WHEREAS,
actuarial studies that the Health Insurance Fund of Program I of the
Philippine Medical Care Plan has a sizeable reserve after settlement of
all claims against it;chanroblesvirtualawlibrary
WHEREAS, such Health Insurance Fund reserve permits an increase in the
extent and scope of benefits of the beneficiaries of the
Plan; chanroblesvirtualawlibrary
NOW, THEREFORE, I, FERDINAND E. MARCOS, President of the Philippines,
by virtue of the powers in me vested by the Constitution as
Commander-in-Chief of all the Armed Forces of the Philippines,
and pursuant to Proclamation No. 1081, dated September 21, 1972, and
General Order No. 1, dated September 22, 1972, as amended, do hereby
order and decree, that:cralaw:red
Section 1. Section 5 (d) of Republic Act Sixty-one
hundred eleven, otherwise known as the "Philippine Medical Care
Act of 1969," is hereby amended to read as follows:cralaw:red
"(d) To authorize actuarial studies for the purpose
of determining and fixing, from time to time, the contributions
necessary and the extent and scope of benefits of the beneficiaries of
the Plan as its resources may permit in order to ensure adequate
financing and disbursement of funds to all participants in the Plan;
And, whenever the resources of the Plan permits without necessitating
additional contributions from the employees and employers, the
Commission shall effect increases in the extent and scope of benefits
of the beneficiaries of the Plan."
Section 2. Section 13 (b) of the same Act is hereby
amended to read as follows:cralaw:red
"(b) Special charge expense benefit for charges
necessary for the care of the employee, such as laboratory examination
fees, drugs, x-ray and the like, not to exceed one hundred fifty
pesos." chanroblesvirtualawlibrary
Section 3. Section 14 of the same Act is hereby
amended to read as follows:cralaw:red
"Sec. 14. Surgical Expenses Benefit. — Under such
rules, regulations and/or conditions as the SSS or GSIS may prescribe,
subject to the approval of the Commission, an employee who shall have
undergone a surgical procedure in a hospital shall be entitled to
surgical expense benefits, as may be determined by the GSIS, as
the case may be, taking into account the nature and complexity of the
procedure as follows:cralaw:red
(a) Surgeon's fees not to exceed fifty pesos for a
minor operation, one hundred fifty pesos for a medium operation and
three hundred fifty pesos for a major operation;chanroblesvirtualawlibrary
(b) Anesthesiologist's fees not to exceed twenty
pesos for a minor operation, forty pesos for a medium operation and
sixty pesos for a major operation."
Section 4. Any provision of existing law, rule,
regulation or order that is contrary to, or inconsistent herewith is
hereby repealed or modified accordingly. chanroblesvirtualawlibrary
Section 5. The benefits provided by this Decree shall
be effective as of July 1, 1973.
Section 6. This Decree shall take effect immediately.
Done in the City of Manila,
this 14th day of August, in the year of Our Lord, nineteen hundred and
seventy-three.
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