Issue of August 6, 2017
Mt. Province

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PHIC improves point of service for the poor
by PIA–Kalinga

TABUK CITY, Kalinga – Financially incapable patients who are not yet members of PhilHealth will benefit from the government’s national health insurance program, this time through the Point of Service (POS) program.

Jean Baawa of PhilHealth provincial office said the Department of Budget and Management appropriated P3 billion in the 2017 General Appropriations Act for POS to pay benefits of those who are not covered by any special provisions. The POS replaces the Point of Care which was terminated on June 30.

“POS is a program provided under RA 10924 or the General Appropriations Act for fiscal year 2017 to attain universal health coverage. Filipino citizens who will be covered under this POS program must be classified as financially incapable to pay his/her PhilHealth membership according to the Department of Health classification on indigence,” Baawa said.

A patient who may qualify for POS benefits is a Filipino citizen, is assessed by the social worker as financially incapable to pay for PhilHealth premium, not a registered PhilHealth member or dependent, and admitted in ward type accommodation in a government hospital.

Non-PhilHealth member patient classified as financially incapable are entitled to immediately avail themselves of the benefits, ward type accommodation, and no premium payment.

“Benefits under POS cover in-patients/out-patient all case rates, Z benefits, and No Balance billing,” she added.

The POS took effect on July 1.

Though the province attained 100 percent health coverage, Baawa said there are dependents of PhilHealth-member parents turning 21 years old and there are sponsored members who did not renew their membership, including patients from places outside Kalinga.

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