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National Health Insurance Act of 1995 |
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Text: Article XIII of the 1987 Constitution of the Republic of the Philippines declares that the State shall adopt an integrated and comprehensive approach to health development which shall endeavor to make essential goods, health and other social services available to all the people at affordable costs. Priority for the needs of the underprivileged, sick and elderly, disabled, women and children shall be recognized. Likewise, it shall be the policy of the State to provide medical care to paupers. Article III- Section 5. Establishment and Purpose. There is hereby created the National Health Insurance Program which shall provide health insurance coverage and ensure affordable, acceptable, available and accessible health care services for all citizens of the Philippines, in accordance with the policies and specific provisions of this Act. Thus, social insurance program shall serve as the means of the healthy to help pay for the care of the sick and for those who can afford medical care to subsidize those who cannot. It shall initially consist of Programs I and II of Medicare and be expanded progressively to constitute one universal health insurance program for the entire population. The Program shall be limited to paying for the utilization of health services by covered beneficiaries. Article VIII- Section 30. Free Choice of Health Facility, Medical or Dental Practitioner. Beneficiaries requiring treatment or confinement shall be free to choose from accredited health care providers. Such choice shall, however, be subject to limitations based on the area of jurisdiction of the concerned Office and on the appropriateness of treatment in the facility chosen or by the desired provider.
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