- 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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