I was exhausted, cranky, in need of a long, warm bath and some chocolate bars to perk up my mood. Worrying about someone in the family who is sick, especially if that person is a baby, does that to you.
But the voice of the man near the admission counter of the hospital where my son was admitted pierced the cloud of selfishness around me. He was obviously in pain. And he could not get a room at the hospital.
“I’m sorry, sir. We don’t have a room for you. You can wait in the ER until we have a room that fits your card,” the clerk said.
“Why, what’s wrong with my card?” the man said.
“We need to double check if you can get a private room just as you requested. I know that the maximum for your card is P1,900 per night, but we will have to check again,” the attendant said.
In the end, he decided to go home while waiting for a room. He was seventh on the list and it was already 4 p.m.
Sickness is a financial planning wild card. Even if you stock up on vitamins, eat lots of fruits and vegetables, swear by the benefits of eating wheat bread, there’s no telling if or when you will get sick. There are just too many factors when it comes to health – including genes. It’s a probability that each family needs to prepare for.
Are you prepared for the cost of getting sick? Is there room in your finances right now for sickness in the family?
I have long wanted to do a comparative study on HMOs in the Philippines, but my son’s condition prompted me not to put the topic in the backburner any longer. However, instead of presenting you with data, I will have to throw questions at you, hoping that you will share your experiences so that we can have an initial data scan of what options Filipinos have out there when doing emergency planning.
What HMO do you have?
How much are you paying?
What are your benefits?
How would you rate the delivery of these benefits?
How would you rate the quality of their service?
Let me be the first to answer:
My family’s HMO is Intellicare. We pay P1,484.40 per month for five cards, one of which is for a 1.6-year old baby, which I understand is the most expensive one. We have dental benefits, annual executive check-ups, check-ups with doctors affiliated with their network. The HMO covers room rates up to big private room for my husband who is the main cardholder and small private room for his beneficiaries. Whenever someone is hospitalized, they give P1,000 per day in cash, I suppose to cover other expenses during hospitalization. Ours is a corporate plan. The service is excellent.
What about serious illnesses? Are you prepared for them? Last week, I attended a press conference organized by Stryker Corp., one of the biggest orthopedic implant maker in the world, which has entered into a tie-up with HSBC and BPI Credit Cards so that Filipinos can avail of an operate-now-pay-later plan.
Orthopedic implants cost around P80,000 to P150,000. The entire operation can reach up to half a million. Under this scheme, if you have been recommended to have an operation, you can use your card to pay for the implant at zero percent interest and in so doing defray the cost.
Using our litmus test for those zero-percent advertisements, I asked them what would happen if the patient wanted to pay in cash. Same price, they said. I was able to have a good talk with their Finance guy (they are my favorite people in every company) and he said that Stryker was charged one percent per month by the card companies, totaling 12 percent per annum, but the company decided to shoulder the cost for the first year of the program.
I guess, a good deal, all in all, as long as you don’t default on your payments. One-month default would lose that zero percent deal and trap you into paying a 42 percent per annum interest on a huge amount of debt. That would give you a headache to go with your new bone transplant. Not a nice combination.
The best strategy is still to have an emergency plan in place. Make sure you have three to six months worth of expenses as emergency buffer, and a good HMO to back you up. Medical insurance companies, are in general, cheaper than HMOs. But they operate by reimbursement, so you need that cash for this to work.
Let the HMO story sharing begin :).
November 7th, 2008 at 1:44 am
problem with hmo in phils. they don’t cover pre-existing conditions ie. hypertension even if you haven’t have a claim for years. sana covered din kahit with a condition to take effect after a certain contestibility period when stroke will occur if ever.
November 6th, 2008 at 9:37 am
Having read all your comments…maganda talaga pag may HMO ang pamilya kaya parang puro private companies lang nag-avail ng services ng HMO.
Sana may mga government offices nat’l or local gov’t man na mag-enroll for their employees kahit na salary deduction man lang basta wala ng excess sa hospital bills after philhealth.
Ofcourse, we understand philhealth kung bakit maliit lang coverage eh P100/month lang naman ang deduction tsaka for the whole family na.
September 30th, 2008 at 3:22 pm
friends…… some questions that may need answers……. in order to qualify for corporate account….. minimum of 15 employee needed to enroll for the program…..
corporate rate is much cheaper than individual rate, something like 40% cheaper…… something like 12k pesos for individual account , can be reduced to around 7k pesos for corporate account with same terms and conditions
now…. if you can muster above 90 employees to enroll with hmo….. usually the pre-existing condition is waived
congenital defects are not covered…..i.e. indirect hernia and some others
September 30th, 2008 at 10:04 am
What companies offer medical health insurance? I want to get one. Thanks.
June 11th, 2008 at 10:09 am
Hi again Salve! Here’s my two cents about this move by Stryker and HSBC/BPI Credit Corp.
While stryker is laudable in its move to offer solutions to the high cost of orthopedic surgeries and implants here in the philippines, it still does not address the root cause of the problem- the high cost of implants. It only allows the patients the “hulugan” method so he can avail of his/her surgery but not actually lower cost of implants.
More over, what if the implant needed (or is best) for the patient (as determined best by the surgeon) does not come from Stryker? Will the patient or the company “force” the surgeon to change the implant (even if he feels its not the best implant) just so the patient can avail of this scheme? Or worse, what if the implants by stryker actually is subpar (just like what happened in the US when FDA “warned stryker ” for substandard manufacturing in some of their hip implants) You know where this is going to- a bad surgery and a much poorer (if not disabled) patient!
I still would agree with you salve, that for now, we Filipinos should always prepare with an emergency fund, and be diligent in preventing orthopedic diseases (most are actually preventable). The government is mandated to make healthcare affordable to its citizens. This market driven orthopedic implant industry is patterned after the US, and so far, Philippines has just followed suit and left the surgeons and patients to save themselves!