GLOSSARY

CHANGES IN THE BENEFITS COVERAGE FROM ANOTHER SCHEME TO THE UCS
If a person loses coverage under the CSMBS or SSS due to loss of employment or retirement,
they will be eligible for the UCS system. That person can register in the UCS and select a
contracting unit for primary care.

CHANGING A SELECTED CONTRACTING UNIT FOR PRIMARY CARE
A UCS beneficiary can change their previously-selected contracting unit for primary care
or assigned unit by proxy (by resolution of the National Health Security Board) and can
register with a new contracting unit for primary care (CUP) but cannot exceed four changes
per fiscal year.

CHECK THE REGISTRATION IN THE UCS
A UCS beneficiary who has registered with a contracting unit for primary care can directly
check their rights by themselves by calling the Hotline # 1330, visiting the NHSO website,
or using the NHSO LINE application. 

CRITERIA FOR ASSESSING A SERVICE UNIT

This is a framework for examining the qualifications and suitability of healthcare facilities
to be registered as service units in the UCS, consisting of the following criteria: capacity to
provide quality health services to the public, management system, personnel, pharmaceuticals,medical equipment, instruments, and supplies.

NATIONAL BENEFICIALLY REGISTRATION CENTER (NBRC

The NBRC of the NHSO is the administrative unit for managing the registration of beneficiaries
by integrating registration information of government agencies and other insurance schemes
 

PERSONS LOSING COVERAGE UNDER THE CIVIL SERVANTS
MEDICAL BENEFITS SCHEME (CSMBS) OR OTHER GOVERNMENT
AGENCY SCHEME

Persons who had been working as a government civil servant or employee of a state enterprise, their spouse and children, lost coverage if the principal beneficiary was no longer employed by the government/state enterprise or retired receiving lump sum pension

PERSONS LOSING COVERAGE UNDER THE SOCIAL SECURITY SYSTEM (SSS)
This refers to persons who had been covered by the SSS by employment with a participating
employer in the private sector but lost coverage when they were no longer employed.

PROXY REGISTRATION AS PER THE RESOLUTION OFTHE NATIONAL HEALTH SECURITY BOARD
The NHSO can register a contracting unit for primary care on behalf of a beneficiary
temporarily as resolved by the National Health Security Board at its 8th meeting in 2011

QUALIFYING SERVICE UNIT

This is a service unit that has passed inspection and evaluation according to the criteria
of the NHSO, which meets the standards, and the NHSO announces the registration of
said service unit, which can then start providing services to beneficiaries of the UCS.

REGISTERING AS A UCS SERVICE UNIT

This is the process whereby the NHSO has healthcare facilities registered as a service unit
under the UCS to provide comprehensive and efficient health services, according to NHSO
standards. The types of registered service units are the primary care unit, contracting unit
for primary care (CUP), referral unit, and joint service unit