PhilHealth intensifies Konsulta campaign in Central Visayas

·3 min read

THE state insurer’s campaign on Konsultasyong Sulit at Tama, better known as PhilHealth Konsulta, intensifies in Central Visayas as the regional office of the Philippine Health Insurance Corp. (PhilHealth) strives to accredit more providers in different localities.

As an initial step towards adopting a comprehensive approach to delivering primary care, as prescribed under Republic Act 11223 or the Universal Health Care (UHC) Law, PhilHealth has committed to making essential outpatient services such as consultations, health screening and assessment, laboratory tests, and medicines available to all Filipinos.

In the promotion of this cause, PhilHealth 7’s Accreditation and Quality Assurance Team along with the Local Health Insurance Offices (LHIO), facilitated a series of strategic dialogues, focus-group discussions, and courtesy calls with health care facilities and local chief executives to collaborate with them toward this advancement in health care.

Prospect partners from the urban areas to the rural health units in the islands were highly regarded for their crucial role in the delivery of health care. They were given orientations about the benefit package and its accreditation guidelines virtually at the height of the pandemic, and through face-to-face meetings as the alert levels were downgraded.

The Konsulta benefit package may be availed of by PhilHealth members and their declared legal dependents in an accredited facility of choice, in which registration may be processed initially through the nearest PhilHealth LHIO and later on, may be done through self-registration online.

“As [a partner] agency of the DOH (Department of Health), it is our commitment to really implement successfully the Konsulta Package. So far, we’re fortunate that the reception of hospital chiefs, doctors, and nurses [is] proactive. I hope makuha na namin ang inyong (we can get your) support to really successfully implement the Konsulta Package in your respective areas,” said PhilHealth 7 vice president Marjorie Cabrieto during a discussion with health facilities under the catchment of LHIO Carcar City in Cebu.

The Konsulta program, though an interim measure, is a transitory phase in moving forward to the comprehensive primary care benefit package. It is an opening door developed through the “bayanihan” spirit characterized by the National Health Insurance Program and the progressive realization of UHC in addressing the nation’s health needs.

PhilHealth 7’s Accreditation and Quality Assurance Section, headed by its chief Dr. Maria Eliza Batucan, is also continuously encouraging and inviting both private and government health facilities to apply as Konsulta providers.

Some of the minimum requirements for accreditation of Konsulta providers, in terms of service capability, are ability to conduct preventive/screening service and health education, capability of providing services for required laboratory and radiologic services, and capability to dispense required medicines, as indicated in the Annexes of PhilHealth Circular No. 2020-0021.

From only one Konsulta provider last year, Central Visayas jumped to gain 30 accredited providers both from the private and government-run health facilities as of July 1, 2022. Several more facilities are still in the process of completing their application.

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