BFP Hospitalization Expense Reimbursement Policies

Establish specific policies for fast adjudication of hospitalization reimbursement claims related to service-connected illnesses or injuries of BFP uniformed personnel.
Create operational machinery via the Death and Disability Board (DDB) at BFP National HQ to manage all claim-related cases.

Includes detailed definitions of terms such as accident, abortion types, fire operation injury, battle casualty, contagious disease, catastrophic case, serious and intensive care cases, medical and surgical cases, work accident, and work-related diseases.

Cases Covered: Emergency admissions, non-urgent cases with BFP medical referral, dialysis including post-kidney transplant care.
Reimbursable Expenses: Medicines, medical supplies, ambulance, travel for transfer, hospital confinement, operative deliveries, and benefits extended for 180 days post-retirement or separation.
Non-Reimbursable Cases: Normal spontaneous deliveries, induced abortion, cases related to substance abuse, negligence, vacation confinements, false claims, untimely claims, non-medical expenses, and unsubstantiated documents.

BFP Death and Disability Board (DDB) is chaired by a medical doctor with legal expertise as vice-chair; adjudicates claims within 15 working days.
Admission to hospitals limited to emergency, contagious diseases, mental health transfers, and cases beyond BFP medical capability.
Patients confined in private/public hospitals must sign promissory notes for possible claim denials.
Transfer protocols prioritize organic ambulances; permits private, water, or air transport when necessary.
Immediate superior must file detailed spot report within 24 hours of incident.
Reimbursement claims must be filed within 60 days post-discharge with supporting documents including medical certificates, official receipts, investigation reports, duty and leave certificates, death and beneficiary documents if applicable.
DDB ensures claim is work-related and not self-inflicted before approval.
Limit of two claims per confinement except for dialysis/kidney transplant cases.
Recommendations forwarded to Fire Chief for approval and funds disbursed accordingly.

Full reimbursement for fire, medical, and rescue operation injuries.
For non-fire operation cases: max P150,000 for intensive/catastrophic, max P100,000 surgical, max P50,000 medical cases.

Financial Management Division (FMD) reviews claims, conducts pre-audit, issues funding or requests funds from DBM if unavailable.

Dishonest claimants or conspirators in fraudulent claims face administrative, civil, and criminal liabilities.

All conflicting BFP memoranda and circulars are revoked upon approval of this circular.

Circular to be widely disseminated through leaflets, brochures, or booklets to all BFP units nationwide.

Circular takes effect 15 days after filing with the University of the Philippines Law Center in accordance with Executive Order No. 292 (The Revised Administrative Code of 1987).