Yesterday going to work, I left
house at 7am even my shift starts at 09:30am. This was the first time I am having
this schedule kasi so nangangapa pa ko sa traffic. Our schedule shuffles every other
week. It was really traffic along Coastal Road dahil sa mga cars coming from
Cavite and Las Pinas going North so the toll gates were really jam-packed.
So come today, I left 06:30am
because I will pay a visit at San Juan De Dios Hospital to see if my Philhealth
cheque reimbursement when I gave birth is ready. Let me tell you the story.
I submitted the requirements on
December 05, 2013 and based on the letter na binigay sakin, it will take 3
months daw. It was since November 26 na inaasikaso ko na yun. I went back from
the hospital to Philhealth Makati then back to hospital. I was discharged kasi
on October 26, 2013 and I was told sa hospital na 30 days lang daw para ma I file
ko for refund sa Philhealth, which I guess was supposed to be 60 days. I went
to the hospital to submit it pero they need an updated MDR daw na I was
individually paying, (I was jobless kasi and my Philhealth was paid
individually so I have to change the status from employed to
individually-paying para mai - honore nila.)
So I went to Philhealth pa and
lined up para lang ma I update ko along with a declaration of dependent which
was my newborn baby then went back to Hospital. Kala ko keribels na pero I have
to ask for a letter of extension daw kasi it should only be 30 days from the
date I was discharged nga and since I am submitting it on the 30th
day, I have to ask for extension daw. Next, I went to Philhealth Makati kasi
dun na daw ang nearest na Philhealth Branch. I arrived at 3pm buti na lang wala
pa sa cut off time or else iyak na lang ako dahil saying effort ko and
everything. The lady who assisted me was so mabait that she gave me the letter I
need to have it extended for another 60 days. Same with my baby’s bill in case I
want to file a refund din daw which I didn’t bother doing kasi any
reimbursement will go to Pasay City fund (they had a privilege card kasi that
will cover your hospital bill, Daryl was a registered voter from Pasay so he
was able to take advantage of it. It covered Php 25,000 on James’ hospital bill
when he was left in the nursery to complete his antibiotics).
That was where I found out na it
will be 60 days still for claim, not 30 days and it was never changed. I was so
upset talaga that the hospital wants me to go extra mile kahit pwede pa naman
pala! Asar to the highest mountain! The lady even said na I can file it
directly to them na lang and wait for it to be delivered sa bahay. Diba convenient?
Afterwards, I went back to the
hospital asking them to fill out a form, I forgot what form it was so I can
submit the form to Philhealth myself pero they insisted that as per their
protocol eh they are the ones to file it on Philhealth daw so di na ko nakipagtalo
pa. I was given a small paper as a reference to claim the cheque kasi it will
be sent to their office and I have to pick it up only every Fridays at 2pm-5pm
lang. How inconvenient sa nagtatrabahong tulad ko! Hmp!
I am a bit shocked na 3 months
daw before I can claim the cheque kasi when my nephew was hospitalized July or
August last year, my sister got her cheque voucher in less than 3 months, like
2 and a half months lang. She had it submitted din on the hospital where Andy,
my nephew was confined then the cheque was sent to our house na lang. Cool
diba? There shouldn’t be any problem naman sana kasi I can understand naman na
they might have a representative to file it on Philhealth na sabay- sabay with
other patients form din. Kaya lang..
Came February, I tried contacting
the phone number on the slip that I was given to ask if there’s a possibility that
the cheque has been issued and arrived earlier. The landline was always busy
and the mobile number is not accessible. Frustrating right? So what I have done
was, I went to the hospital personally. My shift ended at 4:30pm so I have to
rush from Makati to Pasay to get on time but obviously, with the traffic here
in Manila? Good luck na lang sayo!
I talked to the philhealth
representative and gave her the paper.
Me: Ate, Paki check
naman kung available na ang cheque.
Philhealth Rep: Ay,
hanggang 5pm lang po ang inquiry. (I arrived past 6pm na kasi).
Me: Paki check lang
naman kung meron na. (A bit upset).
Rep: (Looked at the
paper and said) Naku ma’am nung December lang po iyan eh. Wala pa po. 3 to 4
months pa po iyan.
Naloka ako kay
ateh! Aba di man lang nag- abalang tingnan sa system. She just assumed na wala
pa.
End of
Conversation. Naisip ko, sige keribels lang yan wala pa naman 3 months eh.
After couple of
weeks, I went back to the hospital again,
Me: Paki tingnan po
kung may cheque na to.
The same rep
approached. Again she looked at the paper and said
Rep: Wala pa po
yan, 3-4 months po.
Imagine? Without
even looking on their files to check? Kahit pakitang tao lang sana eh. W.A.L.A!
Asyumera si froglet.
Me: Anu bang number
ang pwede kong tawagan na lang para di na ko pupunta kung wala pa?
Rep: Ayan po naka
sulat sa paper.
Sarcastic lang si
ateh!
Me: Eh kasi hindi
makontak yang mobile number na yan eh. Laging ‘can’t be reach’.
Rep: Imposible po
yun, eto po yang number na yan eh. Gusto niyo i- missed call nyo pa.
Ngali-ngali
kong sabunutan at okrayin si ateh! Nakakaloka! Pero behave lang kahit papataas
na ang kilay ko. I left the hospital annoyed. I’m sorry for being over
reacting. I was trained for customer service kasi yun naman ang trabaho ko. Kung
may survey lang din, negative zero yang ate na yan. Wala man lang ka care- care
eh.
Earlier,
I left our house around 6:30am so I can have much time to visit the hospital
again because for the nth time, hindi ma kontak yung number na ibinibida nung
ateng representative. I arrived 15 minutes early. They start kasi by 8am. So I waited
outside and came in exactly 8am. I stood on the cahier-window-look-alike. A guy
approached me and asked my concern, I showed him the paper and said
Guy:
Ma’am sa philhealth po yan, wait nyo na lang po (he was from a different department
ata kasi)
So
I have waited, I was wondering what they were doing kasi they supposed to
entertain me na dahil 8am na, office hours na. They entertained me after 10
minutes nung tipong madami ng tao sa loob. Awa ng Dyos, wala pa daw ang cheque
ko. Baka daw katapusan pa ng March! Nakakaloka lang!
Sana
lang next time, if they said that they would start at 8am, they should start by
then kasi what they have done was at exactly 8am, they were praying over. They
should have done that before 8am diba? Hinintay pa nila na dumami ang mga tao
tapos mag cocomplain na madami ang tao. Hay.. the battle doesn’t end here pa.. Annoying!
Mommy Jen
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Mommy Jen