Philhealth Benefits — Case Rates Payments for Certain Medical and Surgical Cases

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  1. Hi question lang po. My father was diagnosed na may high risk pneumonia. Pero naintubate siya and naconfine ng 9 days.yung fixed rate lang ba ng pneumonia ang mababawas sa bill namin? Or may ibang rate yun pag naintubate sya. Thank you and Godbless.

  2. Hi Rosalie, your sister can avail of 90 sessions of hemodialysis per year, with a coverage of 2,600 pesos per session (equivalent to 2,600 x 90 sessions = 234k pesos per year. Yong hindi ma-cover ng 2,600, yon ang babayaran ninyo. Covered pa rin siya for confinements for other illnesses if needed (45 days per year), with fixed coverages depending on the diagnosis. Find a clinic offering a Philhealth dialysis package na konti na lang ang idagdag ninyo.
    If it’s peritoneal dialysis, every 4 days of dialysis is equivalent to 1 day na ibabawas sa 90-day allowance per year. The insertion of the cannula has a separate coverage.
    Some info here: Hemodialysis

  3. hi
    na confine ako for 2days due to pre term labor and infection sa uti.. ilang percent kaya ma dededuct sa total bill ko..kompleto naman kami ng naipasa sa philhealth bago p ako ma admit nasa 15k n kc ang bill nmin.

    thanks

  4. Hi yhen, fixed ang Philhealth deductions, depending on the illness. At isang illness lang ang kino-cover, yong more expensive. Kung UTI yong mas costly, at UTI during pregnancy ang diagnosis, 4k ang coverage (2,800 sa hospital; 1,200 sa doctor). Kapag admissible UTI ang diagnosis, 7,500 ang coverage.

  5. hi, nakaconfine po ako mag 3 days na. measles lang pala, ang problema ko po yung private duty nurse or special nurse ang mahal, hindi pa covered ng HMO ko, macocover po ba yun ng philhealth if ever?

  6. Hi po aask ko LNG po LNG sakop ba ng biophsy ang philhealth ..may breast lump po kasi aqo at need ko magpabiophsy …covered po ba xa ..a??at magkno magagastos po ???

  7. Hello, ang brother ko po ay nagdadialyis at nung 2016 naubos na po ung 90 sessions sa Philhealth. Naconfine po sya last December 2016 at malaki po ang naging bill nila sa hospital dahil hindi na binawasan ng Philhealth dahil ubos na raw po sa dialyis. Tama po ba yun? Thanks in advance for your reply.

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