Question & AnswerQ&A (EXECUTIVE ORDER NO. 365)
The main purpose is to increase benefits and monthly contributions under the Philippine Medical Care Plan and provide for a Health Financial Assistance Program.
The beneficiaries affected are the Social Security System (SSS) Medicare beneficiaries and Government Service Insurance System (GSIS) Medicare beneficiaries.
The benefit limits for room and board are: Primary hospital P30/day, Secondary hospital P45/day, and Tertiary hospital P50/day, not exceeding 45 days per year for each member and an additional 45 days shared by legal dependents.
Medical and dental practitioners are urged to charge professional fees to Medicare beneficiaries no more than the professional fee ceilings: P35 for general practitioners and P50 for specialists per day, with specified maximum limits per confinement.
It is a program funded through budgetary savings of government agencies, local government units, and government corporations to cover the increase in Medicare benefits for GSIS beneficiaries.
Medicare contributions remain 2.5%, shared equally by employer and employee, but contribution bases are increased progressively from P1,000 to P3,000 between 1989 and 1993 with corresponding monthly contributions for SSS members listed by salary bracket.
The maximum contribution base is limited to P1,000 per month until December 31, 1990.
They are tasked to jointly promulgate necessary rules and regulations to implement the Health Financial Assistance Program and ensure proper budgeting and funding.
Yes, medical and dental practitioners are urged to charge fees consistent with the ceilings and avoid unnecessary medical service usage. Hospitals are encouraged to maintain reasonable rates for Medicare patients.
Yes, all orders, issuances, rules, and regulations inconsistent with this Executive Order are hereby repealed or modified accordingly.