The Bukidnon Model was rolled-out in different phases which involved different strategies and implementation mechanisms.
The first phase involved enrollment of indigents of Bukdnon into the PhilHealth Sponsored Program through premium sharing of the governor and municipal mayors. In 2002, after thorough review and synchronization of the indigents list, they were able to enroll almost 160,000 families in the sponsored program. The Bukidnon Model is the precedent of “no balance billing policy in public hospitals” of the national government. Thus, totally free health care service can be enjoyed by sponsored members. Public hospitals absorb all the balances of the indigent patient (sponsored member) and considered them as non-cash payments. In 2006, PhilHealth Region 10 and Provincial Government of Bukidnon pioneered automation, massive civil registration, database build-up of indigent members and dependents.
Another distinct feature of the Bukidnon Model is institutionalization of Provincial Health Stations (PHS). The Province of Bukidnon constructed 20 PHS scattered across the entire province. PHS serves as a complement to the Rural Health Units specifically for preventive care services. To make the system efficient, rural health units managed by the municipal government covers all public health services such as TB, nutritional advocacies, etc. The existence of the PHS was not intended to compete with the existing RHUs but to support the implementation of the out-patient benefit package of PhilHealth in the province.
Indigents of the province are required to pass by the PHS for the initial consultation and assessment and if admission is needed, shall be referred to the nearest government or private hospital (except for emergency cases).