The Philippine Health Insurance Corporation (PhilHealth) mentioned Sunday it’s aiming to get extra service suppliers to enroll beneath its Konsultasyong Sulit at Tama (Konsulta) Package subsequent yr as solely 2,000 are at present accredited in this system.
Interviewed on Super Radyo dzBB, PhilHealth Corporate Communications Department senior supervisor Rey Baleña mentioned they concentrating on a ratio of 1 facility to cater to the first care wants of 20,000 individuals.
“Ngayong 2022, tayo ay nakapag-accredit na ng mahigit 2,000 na Konsulta providers. Nagpaparami pa tayo niyan kasi ang sabi sa batas, lahat ng Pilipino…Talagang crucial na makapag-accredit kami ng maraming pasilidad para sa gayon ay may mapagpipilian kayo,” he mentioned.
(In 2022, now we have accredited over 2,000 Konsulta suppliers. We are rising this quantity as a result of the legislation states that it ought to be for all Filipinos… It is admittedly essential that we will accredit many services so that individuals could have a alternative.)
PhilHealth earlier mentioned the appliance for Konsulta accreditation is open to non-hospital services similar to rural well being items, ambulatory surgical clinics, and infirmaries. It additionally urged all accredited Level 1, 2, and three, private and non-private hospitals to be accredited for this system.
Those can submit their software and self-assessment instruments to the Local Health Insurance Office closest to them.
To be certified, they should be compliant with the necessary requirements. Minimum necessities when it comes to service embrace the conduct of preventive/screening service and well being schooling, provision of required laboratory and radiologic companies, and the shelling out of medicine and medicines.
Baleña mentioned that for this yr, they aimed to cowl 1/4 of the Philippines’ 111 million inhabitants beneath the Konsulta package deal.
“Ang computation namin, mahigit sa 2,000…mga 2,400 siguro na mga supplier ang sasapat para doon sa 25% ng inhabitants. For 2023, magta-target ulit tayo na sure portion ng inhabitants kasi talagang hindi kakayanin ‘yan ng agad-agad,” he added.
(Based on our computation, more than 2,000, maybe 2,400 providers will be enough for that 25% of the population. For 2023, we will again target a certain portion of the population because we really cannot handle that right away.)
PhilHealth is mandated to administer the National Health Insurance Program which aims to provide health insurance coverage and ensure affordable, acceptable, available, and accessible health care services for all Filipinos.
Former President Rodrigo Duterte in 2019 signed the Universal Health Care Act, making all Filipino citizens automatically enrolled into the National Health Insurance Program.
Under PhilHealth Circular 2020-0022, the Konsulta Package covers individual-based health services including initial and follow-up primary care consultations, health screening and assessment, and access to selected diagnostic services and medicines.
“Ito ‘yung ating tulong para lalong maging accessible sa bawat isa sa’tin…ang main care companies. Napakahalaga po na meron tayong entry dito. Ito ang isa sa mga learnings natin from this pandemic, na ma-prevent natin ‘yung pagkakasakit earlier, ma-detect natin kung meron tayong sakit. Itong Konsulta, pinalalakas natin ito,” Baleña mentioned.
(This is our assist to make main care companies extra accessible to every certainly one of us. It is essential that now we have entry to it. This is certainly one of our learnings from this pandemic, that we will forestall sickness earlier and detect if now we have a illness. We are strengthening this Konsulta.) — BM, GMA Integrated News
