PhilHealth Issues?

Posted by Pozziepinoy on 1:25 PM

Do you know that Treatment Hubs can not tell you that you can't have a refill of ARV's without any PhilHealth contribution?

 Do you know that hubs should give you FREE laboratory tests including CD4 test and VL test as long as they are prescribed by your hub doctor as they can be reimbursed by hubs from PhilHealth?

 I just talked to PhilHealth MDG-OHAT Team and I told them that clients coming from different hubs can now email Project Red Ribbon at contact@projectredribbon.org for any PhilHealth complaints especially if services are not being given to them when in fact it should be covered by OHAT Package of PhilHealth. The point here is once a hub becomes accredited by PhilHealth, clients who are PhilHealth members either because they are currently employed or are voluntary members, should get the hub services for free, since hubs will claim reimbursements after 3 months from PhilHealth. If they don't have the laboratory equipments yet since they are either new or are primary treatment facilities only, they need to tie up with hubs or laboratory testing facilities which they will have to pay after 3 months once they get their quarterly reimbursements from PhilHealth. By doing this, ALL clients, either new or currently enrolled will get the FREE benefits from the OHAT. If in case, the client is unemployed or indigent, the hub should refer them to DSWD, LGU, or even PhilHealth so that they can get the financial assistance needed to pay for their PhilHealth membership.

 What to email us?

 1. Complaint
2. Hub in question, including full address
3. Full name (this will be confidential and will not even reach PhilHealth or the Hub)

 All letters will be forwarded to the PhilHealth MDG-OHAT Team for evaluation.


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