| The overall goal of health micro-insurance
program is to create an environment where health care financing needs
and health care services will be affordable to majority of the Filipinos
especially the poor. Thus, to contribute to the improvement of their
health status.
Why Health Micro-Insurance?
Currently, both the state-managed National Health Insurance Program
(NHIP) and the privately-managed Health Maintenance Organizations
(HMOs) are not able to address majority of the poor people's health
care financing problems. The former covers some twenty-one million
Filipinos who are mostly in the formal sector, and the latter focus
more on the upper 2% of the market. The informal sectors that majority
are poor are left unattended.
But Filipinos by nature exhibit
ingenuity wherein problems become opportunities. For some innovative
communities they were able to come up with a community-based health
care financing approach or commonly known as Damayang Pangkalusugan.
Health micro-insurance or Damayang
Pangkalusugan (DpK) is defined as a scheme for mobilizing and utilizing
resources through a risk-sharing mechanism to finance the health
care needs of the members in a manner that reflects values of solidarity
and shared responsibility for health care (Soriano, 1999). In short,
it makes health care or medical expenses more affordable for people
who join the system.
People who are enrolled
in a health insurance regularly pay in small, fixed amounts, which
are pooled into a common health fund. This fund will be used to
pay for the expenses incurred by a member who suddenly falls ill
or requires a doctor's services. It works because members pay for
their health insurance in small, affordable amounts while they are
well and earning, rather than worry where to get a large amount
of money quickly when they suddenly get sick.
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