UNIVERSITY OF THE PHILIPPINES

Quezon City

OFFICE OF THE PRESIDENT

MEMORANDUM NO. PAEP 17-05

DATE 17 January 2017

FOR The vice presidents

The Secretary of the University
The Chancellors
The Director, UP PGH
Heads of Units/Offices

FROM Alfredo E. Pascual `j-t.tL`

President

SUBJECT Guidelines for the :H:h#d#

Hospitalization Programme
(eHOPE) for the Faculty, REPS and Administrative Staff i

The UP Board of Regents (BOR) at its 1322nd meeting on 24 November 2016

approved the proposal for the Enhanced Hospitalization Program.me (eHOPE) for the
Faculty, REPS and Administrative Staff". The eHOPE shall replace the Financial
Assistance Program for Hospitalization Expenses (FAPHE) effective 01 January
2017. 2

1. Amount of eHOPE benefits

The eHOPE provides financial assistance for hospitalization expenses incurred

during confinement up to an accumulated maximum amount of Php 80,000 per
year. The eHOPE shall also provide financial assistance for medicine related to the
covered confinement and prescribed upon discharge of the employee in the
maximum aggregate amount of Php 10,000 per year.

2. Covered hospitalization expenses

The following hospitalization expenses incurred during confinement shall be covered

under eHOPE:

]` Some of the guidelines given in this memorandum are followed by remarks enclosed in /brackets,' and Shown

in italics. These remarks indicate the change (or no change) relative to thf corresponding original guidelines of
FAPHE.

2 The UP Financial Assistance Program for Hospitalization Expenses (FAPHE) was approved by the UP Board of

Regents during its 1255th meeting on 27 May 2010.

Page 1 of 5

2F Quezon Hall, University of the Philippines, Diliman, Quezon aty 1101, Philippines
Tel. (632) 928-0110/ (632) 928-3014 Telefax: 920-6882 E-mail:-op@up.e-du.ph, apas€rial@up.edu.ph
 a. Medical / diagnostic procedures such as ultrasound, MRl, X-ray, CT scan,
biopsy, mammography, echocardiography, angiogram, blood chemistry, and
other laboratory examinations. /no change/
b. Prescribed drugs and medicines in accordance with the Generics Act of 1988
(F`AI66]5). [no change]
c. Professional fees of Philhealth-accredited physicians and specialists up to
amounts based on the Relative Value Unit (RVU) set by Philhealth for specific
mediical cases. [use of RVU introduced] 3

d. Expenses for room and board for the duration of the confinement. /no
change].

Excluded from coverage under eHOPE are: (a) hospitalization expenses for
confinement related to cosmetic surgery; (b) self-inflicted injury and illness; and (c)
annual medical / physical examination which are covered by specific CU policies.
[added exclusion of self-inflicted injury and illness].

3, Eligible employees

Eligible employees for financial assistance under eHOPE shall be the following:
a. Regular permanent faculty members, full-time or part-time. /enhanced by the
inclusion of part-time faculty members].
b. Full-time faculty members who are not tenured provided they have rendered
at least one (1 ) year of continuous service in the University. /enhanced by
reduc.Ing the length of prior service to UP from 5 years to 1 year as condition
for eligibility]
c. Permanent REPS and administrative staff. /no change/
d. UP contractuals and casuals (including faculty, REPS and administrative
staff) who have rendered at least one year of continuous service to the
University, have an employer-employee relations with the University, and
whose salaries are paid out of the Personnel Services (PS) allocations to UP
•in t!he General Appropr.iations Act (GAA:). [enhanced by reducing the length of

prior service to UP from 5 years to 1 year as condition for eligibility].

To be eligible, all claimants must be in active service in UP at the time of the claim.
Part-time faculty members shall be entitled to reduced benefits in proportion to the
extent of their service to the University.

4. Im plementation
"No cash-out" through partnerships. Partnerships through agreements with the
nearest government and private hospitals shall be initiated by each of the
Constituent Universities (CUs) to include a "no cash-out" arrangement for the patient.

The financial assistance under eHOPE shall be granted net of the medical expenses
covered by Philhealth and other private medical health card benefits. Philhealth and

3 Reference: Professional fees for medical cases are provided in the list of Relative Value Units (RVU) in

Philhealth Annex 1. List of Medical case Rates. Download from:

https://www.philhealth.gov.ph/circulars/2014/annexes/circo9_2014/Annexl_ListofMedicalcaseRates.pdf

Page 2 of 5
private medical health card benefits shall be exhausted first before claims are
accepted under eHOPE. /no change/

The prescribed application forms for employees are provided in the Annexes. The
procedures following in the implementation of FAPHE which are not inconsistent with
the guidelines given herein will remain in force.

5. Funding
Funding of the eHOPE benefits shall be shared by the UP System Administration (70
percent) and the concerned CU (30 percent).

Payments under the eHOPE shall be subject to refund by the employee recipients if
the same would later be found not in order by concerned competent authority.
Annexes
1. Application form for eHOPE
a) forcu employees
b) for up system employees

Page 3 of 5
 University of the Philippines
CU:

ENHANCED UP HOSPITALIZATION PROGRAMME (UP eHOPE)

APPLICATION FORM
Last Name First name Middle Initial

Position Unit Age Civil Status:

DateofFIling I NameofHospltal TotalAmountApplied Period of Hospitalization

Cause/Reason of Hospitalization:

Recommended by:

Unit Head/Administrative ofricer Date

Employee'S signature (Slgmture over prlnted Name)

HRDO CLEARANCE
Appointment status: I permanent n Temporary I casual H UP contractual
Date of original appointment: I Active service
Number of years in service: Leave without Pay (LWOP)IDeductedINotyetdeducted

Date of last application:

Applicationcount: H lst H 2nd I=3rd Others:

Up eHOPE Account Balance: as of

Cleared by:

HRDO Head Date

(Slgnaturo over Prlnted Name)

EVALUATIONrvALIDATIO N/RECOMMENDATfoN of tfie

HRDO [ I eHOPECommittee I I [NA.I
Requirements
] Medical certifcate from Attending physician/s ] Original oR for Medicines/Laboratory Tests
I Summary statement of Accounts showing philHealth H Surgical Technique (for surgical cases)
and other health insurance deductions. I Discharge order/Copy of Going Home

I original official Receipt (OR) of Hospital Bj|l Instruction, lf any

I other requirements: please specify:

ACTION of the
HRDO I I eHOPECommittee I ) [NA.I
I Approved I Disapproved Approved Amount: Php
Remarks:

HRDO Head / eHOPE Committee chair Date

(S]gnaturo over Printed Name)

Budget Clearance

Amount: Php Cleared by: Date:

Budget Director/Head
(SI9nature over Printed Name)

Recommending Approval: Approved by:

Vice chancellor for Administration Chancellor

(Sl9nature over primed Name) (Slgnature over printed Name)

Date : Date :
 HRDO Fom no~ university of the Philippines
SYSTEM

ENHANCED UP HOSPITALIZATION PROGRAMME (UP eHOPE)

APPLICATION FORM
Last Name First name Middle Initial

Position Unit Age Civil Status:

DateofFillng NameofHospltal I TotalAmountApplied Period of Hospitalization

Cause/Reason of Hospitalization:

Recommended by:

Unit Head/Administrative officer Date

Employee'S signature (signature over prlnted Name)

HRDO CLEARANCE
Appointmentstatus: H permanent H Temporary I= Casual H UP contractual
Date of original appointment: I Active service
Number of years in service: LWOPI Ded u ctedINotyetdeducted
Date of last application:

Applicationcount: I= 1st H 2nd I=3rd Others:

Up eHOPE Account Balance: as of

Cleared by:

HRDO Head Date

(Signature over Printed Name)

EVALUATIONrvALIDATIONmECOMMENDATION of the
HRDO I I eHOPECommittee I I [N.A.I
Requirements
I Medical certifcate from Attending physician/s E original oR for Medicines/Laboratory Tests
H Summary statement of Accounts showing philHealth I Surgical Technique (for surgical cases)
and other health insurance deductions. I Discharge order/Copy of Going Home

I original official Receipt (OR) of Hospital Bill Instruction, lf any

I other requirements: please specify:

ACTION of the
HFtDO I ] eHOPECommidee I I (N.A.I
I Approved H Disapproved Approved Amount: Php

Remarks:

HRDO Head / eHOPE Committee chair Date

(S]gnaturo over Printed Name)

System Budget Office Clearance

Amount: Php Cleared by: Date:

Budget Director/ Head
(Signature over Printed Name)

Approved by:

Assistant Vice President for Administration

(Slgnature over Prlided Name)
Date: