Defensor wary of Dumangas’ unreimbursed Philhealth benefits

ILOILO – Though he is worried, Governor Arthur Defensor Sr. is hopeful that the Philippine Health Insurance Corporation will consider his request to retroact the effectively of Dumangas District Hospital’s license to operate on the first working day of January 2014.

The governor said the hospital’s license, a major requirement to be accredited by PhilHealth, took effect only on February 14, 2014 and the claims for benefits made prior to cannot be approved.

If it is the case, it will mean loss of income for the hospital because they cannot reimburse the PhilHealth benefits they gave to the patients from January 2014 until February 13, 2014.

“I already told DOH Asst. Secretary Atty. Nicolas Lutero (III) of the situation and I am hopeful that they will reconsider our request,” Defensor said.

As of December 2013, PhilHealth has a total 681,730 members in Iloilo wherein 10,684 are sponsored by the governor and 122,934 are covered by the 43 local government units in the province.

A total of 116,658 members, on the other hand, are sponsored by the Department of Social Welfare and Development through their Pantawid Pamilyang Pilipino Program.

Last year, Philhealth paid 29 accredited healthcare institutions, including Dumangas District Hospital, a total of 430-million in reimbursed benefits. #2014News






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