Link (PL).

Pantawid Pamilya RPC Kenneth Haze Sanchez disclosed that municipal links are not allowed to issue certification for PhilHealth benefit claims.###

Written by Oliver Badel Inodeo, DSWD Northern Mindanao.

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