Philhealth Benefits



 






This is a summary of the philhealth benefits and coverage given by Philhealth to its members and beneficiaries.  Although updates may be checked further at the website of: http://www.philhealth.gov.ph/

The said office enjoins all Filipinos to be a member. As such, the readers are encourage to learn more of the services offered by the company and the contribution to maintain it. 




Inpatient coverage:










 

 

 

 Outpatient coverage:

    Day surgeries, dialysis and cancer treatment
    procedures such as chemotheraphy and radiotheraphy in accredited hospitals and free-standing clinics.

 

Special benefit packages:

  • Enhanced Outpatient Benefit Package
  • Coverage for up to the fourth normal delivery!
  • Newborn Care Package
  • TB treatment through DOTS
  • SARS and Avian Influenza Package
  • Influenza A (H1N1) Package

Exclusions/non-compensables

Coverage for normal spontaneous deliveries
PhilHealth provides compensation for uncomplicated normal spontaneous delivery or NSD of the first four births done either in hospital or non-hospital settings.
For deliveries in hospital facilities - subsidy shall be broken down as follows:
Services
Coverage
Hospital charges
Professional fees
Php 2,500
Php 2,000

Total

Php 4,500
For deliveries in non-hospital facilities a comprehensive package consisting of maternal and childcare services are offered under the Maternity Care Package.

Details of coverage:

Amount of coverage
Php 4,500
Services included
Prenatal to postnatal care including family planning services
Providers
Duly accredited birthing homes, maternity and lying-in clinics etc.
Eligibility
Confinement within validity period as stated in the Member Data Record
Exclusions
  • NSD of the fifth and subsequent births
  • Maternal age of less than 19 years
  • First pregnancy of patients aged 35 years and older
  • Multiple pregnancies
  • Ovarian abnormalities (ovarian cyst)
  • Uterine abnormalities (myoma uteri)
  • Placental abnormalities (placenta previa)
  • Abnormal fetal presentations (breech)
  • History of three or more miscarriages/abortions
  • History of one stillbirth
  • History of major obstetric and/or gynecologic operation (cesarian section, uterine myomectomy).
  • History of medical conditions such as hypertension, pre-eclampsia, eclampsia, heart disease, diabetes, thyroid disorder, morbid obesity, moderate to severe asthma, epilepsy, renal disease, bleeding disorders.
  • Other risk factors that may arise during present pregnancy (e.g. premature contractions and vaginal bleeding) that warrants a referral for further management.
Other conditions
Pregnancies resulting to abortion are not covered by the limitation of coverage of vaginal deliveries of the first four births.

Enhanced Outpatient Benefit Package

Enjoy a comprehensive package of benefits designed to ensure the health of our new heroes and their families.
A. Consultation
B. Diagnostic services
  • Complete blood count (CBC)
  • Routine urinalysis
  • Fecalysis
  • Fasting blood sugar
  • Blood typing
  • Hemoglobin/Hematocrit
  • Electrocardiogram (ECG)
  • Anti-streptolysin O (ASO-Titer)
  • Hepatitis B Screening Test
  • Treponema pallidum hemaglutination assay (TPHA)
  • Potassium hydroxide (KOH)
  • Erythrocyte sedimentation rate (ESR)
  • Pregnancy test
  • X-ray (Skull, Chest, Lower and Upper Extremities)
  • Sputum Microscopy
  • Pap Smear
C. Visual acuity examination
D. Psychological evaluation and debriefing
E. Promotive/preventive health services:
  • Visual acetic acid screening for cervical cancer
  • Periodic digital rectal examination
  • Periodic clinical breast examination (CBE)
  • Counseling for cessation on smoking
  • Lifestyle modification (regular blood pressure measurement and nutritional or dietary counseling)
  • Counseling for reproductive health particularly breastfeeding
  • Nutritional or dietary counseling
F. Auditory evaluation
G. Treatment of the following diseases based on PhilHealth-adopted clinical practice guidelines:
  • Urinary tract infection (UTI)
  • Upper respiratory tract infection (URTI)
  • Acute gastroenteritis (AGE)





QUESTION AND ANSWER:

111 comments:

  1. i am scheduled for a cataract extraction this month. at present i am unemployed since february this year. but i i have paid my contributions from sept to december this year(6 months) as voluntary member. can i claim some monetary assistance from philhealth after my operation. how much can i receive? thank you i hope you can answer my questions>

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  2. Unfortunately PhilHealth is very strict when it comes to cataract surgery. They're strict about the nine months contribution. And there's required pre-approval, HMO-style. If you go ahead with the surgery without this pre-approval, Philhealth will not reimburse you. Sorry. - from Dr. Marge Lat-Luna, PGH

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  3. My suggestion for that patient is to go to a government hospital where there are DOH-medical assistance funds, like in PGH. She will be evaluated by the Medical Social Service, which is required by the MOA between PGH and DOH.

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  4. Hi,

    I am an OFW who had an executive health check in Asian Hospital. Can you please kindly advise if I can reimburse my payment from Philhealth? May I know the requirements as well. Thanking you in advance.

    ReplyDelete
    Replies
    1. Executive check-ups in general are not covered by Philhealth especially in private hospitals. For details watch: https://www.youtube.com/watch?v=YFIgF5nkphg

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  5. I have been checked up by the private doctor here in our province.He gave me a referral for laboratory test for: EMG-NCV and RNSS.Can I use my philhealth to this kind of lab.test?And may i know how much is this kind of lb.test?if ever i t will ot pproved

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    Replies
    1. Usually philhealth could be used but sometimes you need to be admitted 24 hrs . And the price range is 4 to 6 thou depending in the institution doing it. - Dr. Lynne Lucena, Neurosurgeon at USI-Mother Seton Hospital, Bicol

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    2. both tests cost 1-1.5k at PGH - Dr. Susette Nacario, neurologist

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  6. Im a philhealth voluntarily member. I married indonesian citizen married in philippines. Im now here in indonesia because my wife will give birth. Can i my wife be a beneficiarry? And my baby too?

    ReplyDelete
    Replies
    1. Yes, you may check the list of dependents with the link and as long as you use a facility here in the Philippines even in accredited health centers:

      http://www.philhealthnet.com/2014/11/philhealth-dependents.html

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  7. Executive check-ups in general are not covered by Philhealth especially in private hospitals. For details watch: https://www.youtube.com/watch?v=YFIgF5nkphg

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    Replies
    1. Pwede po b magamit ang philhealth ko s 16 yrs old kong anak..magpapachek up muna dahil laging nag nosebleed?

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  8. If a member is hospitalized for the second time of the same sickness in a period of 3 months after the first hospitalization, can he still be covered by Philhealth?

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  9. I am ofw my father is one of my dependent he is 78 yrs old he was Admitted in national kidney transplant institute.my question is philhealth will shoulder all the diagnostic procedure such as biopsy,ct scan,and laborotories investigation?he was admitted and investigated for malignancies?CT scan says hepatic nodules consider metastasis...

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    Replies
    1. unless admitted in the hospital, such case and procedures when done in an outpatient basis are not covered by philhealth

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  10. Is hemorrhoid operation (laser/surgical) covered by Philhealth for both member and dependent?

    Thanks.

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  11. I am a wife of an OFW my husband was hospitalized due to accident in their company. Can i reimburse his expenses at philhealth and what are the requirements

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  12. Greetings!

    My mother 64 yo was hospitalized for three days last October 2014 due to kidney stone, we applied my sisters philhealth for the bill. She was advised by the doctor to undergo shock wave treatment. After 1 week of treatment he was hospitalized again due to kidney infection, kidney was not able to flush the stones. she was also diagnosed with hearth problem and pneumonia. after two weeks of hospitalization she is now in good health and ready to be discharge. My question is, can we still use my sister philhealth coverage on this bill? the hospital told us that there should be 90 days to use again the philhealth. We paid 60k for first hospitalization and now 300k plus for second hospitalization and we can not use the philhealth benefit? thank you and best regrads,

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  13. I am a holder of a lifetime philhealth ID I was operated on Recurrent Mandibular Tumor on the left neck with the following diagnosis:
    -Dermarofibrosarcoma Protruberance
    - Reactive Hyperplasia
    - Chronic Sialadenitis
    If I go to for chemotheraphy can I be cured?
    Is chemotheraphy covered under the philhealth benefits?

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    Replies
    1. i suggest that you discuss the prognosis, possible management and outcome of the disease with your doctor. Philhealth covers chemotherapy

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    2. In case you still need some funding, you may visit my other webpage (this will guide you to assistance through Philippine Charity Sweepstakes Office): http://www.philhealthnet.com/2008/12/part-ii-chemotherapy-dialysis.html

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  14. Indigent member po ako, meron po ako bukol sa dibdib? Mg papa check up po ako sa MCU, kapag i advice ng doctor ang surgery? Magkano po aabutin ng gastos ko with philhealth assistance po? Many thanks.

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  15. can i reimburse payment made of my HMO for may laboratories? SKULL XRAY and CBC

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  16. hi, i am schedule for a cataract operation in a private school. can i avail a benefit for this/ what process can i take..thank you and more power..

    susan.

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  17. Good morning i am a philhealth member, ask ko lang po if pwede ko gamitin sa panganganak ng livein partner ko, can i avail any benifits from philhealth?? Thank you.

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  18. Can I reimburse for a an Intralase Eye Surgery? This is to treat my myopia

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  19. How much coverage for vehicular accident w multiple fracture surgery? 4th day in the hospital

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  20. Hi good day gusto ko po lang malaman kung magagamit ko name young philhealt ko by January nagbayad po ako ng 3 months ng December ,kailangan ko po losing maoperahan same mata, para maiayos pong multi young retina ko. Salamat po.

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  21. Hi! How much does philhealth cover for ovarian cyst operation? Thanks!

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  22. I am required to undergo CT scan. I opt to be hospitalized for 24hrs. Is this covered by philhealth?

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  23. I was ask to undergo CT scan. is this convered by philhealth if i will be hospitalized for 24hrs?

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  24. My mom is 81 yrs old. Recently been hospitalized for 4 days in local facility. We were asked to make a deposit. I heard she automatically becomes a Philhealth member since she's above 59 yrs of age. Of the total hospital bill of 29k, our out-of-pocket expenses was about 12k. Is this about right? How do we know how much was covered and how much was not. I thought government fully subsidized the cost.

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  25. hi sir, is the Enhanced Outpatient Benefit Package available for all accredited hosp?

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  26. hello doctor, is the Enhanced Outpatient Benefit Package available in all philhealth accredited osps? thanks

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  27. my father died in a heart attack can we reimburse the payment we have paid in the hospital its about 18k

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  28. Just wanted to verify if Philhealth covers "nasolabial cellulitis".

    Thank you in advance.

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    Replies
    1. It is covered by philhealth under "cellulitis of the face". You can visit the list of medical diseases in this reference: http://www.philhealth.gov.ph/circulars/2013/annexes/circ35_2013/Annex1_ListOfMedicalCaseRates.pdf

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  29. My mother will undergo operation, she is a senior and my dependent. Can we use both my philhealt and senior dscount?tnx

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    Replies
    1. you can use philhealth then use the senior citizen's discount for the remaining balance

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  30. Good afternoon.

    I was a deped teacher and resigned last nov. 2014. Now i work in thailand. My contribution stopped last novemeber. My husband is now confined in a private hospital. Can we use my philhealth card even though I have 2 mos unpaid contribution? Can I pay my 2 mos contribution now to use Philhealth? Pls. Im desperate. Need help. Thank you

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  31. Is outpatient ct scan for the neck covered by philhealth, it costs more than P5,000 in a government hospital.

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  32. Hello, just want to ask, a friend of mine will undergo malsupriation (minor surgery) cn she avail d philhealth discount even if she did not complete the 24 hr confinement?thank u so much..

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  33. please post in every hospital a clear amount of coverage per case/disease so that we have an idea on availing philhealth benefits.

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    Replies
    1. hi. I agree with this. I will inform my colleagues working in the agency. As of now, this is their comprehensive list of medical cases: http://www.philhealth.gov.ph/circulars/2013/annexes/circ35_2013/Annex1_ListOfMedicalCaseRates.pdf

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  34. I updated my membership last month,my son will be operated(minor) for pott`s disease this January,can I avail my philhealth benefits now?

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  35. I have a hernia, I want it to be removed. I am a newly registered member to philhealth. Can philhealth help cover the expenses? Thank you.

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    Replies
    1. once you know what type, you can check the list here: Hi! My fellow doctors would like to advise you to go directly to the philhealth office designated to the hospital you are referring. From our understanding, they require 9 months of payment before you are entitled of the benefits. It would be best that conflicting policies be settled by their office and we will respect these policies. We only hope that they could be more clear of their information dissemination though. thanks

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  36. my son was diagnosed of tooth impaction he is beneficiary of my husband philhealth does this kind of condition also covered by philhealth thanks

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    Replies
    1. hi, dental care such as tooth extraction is not covered yet with philhealth. The listed medical cases are listed in the website below: I hope this answers your question.
      http://www.philhealth.gov.ph/circulars/2013/annexes/circ35_2013/Annex1_ListOfMedicalCaseRates.pdf

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  37. i am an OFW until now..but i wasn't able to pay my contribution since I got here in abroad..my last payment was sept.2013..I had a problem in myright eye(vitreous hemorrhage)which I aquired here in abroad..can you give me an advise on what to do coz. my contract will be finished in sep.2015 and I have to undergo eye treatment..do you think i can use my philhealth membership..?thank you..God bless..

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  38. i am an OFW until now..but i wasn't able to pay my contribution since I got here in abroad..my last payment was sept.2013..I had a problem in myright eye(vitreous hemorrhage)which I aquired here in abroad..can you give me an advise on what to do coz. my contract will be finished in sep.2015 and I have to undergo eye treatment..do you think i can use my philhealth membership..?thank you..God bless..

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  39. My husband have an operation last 2 years ago in appendisities but he is new in philhealth he only pay 6 months,but the hospital let us use philhealth they approved it even the the philhealth inside the hospital we pay for the rest of the payment,but after 1 year the hospital send us a letter because we ask to pay the rest of thr payments because philhealth dont want to pay the hospital because they said we need 9 months to use for an operation but when we pay they gave us thier reciept that the philhealth should pay for rest..i think we pay 42 thousand and philhealth covered is 25 thousand..i dont know what will happen in this case but continue paying philhealth until now,i hope i can have an explanation in this case.

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  40. Hi,it is possible that 6 months paid to the philhealth covered a surgery?my husband had surgery last 2 year and he use philhealth,the hospital agree to use it also philhealth in that hospital mmg lucena,we pay the hospital the other is covered by philhealth,but after a year the hospital want us to pay because philhealth dont want to pay the hospital because they said it is not yet covered by philhealth because he new,we need 9 months payments,what we can do in this case..they ask me to pay 25 000 in 6 months because the hospital said its a long time ago but we know its not our fault,i hope i can have an explanation with this case.

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    Replies
    1. Hi! My fellow doctors would like to advise you to go directly to the philhealth office designated to the hospital you are referring. From our understanding, they require 9 months of payment before you are entitled of the benefits. It would be best that conflicting policies be settled by their office and we will respect these policies. We only hope that they could be more clear of their information dissemination though. thanks

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  41. Hi.. I got chickenpox started this monday.. Can I reimburse the consultation and laboratory fees? And also the medications prescribed to me?? The consultation only cost 350 and CBCP cost 330, but the medicines cost us almost 2k.. can o reimburse this to philhealth?? tnx

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    Replies
    1. hi sorry, varicella or chickenpox on an outpatient basis is not covered by philhealth

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  42. i was confined last november and was operated due to gal stones. i have spent almost 10k for all the materials for the OR for the operation. can i still reinburse it with philhealth? how many months do i have to wait? thanks RBF

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  43. Hi RBF, it must be filed within 60 days from the time you were discharged.

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  44. Hi,

    My father-in-law has just recently had a kidney transplant at NKTI, which so far has been a great success. He's been discharged but is facing very large bills of about P12,000/week for the post-surgery medication. I understand he will need to be on some form of immunosuppressants for the rest of his life. Does philhealth cover such post-surgery medication expenses?

    thanks

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    Replies
    1. I'll ask my colleagues from NKTI and get back to you but feel free to visit the hospital's social service for your financial concerns. They will provide recommendations. I wrote an article on getting assistance from PCSO. They can help you for the maintenance. Visit this website: http://www.philhealthnet.com/2008/12/part-ii-chemotherapy-dialysis.html

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    2. ask the treatment protocol from your attending physician

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    3. Post-KT patients need immunosuppressive meds yes, and in the immediate post-op period, these are in high doses, thus expensive. As his body gets used to the graft, the doses and even the number of meds goes down and becomes cheaper in the long run. Eventually it will become significantly less expensive than twice a week dialysis, with a better QoL. PhilHealth, I don't think will cover home meds. Assistance from PCSO/PAGCOR or the respective Congressman or Senator or even Mayor can be done. - Dr. Gene Yusi, NKTI Surgeon

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  45. My father had been hospitalized twice because of Pneumonia. First last Dec. 23 to Jan. 3 and second on Jan. 18-26, 2015. On his second admission, he was not covered by Philhealth because they said that he can not be covered if hospitalized twice with the same diagnosis. Is this true considering that my father is already 83 years old and that old people often get pneumonia.

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  46. My father is 83 yo and hospitalized twice due to pneumonia last Dec. 23, 2014 - Jan. 3, 2015 and on Jan. 18-26, 2015. On his second confinement, he was no longer covered by Philhealth because they said that he was twice with the same diagnosis. Is this true? Considering that my father is old and most often old people get pneumonia.

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  47. As far as I know, there is such a rule. Pag masyadong magkalapit Ang dates of confinement, it is assumed that Hindi talaga gumaling ang patient, and the second confinement is a continuation of the same diagnosis for the first confinement. That's why dyan lugi ang PGH. Usually sa PGH na pumupunta for the second confinement. And since nagamit na Nya yung PhilHealth sa first confinement, Hindi na Pwede mag claim ang PGH. - Dr. Marge Luna , PGH Liason Officer

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  48. gud morning po!!!! ask ko lng po kung may ma claime pa bo ba akong refund sa mga medical exam ko at laboratories. 5months pregnant na po kya ako or sabay-sabay nlng po ang pagfile nun sa pagkapanganak ko?
    salamat po.

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    Replies
    1. Hello din :) Ang medical exams at laboratories para sa buntis ay di po kasama sa philhealth coverage.

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    2. Maybe shes referring to her sss benefits.. tel her to file her prwgnancy sss then keep the maternity notification form then after delivery report to sss so she can receive compensation! amt wil depwnd n hr manner of delivry.. - Dr. Carmela Lucido, Ob-Gyne, Chonghua Hospital - Cebu

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  49. Hi. I receive my bpn today and there's a discrepancy on the amount on the notice compare to the amount that I paid to the hospital. Is it possible to request for a refund if I no longer have the hospital bills and official receipt? Thank you

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    Replies
    1. May proseso po para sa nawawalang resibo. Pero pwede pa po

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  50. hi! for the new law ng philhealth for senior, iba po ba ang coverage or discount ng philhealth sa hospital bill at iba pa po ung 20% discount sa bill pag senior ka? sa makati med po kasi na hospital ung patient.

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  51. iba po ba ung discount ng philheatlh for senior sa 20% discount ng senior sa hospital bill po? makati med po ung patient

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  52. Hi po,simula po JUNE 2014 hndi na ako nakapag hulog sa phealth ko dahl nag resign na ako sa work ko,pero ngayon pong MAY 2015 manganganak ako,magagamit ko po ba phealth ko?kung hndi ko po pwde gamitin,ano po kaya pwede ko gawin para magamit ko?sana po matulungan nyo ako,salamat po.

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    Replies
    1. May SSS po ba kayo? Mas makakatulong po kung meron kasi malaki benepisyo nila para sa buntis

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  53. Gandang araw po. May goiter po ako, pag ipaopera ko po covered din po ba siya ng phihealth? Tnxs.

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    Replies
    1. hi! depende po yan kung anong klaseng goiter po....meron po kasi sa malignant nodule, hyperthyroidism, etc

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    2. Magkaiba ang listahan ng medical cases saka surgical cases. Yup covered ng philhealth ang Thyroidectomy. - Dr. Marieflor Cristy Garcia, ENT, Isabela

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  54. Goodmorning. My husband is presently confined in a hospital. He is diagnosed with a brain tumor. And the doctor told us that he needs a surgery. Its a sensitive operation so we decide some time to think. If ever he discharge by the hospital and comeback when we finally decide for his surgery. Can he still use his philheath? Thanks....

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    Replies
    1. Hello it depends on what kind of tumor it is please ask the exact name of tumor and location in the brain - Dr. Lucena, Neurosurgeon

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    2. Hi Doc, good evening. My husband has meningioma and located at the
      left part of his brain. If we decide to undergo him for surgery is
      this covered by his Philhealth? Are also our hospital bills are
      covered if the doctor discharge us from his confinement before we
      finally decide to undergo operation? Thank u for the immediate
      response.

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    3. Kapag bumalik agad the surgery will be covered dapat by philhealth kasi may RUV dapat iyon or relative unit value na computed according to the code ng sickness in his case meningioma. In my experience yes covered pa ng philhealth kc I had patients discharged and re admitted after a month lang to prepare logistics. Ang problem is yun hospital nila kung yun ang ayaw mag cover pero dapat alam din iyon ng surgeon na gagawa kasi sa akin always covered na kapag surgery at dapat ipasok at least one day sa icu para he gets the highest tier of discount - Dr. Lourdes Lucena, Neurosurgeon

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    4. Hi doc thanks for the reply. Kalalabas lng po nmen s ospital. Doc tanong q lng mgkano b covered ng philhealth katulad ng ganun na-confine sya na-admit kame for cvd and pneumonia then later n nakita n may mennlingioma sya. Ng bill po kame ng almost 30k tapos nsa 10k lng po binawas ng ospital. Salamat po ulit s reply.

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    5. hi pam, usually nakacompute or charge naman per case / sakit. I advice for you to consult the philhealth office of the hospital since they know what has been covered.

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  55. hi,

    I am an ofw and my kid was bitten by a dog. are the consultation and the vaccination fees are covered by philhealth?

    thank you.

    ReplyDelete
    Replies
    1. Hindi po. Pero may mga BITE CENTER na po sa mga munisipyo or health center. Libre po dun ang una at huling antirabies shot. Libre na run ang konsulta.

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    2. Please read this article on dog bites, the contact number of the bite center hotline and other details are here.... http://www.philhealthnet.com/2008/12/rabies-is-100-fatal-once-you-have.html

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  56. hi, ofw po ako, and magbabayad po ako ng philhealth ko. kaso wala ako sa pilipinas ngayun at kapatid ko po ang mag babayad para sa akin. kailangan pa po ba magpakita ng papers na ofw yun babayaran? or makikita na nila sa computer? dahil nun 2006, hiningan pa nila ako ng letter na nagpapatunay na ofw yun babayaran ko. dahil magkaiba ang bayad ng ofw sa di ofw......advice po, tnx.

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    Replies
    1. your relatives can call (02) 4417442 para mag-inquire po.

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    2. Para sa dagdag na information....pakibasa po yung article on ofw. Click sa side may overseas filipino worker na nakasulat. Makikita mo ang options mo.

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  57. Hi ulit Doc this is the 3rd time U ask an advice from and thank u for keep replying. Tanong q lng po what if nd p makabalik ang husband q s work dahil nga po dun s findings n may meningioma sya. at dahil po dito nd mahuhulugan ang philhealth nya. Pede q n po sya iaplay for self-employed? Gang kelan po nya mggamit ung 2014 nya n mga hulog? Maggamit nya p bo b un for the entire year of 2015? Kung nd sya mkkpghulog ngaung 1st quarter of 2015. Thanks po...

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    Replies
    1. Hi pam, may option po na vountary payment sa philhealth. Pwede nyong gawin to. Pero kailangan nyo magfill.out ng papers sa accredited philhealth office na malapit sa inyo.

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  58. Thank u po for immediate reply...cge po ggawin q..

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  59. Hi po dok ..ofw po ako at updated sa byd ng apat na taon and this april uwi po ako pinas para pageneral check up..magpapa mri..ti d echo at endocopy oo ako..covered kaya ak0? Salmt po

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    Replies
    1. Hi alyn! Ang covered lang po ng Outpatient Benefit Package (OPB) ay ang sumusunod:
      Consultation/Check-up, blood
      pressure monitoring, periodic
      breast examination, body
      measurement, counselling for
      cessation of smoking,
      counselling for lifestyle change.
      Sputum microscopy screening
      for TB, visual acetic acid
      screening for cervical cancer for females 35 years old above,
      digital rectal examination for
      males 40 years old above for
      prostate screening
      Urinalysis, fecalysis, chest x-ray
      and complete blood count.

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    2. Yung MRI, 2D-Echo at Endoscopy hindi pa po siya kasama sa package

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  60. Gud pm po. Ask ko lng po sana, may goiter po ako kng paopera ko po covered din ba sya ng philheath. Tnxs po.

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  61. Hi Doc, goodmorning po. Magtatanong lng po sana ulit ako regarding s philhealth benefits ng husband ko. Gusto ko po kase sya ipatingin s ibang ospital for second opinion. Kung dadalhin ko po sya sa OPD section covered po ba ng philhealth kung sya po ay irerequest for x-ray. laboratory test such as CBC, Creantinine and or other lab test? How about CT SCAN po? Magagamit pa po nya ung philhealth nya s OPD kung ginamit ko n po sya 1week ago nung n-confined sya s ospital? Thanks po s reply.

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    Replies
    1. For 2nd opinion, ang kailangan lang po are mri plates that you had. You can request them sa doctor. And your clinical history na galing din sa doctor. Di na kelangan yung cbc creatinine ulitin. Your dr will understand.

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    2. Just bring all the lab results and clinical abstract ng husband nyo po para di na uliton ang laboratory tests

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  62. Hi mam.pag general check up po ba covered ng philhealth kasi ofw po ako updated po ako sa bayad ko ng 4 years and never ki po ngmit..and this april am plannung to go home abd have mri.endocopy and to the echo..covered ba ako dok? Salamat

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    Replies
    1. Hi sorry, di po covered ng philhealth ang mri endoscopy at 2d echo for a regular check.up

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  63. Hi mam.pag general check up po ba covered ng philhealth kasi ofw po ako updated po ako sa bayad ko ng 4 years and never ki po ngmit..and this april am plannung to go home abd have mri.endocopy and to the echo..covered ba ako dok? Salamat

    ReplyDelete
  64. Hello po dok im an ofw and im planning to have a general check up on april pag uwi ko sa amin.which include endoscopy, to the echo, and mri of the brain. May mababawasan ba sa bill ko dok?salamat po

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  65. Hi doc ask ko lng if covered po ang knee fracture cause of vehicular accident ng son ko and out patient po sya.

    ReplyDelete
    Replies
    1. Hi Mary Grace! Ang covered lang po ng Outpatient Benefit Package (OPB) ay ang sumusunod:
      Consultation/Check-up, blood
      pressure monitoring, periodic
      breast examination, body
      measurement, counselling for
      cessation of smoking,
      counselling for lifestyle change.
      Sputum microscopy screening
      for TB, visual acetic acid
      screening for cervical cancer for females 35 years old above,
      digital rectal examination for
      males 40 years old above for
      prostate screening
      Urinalysis, fecalysis, chest x-ray
      and complete blood count.

      Delete
  66. Hi Mary Grace! Ang covered lang po ng Outpatient Benefit Package (OPB) ay ang sumusunod:
    Consultation/Check-up, blood
    pressure monitoring, periodic
    breast examination, body
    measurement, counselling for
    cessation of smoking,
    counselling for lifestyle change.
    Sputum microscopy screening
    for TB, visual acetic acid
    screening for cervical cancer for females 35 years old above,
    digital rectal examination for
    males 40 years old above for
    prostate screening
    Urinalysis, fecalysis, chest x-ray
    and complete blood count.

    ReplyDelete