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PhilHealth wants to insure all Filipinos 

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The Philippine Health Insurance Corp. (PhilHealth) wants to expand its medical coverage to include all Filipinos by 2022, according to a report by Manila Times.

In a media forum organized by the Department of Health (DoH), PhilHealth Vice President for Member Management Oscar Abadu Jr. said the passage of the Universal Health Care law requires mandatory health coverage to all Filipino citizens.

The agency set the goal high as it reorganizes itself after a slate of corruption allegations involving its key officials.

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Even those who have not registered with PhilHealth would be covered, Abadu said.

As of September, 94.932 million Filipinos, consisting of 52.177 million members and 42.754 million dependents, are covered by PhilHealth. That leaves around 15.25 million more individuals that are not registered under the state insurer.

Abadu called on local government units to help non-PhilHealth members register for the National Health Insurance Program.

PhilHealth is also expanding the participation of point-of-service updating and registration of members, with the help of the social welfare and health departments of local government units.

“They will become not only service providers, but also we will tap them as partners to ensure correct information of those employed working with them and those confined in the respective [hospitals],” Abadu said.

PhilHealth is also working on a portal in which members can register and update their information, including their preferred primary health care provider under the PhilHealth KonSulTa (Konsultasyong Sulit at Tama) program.

It is also working with the Philippine Statistics Authority to ensure data accuracy, especially now that the PSA is starting the PhilSys national ID system,

Abadu said PhilHealth’s new chief, Dante Gierran, is devoting the first few months of his term to validating the corruption allegations inside the state health insurer.

He has already order 43 of the agency’s senior officials to resign or opt for early retirement.

“Ito po yung mga unang steps ng (These are the first steps of the) current PCEO (president and chief executive officer) to reorganize the corporation and try to address the issues of irregularities, corruption and fraud,” Abadu said.

He said Gierran had started checking on health care providers to determine if they had committed fraud.

Gierran is also looking at the possible gaps in the system before continuing the information technology project that was started by his predecessor, Ricardo Morales, Abadu added.


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