4. OBJECTIVES
Define and differentiate between various
forms of health service providers
Explain the key components and
features of different healthcare plans.
• Analyze the importance of choosing
the right healthcare plan based on
individual needs.
5. What is the importance of Healthcare?
Promoting health-
Healthcare helps
prevent illnesses and
promotes overall
well-being through
vaccination,
screening and
lifestyle advice.
Quality Of
life-
Healthcare
enhances the
quality of life
for
individuals.
Treatment- it
provides essential
medical care when
people are sick or
injured, improving
their chances of
recovery
7. Health Service Providers
• Can be defined as any
institutions or professionals who
are accredited or licensed to
practice health care under
existing laws.
8. Health Service Providers
Example are hospital and clinics
and healthcare professionals such
as doctors, nurses, medical staff,
counselors, psychologist, and the
likes.
9. Health care facilities
•are those areas or tools being used to
deliver or practice health services.
Commonly, these can be associated
with hospitals, clinics, and health
centers that may be public or privately
owned by companies or individuals.
11. • an institution or a
place where
people who are ill
or injured are
treated and taken
care of by doctors
and nurses.
12. • an institution or a
place where
people who are ill
or injured are
treated and taken
care of by doctors
and nurses.
13. • an establishment or
hospital
department where
outpatients are
given medical
treatment or advice
especially of a
specialist nature.
14. Medical Nursing Residence
• these facilities house
patients to provide short-term
or long-term treatment of
their general or specific
condition which hospitals may
not perform such as trauma,
alcoholic or drug addiction
residential treatment centers ,
viral affected patients and
many more.
15. Medical Laboratories
• the health care facility
where examination of
specimens and laboratory
tests are conducted to rule
out any possible illnesses.
Experts make also their
experiments and clinical
study here to understand
the emerging virus and
disease outbreak in the
country.
18. • “Health insurance is a financial agreement
between an insurance company and an individual
or group for the payment of healthcare costs”.
• This also may pertain to a “protection that
provides benefits for sickness and injury”
19. • There are various types of health
care policies in the Philippines,
each has its own way of
delivering their healthcare
services. Despite their difference,
each policy can act as a good
supplement to another. If you
want to enjoy a complete
healthcare service, it is best to
consider getting all these three.
20. • type of health plan
where individual
company employed or
self-employed enroll to
secure their
hospitalization and other
health expenses.
Health
Management
Organization
21.
22. • These are people who opt to
buy a health insurance plan
which includes certain amount
of money to be used during
hospitalizations. This cannot
be used yet unless fully paid or
if the provisions of the plan
declare otherwise
Health
Insurance
Plan
23.
24. • a government agency that
enjoins employees both in
government and private
to pay for their monthly
contribution which will be
used for their
hospitalizations.
PhilHealth
25. The Philippine Health Insurance Corporation (PhilHealth)
The Philippine Health Insurance
Corporation (PhilHealth) - is a
Government Owned and Controlled
Corporation (GOCC) created
through the National Health
Insurance (NHI) Act of 1995 or
Republic Act 7875.
26. The Philippine Health Insurance Corporation (PhilHealth)
• It is the administrator of the National
Health Insurance Program (NHIP)
which was established to provide
health insurance coverage for all
Filipinos and ensure affordable,
acceptable, available and accessible
health care services for all citizens of
the Philippines.
27. The Philippine Health Insurance Corporation (PhilHealth)
• PhilHealth's battle cry
for the financial health
care protection of
Filipino families can be
summarized through
its vision statement:
28. The Philippine Health Insurance Corporation (PhilHealth)
Bawat Pilipino, Miyembro
Bawat Miyembro,
Protektado
Kalusugan Natin,
Segurado”
29. PhilHealth Membership Programs
1. Formal Economy- All employed
individuals working in the
government or private sectors with
offices based in the country. Ex.
Seafarers, considering their
agencies are in the Philippines.
30. PhilHealth Membership Programs
2. Informal Economy-street
hawkers, market vendors, pedicab
and tricycle drivers, small
construction workers and home-
based industries and services.
31. PhilHealth Membership Programs
3. Sponsored Members - Members in the
informal sector from the lower income
segments; Under DSWD custody or any of
its accredited institutions run by NGOs of
any non-profit private organization;
Unenrolled women about to give birth;
Barangay health workers
32. PhilHealth Membership Programs
4. Indigent Members - Persons
who have no visible means of
income, or whose income is
insufficient for family substinence,
as identified by the DSWD based
on specific area
33. PhilHealth Membership Programs
5. Lifetime Members – If
already reached 60 years old
and contributed at least 120
monthly premiums, and is not
gainfully employed.
34. PhilHealth Membership Programs
6. Senior Citizen- with expanded
Senior Act or RA 10645 all senior
citizens who are aged sixty and above
are considered Philhealth members
automatically-even if they did not pay
for monthly contributions