Embedded Files
eHOPE - provides financial assistance for hospitalization expenses incurred during confinement up to an accumulated maximum amount of PhP 100,000 per year. The eHOPE shall also provide financial assistance for medicine related to the covered confinement and prescribed upon discharge of the employee in the maximum aggregate amount of PhP 10,000 per year.
Covered hospitalization expenses
Covered hospitalization expenses
The following hospitalization expenses incurred during confinement shall be covered under eHOPE: - Medical/diagnostic procedures such as ultrasound, MRI, X-ray, CT scan, biopsy, mammography, echocardiography, angiogram, blood chemistry, and other laboratory examinations. - Prescribed drugs and medicines in accordance with the Generics Act of 1988 (RA 6675). - Professional fees of PhilHealth-accredited physicians and specialists up to a maximum of twice the amounts based on the Relative Value Unit (RVU) set by PhilHealth for specific medical cases. - Expenses for room and board for the duration of the confinement. Excluded from coverage under eHOPE are: (a) hospitalization expenses for confinement related to cosmetic surgery; (b) self-inflicted injury and illness; and (c) annual medical/ physical examination which are covered by specific CU policies.
Eligible employees
Eligible employees
- Eligible employees for financial assistance under eHOPE shall be the following:
- Eligible employees for financial assistance under eHOPE shall be the following:
- Regular permanent faculty members, full-time or part-time
- Regular permanent faculty members, full-time or part-time
- Full-time faculty members who are not tenured provided they have rendered at least one ( 1) year of continuous service in the University
- Full-time faculty members who are not tenured provided they have rendered at least one ( 1) year of continuous service in the University
- Permanent REPS and administrative staff
- Permanent REPS and administrative staff
- UP contractual and casuals (including faculty, REPS and administrative staff) who have rendered at least one year of continuous service to the University, have an employer-employee relation with the University, and whose salaries are paid out of the Personnel Services (PS) allocations to UP in the General Appropriations Act (GAA)
- UP contractual and casuals (including faculty, REPS and administrative staff) who have rendered at least one year of continuous service to the University, have an employer-employee relation with the University, and whose salaries are paid out of the Personnel Services (PS) allocations to UP in the General Appropriations Act (GAA)
- UP contractual and casuals (including faculty, REPS and administrative stam who have rendered at least one year of continuous service to the University, have an employer employee relations with the University, and whose salaries are charged against the Revolving Fund (RF)/ Trust Fund (TF).
- UP contractual and casuals (including faculty, REPS and administrative stam who have rendered at least one year of continuous service to the University, have an employer employee relations with the University, and whose salaries are charged against the Revolving Fund (RF)/ Trust Fund (TF).
To be eligible, all claimants must be in active service in UP at the time of the claim. Part-time faculty members shall be entitled to reduced benefits in proportion to the extent of their service to the University.
Implementation
Implementation
"No cash-out" through partnerships. Partnerships through agreements with the nearest government and private hospitals shall be initiated by each of the Constituent Universities (CUs) to include a "no cashout" arrangement for the patient. The financial assistance under eHOPE shall be granted net of the medical expenses covered by PhilHealth and other private medical health card benefits. PhilHealth and private medical health card benefits shall be exhausted first before claims are accepted under eHOPE.
Requirements
Requirements
1. Accomplished Application for eHOPE Form2. Accomplished Itemized Breakdown of Expense3. Medical Certificate4. Clinical Abstract5. Billing Statement6. Original Official Receipt
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