EXECUTIVE ORDER NO. 441 - INCREASING MEDICARE BENEFITS UNDER THE PHILIPPINE MEDICAL CARE PLAN

WHEREAS, in the light of present economic conditions with increase in prices of practically all commodities, including the cost of medicines and hospitalization, it is deemed necessary and timely to further increase and enhance the medicare benefits granted to SSS and GSIS members, to take them more meaningful and responsive to the times;

WHEREAS, under the present policy of the SSS, only active members and retiree-pensioners and their dependents enjoy medicare benefits;

WHEREAS, SSS death and total disability pensioners and their dependents must likewise be assisted in the medical care expenses similar to the old age pensioners and their dependents;  

WHEREAS, under the policy of the GSIS adopted since 1974, retiree-pensioners are granted free medicare benefits;

WHEREAS, the government desires to increase medicare benefits to a meaningful level;

WHEREAS, actuarial studies show that the Health Insurance Fund administered by the SSS for medicare beneficiaries in the private sectors and by the GSIS for medicare beneficiaries in the government sector can further finance an 80% across-the-board rates, and 875 increase in drugs and medicines, and a 25% increase in all other Medicare benefits which will result to a 585 overall increase and the inclusion under the medical care program of SSS death and disability pensioners and their dependents, and dependents of GSIS pensioners without the need for increase in contributions;

WHEREAS, the Philippine Medical Care Commission has recommended further enhancement of the benefits under Medicare program;

NOW, THEREFORE, I, CORAZON C. AQUINO, President of the Philippines, by virtue of the powers vested in me by law, do hereby order:

Section 1. The Medicare benefits for both GSIS and SSS Medicare beneficiaries are increased as follows:

Benefit Limit
Items of Hospitalization (By Hospital Category)
   Primary   Secondary   Tertiary

A. Hospital Charges

1. Room and Board not
exceeding 45 days
per year for each member
of program 1 and another
45 days per year to be
shared by all his dependents P45/Day   P80/Day   P100/Day
 
2. Medical Expenses Benefits
(Per Single) Period of
confinement

2.1 Ordinary Cases     P600   P910   P1145
Drugs & Medicines    495     660   705
X-Ray/Lab/Other 105 250   440

2.2 Intensive Cases     P1162.50 P1700 P2900
Drugs & Medicines 937.50 1125   2025
X-Ray/Lab/Other 225     575     875
2.3 Catastrophic Cases - 3660 5565
Drugs & Medicines   - 2535 2895
X-Ray/Lab/Other    - 1125 2670

3.1 RUV 5 & Below 115 205 325
3.2 RUV 5, 1 to 10 -   350 415
3.3 RUV 10, 1 & Above - 800 1075

Sec. 2. Death and total disability pensioners of SSS, as well as their dependents shall be entitled to Medical Care benefits without need for any additional contribution.

Sec. 3. Dependents of GSIS retiree-pensioners shall also be covered with Medicare benefits.

Sec. 4. All orders, issuances, rules and regulations or parts, thereof inconsistent with this Executive Order are hereby repealed or modified accordingly.  

Sec. 5. This Order shall take effect on the 1st day of January, 1991.  

DONE in the City of Manila, this 21st of December in the year of Our Lord, nineteen hundred and ninety.
chanrobles virtual law library
  Back to Main


chan robles virtual law library

Since 19.07.98.