RA 7875

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AN ACT INSTITUTING A NATIONAL HEALTH INSURANCE PROGRAM FOR ALL FILIPINOS

Answer 1

[REPUBLIC ACT No. 7875

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principles of RA 7875:

priority to health as bringing about faster economic development and improving quality of life

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Allocation of National Resources for Health –

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principles of RA 7875:

give the highest priority to achieving coverage of the entire population

provide all citizens with the mechanism to gain financial access in combination with other government health programs.

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Universality

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principles of RA 7875:

provide for uniform basic benefits. Access to care must be a function of
a person’s health needs rather than his ability to pay

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Equity

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principles of RA 7875: meet the needs for personal health services at various
stages of a member’s life;

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Responsiveness

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principles of RA 7875:

Program shall be guided by community spirit. It must enhance risk sharing
among income groups,

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Social Solidarity

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principles of RA 7875:

balance economical use of resources

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Effectiveness

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principles of RA 7875: l adapt to changes in medical technology

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Innovation

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principles of RA 7875:

Program consultation with (LGUs),

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Devolution

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principles of RA 7875: provide effective stewardship, funds management

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Fiduciary Responsibility

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principles of RA 7875: encourage members to choose from among accredited health care
providers

use as a guide

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Informed Choice

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principles of RA 7875: build on existing community initiatives for its
organization

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Maximum Community Participation

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principles of RA 7875: required to enroll in the National Health
Insurance Program in order to avoid adverse selection

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Compulsory Coverage

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principles of RA 7875: responsible for providing a basic package of needed
personal health services to indigents through premium subsidy

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Care for the Indigent

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General Objectives.

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provide mechanism to gain financial access

create the National Health Insurance Program , to serve as the means to help the people

prioritize and accelerate the provision of health services

establish the Philippine Health Insurance Corporation

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person entitled to health care benefits

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Beneficiary

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– Services that the Program offers

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Benefit Package

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A payment mechanism negotiated with a health care provider who arrange for the delivery of health care services

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Capitation

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the amount paid by or in behalf of a member to the Program

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Contribution

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entitlement of an individual, as a member

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Coverage

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procedure to identify a disease

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Diagnostic Procedure

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natural or juridical person who employs the services o

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Employer

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process enlist individuals as members

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Enrollment

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equitable health care payment system under which physicians

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Fee for Servic

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approach to the purchase of medical services

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Global Budget

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a health care institution, which is duly licensed and accredited

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Health Care Provider

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document issued by the Corporation to members

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Health Insurance Identification (ID) Card

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person who has no visible means of income

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Indigent

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set of informational services made available to an individual who is confined in a hospital to afford him

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Inpatient Education Package

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person whose premiums has been regularly paid

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Member

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protocol administered at the barangay level to determine the ability of individuals

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Means Test

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health insurance program currently being implemented by the Philippine Medical Care Commission

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Medicare

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Medicare consists of:

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1) Program I, which covers members of the SSS and GSIS including their legal dependents; and 2) Program II, which is intended for those not covered under Program I

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enablement of a member to avail of Program benefits

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Portability

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l set of activities to review and ensure the quality of services

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Quality Assurance

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REPUBLIC ACT No. 7875 was approved by

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JOSE DE VENECIA, JR. EDUARDO J. ANGARA

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what was this acts consolidation

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Senate Bill No. 1783 and House Bill No. 14225

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This Act was finally passed by the Senate and House of Representatives on

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February 7, 1995