-
This will also act as a point-of-service for people who are not yet members.
Annex 4.3 Interview with PhilHealth Region XI Representative
1. Current social security situation in the region
- Stats given as of March 2019 for Region XI
Member Type
Private
Government
Migrant Workers
Individually Paying
Sponsored (SP and
NHTS)
SC (Senior and
Lifetime)
Total
-
-
-
# of
Members
681,471
99,187
116,919
572,051
402,785
# of
Dependents
628,391
155,909
102,693
643,187
501,283
Total in
Figures
1,309,862
255,096
219,612
1,215,238
904,068
Total %
427,177
152,573
579,750
12.9%
2,299,590
2,184,036
4,483,626
100%
29.2%
5.7%
4.9%
27.1%
20.2%
The data for Sponsored Programs (LGU) and NHTS (4Ps) beneficiaries still needs to be
cleaned as it has issues like duplication, inaccuracy in classification, spelling mistakes,
etc.
Local executives personalize SP PhilHealth membership, sometimes using it for their
political benefit, but it is noted that the local government do pay for the premium of
those enrolled in their specific sponsored programs.
Stats on Indigenous Peoples in Region XI
Province
ComVal
Enrolled
1,932
Davao
Del Norte
2,800
Davao
City
2,465
-
Davao
Del Sur
532
Davao
Occidental
89
Davao
Oriental
32
Total
7,850
Since there is no IRR yet for the Expanded Person with Disability law, beneficiaries will be
treated as point-of-service clients if they are not enrolled, or if they qualify, under the
NHTS guidelines.
- The UHCL will set provisions on more flexible payment options, allowing members to
access the service even without updated payments.
- The agency is still at the level of identifying potential institutions which can join its
Service Delivery Network.
- Benefit Payouts from Jan 2019, 390M indigent members 187M sponsored program
members. Total 2018 6.5B, it has seen a dramatic increase in sponsored program payout
by 237% from 140M to 479M from 2017 to 2018. It may be due to a lot of members
being aware of their benefits, or because a lot of payouts from the point-of-service.
2. Agency contributions/initiatives to the social protection component of the PDP
- “Bar Hopping” or Barangay Hopping is an initiative from the PhilHealth Regional Office
wherein they go from town to town, to try and enroll those who are not yet covered by
PhilHealth. This program especially benefits Indigenous Peoples who usually have no
means to go from the hinterlands to the nearest local government or PhilHealth office.
- Point-of-Service, catch-all program and check measure meant to capture beneficiaries at
the point of need for PhilHealth service.
64
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