Make your own free website on Tripod.com
    
HOME ABOUT US NEWS ARCHIVE FEEDBACK CONTACT US SITE MAP
PHILHEALTH CORNER
 
Pre-requisites

PhilHealth members and their dependents can avail of Medicare benefits if the following conditions are met:

* Payment of at least three (3) monthly contributions within the immediate six (6) months prior to confinement. For self-employed members, the payment for the immediate quarter prior to the month of confinement is required.
 MORE NEWS
 
 
Lalaki, binoga ng "sumpak"
 
Binata, inundayan ng saksak
 
Boy Taga, nagwala
 
Kapabayaan ng bus company
 
GMA, governors pledge unity
 
P4M for 20 Bicol cops
 
Bicol fishery achievers bag national awards
© 2003 Catanduanes Forum. All Rights Reserved.
MEMBER: Publishers Association of the Philippines, Inc.
 
REY D. LACURUM | Publisher/Editor
KENNEDY U. MARIANO IV | JOEY ANTHONY V. CASIM
Web Developers
* Confinement in PhilHealth-accredited hospital for not less than 24 hours or one day, due to an illness or injury requiring hospitalization.

Minor surgical procedures and chemotherapy, radiotherapy, hemodialysis, cataract extraction, and a special diagnostic package (for qualified indigent members in select areas in the Philippines) are also compensable even on an outpatient basis.

* Confinement falls within the 45 days allowance for room and board, and complies with the rule/policy on single period of confinement. A single period of confinement refers to a series or successive confinements for the same illness, injury or condition, not separated from each other by more than 90 days within a calendar year.

Principal members are entitled to 45 days coverage each year while their dependents also have another 45 days in a year, which they will have to share among themselves. Any unused benefit for the given year is not cumulative or is not carried over to the folowing year.

However, PhilHealth will not pay for the confinements in a non-accredited hospital unless:

* Claim is based on an emergency
* Hospital/Clinic is duly licensed by the Department of Health (DOH) at the time of the emergency
* There was physical impossibility to transfer patient to an accredited hospital or clinic
As part of their protection, PhilHealth members are advised to seek medical services only from PhilHealth-accredited hospitals to ensure coverage and avail of quality services from competent physicians and complete medical facilities.

If confined for less than 24 hours, PhilHealth shall not pay for confinement benefits unless:

* Case is an emergency
* Patient is transferred to another hospital that is capable of giving him/her further treatment
* Patient died during confinement