Title
Guidelines on Medical Discounts for PWDs
Law
Doh Administrative Order No. 2009-0011
Decision Date
May 20, 2009
An administrative order is issued to implement the provisions of Republic Act No. 9442, granting persons with disabilities (PWDs) a 20% discount on healthcare services and medicines, with guidelines and penalties for stakeholders to ensure fair and quality healthcare for PWDs.
A

Privileges Granted to Persons with Disability

  • PWDs are entitled to at least 20% discount on:
    • Purchase of medicines at all drugstores.
    • Medical and dental services, including diagnostic and laboratory fees, in both government and private health facilities.
    • Professional fees of attending doctors in private medical facilities.
  • Express lanes or priority service should be provided to PWDs in all establishments.
  • Assigned personnel should assist PWDs in government and private establishments.

Objectives

  • To prescribe procedures and guidelines for the implementation of the 20% discount in all health-related services for PWDs.

Coverage and Scope

  • Applies to all government and private hospitals, health-related facilities, health care professionals, PhilHealth, pharmacies, and establishments dispensing medicines.

Definitions

  • Detailed definitions include key terms such as:
    • Assistive Devices: aids like wheelchairs, hearing aides, etc.
    • Chronic Illness: long-lasting health conditions affecting quality of life.
    • Communication Disability: encompasses speech, language, and hearing impairments.
    • Disability: the interaction of impairments with societal barriers hindering full participation.
    • Health Care Professional: licensed practitioners including physicians, dentists, nurses.
    • Medical and Dental Services: services necessary for diagnosis, treatment, including therapies.
    • Persons with Disability: individuals with long-term impairments interacting with barriers.
    • Visual Disability: defined levels of visual impairment, including legal blindness.
  • Other important definitions cover government/private hospitals, medicines, diagnostic tests, and more.

Policy Statement

  • PWDs in government service wards receive 20% discount on medical, dental, rehabilitation services, diagnostic and laboratory fees, and psychological tests, based on clinical guidelines.
  • Discounts apply also to pay wards in government health facilities and all private health facilities.
  • Services not medically necessary (e.g., cosmetic surgery, executive check-ups) are excluded from discounts.
  • Discounts apply to both branded and unbranded generic medicines.
  • PhilHealth coverage applies to PWDs, with LGU sponsorship and guidelines for reimbursement.

Implementing Rules and Procedures

  • Government Health Facilities:
    • Free or discounted hospital beds based on classification and medical necessity.
    • 20% discount on medically necessary lab and diagnostic tests following clinical protocols.
    • Dental services deemed medically necessary are free or discounted.
    • Rehabilitation services and assistive devices are discounted.
    • PhilHealth benefits are coordinated with discounts for PWD members.
  • Private Health Facilities:
    • 20% discount on hospital beds, laboratory and diagnostic services, dental services, rehabilitation, and professional fees.
    • Discount applies to both inpatient and outpatient care.
    • PhilHealth benefits similarly coordinated.
  • Discount on medicines:
    • Applies to all establishments dispensing medicines exclusively for PWDs.
    • Requires presentation of valid PWD ID, doctor’s prescription with detailed information, and a purchase booklet.
    • Medicine dispensing should not exceed one-month supply per prescription.
    • Discount is non-transferable and exclusive to PWDs.

Responsibilities of Stakeholders

  • Government Facilities:
    • Must post rates and discounts publicly and issue official receipts reflecting discounts.
    • No income means tests required for free services for PWDs.
  • Private Hospitals and Medical Facilities:
    • Required to post rates, provide official receipts, establish grievance mechanisms, and inform PWDs of sanctions for non-compliance.
  • Health Care Professionals:
    • Must include name and PRC number on requests and prescriptions.
    • Ensure prescriptions are exclusive to PWDs.
    • Inform PWDs of usual and discounted fees.
    • Issue official receipts showing discounts.
  • Drugstores:
    • Must provide generic medicine menus and official receipts showing discounted prices.
    • Must create special lanes for PWDs.
  • Rehabilitation Centers and Behavioral Testing Centers:
    • Required to provide quality, compassionate care and accurate assessments.
  • Hospices and Palliative Care Centers:
    • Provide holistic care addressing physical, psychosocial, emotional, and spiritual needs.

Penalties and Sanctions

  • Individuals violating guidelines face:
    • First offense: fines between P50,000 to P100,000 and imprisonment 6 months to 2 years.
    • Subsequent offenses: fines between P100,000 to P200,000 and imprisonment 2 to 6 years.
    • Abuse of privileges results in fines from P5,000 to P50,000 and imprisonment.
    • Foreign offenders face immediate deportation after serving sentence.
  • Corporations found violating provisions:
    • Responsible officials are liable.
    • Possible cancellation or revocation of permits and licenses.

Funding

  • Initial funding from Philippine Charity Sweepstakes Office for government hospitals.
  • From 2010, funding responsibility shifts to National Government Agencies or LGUs.
  • Government Owned and Controlled Corporations charge discounts to Quantified Free Service.
  • Private facilities fund discounts through allowable tax deductions subject to documentation and tax laws.

Repealing Clause

  • Previous inconsistent issuances are rescinded or modified to align with this Order.

Effectivity

  • The Order takes immediate effect upon publication in two national newspapers.

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