L2.5: Salient Features of the UHC Law

• Salient Features of the Law

  • Financing
  • Service delivery
  • Regulation
  • Governance
  • Accountability
• Salient Features of the UHC Law

  • Outcomes
  • Actions
• Outcome

  • 3 kinds of Coverage
  • Population Coverage
  • Service Coverage
  • Financial Coverage
• All Filipinos deemed members of the national health insurance program are either direct contributory members or indirect contributory members.


  Population Coverage
• • With capacity to pay
  • Employed
  • Self-earning
  • Professional practitioners
  • Migrant workers


  Direct Contributory Member
• • Senior Citizen
  • PWD
  • 21 years old and below
  • Indigents identified by the DSWD
  • Students
  • Those under human and social welfare programs are also included.[EX: Those under the 4P -Pantawid Pamilyang Pilipino Program]


  Indirect Contributory Member
• • All Filipinos have access to preventive, promotive, curative, rehabilitative, and palliative care with primary care services as priority. (It is the initial or first contact in the healthcare system providing basic health services.)
  • Provision of continuous and comprehensive care with the ability to coordinate referrals in the Healthcare Delivery System.


  Service Coverage
• • Financial Protection
  • All Filipinos are guaranteed zero co-payments for ward accommodation (bed in a shared room) in government hospitals.
  • Basic Ward Accommodation: provision of regular meals, bed in shared room, fan ventilation, and shared toilet and bath.
  • All Filipinos are guaranteed fixed co-payment for non-basic admissions in government hospitals only.
  • “All Filipinos are guaranteed access to quality and affordable healthcare goods and services while being protected against financial risks.”

  Financial Coverage
• • Basic ward accommodations are those covered by PhilHealth, under Universal Health Care. These include a shared room, shared toilet and bath, shared ventilation, and regular meals.
  • Take note that the fixed co-payment is only for government hospitals. Universal Health Care does not cover private hospitals!


  Basic Ward Accommodations
• Slogan of the DOH: UHC

  ToDOH Arangkada Tungo Sa UHC