Question & AnswerQ&A (OWWA MEMORANDUM OF INSTRUCTIONS NO. 009 S. of 1996)
The main purpose is to amend certain provisions of MOI 014 Series of 1995 to extend medicare benefits to OFWs and their dependents who were unable to avail of the allowable benefits and to set guidelines for reimbursement.
The OFW or his dependent may claim reimbursement of medicare benefits provided they present a certification from the hospital and physician indicating that medicare benefits were not deducted from hospital bills and were fully paid by them.
A certification from the hospital and physician that medicare benefits were not deducted from the hospital bills and were fully paid by the claimant.
Upon receipt of the documents, the Medical Care Assistance unit shall process the claim and issue the check in favor of the OFW.
The OFW must file the medicare reimbursement claim within six (6) months from the date of discharge. Claims filed after this period shall be denied automatically.
A medical evaluation report shall be required instead of the PHIC Form 2.
A certification from the Management Information System Division (MISD) shall be accepted in the absence of the duly authenticated MEC.
The processors shall authenticate the xerox copy of the MEC to expedite processing of medicare claims filed by OFWs who are still active members.
The scope covers reimbursement of medicare benefits paid in full by OFWs or their dependents when such benefits were not deducted from hospital bills.
Wilhelm D. Soriano, the Administrator, signed and adopted the Memorandum on October 4, 1996.