Q:

What is the Philippine Health Insurance Corporation?

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Quick Answer

The Philippine Health Insurance Corporation is a government-owned and -operated agency whose goal is to provide a sustainable health insurance program for all. The corporation influences delivery of accessible universal health coverage for government and private sector employees in the Philippines.

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Full Answer

The Philippine Health Insurance Corporation, which operates under the Department of Health, is responsible for oversight and administration of public sector insurance plans. It provides a platform for those who can afford medical care to subsidize those who cannot. Beneficiaries of the insurance program have access to services including catastrophic coverage, outpatient treatment and outpatient surgery. Inpatient care services covered by the plan include room and board, medicine and diagnostic services.

The mission of the corporation is to evolve a sustainable health insurance program that leads towards universal coverage, ensures better benefits to its members at affordable premiums, and provides effective information and management systems to influence the delivery of quality healthcare services. The corporation obtains its funding from national and local governments. It partners with institutional and professional health care providers, national government agencies, and collecting banks and agents.

The Philippine Health Insurance Corporation's service delivery system includes hospitals, physician clinics, day surgery centers and maternity care clinics. To achieve accreditation, these centers must have a license from the Department of Health.

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