What is Enhanced Hospitalization Program (eHOPE)?
The eHOPE provides financial assistance for hospitalization expenses incurred during confinement for faculty, REPs and administrative staff. It shall also provide financial assistance for medicines related to the covered confinement and prescribed drugs upon discharged of employee. Maximum of P100,000.00 per year per employee are allotted to this benefit.
Who are eligible for eHOPE?
Eligible employees for financial assistance under eHOPE shall be the following: [1322nd BOR meeting, 24 November 2016; OP Memorandum no. 17-05, 17 January 2017]
- Regular permanent full-time and part-time faculty members;
- Regular full-time faculty members who are not tenured provided they have rendered at least one (1) year of continuous service in the University;
- Permanent REPS and administrative staff;
- UP contractual and casuals (including faculty, REPS and administrative staff) who have rendered at least one (1) year of continuous service to the University, have employer-employee relations with the University, and whose salaries are paid out of the Personnel Services (PS) allocations to UP in the General Appropriations Act (GAA),
Note: to be eligible, all claimants must be in active service in UP at the time of the claim. Part-time faculty members shall be entitles to reduced benefits in proportion to the extent of their service to the University.
What are the covered hospitalization expenses?
- Medical/diagnostic procedures such as ultrasound, MRl, X-ray, CT scan, biopsy, mammography, echocardiography, angiogram, blood chemistry, and other laboratory examinations.
- Prescribed drugs and medicines in accordance with the Generics Act of 1988.
- Professional fees of Philhealth-accredited physicians and specialists up to amounts based on the Relative Value Unit (RVU) set by Philhealth for specific medical cases.
- Expenses for room and board for the duration of the confinement.
Note: excluded from coverage are: a) hospitalization expenses fr confinement related to cosmetic surgery; b) self-inflicted injury and illness; and c) annual medical/physical examination which are covered by specific CU policies.
Implementation of eHOPE
"No cash out" through partnerships. Partnerships through agreements with the nearest government and private hospitals shall be initiated by each of the Constituents Universities (CUs) to include a "no cash-out" arrangement for the patient.
The financial assitance under eHOPE shall be granted net of the medical expenses covered by Philhealth and other private medical health card benefits. Philhealth and private medical health card benefits shall be exhausted first before claims are accepted under eHOPE.
What is the procedure for availing eHOPE?
- Eligible employee requests for financial assistance not exceeding PhP 100,000.00 per year for hospitalization expense.
- Eligible employee files an application form for reimbursement form at HRDO. HRDO checks the completeness and accuracy of data and attachments. HRDO shall certify if the employee is qualified for the claim and maintain a record of the employee’s hospitalization.
- eHOPE Committee evaluates and signs the application for eHOPE and Referendum Sheet.
- Budget Office provides budget clearance.
- Office of the Vice Chancellor for Administration recommends and signs on the Referendum Sheet and eHOPE form.
- Office of the Chancellor signs and approves the eHOPE application.
- HRDO secures copy of the approval and forwards documents to College/Unit for voucher preparation.
Note: Each claim for financial assistance must be supported by an official itemized breakdown of medical expenses for laboratory examination, surgery, or any other medical expenses for laboratory examination incurred during the employee’s hospitalization.
What are the requirements needed for filing of eHOPE?
- eHOPE form
- Medical Certificate from Attending Physician/s
- Summary Statements of Accounts showing Philhealth and other health insurance deductions.
- Original Official Receipts (OR) of Hospital Bill
- Original OR for Medicines/Laboratory Tests
- Surgical Technique (for surgical cases)
- Discharge Order/Copy of Going Home Instructions, if any
- Itemized Breakdown of Expenses