JUST AS the world celebrates the love month, the whole nation has been observing the National Health Insurance Program (NHIP) month every February through Presidential Proclamation No. 1400 series of 2007.
The celebration of the NHIP month coincides with the 23rd anniversary of the government corporation primarily tasked to administer the country’s social health insurance program – the Philippine Health Insurance Corp (PhilHealth).
This year’s celebration is themed “23 Taong Serbisyo Alay Sa Mamamayang Pilipino.”
The agency devotes the entire 2018 to increase public awareness of PhilHealth’s programs and services and to encourage utilization of their membership privileges in times of need.
PhilHealth Regional Vice-President for Western Visayas, Lourdes F. Diocson cited the importance of PhilHealth in providing financial risk protection to the healthcare needs of the Filipinos. Through the years, PhilHealth has made major strides especially in areas of membership, benefit availment, and provider engagement.
As of December 2017, PhilHealth has enrolled 94% of the entire population of Western Visayas.
According to data, total membership in Western Visayas is 7,246,801 (including members and dependents) against the projected population of 7,708,905.
Indigent Program accounts for the most number of members followed by the Formal Economy or those gainfully employed.
On the other hand, PhilHealth has paid more than P6.6 billion for 657,448 filed claims from January to December 2017.
The trend of claims for reimbursement for three consecutive years includes hemodialysis as the top paid claim with 12,031 cases, followed by pneumonia with 5,964 confinements.
The top paid facilities are Corazon Locsin Montelibano Memorial Regional Hospital, Western Visayas Medical Center and Dr. Pablo O. Torre, Sr. Memorial Hospital, respectively.
“Our paid claims are escalating annually because of the increasing number of members seeking medical care and the wider and more responsive health benefits,” said Diocson.
Meanwhile, as to engagement provider, PhilHealth has accredited 568 private facilities and 147 government providers.
“PhilHealth has recognized the basic tenet that accessibility of healthcare services is a basic right of all Filipinos,” Diocson added. (PRO-6/Public Affairs Unit)