To qualify for the scheme, legitimate indigent families in Calapan City were identified by the City Social Welfare and Development Department through a survey called the Community Based Monitoring and Information System. The survey used a Minimum Basic Needs Approach (CBMIS-MBN) and a Family Data Survey Form (FDSF).
The program includes a sustainable system of funds management and disbursement that finances the availment of a basic minimum benefits package and other supplementary packages. The program is limited to paying for the utilization of health services by covered beneficiaries or to purchasing health services on behalf of such beneficiaries.
The scheme offers the following benefits packages:
In-Patient Package: This health package covers hospital costs for room and board, doctor consultations, laboratory and other medical examinations, prescription drugs, and professional fees. To be eligible for these benefits, the patient must receive a referral from physicians of the Calapan City health centers.
Outpatient Consultation and Diagnostic Package: This package covers primary consultation and diagnostic services which are administered, managed and/or delivered by RHUs/Health Centers and other health care providers. These include consultations, diagnostic, laboratory, and other medical examinations, preventive services, and prescription drugs available at the health center.
