What does PhilHealth cover?

PhilHealth and beneficiaries have access to a comprehensive package of services, including inpatient care, catastrophic coverage, ambulatory surgeries, deliveries, and outpatient treatment for malaria and tuberculosis.

What services are covered by PhilHealth?

Day surgeries (ambulatory or outpatient surgeries) are services that include elective (non-emergency) surgical procedures ranging from minor to major operations, where patients are safely sent home within the same day for post-operative care.

  • Radiotherapy.
  • Hemodialysis.
  • Outpatient Blood Transfusion.
  • How do I claim PhilHealth benefits?

    To be eligible to avail of your PhilHealth benefits when hospitalized, the following conditions must be met:

    1. Payment of at least 3 months’ worth of premiums within the immediate 6 months of confinement.
    2. Confinement in an accredited hospital for 24 hours due to illness or disease requiring hospitalization.

    Is PhilHealth a health insurance?

    PhilHealth was created in 1995 to create a universal health coverage for the Philippines. It is a tax-exempt, government-owned and government-controlled corporation (GOCC) of the Philippines, and is attached to the Department of Health.

    Is Doctors fee covered by PhilHealth?

    Currently, the maximum benefit limit for professional fee of the surgeon is up to P16,000 and the professional fee for the anesthesiologist is 30% of the surgeon’s fee with benefit limit of up to P5,000. * This fee only represents PhilHealth payment to the surgeon.

    How many years should I pay PhilHealth?

    Therefore, to be eligible for PhilHealth benefits, you should have paid a total of at least nine monthly contributions within the 12 months immediately before the first day of confinement. The 12-month period includes the confinement month.

    How many months before you can use PhilHealth?

    To become eligible to PhilHealth benefits, members should have paid at least a total of nine (9) months premium contributions within the immediate twelve (12)- month period prior to the first day of confinement. The twelve (12)- month period is inclusive of the confinement month.

    Do seniors need to pay PhilHealth?

    Senior Citizens who are gainfully employed or who remain to have regular sources of income shall continue to pay their premium contributions to PhilHealth under the applicable membership categories.

    Are senior citizens automatically covered by PhilHealth?

    They become “automatic” members. Under the Expanded Senior Citizen Act or RA 10645, all senior citizens aged 60 and above automatically become PhilHealth members even if they didn’t pay for monthly contributions. Like lifetime members, non-paying senior citizens get a free lifetime coverage premium.

    How much should I pay for PhilHealth?

    Under the Universal Health Care Law and reiterated in PhilHealth Circular 2020-005, effective Jan. 1, 2021, those with monthly basic salary of P10,000 and below will pay a fixed rate of P350 per month while those with monthly basic salary of P70,000 and above will pay a fixed rate of P2,450 per month.

    What happens if you dont pay PhilHealth?

    “While no one will be denied of PhilHealth coverage due to non-payment of premiums, Morales also clarified that members lacking contributions shall be billed for the unpaid premiums with interests (compounded monthly) and penalties of at least 3% a month for employers, sea-based OFWs, and kasambahays,” PhilHealth said …

    Does PhilHealth expire?

    Does PhilHealth membership expire? Technically, yes, it does. If you haven’t made the required contributions within a specified amount of time, you won’t be entitled to claim benefits when you need it.

    How to get PhilHealth health insurance in the Philippines?

    All questions regarding the PhilHealth Health Insurance for foreigner in the Philippines need to be addressed to a PhilHealth Customer Assistance at your local office. You may also look at their website for further information.

    What kind of health insurance does Duterte have?

    In a bid to ease medical costs, President Duterte has ordered the Philippine Health Insurance Corporation (PhilHealth) to include testing, isolation, and hospitalization of coronavirus patients under its health care coverage.

    When does Philippine Health Insurance Corporation pay covid-19?

    The Philippine Health Insurance Corporation assured the public it is committed to pay benefits due all Covid-19 patients regardless of their admission date, upholding its earlier announcement that it pays at cost until April 14, and through its new case rate packages starting April 15 onwards.

    What kind of health care does PhilHealth offer?

    This section features a variety of comprehensive health care services -from basic primary care to catastrophic packages to provide members and their families with the information they need on benefits and benefits availment.