Bar blast victim now PhilHealth poster girl

President Aquino on Thursday praised the survivor of the Bar Exams blast from three years ago as the Philippine Health Insurance Corporation launched a new package of assistance for those who lost their limbs.

Raissa Laurel Subijano, a San Sebastian College law student, lost both legs in the bombing that hit the final day of the 2010 Bar exams in Manila.

In her opening remarks, Subijano welcomed the project of the Philhealth, pointing out the benefits to people who have lost their limbs like her.

Subijano now walks and runs with prosthetic legs.

In his own speech, President Aquino praised Subijano for her courage in facing adversity.

“Hirap po sumunod kay Raissa eh. Parang we all pale in comparison afterwards. Really, to see someone rising from such a senseless and tragic incident, to somebody, I guess, who epitomizes all of the promise that is in store for the Philippines. Again, credit to your parents, a credit to yourself, and to everybody who helped her, hopefully we will enable more and more of our countrymen,” he said.

Aquino said the new projects were possible because of reforms undertaken by his administration.

“Nang maupo po tayo sa puwesto, dinatnan natin ang isang pamahalaang nasa malubhang kalagayan. Dahil sa laganap na kultura ng katiwalian, naiwang naghihingalo ang burukrasya, at maraming sangay ng gobyerno ang napinsala. Ang resulta nito: malawakang kahirapan. Marami sa ating mga kababayan ang napagkaitan ng serbisyong dapat sana’y hatid ng kanilang pamahalaan.”

Under the all-case-rates-package system of PhilHealth, specific illnesses and medical cases are prescribed a fixed amount of benefits, thus hastening the response time of the agency in doling out benefits.

Aquino said that in 2011, PhilHealth launched the 23 Case Rates Package that covered treatment for illnesses as well as cases of dengue, asthma and pneumonia. The package also covered procedures such as caesarian section and cataract operation.

“Ayon nga po sa datos, para sa taong 2012, umabot sa 2.38 milyong kasong-medikal ang binayaran ng PhilHealth sa ilalim ng package na ito, na umabot ang halaga sa P20.95 billion. Dahil po sa tagumpay nito, nagpasya ang PhilHealth na palawigin pa ang hatid nilang serbisyo-at ngayon nga po, hindi na lamang 23 kasong-medikal, kundi lahat na ng uri ng confinements at procedures ay saklaw na ng case rates system. Kabilang na po sa mga karamdaman o kondisyong maipapagamot ngayon ay diabetes at hydrocephalus,” he said.

The z morph system covers the initial fitting of external lower limb prosthesis at a package of 15,000 per limb or 30, 000 for both lower limbs.

Eligible members and their qualified dependents can initially avail of the benefit at the University of the East Ramon Magsaysay Medical Center, Philippine Orthopedic Center, and the Philippine General Hospital.

The all-case-rates system is a departure from the fee-for- service payment scheme.

“Isinaayos na rin po natin ang proseso ng pagbabayad. Kung sa Fee-for-Service payment scheme po noon ay paiba-iba ang presyo ng gamot, supplies, at doctor’s fee, depende sa kaso ng pasyente o sa kondisyon ng ospital, ngayon po ay fixed rate na ang anumang pagpapagamot. Ano po ang ginhawang dulot nito kay Juan at Juana de la Cruz? Dahil mas mabilis at mas tiyak nang malalaman ng mga miyembro ang sasaguting gastusin ng PhilHealth, maiiwasan na ang posibilidad ng sobrang singil sa mga pasyente, at masusulit ang kanilang benepisyong-medikal,” the President said. RG Cruz, ABS-CBN News