A House leader refuses to give up on calls for full PhilHealth coverage of COVID-19 cases even as more and more Filipinos continue to get and infected and die from the incurable disease.
“We want the ‘No Balance Billing (NBB) policy’ to apply to every COVID-19 patient, regardless of PhilHealth’s packaging of the insurance coverage,” Anakalusugan Party-List Rep. Mike Defensor said Sunday.
“Every COVID-19 patient should not have to worry about paying a single centavo for hospitalization and treatment,” said Defensor, a House Committee on Health vice chairman.
It can be recalled that the Philippine Health Insurance Corp. or PhilHealth fully paid for the hospitalization and treatment costs of all COVID-19 patients for admissions prior to April 15. Some of the bills reached reportedly in excess of P1 million.
However, it began adopting case rates for COVID-19 patients for admissions effective April 15. The bundles are as follows: P43,997 for those with mild pneumonia; P143,267 for those with moderate pneumonia; P333,519 for those with severe pneumonia; and P786,384 for those with critical pneumonia.
Congressmen and various sectors from in and out of government have been up in arms over this move.
“The problem with case rate packaging is that not all COVID-19 cases in the same category are the same, precisely because we are dealing with a new disease,” Defensor pointed out.
“For instance, not all COVID-19 patients with critical pneumonia are the same. Some patients may have to stay longer in the intensive care unit (ICU) throughout their hospitalization, and they could end up getting billed in excess of the P786,384 case rate ceiling,” explained the Committee on Public Accounts chairman.
PhilHealth should also guarantee the payment of all additional charges beyond the maximum amount for the package, he said.
Defensor insisted that the state-run health insurer has plenty of funds, “including tens of billions of pesos in annual national government subsidy,” to pay for the full cost of the hospitalization and treatment of COVID-19 patients.
As of May 16, the Department of Health reported a total of 12,305 confirmed COVID-19 cases in the country, including 2,561 recoveries and 817 deaths. (Ellson A. Quismorio)
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Crowds seen in stores
as QC lifts liquor ban
As crowds formed long queues in retail stores and supermarkets to buy alcoholic beverages following the lifting of liquor ban in Quezon City, concerned citizens have expressed fears of possible second wave of coronavirus disease (COVID-19) cases due to violations of quarantine protocols.
Retired Philippine Basketball Association (PBA) and college basketball standout Aurelio Jalmasco said another round of COVID-19 cases will most likely sweep Metro Manila and nearby areas “if the trend continues’’.
He noticed that the public got a little too excited when the relaxed quarantine protocols were implemented in the said areas.
Jalmasco urged the Department of Interior and Local Government (DILG), Philippine National Police (PNP) and Mayor Joy Belmonte to impose the needed measures to prevent a second or third wave of COVID-19 cases.
“Yung social distancing hindi na nasusunod. Grabe traffic papunta sa mall. Dapat huwag lalabas mga tao kung hindi kailangan,” Jalmasco said.
Jalmasco stressed that it seems better if malls remained off limits and liquor ban is imposed in Quezon City anew.
Lt. Gen. Guillermo Eleazar, commander of the Joint Task Force on COVID-19, reiterated his call for the public to observe quarantine rules at all times.
He also insisted that quarantine protocols specifically social distancing should be followed even with the relaxed quarantine rules in some areas.
For her part, Belmonte urged the public to report erring establishments violating the restrictions on the sale of liquor to proper authorities.
She assured that these cases will be dealt with accordingly, saying she will ask the Business Permit and Licensing Department (BPLD) to revoke the business permits of unscrupulous variety stores, groceries and supermarkets.
However, many sari-sari stores mostly located in the city’s depressed areas, have been operating without business permits ever since.
Signed by Belmonte, Executive Order (EO) 31 series of 2020 regulates the sale, distribution and consumption of alcoholic beverages under the existing Modified Enhanced Community Quarantine (MECQ).
The EO stipulates that the sale and distribution of alcoholic beverages are allowed only from 1:00 p.m. to 5:00 p.m.
In the same order, the consumption of any liquor, wine, beer or other alcoholic or intoxicating beverage shall only be allowed within private residences for the duration of the MECQ.
The liquor ban in Quezon City took effect on March 26, 2020 after Belmonte signed Executive Order 24 Series of 2020 when the city was placed under enhanced community quarantine (ECQ). (Chito A. Chavez)