This assistance shall cover hospitalization expenses and professional fees, cost of medicines and other medical treatment or procedures such as implants, common laboratory tests and diagnostic imaging procedure for any illness or ailment and also provision of assistive devices.
Other health care expenses such as immunization, birthing (except for birth delivery with complications, and postpartum complications), purchase of vitamins and other supplements which are not relatable to medical treatment or aftercare shall not be covered by this assistance.
List of Requirements
Any identification document
Any of the following, as may be applicable:
Medical Certificate or Medical Abstract with date of issuance, complete name, signature and license number of the attending physician (issued within the last 3 months); or
Discharge summary with date of issuance, complete name, signature and license number of the attending physician (issued within the last 3 months); or
Certificate of Confinement with date of issuance, complete name, signature and license number of the attending physician (issued within the last 3 months); or
Death Summary with date of issuance, complete name, signature and license number of the attending physician (issued within the last 3 months); or
Alagang Pinoy Tagubilin Form with diagnosis, date of issuance, complete name, signature and license number of the attending physician (issued within the last 3 months)
Referral Letter from the Malasakit Center issued by the duly assigned DSWD social worker or Medical Social Worker (MSW)
Depending on the purpose of the medical assistance, the client shall submit any of the following requirements, in addition to the basic requirements above:
If payment for hospital bill
Temporary/final Hospital Bill/Statement of Account (Outstanding Balance) with complete name and signature of the Billing Clerk; or
A Certificate of Balance or promissory note shall be required id the patient has already been discharged from the hospital.
If for medicines/assistive devices
Prescription with date of issuance, complete name, signature and license number of the attending physician (issued within the last 3 months); or
Treatment protocol with date of issuance, complete name, signature and license number of the attending physician (issued within the last 3 months);
If for medical procedures
Laboratory request/s with date if issuance, complete name, signature and license number of the attending physician; or
Laboratory Protocol with date if issuance, complete name, signature and license number of the attending physician (issued within the last 3 months); or
Doctor's order with date of issuance, complete name, signature and license number of the attending physician (preferably valid for 3 months)
If for therapy and other special treatment
Treatment protocol with date of issuance, complete name, signature and license number of the attending physician; or
Philhealth certification that their coverage is exhausted; or
Prescription with date of issuance, complete name, signature and license number of the attending physician; or
Doctor's order with date of issuance, complete name, signature and license number of the attending physician (preferably valid for 3 months); or
Quotation with full name and signature of any issuing officer; or
Psychiatrist or psychologist certification with date of issuance, complete name, signature and license number of the attending psychiatrist/psychologist.
If the amount of assistance being requested exceeds Php10,000.00 the assistance will be provided through a GL, and the following shall be required as additional documents:
Quotation for laboratory or special medicines, and,
SCSR/Case Summary from the LSWDO or the DSWD SWO or Medical Social Worker in the hospitals or Social Worker of the NGO's