Healthcare Plans and Financing Systems

4. Previous Discussion

5. HEALTHCARE PLANS AND
FINACING SYSTEMS
Mrs. Melody Kristy B. Malinao

6. Lesson Objectives:
•Describe how I feel today.
•Discuss health care plans and financing
systems.
•Share what I have learned and what is
still unclear.

7. What is a
healthcare plan?

8. Healthcare Plans
A type of insurance that you buy to
pay for the cost of medical treatment
if you are ill or injured.

9. What is finance/
financing?

10. Finance / Financing
The process of raising funds or
capital for any kind of expenditure.

11. What are the
benefits of health
insurance?

12. A health insurance plan can be a
solution to deal with the rising medical
costs. It provides financial security by
covering the costs related to
treatment, hospitalization, free health
check-up, and pre and post
hospitalization expenses.

13. Its aim is to reduce financial
uncertainty and make accidental
loss manageable.

14. Two main types of health insurance:
Public
Private

15. Public Health Insurance
Public healthcare in the Philippines is administered
by PhilHealth, a government-owned corporation.
PhilHealth subsidizes a variety of treatments including
inpatient care and non-emergency surgeries. Both
local citizens and legal residents are entitled to join a
PhilHealth program.

16. Is PhilHealth mandatory?
All government and private sector
employers are required to register with
PhilHealth to enable them to provide
social health insurance coverage to their
employees.

17. Who are the indigent members of
PhilHealth?
Those persons who have no visible
means of income, or whose income is
insufficient for family subsistence, as
identified by the Department of Social
Welfare and Development (DSWD),
based on specific criteria.

18. Private Health Insurance
Usually bought by the individual
voluntarily.

19. Private Health Insurance
Private health insurance policies cover
some of the costs of treatment in a
private hospital. Insurance can also help
cover 'extras' – other medical services
such as dental, physiotherapy, optical and
more.

20. Is it good to have private health
insurance?
Private health cover gives you more choice
and control if you need to go to hospital.
You'll be able to choose your doctor, preferred
hospital and the timing of your procedure
(subject to availability). You may also be able to
request a private room.

21. Why is private healthcare better?
Immediate accommodation of the
patient. This is very convenient
and life-saving.

22. What is better private or public healthcare?
Public health insurance is more affordable than
its private counterpart, as it has lower
administrative costs and often requires no co-pays or
deductibles. However, public health insurance is also
less flexible, as policy holders are typically given a
limited selection of medical service providers