Executive Order No. 501 (1992) — actuarial studies show that the Health Insurance Fund administered by the SSS for medicare beneficiaries in the private sectors and by the GSIS for medicare beneficiaries in the government sector can further finance a 20% across-the-board increase in all items of hospitalization compensable under the Medicare Program;

Section 1

Section 1. The Medicare benefits for both GSIS and SSS Medicare beneficiaries are increased as follows:

Items for Hospitalization

BENEFIT LIMIT (BY HOSPITAL CATEGORY)

Primary

Secondary

Tertiary

A. Hospital Charges

1. Room and Board not exceeding 45 days per year for each member of program 1 and another 45days per year to be shared by all his dependents

P—55/Day

P—100/Day

P—120/Day

2. Medical Expense Benefit (per single period of confinement)

2.1 Ordinary Cases

720

1090

1375

Drugs & Medicines

595

790

845

X-Ray/Lab/Other

125

300

530

2.2 Intensive Cases

1395

2040

3480

Drugs & Medicines

1125

1350

2430

X-Ray/Lab/Cases

270

690

1050

2.3 Catastrophic Cases

4390

6680

Drugs & Medicines

3040

3475

X-Ray/Lab/Other

1350

3205

3. Operating Room Fee based on Commissions Relative Unit value (RUV) scheme

3.1 RUV 5 & Below

140

245

390

3.2 RUV 5.1 to 10

420

500

3.3 RUV 10.1 & Above

960

1290

B. PROFESSIONAL FEES

1. Medical/Dental practitioner—s fee, per day of P55 for general practitioners and P80 for specialists, not to exceed per single period of confinement,—P300 for general practitioner and P450 for specialist in ordinary cases and—P450 for general practitioner and—P750 for specialist in intensive care/catastrophic cases.

2. Surgeon—s fee in accordance with the relative unit value scheme prescribed by the commission not to exceed—P7,080.

3. Anesthesiologists fee (30% of allowed surgeon—s fee) not to exceed—P2,125.

4. Fees for surgical family planning procedures as may be determined by the commission.

Section 2

Section 2. All orders, issuances, rules and regulations or parts thereof inconsistent with this Executive Order are hereby repealed or modified accordingly.

Section 3

This Executive Order shall take effect on the 1st day of January 1992

Section 3. This Executive Order shall take effect on the 1st day of January 1992.

DONE in the City of Manila, this 27th day of December, in the year of our Lord, nineteen hundred and ninety-one.

(Sgd.) CORAZON C. AQUINO President of the Philippines

By the Philippines:

(Sgd.) FRANKLIN M. DRILON Executive Secretary