This blog post features a variety of comprehensive health care services -from basic primary care to catastrophic packages to provide Philhealth and OFW members and their families with the information they need on CASH benefits and links on benefits availment. It also includes links to the Philhealth website to know more about eligibility requirements, coverage, general guidelines for specific diseases and selections criteria among others.
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- For IN PATIENTS BENEFITS
- These benefits are paid to the accredited Health Care Institution (HCI) through All Case Rates
- • The case rate amount shall be deducted by the HCI from the member’s total bill, which shall include professional fees of attending physicians, prior to discharge
- • The case rate amount is inclusive of hospital charges and professional fees of attending physician
- • Availment condition: Member must have at least three (3) months’ premium contributions within the immediate six (6) months prior to the month of availment
Hospitals = P5,000
Pre-Natal = P1,500
Viral Hepatitis P11,800
Intrauterine Device Insertion or IUD = P2,000
Rheumatic Fever = P10,100
Vasectomy Unilateral o Bilateral = P4,000
Cerebral Infarction = P28,000
Appendectomy = P24,000
Breech Extraction = P12, 120
Tubal Ligation = P4,000
Cerebral Palsy = P9,500
Cellulities = P9,600
Cholecystectomy = P31,000
Cataract Surgery = P16,000
Caesarian Section = P19,000
Chronic Cholecystitis = P11,300
Newborn Care Package = P1,750
Congenital Anemia = P15,200
Vasectomy Unilateral and Bilateral = P4,000
Emphysema = P11,400
Dengue Fever = P10,000
Severe Dengue = P16,000
Upper Respiratory Tract Infection (URTI)
Hospitals = P4,000
Primary Care Facilities = P2,800
Congenital Syphilis = P12,800
Chronic Obstructive Pulmonary Disease (COPD) = P12,200
Asthma in Acute Exacerbation for Hospitals = P9,000
In Primary Care Facilities for Asthma = P6,300
Diabetes Mellitus with Complications other than Coma and Ketosis = P12,600
Congenital Hypothyroidism = P9,900
Coronary Artery Bypass Graft Standard Risk = P550,000
Expanded Z Morph Package for Prosthesis- Above Elbow = P70,000
Expanded Z Morph Package for Prosthesis - Hip Disarticulation = P135,000
Cervical Cancer Chemoradiation with Cobalt and Brachytheraphy= P120,000
Cervical Cancer Chemoradiation with Linear and Brachytheraphy= P175,000
Colon Cancer Stage 1 and 2 Low Risk = P150,000
Colon Cancer Stage 2 High Risk to Stage 3 = P300,000
Expanded Z Morph Package Spinal - Thoralumbosacral = P40,000
Expanded Z Morph Package Spinal Cervicothoracic = P45,000
Expanded Z Morph Package Spinal -Lumbosacral = P30,000
Breast Cancer Early Stage 0 to Stage 3A = P100,000
Acute Lymphocytic/Lymphoblastic Leukemia Standard Risk = P210,000
FEMORAL SHAFT FRACTURES
Kidney Transplantation = End Stage Renal Disease (Low Risk) = P600,000
Expanded Z Morph Package Prosthesis - Below Elbow = P50,000
Expanded Z Morph Package Prosthesis - Above Knee/Knee Disarticulation = P70,000
Fractures Around the Hip =
Expanded Z Morph Package Ortho/Prosthesis - Ankle Foot = P17,500
Expanded Z Morph Package Prosthesis - Van Ness Rotationplasty = P85,000
Expanded Z Morph Package Orthoses - Hip Knee Ankle Foot = P80,000
For a complete list of benefits see here https://www.philhealth.gov.ph/benefits/
This article is filed under: Workers Compensation Insurance, International Health Insurance, International Medical Insurance, Online Life Insurance, Get Insurance
RECOMMENDED READINGS:
HOW TO ACCESS YOUR PHILHEALTH MEMBERS DATA RECORD
HOW TO MAKE A PHILHEALTH ONLINE ACCOUNT
OWWA AND PHILHEALTH MEDPLUS?
FREE PHILHEALTH FOR SENIOR CITIZENS
Appendectomy = P24,000
Breech Extraction = P12, 120
Tubal Ligation = P4,000
Cerebral Palsy = P9,500
Cellulities = P9,600
Cholecystectomy = P31,000
Cataract Surgery = P16,000
Caesarian Section = P19,000
Chronic Cholecystitis = P11,300
Newborn Care Package = P1,750
Congenital Anemia = P15,200
Vasectomy Unilateral and Bilateral = P4,000
Emphysema = P11,400
Dengue Fever = P10,000
Severe Dengue = P16,000
Upper Respiratory Tract Infection (URTI)
Hospitals = P4,000
Primary Care Facilities = P2,800
Congenital Syphilis = P12,800
Chronic Obstructive Pulmonary Disease (COPD) = P12,200
Asthma in Acute Exacerbation for Hospitals = P9,000
In Primary Care Facilities for Asthma = P6,300
Diabetes Mellitus with Complications other than Coma and Ketosis = P12,600
Congenital Hypothyroidism = P9,900
Emphysema = P11,400
Coronary Artery Bypass Graft Standard Risk = P550,000
Expanded Z Morph Package for Prosthesis- Above Elbow = P70,000
Expanded Z Morph Package for Prosthesis - Hip Disarticulation = P135,000
Cervical Cancer Chemoradiation with Cobalt and Brachytheraphy= P120,000
Cervical Cancer Chemoradiation with Linear and Brachytheraphy= P175,000
Colon Cancer Stage 1 and 2 Low Risk = P150,000
Colon Cancer Stage 2 High Risk to Stage 3 = P300,000
Expanded Z Morph Package Spinal - Thoralumbosacral = P40,000
Expanded Z Morph Package Spinal Cervicothoracic = P45,000
Expanded Z Morph Package Spinal -Lumbosacral = P30,000
Breast Cancer Early Stage 0 to Stage 3A = P100,000
Acute Lymphocytic/Lymphoblastic Leukemia Standard Risk = P210,000
FEMORAL SHAFT FRACTURES
Kidney Transplantation = End Stage Renal Disease (Low Risk) = P600,000
Expanded Z Morph Package Prosthesis - Below Elbow = P50,000
Expanded Z Morph Package Prosthesis - Above Knee/Knee Disarticulation = P70,000
Fractures Around the Hip =
Expanded Z Morph Package Ortho/Prosthesis - Ankle Foot = P17,500
Expanded Z Morph Package Prosthesis - Van Ness Rotationplasty = P85,000
Expanded Z Morph Package Orthoses - Hip Knee Ankle Foot = P80,000
The Philippine Health Insurance Corporation (PhilHealth) reminds the public anew that the sufficient regularity of payment (SRP) will be required for all benefit availments starting October 1, 2018.
Previously set for implementation last January, PhilHealth postponed the execution of the directive to provide its members with ample time to update their premium contributions in order to ensure themselves and their dependents of uninterrupted social health insurance coverage.
The SRP rule is contained in PhilHealth Circular No. 2017-0021 which states that, “...to establish sufficient regularity of payment, members should have paid six (6) months contributions preceding the three (3) months qualifying contributions within the twelve (12)-month period prior to the first day of confinement...”
In effect, to be eligible to PhilHealth benefits, a member should have paid at least nine (9) months’ worth of premiums in the twelve (12) months preceding the confinements including the confinement month of the patient.
“We call on our members to see to it that their membership information and premium contributions are up to date in order to maintain an active PhilHealth membership. In doing so, they ensure themselves and their qualified dependents of social health insurance benefits for their medical needs,” said PhilHealth Acting President and CEO Dr. Roy B. Ferrer.
Further inquiries on this policy may be referred to PhilHealth’s 24/7 Corporate Action Center Hotline, (02) 441-7442. E-mails may also be sent to actioncenter@philhealth.gov.ph for clarifications, comments, and suggestions. For more updates, members and stakeholders are encouraged to follow PhilHealth on Twitter (@teamphilhealth) and Facebook (facebook.com/PhilHealth)
For a complete list of benefits see here https://www.philhealth.gov.ph/benefits/
This article is filed under: Workers Compensation Insurance, International Health Insurance, International Medical Insurance, Online Life Insurance, Get Insurance
RECOMMENDED READINGS:
HOW TO ACCESS YOUR PHILHEALTH MEMBERS DATA RECORD
HOW TO MAKE A PHILHEALTH ONLINE ACCOUNT
OWWA AND PHILHEALTH MEDPLUS?
FREE PHILHEALTH FOR SENIOR CITIZENS
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