EXECUTIVE ORDER NO. 106 December 24, 1986

RESTRUCTURING THE MEDICAL CARE BENEFITS UNDER THE PHILIPPINE MEDICAL CARE PLAN

WHEREAS, actuarial studies show that without increasing contributions, current benefits under the Philippine Medical Care Plan, otherwise known as the Medical Program can be increased for certain items only and at different rates for the two sectors of beneficiaries covered:

NOW, THEREFORE, I, CORAZON C. AQUINO, President of the Philippines, do hereby order:

Sec. 1. The medical care benefits to Medicare beneficiaries covered by the Social Security System (SSS) shall not exceed the rates indicated below:

HOSPITAL CATEGORY
BENEFIT	PRIMARY	SECONDARY	TERTIARY
1. Room and Board	P30/day	P35/day	45/day
2. Medical Expense(per single period of confinement)
2.1 Ordinary Cases
2.1.1 Drugs & Medicines	175	200	300
2.1.2 X-ray/ Laboratory/ Others	75	150	350
2.2. Intensive Care Cases
2.2.1 Drugs & Medicines	375	400	500
2.2.2 X-ray/Laboratory/Others	125	200	500
2.3 Catastrophic Cases
2.3.1 Drugs & Medicines-		800	1,000
2.3.2 X-ray/Laboratory/Others		400	1,000
3. Medical/Dental Practitioner's Fee shall be P15.00 per day not to exceed:
3.1 For Ordinary Cases (per single period of confinement)	200	200	200
3.2 For intensive Care/Catastrophic Cases (Per single period of confinement)	300	300	300
4. Surgeon's Fee shall be in accordance with the relative value scheme prescribed by the Commission not to exceed P650.00
5. Anesthesiologist's Fee not to exceed 30% of the allowed Surgeon's fee.
6. Operating Room Fee for Surgical Procedures with Relative Unit Value of:
0 - 5	30	35	65
5.1 - 10		120	165
10.1 - above		170	225
7. Fees for surgical family planning procedures as may be determined by the Commission

Sec. 2. The medical care benefits of Medicare beneficiaries covered by the Government Service Insurance System (GSIS) shall not exceed the rates indicated below:

HOSPITAL CATEGORY
BENEFIT	PRIMARY	SECONDARY	TERTIARY
1. Room and Board	P20/day	P24/day	P33/day
2. Medical Expense(per single period of confinement)
2.1 Ordinary Cases
2.1.1 Drugs & Medicines	150	175	250
2.1.2 X-ray/ Laboratory/ Others	50	75	100
2.2. Intensive Care Cases
2.2.1 Drugs & Medicines	250	300	350
2.2.2 X-ray/Laboratory/Others		150	300
2.3 Catastrophic Cases
2.3.1 Drugs & Medicines-		400	450
2.3.2 X-ray/Laboratory/Others		150	300
3. Medical/Dental Practitioner's Fee shall be P15.00 per day not to exceed:
3.1 For Ordinary Cases (per single period of confinement)	200	200	200
3.2 For intensive Care/Catastrophic Cases (Per single period of confinement)	300	300	300
4. Surgeon's Fee shall be in accordance with the relative value scheme prescribed by the Commission not to exceed P650.00
5. Anesthesiologist's Fee not to exceed 30% of the allowed Surgeon's fee.
6. Operating Room Fee for Surgical Procedures with Relative Unit Value of:
0 - 5	30	35	65
5.1 - 10		120	165
10.1 - above		170	265
7. Fees for surgical family planning procedures as may be determined by the Commission

Sec. 3. All laws, orders, issuances, rules and regulations or parts thereof inconsistent with this Executive Order are hereby repealed or modified accordingly.

Sec. 4. This Executive Order shall take effect immediately.

Done in the City of Manila, this 24th day of December, in the year of Our Lord, nineteen hundred and eighty-six.