The positive response of the participants, who were active during the discussions, is overwhelming, according to PhilHealth-Capiz Service Office information officer Mary Jane Amigo.
Amigo said the member’s forum was the Capiz office’s highlight of PhilHealth’s 16th founding anniversary as well as of the National Health Insurance month in February.
“The event was an opportunity for both the members and service providers to know the latest updates about the program and a chance to listen to problems and issues affecting them as members,” she said.
Among the participants were heads of offices and liaison officers from local government units and national government agencies, the private sector, individually paying members, barangay captains, beneficiaries’ sponsored programs and lifetime members.
All the government and private hospitals in the province were likewise well-represented, she added.
During the forum, PhilHealth 6 public relations officer Larry Tabsing said the agency will launch this year a standardized set of reimbursement for 22 common medical and surgical cases being availed of by its members in accredited hospitals nationwide per announcement of PhilHealth President Dr. Rey Aquino.
Tabsing said among the 11 medical cases that will soon be paid on a case rate basis are dengue 1 and 2, pneumonia 1 and 2, essential hypertension, cerebral infarction and hemorrhage, acute gastroenteritis, asthma, typhoid fever and newborn care package.
Surgical cases include radiotherapy, dialysis, normal deliveries and deliveries by caesarian section, appendectomy, cholecystectomy, hysterectomy, dilatation and curettage, thyroidectomy, herniorrhapy and mastectomy, he said.
On the other hand, PhilHealth-Capiz head Joe Frederick Diaz said more Capiceños have already been enrolled in the government’s health insurance program.
Diaz said in 2010, a total of 187,627 Capiceños were enrolled in the agency’s health insurance program, of whom 15,938 belongs to the government; 31,296 from the private sector; 87,267 for indigency sponsored program; 35,103 for individually paying members; 5,307 under the lifetime membership; and 12,716 overseas Filipino workers. (Jemin B. Guillermo/PIA/PN)