HEWSPECS-PID$ @_seline
2.
Study
Benefits
on Private
Health
Availment/Claims
Employees are required consultation. If illness/injury to work related accidents, a clinic or hospital to render The presentation
only of
and official illness after All determine against p_ocess 2 weeks.
F.
receipts. Medicare
FINANCIAL
Progessinq
to
go to the company physician requires in-patient treatment referral or authorization letter needed services.
for processing supporting papers The total deduction.
through
amount This
2
levels
or
the accredited MD and diagnosed to be is issued to accredi_
claims for cash to support claims,
reimbursement is i.e. MD's authorizati
is
reimbursement is only for work-related
limited to PS00.00 accidents.
of
review,
(a)
of
namely:
medÂŁcal
,
t
review
COST To
data
STATUS
were
The benefits.
given
CONTAINMENT contain
a pre-employment are employed.
H.
go
Page 142
appropriateness of the service provided, and (b) validity checks to safegua abuses like submission of false or altered receipts. The average time claims and effect payment is 1 week, or a minimum of 4 days and a maximum
No
G.
procedure necessary
claims
Insurance
company
RESPONDENT'S Respondent
on
the
MEASURES
the
cost
of
physical
has
AND health
examination
not
VIEWS did
financial
not
yet
ON give
costs
any
extending
services
it
employees,
to
members.
MECHANISMS services to
to
all
experienced
INDUSTRY
of
applicants
so
any
and
abuse
PROSPECTS views
on
industry
the
that
prospects.
fraud
company
only
the
in
undertake_ medically
claiming
fi_
healt_