National Health Insurance Programs Flashcards
The compulsory provision of health insurance to broad sectors of the population, there is no generally accepted definition for the portion of the population to be covered or for the exact benefits to be provided.
National health insurance
An act instituting a national health insurance program for all Filipinos and establishing the Philippine health insurance corporation for the purpose
R.A 7875
Declares that the state shall adopt an integrated and comprehensive approach to health development which shall endeavor to make essential goods, health and other social services available to all the people at affordable cost. Priority for the needs of the underprivileged, sick, elderly, disabled, women, and children shall be recognized. Likewise, it shall be the policy of the state to provide free medical care to paupers
Section 11, article 13 of the 1987 constitution of the republic of the Philippines
A. Provide all citizens of the Philippines With the mechanism to gain financial access to health services
B. Create the national health insurance program here in after referred to as the program to serve as the means to help the people pay for healthcare services
C. Prioritize and accelerate the provision of health services to all Filipinos especially that segment of the population who cannot afford such services
D. Establish the Philippine health insurance corporation here in after referred to as the corporation that will administer the program at Central and local levels
Section 3
Created Created the national health insurance program which shall provide health insurance coverage and ensure affordable acceptable available and accessible healthcare services for all citizens of the Philippines in accordance with the policies and specific provisions of RA7875, this is social insurance program shall sense as the means for the healthy to help pay for the care of the sick and for those who can afford medical care to subsidize those who cannot it’s all in usually consist of programs one and two of Medicare and expanded progressively to constitute one universal health insurance program for the entire population
Section 5 article 3
The program will incorporate a sustainable system of fun creation collecting management and disbursement to finance a gradually growing percentage of the population is access to basic minimum package in several supplemental packages of health insurance service, the program shall be limited to paying for the utilization of health services by covered beneficiaries or to purchasing health services in behalf of such beneficiaries
Article 3 section 5
All Citizens of the Philippines she’ll be covered by the national health insurance program implementation of the program shall furthermore be gradual and faced in over a period of not more than 15 years
Section 6 article 3
The enrollment shall proceed in accordance with this specific policies see all persons eligible for benefits as members of local health insurance plans establish by the corporation in accordance with the implementing rules and regulations of this app D all persons eligible for benefits us numbers of the other government initiated health insurance program community-based healthcare organizations operative or private nonprofit health insurance plans
Section 7 article 3
What includes the benefit package in section 10 article 3
A. Inpatient hospital care
B. Outpatient care
C. Emergency and transfer services
D. Such other health care services
The Benefits granted under this actual not cover expenses from the server says enumerated here under exactly when the corporation after a durian studies recommend their inclusion subject to the approval of the board
Section 11 article 3
Where The violations consist of failure of refusal to did the contributions from the employees compensation or to run it the same to the corporation
Article 10 penalties
An act establishing the Philippine medical care plan and creating the Philippine medical care commission, prescribing its duties, powers and functions, and appropriating funds
RA 6111
