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Case Rate Packages from PhilHealth

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. 

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