REQUIREMENTS FOR INDIVIDUAL MEDICAL ASSISTANCE

REQUIREMENTS FOR INDIVIDUAL MEDICAL ASSISTANCE (IMAP) - PCSO - HOSPITAL BILL

1. LETTER OF REQUEST ADDRESSED TO:

HON. JOSE FERDINAND M. ROJAS II
GENERAL MANAGER
PHILIPPINE CHARITY SWEEPSTAKES OFFICE
PICC, PASAY CITY

2. ENDORESMENT LETTER FROM THE HOSPITAL
SOCIAL SERVICE UNIT (FOR CHARITY PATIENTS)/
CREDIT & COLLECTION OFFICER (PAY PATIENTS)

3. ORIGINAL AND UPDATED CLINICAL/MEDICAL ABSTRACT FROM THE ATTENDING PHYSICIAN W/ LIC. NO. AND PTR#

4. STATEMENT OF ACCOUNT/HOSPITAL BILL CERTIFIED BY THE BILLING OFFICER/CREDIT SUPERVISOR W/ PRINTED NAME AND SIGNATURE

5. SOCIAL CASE STUDY REPORT FROM LOCAL DSWD

6. ORIGINAL COPY OF PROMISORY NOTE (IF DISCHARGE)

7. PICTURE (ANY SIZE)

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OTHER SOURCE FOR MEDICAL ASSISTANCE

PSWDO-PROVINCIAL SOCIAL WELFARE DEVELOPMENT OFFICE

REQUIREMENTS: SOCIAL CASE STUDY
                                 HOSPITAL BILL

>in my case ?..SEPTIC SHOCK..I receive 3,000 php

2 BOARD MEMBER IN YOUR DISTRICT

>REQUIREMENTS : JUST BRING THE RECITA, PRESCRIPTION OF THE DOCTOR
NOTE: BUDGET ALLOCATION, MAXIMUM OF 1,500 php EACH BOARD MEMBER

THERE ARE CATEGORIES FOR THIS BUDGET WHERE YOU CAN USE THE MEDICAL ASSISTANCE AS FOLLOWS.

CATEGORIES:
A. HOSPITAL BILLS
B. MEDICINE
C. X-RAY
D. DIALYSIS
E. BLOOD PROCESSING
F. ULTRA-SOUND
G. OTHER

THIS MEDICAL ASSISTANCE BILL WILL BE CHARGE TO THERE SPECIAL PROJECT ALLOCATION.

-GET THE CHARGE FORM IN THE SOCIAL SERVICES OFFICE, FORMER SWA

AND BRING IT TO THE HOSPITALS PHARMACY INSIDE THE GOVERNMENT HOSPITAL OF YOUR CONFINEMENT.

NOTE: THEY CANNOT HELP IN PRIVATE HOSPITAL

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OFFICE OF THE GOVERNOR

-THERE ARE FUNDS ALSO IN THE OFFICE OF THE GOVERNOR AND IT WOULD BE A CHECK. ALLOCATED BUDGET DEFENDS IN THE CASE OF PATIENT. IN MY CASE SEVERE ACQUIRED PNEUMONIA, I GOT 3,000
-JUST BRING ONLY THE HOSPITAL BILLING/STATEMENT OF ACCOUNT (LATEST)
-CERTIFICATE OF INDIGENCY FROM YOUR BARANGAY, AFTER THAT THEY WILL CREATE A VOUCHER FOR THIS
NOTE:  PLEASE FOLLOW UP FOR FAST PROCESSING OR ELSE YOU WILL WAIT FOR TWO WEEKS OF THE FUND.

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OFFFICE OF THE Vice-GOVERNOR

-REQUIREMENTS
*HOSPITAL BILLING/STATEMENT OF ACCOUNT LATEST
*CERTIFICATE OF INDIGENCY FROM YOUR BARANGAY
*SOCIAL CASE STUDY VROM DSWD (ORIGINAL OR CERTIFIED TRUE COPY)

BUDGET DEFENDS ON CASE OF THE PATIENT (MAXIMUM OF 2,500php. IT WOULD BE A CHECK OR CONVERTED TO ASSISTANCE FOR MEDICINE THAT WOULD BE CHARGE TO THERE SPECIAL PROJECT ALLOCATION.

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THE DSWD (LOCAL) 

-YOU MUST BE INTERVIEWED FOR THE CASE STUDY AND THIS CASE STUDY WILL BE USED IN ANY AGENCY THAT IS GIVING MEDICAL ASSISTANCE.
-USE THIS STUDY ALSO IN ASKING HELP IN PCSO WITH RECOMMENDATION TO ASK HELP IN PCSO.
PCSO WILL GIVE YOU GUARANTEE A MAXIMUM OF 50,000php DEPENDING IN THE CASE STUDY.
-CASE STUDY OF DSWD, YOU MUST MAKE MINOR EDIT IN THAT CASE STUDY THAT RECOMEND ALSO
TO THE OFFICE OF THE VICE PRESIDENT OF THE PHILIPPINES.

OFFICE OF THE VICE PRESIDENT OF THE PHILIPPINES

medical assistance requirements for HOSPITAL BILLING

1. Personal Letter to Hon. Jejomar C. Binay, Vice President of the republic of the Phils.
-indicate at least two (2) contact nos. patient or requester.

2. Endorsement Letter from Vice Mayor or Mayor of your city/municipality.

3. Medical/Clinical Abstract from the attending physician indicating PTR NO.

4. Referral Letter from Hospital Social Service.

5. Hospital Billing /Statement of Account latest

6. Promisory Note. if you have an account from the hospital.

7. Social Case Study from DSSD (DSWD) That recomend to the vice president of the Philippines

8. Certificate of indigence vrom the Barangay.

9. Photocopy of valid identification card for the patient and the requester (indicate PhilHealth No. or copy Philhealth ID)

10. Picture of patient

Note:  1. All requirements should be in original or certified true copy except identification card.
           2. Submit complete requirement for endorsement, mailing and follow-up copy of your deposit slip.