The iSavta Team | 13.11.2019
Are you a member of Philippine Health Insurance or PhilHealth? If you are, then you have to be aware that the benefits that you can possibly get from PhilHealth will be base on your or your beneficiary’s hospitalization case.
The Philippine Health Insurance published a list of Case Rate Packages last 2011. Gone are the days when PhilHealth could not guarantee a member a definite amount of benefits for his/her hospitalization for any medical conditions and surgical procedures.
Right now, the case rate packages for selected medical conditions and surgical procedures are available in institutional health care facilities accredited by Philippine Health Insurance (PhilHealth)
For everybody’s information, here are the medical cases with corresponding package rates:
| Dengue I | 8,000 |
| Dengue II` | 16,000 |
| Pneumonia I | 15,000 |
| Pneumonia II | 32,000 |
| Essential Hypertension | 9,000 |
| Cerebral Infarction (CVA I) | 28,000 |
| Cerebro-Vascular Accident with Hemorrhage (CVA II) | 38,000 |
| Acute Gastroenteritis | 6,000 |
| Asthma | 9,000 |
| Typhoid Fever | 14,000 |
| Newborn Care Package (Hospitals & Lying-in Clinics | 1,750 |
| Radiotherapy (per session) | 3,000 |
| Hemodialysis (per session) | 4,000 |
| Maternity Care Package (MCP) | 8,000 |
| Normal Spontaneous Delivery (NSD) Level 1 hospitals | 8,000 |
| Normal Spontaneous Delivery (NSD) Level 2-4 hospitals | 6,500 |
| Caesarian Section | 19,000 |
| Appendectomy | 24,000 |
| Cholecystectomy | 31,000 |
| Dilatation and Curettage | 11,000 |
| Thyroidectomy | 31,000 |
| Herniorrhaphy | 21,000 |
| Mastectomy | 22,000 |
| Hysterectomy | 30,000 |
| Cataract Surgery | 16,000 |
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There are also Sponsored Program members who belong to the “poorest of the poor”. The government is paying for their PhilHealth. All Sponsored Program members who are admitted in government hospitals will no longer pay for any fees (No Balance Billing or NBB) nor shall expenses be charged to or paid by the patient-member above and beyond the package rate.
The NBB policy shall also apply to any other member type such as the employed, individually paying and overseas workers, who will avail themselves of the MCP and NCP in all accredited MCP non-hospital providers such as maternity clinics, and birthing homes.
It is very beneficial to have a PhilHealth insurance for you and your family. Make sure to have one.
