Title
DOH Guidelines on Gov't Hospital Patient Fees
Law
Doh Administrative Order No. 2015-0031
Decision Date
Jul 20, 2015
The Amended Guidelines for the Implementation of Republic Act No. 747 aim to provide financial relief and support for patients with limited income seeking healthcare in government hospitals and charity clinics in the Philippines.

Scope

  • The guidelines apply to all government healthcare institutions and charity clinics.

Objective

  • To update and set realistic classification guidelines for patients in government healthcare institutions and charity clinics.
  • To enable proper classification of patients who have limited financial capacity and provide necessary financial relief.

Definition of Terms

  • Eligible Beneficiaries: Indigent or poor patients, and partial pay patients seeking medical services in government hospitals or charity clinics.
  • Indigent or Poor Patients: Persons unable to meet basic needs or whose income is insufficient for medical expenses; includes those admitted as inpatients (ward, ICU, or small private room) or outpatients.
  • Partial Pay Patients: Persons who can meet basic needs but have insufficient income to fully pay medical expenses; applies to both inpatients and outpatients.
  • Full Pay Patients: Persons capable of meeting basic needs and full cost of medical treatment, often occupying large private rooms or suites.

Implementing Mechanism

A. Specific Guidelines

  • Indigent or Poor Patients:
    • Hospital covers all treatment-related expenses including diagnostics, surgery (emergency or elective), drugs, medical supplies, and minimal professional fees (where PhilHealth does not cover).
    • Patient bears no cost.
  • Partial Pay Patients:
    • Hospital covers up to 90% of all treatment-related fees mentioned above.
    • Patient pays the remaining portion of the hospital bill not covered by the subsidy.
  • Full Pay Patients:
    • Patients pay all charges in full.

B. Documentary Requirements

  • Applicants must present one of the following to be classified appropriately:
    • Latest Income Tax Return, pay slip, or proof of income.
    • Certificate of Indigency from the Department of Social Welfare and Development (DSWD), its district/local officers, or Municipal Social Welfare and Development Office.
    • Certificate of Indigency from the Barangay Chairman where the applicant resides.

Separability Clause

  • If any part of this Order is declared invalid, other unaffected provisions remain fully effective.

Effectivity Clause

  • This Order becomes effective upon publication in a newspaper of general circulation.

Repealing Clause

  • This Order repeals Administrative Order No. 51-A s. 2001 and all other related administrative orders implementing Republic Act No. 747.

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