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VETERANS HOSPITALIZATION AND MEDICAL CARE PROGRAM
What is the PVAO - VMMC Veterans Hospitalization and Medical Care Program (VHMCP)?
It is a program that provides hospitalization and medical care benefits to Filipino veterans and their dependents through VMMC and other PVAO-VMMC accredited government and private hospitals nationwide.
What are the objectives of the Program?
Address the health care needs of the veterans and their qualified dependents who do not have convenient access to VMMC especially those from far flung areas.
Provide partial subsidy for the hospitalization expenses and reimbursement of certain select procedures and additional benefits.
Who are eligible to avail the benefits?
World War II Veterans
Dependents of World War II Veterans
Post World War II Veterans and soldiers killed-in-action ( KIA)
Dependents of Post World Ward II Veterans and soldiers killed-in- action ( KIA)
Where to avail the VHMCP?
Generally, the VHMCP may be availed of in all PhilHealth-accredited Government Hospitals, PVAO-VMMC Accredited Private Hospitals, Eye Centers, Dialysis Centers, and Dental Clinics (complete list in PVAO & VMMC websites).
What benefits are included in the Veterans Hospitalization and Medical Care Program (VHMCP)?
1. Daily In-patient Hospital Subsidy*
VHMCP provides payment of one thousand five hundred pesos (Php 1,500.00) per day of hospital confinement up to a maximum of 45 days per patient per year. The amount of applicable subsidy will be based on the patient’s actual bill net of other applicable discounts such as senior citizen’s discount, PHILHEALTH benefits, HMOs, etc.
It will be paid or reimbursed by PVAO-VMMC to the Accredited Hospital where the eligible patient was confined upon receipt by VMMC of billing documents.
2. Subsidy for Medical Procedures and other benefits
The VHP also provides partial subsidy to certain select procedures that veterans or their dependents usually avail of, given their age, health condition and other factors.
Below is a listing of subsidized procedures with the amounts that may be reimbursed from the VMMC:
PROCEDURE/ MEDICAL SERVICE
AMOUNT AT SUBSIDY THAT CAN BE REIMBURSED
(at cost but not to exceed)
Payment of actual billing not to exceed Php 14,000.00 per eye
At cost but not to exceed Php 30,000.00 per implant
At cost but not to exceed Php 5,000.00 (Php 2,500 for upper dentures and Php 2,500 for lower dentures)
At cost but not to exceed Php 2,000.00 per mesh
At cost but not to exceed Php 30,000.00 per device
At cost but not to exceed Php 6,000.00 /piece
Not to exceed Php 400.00 per treatment and cost of epoetin alfa
At cost but not to exceed Php 30,000.00
Php 10,000.00 per cycle up to a maxi- mum of 6 cycles
Php 100,00.00 for single stent and only up to a maximum of Php 150,000.00 for two or more vessel stents
Endoaneurysmectomy for Thoraric/ Abdominal Aortic Aneurysim
Up to a maximum of Php 40,000.00 for vascular graft only
Php 20,000.00 for temporary pacemaker placement and Php 180,000.00 for permanent pacemaker placement all inclusive
Cranial CT Scan
Not to exceed Php4,000.00 with or without contrast
Not to exceed Php 2,000.00
Extra corporal shock wave litotripsy (ESWL)
Not to exceed Ph 40,000.00
Peritoneal Dialysis (IPD and CAPD)
Not to exceed Php 5,000.00 per week up to maximum of Php 20,000.00 per month
Php 350.00 per treatment session for maximum of 3 treatments per week
At cost but not to exceed Php 300 per day
Not to exceed Php 200,000.00 net of Philhealth coverage and senior citizen discount
All special procedures and medical/surgical interventions shall pass through the VMMC Medical Screening Committee for evaluation and validation.
3. Reimbursement of Drugs and Medicines:
a. Medicines (antibiotics) of confined veteran / veteran dependent patients classified as critical or non-critical cases
Critical case - at cost but not to exceed Php10,000.00 per confinement
Non-critical case - at cost but not to exceed P5,000.00 per confinement
b. OPD Maintenance Medicines for hypertension, diabetes mellitus, hypercholesterolemia, prostate, anti-psychotic and oral antibiotics. Amount to be reimbursed shall be based on VMMC Bid Price. Drugs and medicines should be included in the list of Philippine National Drug Formulary (PNDF).
c. Anti-rejection drugs - P20,000.00 per month net of senior citizen and Philhealth discount
d. The request for reimbursement of drugs and medicines of confined veteran or veteran dependent as well as reimbursement of OPD maintenance medicines and oral antibiotics shall pass through the VMMC Medical Screening Committee for evaluation and validation prior to processing of payment by offices concerned.
HOW TO AVAIL OF THE VHMCP?
A. Steps in availing of VHP benefits in the PVAO-VMMC accredited hospitals:
1. Immediately after admission, the veteran or veteran dependent should present to Emergency Nurse/Admitting Section of the hospital any of the following proof of veteran status / eligibility to the program:
PVAO pensioner’s ID or VMMC Green Card ID
AFP retiree’s ID
PVAO Certification (can be secured from the nearest PVAO Field Offices
Military Honorable Discharge Paper or Retirement Order
Marriage Certificate issued by NSO or LCR
AFP retiree dependent’s ID
Birth Certificate of AFP retiree – for parents
2. Upon discharge, the hospital deducts the VHP subsidy from the total hospital bill, net of all applicable discounts (Senior Citizen, Philhealth, HMO, etc.)
B. Steps for direct Filing/Reimbursement of VHP Benefits (hospital subsidy & select medical procedures):
1. Immediately after discharge, download VHP reimbursement form from the following websites:
PVAO Downloadable Forms
VMMC Downloadable Forms
2. Fill-out the reimbursement form or make a request letter and submit it to the Medical Administrative Section (MAS) of the Veterans Memorial Medical Center with postal address at North Avenue, Diliman, Quezon City together with the following documentary requirements:
Original copy of Official Receipts
Original copy of Statement of Account from the hospital
Original copy of Medical Certificate/Discharge Summary
Proof of Veteran Status (please see above list)
3. Wait for Reimbursement Check from VMMC or VMMC letter if need to submit additional requirements. If the representative of the veteran/ veteran dependent will claim the check, present the Special Power of Attorney (SPA).
C. Steps for Reimbursement of Hospital Subsidy by Accredited Hospitals:
1. Immediately after discharge of Veteran/Dependent, download VHP reimbursement form from PVAO or VMMC website.
2. Fill out the reimbursement form, make a request letter and submit it to the VMMC Office of the Director together with the following:
Original copy of Summary of patient’s bill & Statement of account with Philhealth & other discounts
Original copy of Medical Certificate
Proof of Veteran Status (please see above list)
3. Wait for the Reimbursement Check from VMMC or VMMC letter if need to submit additional requirements.
Is there a prescription period for reimbursement?
Yes. Any request for reimbursement or payment of daily subsidy to accredited hospitals should be received by the VMMC not later than ninety (90) days upon the patient’s discharge or date of receipt/s.
What are the PVAO-VMMC accredited hospitals?
For the complete list of PVAO - VMMC hospitals, please click the links below.
PVAO Contracted Hospitals
VMMC Contracted Hospitals
VHP Brochure is also available for download here.
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