8/9/17

Barangay Ordinance Project


BARANGAY ORDINANCE NO. BO-002: S-2017


INTRODUCED BY ALL PHILHEALTH BOARD MEMBERS


AN ORDINANCE IMPLEMENTING THE “SPECIAL CASE BANK” POLICY FOR ALL PHILHEALTH CARDHOLDERS.

WHEREAS, there is a demand for better healthcare assistance in the Philippines and PhilHealth, being the main corporation in charge of the health insurance of Filipinos, has the responsibility to meet this demand.

WHEREAS, all PhilHealth Board Members acknowledge the fact that the current benefits being received by PhilHealth cardholders are not sufficient enough to completely meet the needs of the cardholders and their dependent, especially during special cases such as cancer, stroke, and etc.

WHEREAS, this policy can be extremely beneficial to PhilHealth cardholders since the Special Case Bank gives cardholders a source of funds when the main money in their account is not enough.

WHEREAS, the Special Case Bank will be helpful in the keeping, managing, and raising the deposited money of its cardholders.

WHEREAS, the money that the cardholders will deposit in their Special Case Bank account will be strictly used only for surgery, therapies, and terminal cases.

NOW THEREFORE,

BE IT ORDAINED BY THE SANGGUNIANG BARANGAY OF , IN BODY ASSEMBLED:

SECTION1. TITLE: This ordinance shall be known as the “SPECIAL CASE BANK ORDINANCE OF PHILHEALTH CARDHOLDERS”.

SECTION2. SCOPE AND APPLICATION: This ordinance shall apply to every member of the territorial jurisdiction of the Philippines who is currently a PhilHealth cardholder.

SECTION3. DEFINITION OF TERMS: The terms below shall have the meanings ascribed to them in this section. Any words or terms not defined shall be given their plain and customary meaning.

* Philippine Health Insurance Corporation (PhilHealth) refers to the corporation who is in charge of the health insurance of the Filipinos who availed the program.

* Cardholder refers to any person who applied for a PhilHealth account, regardless if it’s personal or part of the benefits they’ll receive as an employee.

* Dependents refer to the people stated by the cardholder who can avail the money insured in the cardholder’s account when necessary.

* Contribution refers to the amount of money the cardholder gives to the company monthly, quarterly, or annually that will be insured under his/her account

* Health concerns refer to any serious health problem that may be a threat to the life of the person, such as cancer, and any procedure to treat the said problem, such as therapies and surgeries.

* Health Maintenance Organization refers to a plan where you partner with a primary physician who will recommend you to other doctors or hospitals when necessary

SECTION4. IMPLEMENTING BODY: The Philippine Health Insurance Company
(PhilHealth), in coordination of a bank and hospitals, shall implement and enforce the said ordinance.

SECTION5. POWERS AND FUNCTIONS:

In addition to the powers and function provided by the law, the PhilHealth Inc. shall have the following powers and functions to wit;

1. To receive, investigate, and hear complaints in relation to any/all violation/s of this policy.

2. To coordinate with NGOs and government agencies necessary for the implementation of this policy.

3. To impose penalties to violators of this policy—whether it be a company or individual.

SECTION6. PROHIBITED AND PUNISHABLE ACTS:

1. Unauthorized or unofficial replicas of the PhilHealth insurance card is prohibited and will be punishable by law, according to the Intellectual Property Code of the Philippines— Republic Act No. 8293.

2. Forging of cardholder’s signature is unacceptable and will be banned from using any PhilHealth-related services. (See more: Section 7)

3. Giving false information due to unreached requirements will be punishable, and detained for a period of time.

SECTION7. PENALTIES / SANCTIONS:
1. Failure to pay the monthly fee for 4 consecutive months will lead to the deactivation of the user's account. However, this can be reopened once the user pays the missed billings.

2. If the user applies with unauthorized or unofficial replicas of the PhilHealth insurance card, he/she will be fined Php 40,000-120,000 depending on the severity of the case.
3. Forging signatures will ban the account holder from using any PhilHealth-related services.

4. Using any false information will lead to a fine of Php. 50,000-130,000 and will be sentenced to detainment for 7 months - 3 years depending on the severity of the case.

SECTION9. EFFECTIVITY:
The program will be effective on __________ once all the required preparation is accomplished. Furthermore, the program will continue until it is deemed to be unconstitutional or un applicable.

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