Bacolod - Get Medical or Financial Assistance
ProcedureEdit
This procedure explains various ways to Get Medical or Financial Assistance in Bacolod.
Here are the steps on how you can apply for the Individual Medical Assistance Program or IMAP Program of the Philippine Charity Sweepstakes Office (PCSO):
- Obtain a Clinical abstract from the patient's doctor. You will also need to present the official hospital billing statement from the hospital's Accounting/Finance Department.
- You may also need to ask for a certification from your barangay captain, certifying that you are a relative of the patient and that your family has no means of paying for the hospital bills.
- Make a letter addressed to the regional manager or chairman of PCSO, stating the condition of the patient and the help that you need.
- Complete a PCSO IMAP Application Form. The form can be downloaded online through PCSO's website, a link is provided under 'Documents to Use' section. Or you can also get a copy of the application form at the PCSO Lung Center of the Bacolod Satellite Office, PCSO Branch Offices and ASAP Partner Hospitals.
- You will also need to submit specific requirements depending on the patient's case. See the list below.
- Make sure that you have all the required documents before you go to a PCSO center. Also, do not forget to bring a valid ID with you (Patient and Representative).
- It might be a good idea if you go to a PCSO center very early in the morning to avoid waiting for so long. There are a lot of people also applying for the program.
- The PCSO issues guarantee letters to partner hospitals, health facilities, or service providers. This is how they provide medical assistance to patients who need it. The guarantee letter assures the hospital that it will be PCSO who will be paying for the patient's medical bill.
Required DocumentsEdit
General Requirements:
- Duly accomplished PCSO IMAP Application Form . The form can be downloaded online at PCSO's website, a link is provided under 'Documents to Use' section. Or you can also get one at the PCSO Lung Center of the Philippines Satellite Office, PCSO Branch Offices and ASAP Partner Hospitals.
- Valid IDs (Patient and Representative), which are any Government Issued Identification cards such as Passport, Driver’s License, GSIS UMID, SSS ID, PRC ID, NSO Authenticated Birth Certificate, NSO Authenticated Marriage Certificate, Digitized Voter’s ID, Philippine Health Insurance (PHIC) ID, Senior Citizen’s ID, Government Issued Office ID, DSWD – 4P’s ID, and Student ID
Specific requirements:
Confinement:
- Original Certified True Xerox copy of Medical Abstract with printed name, signature & license number of the attending physician/ doctor
- Original copy of Statement of Account/Hospital Bill with printed name and signature of the Billing Officer/Credit Supervisor
- Should reflect PhilHealth deductions, discounts such as Senior Citizen, PWD, etc., private insurance, deposits and payments
- Endorsement from the Medical Social Services of the hospital for those admitted in the Charity/Service wards (not applicable for ASAP partner hospitals)
- If Discharged: Validly executed Promissory Note (not applicable for ASAP partner hospitals)
- For Medico-Legal Cases: Photocopy of Police Report
Medicines
- Enrolment System for Dialysis (HD/PD) (Epoietin/PD Solution)
- Initial Application:
- Original Medical Abstract with printed name, signature & license number of the nephrologist/attending physician
- Original Prescription with signature, name and license number of nephrologist/attending physician
- Official quotation from hospital/dialysis center accepting PCSO GL
- Photocopy of relevant Laboratory Results (taken within the last three (3) months)
- Certification of PhilHealth membership and availment status from dialysis center
- PCSO Index Card (if with previous assistance)
- Succeeding Applications (For 2nd to 6th tranches):
- Photocopy of the first set of documents (Initial Application)
- Original Prescription with signature, name and license number of nephrologist/attending physician
- Original Certification of ongoing treatment including date of last treatment from the dialysis center
- PCSO Index Card
- Initial Application:
- Enrolment System for Cancer Drugs (IV or Oral)
- Initial Application:
- Original Medical Certificate with printed name, signature & license number of the oncologist/attending physician
- Original Prescription with signature, name and license number of the oncologist/attending physician
- Original Treatment Protocol with printed name, signature and license number of the oncologist/attending physician
- Photocopy of histopathology report/biopsy report)
- If under the Roche, Novartis or other Pharmaceutical Company Access Program: Photocopy of Tracker
- PCSO Index Card (if with previous assistance)
- Succeeding Applications:
- Photocopy of the first set of documents (Initial Application)
- Original Prescription with signature, name and license number of oncologist/attending physician
- Progress Notes indicating date of last treatment with name, signature and license number of oncologist/attending physician
- PCSO Index Card
- Initial Application:
- Specialty Medicines
- Original Medical Abstract/Medical Certificate with printed name, signature and license number of the attending physician
- Original Prescription with printed name, signature and license number of the attending physician
- Photocopy of relevant Laboratory Results (taken within the last three (3) months)
- If under the Roche, Novartis or other Pharmaceutical Company Access Program: Photocopy of Tracker
- PCSO Index Card (if with previous assistance)
Dialysis Procedure – Under Enrolment System for Dialysis
- For Members of PhilHealth
- Original Medical Abstract with printed name, signature and license number of the attending physician
- Official quotation from Dialysis Center/ Hospital accepting PCSO GL
- Certification of Exhaustion of PhilHealth benefit for Dialysis Center/ Hospital
- PCSO Index Card (if with previous assistance)
- For Non-Members of PhilHealth
- Original Medical Abstract with name, signature and license number of the attending physician/nephrologist
- Official quotation from Dialysis Center/ Hospital accepting PCSO GL
- Certification of Non-Philhealth Member from the Dialysis Center/ Hospital
- PCSO Index Card (if with previous assistance)
Implant
- Orthopedic Implant
- Original Medical Abstract with printed name, signature and license number of the attending physician with schedule of operation/surgery
- Request from the attending physician with specifications of implant
- Official sealed quotation from three (3) Suppliers accepting PCSO GL
- For implants with only one existing supplier, a certification of sole distributorship is required
- For Medico-Legal cases: Photocopy of Police Report
- Cochlear Implant
- Original Medical Certificate with printed name, signature and license number of the attending physician with schedule of operation/surgery
- Audiological Evaluation (Hearing Test) with name, signature and license number of audiologist
- Official sealed quotation from a Supplier accepting PCSO GL
Laboratory/Diagnostic Procedures
- Original Medical Abstract with name, signature and license number of the attending physician
- Laboratory/Diagnostic Request with name, signature and license number of physician
- Official quotation from the service provider/ hospital indicating PhilHealth deductions and discounts, if applicable
Cobalt/Radiotherapy/Brachytherapy/RAI/Gamma Knife Radiosurgery
- Original Medical Abstract/Certificate with name, signature and license number of the attending physician
- Official quotation with breakdown of expenses from service provider/hospital accepting PCSO GL, indicating PhilHealth deduction and discounts, if applicable
- Photocopy of Histopathology/Biopsy report with name, signature and license number of pathologist
Assistive Devices
- Hearing Aid
- Original Medical Abstract/Certificate with name, signature and license number of the attending physician
- Should state the need for and the specifications of the hearing aid
- Audiological Evaluation (Hearing Test) with name, signature and license number of audiologist from the hearing aid center
- Official sealed quotation from three (3) Suppliers accepting PCSO GL
- For hearing aid with only one existing supplier, a certification of sole distributorship is required
- Original Medical Abstract/Certificate with name, signature and license number of the attending physician
- Wheelchair
- Original Medical Abstract/Certificate with name, signature and license number of the attending physician
- Should state the need for and the specifications of the wheelchair
- Official sealed quotation from three (3) Suppliers accepting PCSO GL (if supplier is NOT Tahanang Walang Hagdanan)
- Whole-body picture of patient
- Prosthesis
- Original Medical Abstract/Certificate with name, signature and license number of the attending physician
- Official sealed quotation from three (3) Suppliers accepting PCSO GL
- For prosthesis with only one existing supplier, a certification of sole distributorship is required
- Request or Prescription from the doctor stating specifications of the needed prosthesis
- Mechanical Ventilator Rental
- Original Medical Certificate with printed name, signature and license number of the attending physician with schedule of operation/surgery
- Official sealed quotation from three (3) Suppliers accepting PCSO GL
- Photocopy of Arterial Blood Gas (ABG) result (within the last three (3) months)
Medical Devices
- Original Medical Abstract/Certificate with name, signature and license number of the attending physician
- Request from the attending physician with specifications of medical device
- Official sealed quotation from two (2) Suppliers accepting PCSO GL
- For devices with only one existing supplier, a certification of sole distributorship is required
- Photocopy of relevant Laboratory/Diagnostic Result
Non- and Minimally-Invasive Procedures (ESWL, Laparascopic Surgery, Endoscopic Procedures, Cataract and Eye Surgery)
- Original Medical Abstract with name, signature and license number of the attending physician
- Official quotation with breakdown of expenses and PhilHealth deduction
- Photocopy of relevant laboratory/diagnostic result (taken within the last three (3) months)
Transplant
- Original Medical Abstract with name, signature and license number of the attending physician
- Official quotation from the hospital with breakdown of expenses
- Certification from transplant unit of the hospital that the patient is eligible for transplant
- Proof of counterpart from the patient/patient’s family
Rehabilitative Therapy (PT/OT/Speech)
- Original Medical Abstract with name, signature and license number of the attending physician
- Official quotation with breakdown of expenses from service provider accepting PCSO GL
Surgical Supplies
- Original Medical Abstract with name, signature and license number of the attending physician
- Official quotation with breakdown of expenses from service provider accepting PCSO GL
Office Locations & ContactsEdit
Philippine Charity Sweepstakes Office
Main Office
Sun Plaza Building,
1507 Princeton Street corner Shaw Boulevard,
Mandaluyong City 1552
Charity Assistance Department
Ms. Muriel G. Pajarillo
Department Manager
3/F Radiotherapy Bldg.
LCP Complex, Quezon Avenue, Quezon City
Telephone Number: 426-3735, 921-7608
Email Address: [email protected]
Medical Services Department
Jose Bernardo H. Gochoco, Jr.,MD
Department Manager
3/F Radiotherapy Bldg.
LCP Complex, Quezon Avenue, Quezon City
Telephone Numbers: 441-2612; 441-2076; 441-2065; 441-2081
Email Address: [email protected]
Note: NTC issued Memorandum Order No. 10-10-2017 last October 27, 2017, directing all telecommunications providers in the country to migrate all its customers to eight-digit telephone numbers.
3000-YYYY to 3499-YYYY – Bayan Telecommunications, Inc.
6000-YYYY to 6699-YYYY – ABS-CBN Converge, Inc.
6700-YYYY to 6999-YYYY – Eastern Telecommunication Philippines/ Telecommunications Technologies Philippines Inc.
7XXX-YYYY – Globe Telecom, Inc./ Innove Communications, Inc.
8XXX-YYYY – PLDT, Inc./ Digital Telecommunications Philippines, Inc.
A customer who still incorrectly dials the old seven-digit number will hear a special announcement saying the format has been changed to eight-digit, for a period of three months after the migration (March 18, 2019 to June 17, 2019).
To know more: Migration to 8-Digit Landline Number
EligibilityEdit
- Filipino patients who are confined in any health facility
- Patients currently receiving health care management as outpatients
- Patients who are seeking medical assistance abroad, provided that no health facility withing the Philippines is capable of providing such procedure
FeesEdit
Explain the fees structure which is required for obtaining the certificate/document.
ValidityEdit
Explain the time until which the certificate/document is valid. e.g. Birth Certificate Valid Forever
Documents to UseEdit
Sample DocumentsEdit
Please attach sample completed documents that would help other people.
Processing TimeEdit
Please explain processing time taken in obtaining the document/certificate.
Related VideosEdit
Videos explaining the procedure or to fill the applications. Attach videos using the following tag <&video type='website'>video ID|width|height<&/video&> from external websites. Please remove the '&' inside the tags during implementation. Website = allocine, blip, dailymotion, facebook, gametrailers, googlevideo, html5, metacafe, myspace, revver, sevenload, viddler, vimeo, youku, youtube width = 560, height = 340, Video ID = Can be obtained from the URL of webpage where the video is displayed. e.g In the following url 'http://www.youtube.com/watch?v=Y0US7oR_t3M' Video ID is 'Y0US7oR_t3M'.
InstructionsEdit
The Philippine Charity Sweepstakes Office (PCSO) is a government agency whose main function is to raise and provide funds for health programs, medical assistance and services, and charities of national character.
One of the programs of the Philippine Charity Sweepstakes Office (PCSO) is the Individual Medical Assistance Program or IMAP. The program began in 1995 and its main goal is to provide timely and responsive financial assistance to individuals with health-related problems. With the Guarantee Letter as the medium used in providing such services addressed to health facilities (Hospitals, Dialysis Centers, etc.), the PCSO assumes the obligation of a specific amount due from the client for the services rendered. The amount of assistance is based on the classification system established under the program.
Required InformationEdit
A list which displays the kind of information which is required to complete the procedure. e.g. 1. Date of Birth. 2. City or County of Birth.
Need for the DocumentEdit
Please provide the need for the procedure. e.g. Birth Certificate - why do we need to have a birth certificate?
Information which might helpEdit
Services Covered
- Confinement
- Medicines:
- Epoietin Injection
- Cancer Treatment Medications:
- Chemotherapy
- Hormonal therapy
- Targeted therapy
- Immunotherapy
- Specialty Medicines:
- Hematopoietic Growth Factors
- Factor VII, VIII and IX
- IV Immunoglobulin
- Biologics
- Post-transplant medicines
- Psychiatric medicines
- Anti-viral/Anti-retroviral therapy
- Non-cosmetic Botox therapy
- Dialysis
- Hemodialysis
- Peritoneal (Continuous Ambulatory Peritoneal Dialysis [CAPD])
- Implant
- Orthopedic
- Cochlear
- Laboratory/Diagnostic Procedures
- Radiation Therapy
- External Beam Radiation Therapy (EBRT)
- Cobalt Therapy
- Linear Acceleration
- Tomotherapy
- Intensive Modulation Radiation Therapy (IMRT)
- Brachytherapy
- Radioactive Iodine (RAI)
- Stereotactic Radiosurgery/Gamma Knife
- External Beam Radiation Therapy (EBRT)
- Devices
- Assistive Devices
- Hearing Aid
- Bone Anchored Hearing Aid (BAHA)
- Wheelchair
- Prosthesis such as Leg, Arm or Eye
- Pulmonary Apparatus – Rental of Ventilator/Respirator
- Hearing Aid
- Medical Devices
- Assistive Devices
- Non- and Minimally Invasive Procedures
- Extracorporeal Shock Wave Lithotripsy (ESWL)
- Laparoscopic surgery
- Endoscopic procedures
- Cataract and other eye-related surgery
- Transplant Procedures
- Kidney Transplant
- Liver Transplant
- Cardiac Procedures
- Pacemaker surgery
- Congenital Heart Surgery
- ASD, PDA, VSD
- Coronary Artery Bypass Graft
- Aneurysm surgery
- Peripheral bypass surgery
- Percutaneous Coronary Intervention (Angioplasty)
- Diagnostic procedures:
- Coronary Angiogram
- Cardiac Catheterization
- Rehabilitative Therapy
- Surgical Supplies
Other uses of the Document/CertificateEdit
Please explain what are other uses of obtaining this document/certificate. e.g. Birth Certificate can be used as proof of identity.
External LinksEdit
- Philippine Charity Sweepstakes Office (PCSO)- www.pcso.gov.ph
OthersEdit
More information which might help people in Bacolod can be listed here.