PhilHealth6 Correspondence: 2008

Thursday, September 11, 2008

PhilHealth-ASHI enrolls 2,100 new members

NEW 2,100 members are enrolled by ASHI (Ahon sa Hirap, Inc.), a women-exclusive micro-finance institution under the Individually Paying Program of the corporation.

In a Memorandum of Agreement signed by Assistant Vice President Alberto C. Manduriao, Head of PhilHealth Regional Office VI and Mila Mercado-Bunker, ASHI President last April 18, 2008, the organization vowed to compulsorily enroll its members to the National Health Insurance Program and will pay in full the corresponding premium of P1,200 per annum of every member.

“Group enrollment scheme adopted by ASHI, distinct from KASAPI, facilitates membership of these women to the program and not only as dependents of their member-husband. Dependent children and parents of these members are also entitled to avail PhilHealth benefits ”, said Junie Sabusap, Head-PSO Antique.

PhilHealth Circular No. 5 series of 2008 requires that “all members and their dependents covered under the Individually Paying Program through the Group Enrollment Scheme shall be required to submit clear copy of Certificate of Premium Payment (CPP) Member Data Record (MDR) and duly accomplished PhilHealth Claim Form 1 to avail of the National Health Insurance Program benefits”.

With this, ASHI members can now enjoy the benefits of PhilHealth with payments made by the organization starting 2nd quarter 2008 until 1st quarter 2009.

“We are expecting for additional enrollees next year for ASHI shall compulsorily enroll all its members who are not yet covered in their initial set of enrollees”, said Junie Sabusap. “These members upon reaching the age of 60 and have at least paid 120 monthly contributions are entitled to be our Lifetime Members”, he added.

ASHI Antique Chapter has 5 branches consisting of numerous area offices saturated from South East to North West of Antique province with almost 3,500 members.

The Wrath of Typhoon Frank

“Nature is relentless and unchangeable, and it is indifferent as to whether its hidden reasons and actions are understandable to man or not.” - - - Galileo Galilei

The rainy day on Friday, June 20 went by just like any ordinary wet season. PAGASA issued a storm signal in response to typhoon Frank threatening the Philippines, but the foul weather did not hinder the daily rituals of the people in Iloilo City, particularly the dedicated employees of PhilHealth Regional Office VI. As the cold weather cast a sleeping spell that brought deep slumber, no one has the inkling that fate wasbrewing disaster the whole night.

Dexter Altillo of Benefits Administration Section woke up early the next day in their home at Taft North Mandurriao and got ready to go to the office for a scheduled overtime work. With the heavy rain and strong winds, there were only three of them (with Adonis Fallarco & Catherine Gayamat) who made it to the office. It was later announced that the overtime work is cancelled. He dropped by the grocery for a cup of noodles and went home. After gulping the noodles for late breakfast, he crawled back to bed and went to sleep.

At around 1 p.m., he was awakened by the knocks at the door by his sister informing him that the floodwater is almost knee high. He ignored his sister’s report being used to the perennial problem of city floods. But as fast as how he prepared and consumed his instant noodles, the flood water risen to neck level. Caught by surprise, his family had no time to flee or to salvage anything except the clothes they wore and hurried up to the roof of their house. “We stayed up the roof top for several hours, wet and cold,” Dexter recalled. When it was turning dark and no help was at hand, we took courage to wade through the flood water towards the seco

nd storey of our neighbor’s house to take refuge for the night.”

France Gosi of Collection Section was alone in their house in Pavia when typhoon Frank battered Iloilo. “As early as 8:30 a.m., the flood water started to rose in an unexpected fast rate that I had no time to save any of our appliances and other things on the ground floor”, France said showing the images of their house submerged in the flood captured by her cell phone camera.

It happened almost without warning. Typhoon Frank, leki Fengsen himself, stomped on Western Visayas with strong winds and torrential rain that day of June 21. (Fengsen is the international name of typhoon Frank and the Mandarin Chinese name for the god of wind). His wrath wrecked havoc to two cities and 42 towns in Iloilo and Western Visayas provinces, including those that did not experience flooding before.

Like Dexter and France, there are thousands of residents who were affected by the storm, many of whom perched on trees and rooftops after waking up early Saturday morning with water already inside their homes. Heavy rains flooded the entire villages, sweeping houses. Strong winds knocked down trees, electric and telephone posts. Many roads were impassable, blocked by fallen trees and landslides. Thousands barely had ample time to scramble to their rooftops, the only safe place they could find in the land that turned into inland sea.

The flood waters had started to recede by early morning Sunday. The noisy, frenzied pandemonium of Typhoon Frank had surrendered to a still and quiet confusion, a hushed disbelief that suspended a person caught somewhere between life before the typhoon and life after it. Almost every square inch of real estate—houses, roads, parks, schools, municipal buildings, store shops—was covered by slimy mud. More than a hundred of lives were lost.

Typhoon Frank will be forever synonymous with catastrophe, as once again, it subjected humanity to a test. But just like any unexpected events in life, lessons were learned to make one wiser and stronger. For every person grieving for their irreplaceable loss, there are hundreds returning with humor and hope to recover. The presence of imperfection, confusion, misunderstanding, and fear cannot be denied. But what is important is that in the midst of it all, human kindness and faith in God perpetually stand.

These are the lessons that would keep the people of Western Visayas prepared for the future, as poet Horace quoted, “Naturam expellas furca, tamen usque revenit. (You may drive nature out with a pitchfork, she will nevertheless come back.)”

The story will never end!

Wednesday, September 10, 2008

PhilHealth premiums-a must for doctors

All Health Professionals applying for PhilHealth accreditation must pay the regular premium contributions as PhilHealth members do. This requirement enables them to avail of medicare benefits aside from entitlement to professional fees.

Effective September 10, 2008, all health care professionals applying for accreditation are required to submit proof of regular payment either as voluntary or employed member as provided for by the Implementing Rules and Regulations of the National Health Insurance Act under its specific accreditation requirements and conditions for Health Care Professionals (HCPs). A Health Care Professional may either refer to as physician, dentist, nurse, midwife, pharmacist and other health practitioners.

With this, doctors and other health care professionals who are Individually Paying Program (IPP) members shall pay in full the equivalent three (3) years premium contributions upon initial or renewal of accreditation. The same shall also be required to Non-Paying or Lifetime members whose membership shall cease as such when applying for accreditation. However, health care professionals applying for re-accreditation shall pay in full the applicable amount of premiums based on the validity of accreditation being applied for.

In the case of HCPs under employed sector, a photocopy of Quarterly Remittance Report (RF-1) where his/her name is indicated must be submited.

However, HCPs who have no income for a particular month/s due to non-rendition of service, such as those who are on leave without pay or with extended leave but have active employment status, including members engaged in seasonal employment, shall continue to pay premiums to ensure continuous entitlement of benefits.

Non-compliance of all requirements and conditions of accreditation shall be a ground for denial and/ or non-reinstatement of their accreditation and shall be penalized for Breach of Warranties of Accreditation. (Circular No 17, series of 2008)

Wednesday, August 27, 2008

PRO VI goes tree planting

PhilHealth staff to the mountain
Public Affairs Unit

With the rapidly increasing movement towards deeper commitment in protecting the environment, personnel of PhilHealth Regional Office VI took advantaged of the August 25 holiday to perform an unpopular act of ‘plant a tree and preserve the environment’.

A number of seedlings which include a Davao grafted lanzones were planted along the mountains of Lambunao, Iloilo – 60 kilometers northwest of Iloilo. PhilHealth volunteers troded the non-permanent trail for half an hour climbed to the top site carrying the plants in both hands under the scourging heat of the sun and slippery mud traversing the area.

“As advocates of the National Health Insurance Program, we also take cognizance of our social responsibility of protecting the environment. Through planting new trees, we demonstrate our own little but significant contribution to this global concern,” said PRO VI AVP Alberto C. Manduriao.

These environment enthusiasts also aspire to visit nearby municipalities to replicate this worthwhile endeavor in the following months as well as in other provinces within the region by next year.
“This is just a kick-off activity of the group which will be formally organized before the end of the year, said Bien Paul Obordo-EA, the project motivator. “We have lined-up series of activities that are inclined at caring and protecting our environment”, he added.

Incessantly, PRO VI has not only provided the Ilonggos with accessible, affordable and quality health care services, but equally shared its responsibility in preserving and perpetuating its commitment in preserving the environment, PhilHealth’s way of propagating its corporate social responsibility. The seedlings were provided for free by West Visayas State University – College of Agriculture and Forestry, Lambunao Campus.