This article includes a list of references, but its sources remain unclear because philhealth case rates pdf has insufficient inline citations. Please help to improve this article by introducing more precise citations. 1995 to implement universal health coverage in the Philippines. Philippines, and is attached to the Department of Health.
Its stated goal is to ensure a sustainable national health insurance program for all. Nevertheless, this social insurance program provides a means for the healthy to pay for the care of the sick and for those who can afford medical care to subsidize those who cannot.
Both local and national governments allocate funds to subsidize the indigent. Also the shifting from Fee-for-service to Case Rate payment scheme and IHCP Portal System is established to provide a link between accredited institutional health care providers and Philhealth through online connections.
Formal” sector are workers employed by public and private companies and other institutions. Indigents” also called “Philhealth sa Masa” are subsidized by National Government the National Household Targeting System for Poverty Reduction.
120 months of membership and are 60 or older. Senior Citizen” under RA 10645 that all citizen ages 60 years old above are eligible to have free philhealth coverage. The “Informal Economy” is composed of Informal Sectors, Self-Earning Individuals, Organized Group, Filipino with Dual Citizenship, Naturalized Born Citizen. Migrant Workers is as part of the Informal Economy.
Since 1996, the benefits package and delivery system have improved. This addition creates nearly comprehensive coverage for indigents.
In 2011, 23 CASE RATES was introduced and in 2013, ALL CASE RATES was fully implemented. All other beneficiaries have access to nearly comprehensive services, excluding some outpatient care.