Matagal nang proposal ng Philippine Health Insurance Corp. Ibig sabihin, magkakaroon nang fixed Philhealth payment for each of the 22 cases, kahit saang accredited hospital, kahit sinong accredited doctor, at kahit ilang araw ang hospitalization or treatment.

Itong 22 cases ang pinakamadalas na binabayaran ng Philhealth for the past several years. Almost 50 percent daw ng Philhealth claims ay itong mga 22 cases na ito.

Proposal pa lang ito, at pinag-uusapan pa ng Philhealth board. According to some press releases, this Case-Rate-Basis will be implemented SOON. Certain proposed rates have been increased. The amounts in blue color are the final rates. Herniorrhapy — 21, For SURGERIES, the Case Rates payment will apply only to cases managed in Levels 2 to 4 hospitals, with certain exceptions. According to Philhealth, the advantages of Case-Rate-Basis are the following: This proposed Philhealth program is also called No Balance Bill Policy because it seeks to cover the full costs of the medical and surgical procedures in accredited government hospitals.

Ang gusto nilang mangyari ay lalabas ang pasyente na walang babayaran sa government hospital na Philhealth-accredited. Hi ann, it depends on the doctor and your agreement since this is a deal.

The difference of 5k 31k — 26k will go to the doctor, since your 26k deduction exceeded that allotted for the hospital If your package deal went something like this: Ask the doctor or the hospital. Or after receiving your benefit payment notice from Philhealth, you can go to the hospital and ask for your refund.

But ask the doctor or the hospital. Is this the same doctor who initially quoted 25k? If yes, then you got a good deal. The difference of 5k 31k — 26k will most likely go to the doctor, since your 26k deduction exceeded that allotted for the hospital Sir ask q yng case ng anak q kng coverd ang gamot na factor 8 nya na ginagamit, hemophilia ang sakit nya and he was admitted last two weeks at ust mla for 4days.

I hope lang na maraming susulat sa Philhealth at hingin na isali sa factor infusion ang outpatient coverage kagaya ng coverage ng hemodialysis. You can go to PCSO and ask assistance. Sa unang request, parang maraming docs required, pero later on, pag nasanay na, alam mo na ang pasikot-sikot.

Go there as early as 5 am. Hi Menjie, is this removal of the gallbladder? Is the procedure called cholecystectomy? If yes, the coverage is 31k 18, for the hospital and 12, for the doctors. The hospital should be level 2 to 4. Hi Ooperahan po ung asawa ko, tatangalin po ang gall stones. May makukuha po kaya kami sa philhealth kahit 8 months palang yung contribution ko sa philhealth?

Pay for April to June asap. You can use it this June. Hi my husband had his operation last April herniaplasty how much will be the philhealth refund. It will be covered under the old scheme. She could only live through a respirator and would not recover to her normal self. Thank you very much po. Hi CJ, yes, I think so too that one cannot be refused Philhealth deduction due to that reason…unless the illness code and category that would be written by the doctor on the claim forms require ICU treatment.

Talk with the hospital again and ask what Philhealth rule is being violated by a transfer from ICU to regular room. You can also call Philhealth. Hi j-ar, sorry but these are diagnostic procedures and if they are done as outpatient, they are not covered. Please ask others too. Hi judy, what you can pay this month are April to Aug and these count to only 5 months — You need 9 monthly payments to qualify for maternity benefit 9 of the 12 months before month of delivery.

Hi Carlina, did Medicard tell you they will cover everything? What I know is that HMOs do not pay the portion covered by Philhealth, so they require members to submit Philhealth papers to the hospital before discharge.

Hi aaron, dapat kinuha nila yong prenatal ORs nio at isinama nila sa maternity claim; it would be Philhealth that will send you the refund via a check. For the newborn care package, you need to submit another claim form 1.

Puede ka namang pinapirma na doon sana. For the sepsis treatment, dahil nabayaran nio na ang hospital, I suggest you file directly at Philhealth. Get your accomplished claim forms from the hospital and then file together with your MDR, Philhealth premium receipt, birth certificate, ORs of payments made to the hospital and ORs of meds bought outside the hospital.

Dalhin mo na rin ang IDs mo and marriage certificate baka lang hanapin. Dalhin mo na rin yong prenatal ORs nio at tanungin kung paano i-file dahil hindi kinuha ng OSMUN. Maaaring sabihin nila na antayin nio ang benefit payment notice yong sa maternity claim and then mag-re-file at isama na ang prenatal ORs. Kung sabihin nila ito, ask them kung ok lang bang mag-re-file by that time na lumampas na sa day filing deadline.

Please ask others too because I might have missed some things. Hi zehavit, considered day surgery ang circumcision, at wala siya sa Case Rate list, so I cannot give the exact rate. Dapat tanungin nio agad yong PGH doctor kung puede niong gamitin ang Philhealth because he will need to fill up Philhealth forms.

Now i just wondering if how much yung ishoshoulder ng philhealth in my case kung ang gagawin na operation sa akin is Open Minilap Cholecystectomy… Ksi na advice ako na kung lalagpas ako sa binigy ng medicard na limit of ako na ang mgbabayd the rest ng bill … i dont habe enough cash especially hndi ko toh napaghandaan.

Hi Carlina, ask your doctor if your cholecystectomy is the type covered for 31k by Philhealth under Case Rate. If it is, then your Philhealth coverage is 31k for hospital and for PF. You should talk with your doctors and ask their total PF and the total surgery cost, so you can also decide which room type to stay — siguro alam mo naman na sumusunod sa room type ang PF.

Dapat ma-estimate nila yan, kasi nagpe-perform na sila niyan. Para zero cash-out ka. At dapat Medicard-accredited ang doctors,di ba? Manila Doctors is Level 4, so your surgery is covered by Philhealth.

Bring your Philhealth documents para madeduct agad ang Philhealth. Regarding naman sa room ang pinili ko po is ward it cost a day … i actually ask the operating attendant if how much yung estimated cost or range ng Open Minilap Cholecystectomy Operation and they say na it range from to Sir gusto ko lang po maliwanagan. I received last week my Philhealth benefit notice with the corresponding check in the amount of 12, I was dismayed with what I received considering that I paid 40, for the PF of the surgeon, 10, for the attending physician and 20, for the anesthesiologist.

It is stated in the notice that a total of 13, was paid by philhealth to the doctors while no amount was reimbursed to mefor the PF. I must tell you that I submitted the ORs for the PFs to the hospital clerk and that we are residing here in Leyte. It would be quite costly for me to go to Cebu to inquire about this as was advised by Philhealth Tacloban. I do hope that you could extend me your much needed help.

Thank you and more power. The hospital might not have submitted all the ORs or the hospital might have a certain policy on PF refunds. So the only option is to ask for refund for the 13, directly from the hospital. Hi kannie, if you paid the hospital, then your benefit payment notice will be delivered by registered mail to your home address. Your sister can bring this BPN together with your authorization letter and her ID to the hospital and ask for refund.

If the newborn benefit check is in your name, your sister can encash it only if she can show a SPA from you, pero expensive ang SPA from abroad. Merong mga nagpapalit ng checks with fee — yong mga merong connection sa banks; magtanung-tanong na lang. Kung meron kang bank account, puedeng ideposit ang check. Hi po, ask ko lang po kung mag kano yung pinaka maximum na pwedeng madeduct samin kung ang bill nmin sa hospital ay aabot ng k? Ang case istroke yung patient due to heart tumor?

Kasama ba sya sa 22 list na ma fixed coverage rate? Kung hndi pwede bang malaman kung ilang percent po yung pwedeng madeduct smin? Actually d pa kc member ng philhealth yung patient pero may healthcard sya, pero sbi smin ng healthcard. Kelngn daw nmin byaran yung idededuct ng philhealth dun sa hospital bills nmin.

Kya gusto ko sna mlaman kung ilang percent ba ang nadededuct ng philhealth pra sa ganitong case. Thank you so much.

Hi mark, under Case Rate, ang CVA1 coverage is 28k; CVA2 is 38k. The amoebiasis is now under Acute gastroenteritis AGE — 6, based on your website. How much we can have in the refund? They said that we can have the cheque by July I filed the refund last May 3. Hi, ask ko lang po nanganak po ako nung May 7, sa isang non accredited lying in. Pwede ko po ba mareimburse yung nagastos ko sa panganganak ko sa philhealth? My mother was admitted at East Ave.

Medical City, Quezon City, NCR then I already have all the documents needed that should be submitted on the philhealth branch, Quezon Ave. One option is to submit your claim in QC; just make sure you write your permanent address in your claim forms. You can call Hi, ako po si aileen ruiz may tanong lang po ako tungkol sa claims ko sa philhealth, ako po ay naconfine sa diosdado macapagal hospital dahil sa aking operasyon na Cholecystectomy. Ngayon po meron ng binigay sa mother ko na BPN letter.

Nakasaad dun kung magkano ang dpat kong marefund, ipinasa na po ng mother ko sa hospital ang original receipt ng binayaran ko bakit ang sabi daw sa hospital wala na daw akong marerefund?

Hi Aileen, is it on the BPN that Philhealth paid the hospital 31k? The coverage for cholecystomy is 31k 18, for hospital and 12, for PF. You can refund 12, pesos from the doctor. Yong sa hospital, wala nang marefund, kasi sabi mo wala ka nang binayaran doon. Hi, My husband undergoes colostomy operation.

Is it belong to case rate? Ask your doctor for the estimate. Mangkano po ba ang ma deduct ng Philhealth dito? Hi cris, submit all the Philhealth documents BEFORE paying the bill, so the hospital can deduct immediately the Philhealth benefit. Later on, when you receive the benefit payment notice from Philhealth and you see a discrepancy, you ask for a refund from the hospital.

Pag hindi case rate, ganito: Hi jinky, your claim filing will not be accepted if the day deadline has passed. Nasa bill kung nadeduct ang Philhealth benefit mo. If you submitted your C1 plus your MDR and premium receipt to the hospital, they should have deducted your benefit from the bill. Ngaun po may dumating na BPN notice samin,sabi sa hospital wala na daw po kmi maclaim na benefits?

Hi Germie, hindi kaya ang sinabi ay 18k ang babayaran nio sa doctor at wala na kayong babayaran sa hospital? Dapat naman sana ay clear ang pagka-explain ng OB. Kasi ganon nga ang nangyari. Sa 19k na coverage, ay para sa hospital at ay para sa doctors. Except lang kung sa unang usapan ay 18k plus Philhealth ang bayad sa kanya, meaning yong ay dagdag pa sa 18k na payment nio sa kanya.

Hi carmelad, sorry these are not under the Case Rate list, so there are no fixed rates for these illnesses. They will be paid under the Philhealth fee-for-service scheme. I need to undergo PDA surgery.

May I know po kung magkano po philhealth coverage? Ask your doctor the total cost and the probable Philhealth deduction. Nanganak po ako last april thru CS. Tapos bumalik po ako sa hospital to pass all the OR. Ano po bang ibig sabihin nito? Makukuha ko na po ba kagad yung refund ko? Hoping for your great response. Hi glaiza, the notice is sent to you by registered mail. Ito ang dadalhin mo sa hospital, plus the ORs, para maka-refund ka. Dapat ang irefund ng hospital ay yong cost ng gamot na binili mo sa labas up to 11, at yong PF na binayaran mo up to 7, Usually hindi nakukuha agad ang refund, pababalikin ka nila.

Ask your doctor the estimated total cost after Philhealth deduction. Yong mga merong experience with eswl, may estimate na yan sila. Hai po ask ko lng po sana ,mangangank po ako next month cs po asawa ko lng po active member sa philhealth mga mgkano po kya ggastosin namen? Hi michelle, 19k ang coverage for CS for hospital at for PF. Depende rin sa doctor ang PF; so kausapin mo ang doctor mo kung enough na ba ang Philhealth o magkano pa ang babayaran after Philhealth deduction.

I was advised my doctor that I need to go to a knee reconstruction surgery. How much will Philhealth cover? It is my first time to use philhealth. Your coverage for meds, OR, lab, PF, room have maximum limits depending on illness, doctor and hospital category. I was confined at PGH for delivering twin babies under c-section.

I paid lessthan 4k for the meds tapos the ward and the docs are free. Makakareimburse b ako still sa philhealrh?

Even wala ako binayaran n hospital bill? I was confined at pgh for delivering twins under c-section. I did not pay for anything except for the meds n lessthan k. Will philhealth still reimburse the 19k? Hi Joy Anne, hindi ako sure sa policy ng PGH, pero ang intindi ko, para lower cost, kung charity ang delivery, dapat sa charity ka rin nagpapacheckup. Kung total cost na yong 15k na sinabi niya, okay na yon palagay ko, compared sa mga comments dito na 26k to 27k ang siningil at sa government hospital din kaya lang private room.

Hi rose, wait for the benefit payment notice from Philhealth, then bring receipts of meds you bought to the hospital for refund. Your coverage is 11, for hospital costs and 7, for PF. Puede po bang i-cover ng Philhealth ung procedures para kapatid ko. Kailangan alisin ung bato sa kidney gamit ang shockwave as per advise ng kanyang doktor. Miyembro po sya since isa po syang OFW seafarer kaya lang mag isang tao na po syang di nakakasay. Hi Resty, nagbayad ba ang kapatid mo ng Philhealth premiums this ?

If not, sori, hindi siya covered. Hi Lynn, depende sa diagnosis, doctor at sa hospital. Kahit 1 day lang kung expensive hospital, at hindi kasya ang Case Rate coverage for hypertension kung hypertension ang diagnosismeron pa ring kayong babayaran. Kung hindi under Case Rate ang diagnosis, sure na merong babayaran.

Hi ernest, hindi tama yon. Sabihin nio sa cashier na nabayaran nio na yong doctor ng Sana kung 3k ang PF niya, dapat yon ang sinabi na niya noong nagtanong kayo.

Tanungin nio na lang kung para saan yong additional ; yon ba ang charge niya sa pag-sign niya sa Philhealth forms? Sana hindi namang ang kinuha. Ang mahal naman ng signature niya. Hi jj, ibig sabihin hindi sila nag-file noon?

5 Money Mistakes OFWs Should Avoid | Dubai OFW

If yes, at hindi ka pa nag-file, late na. Within 60 days after treatment dapat ang filing. Hi jan, within 60 days pa ba after discharge? Puede pa kayong mag-file ng claim sa Philhealth. Update MDR at Philhealth bring birth cert, xerox and orig and then get updated MDR.

Hi Karen, okay ang hospital na yan sa pag-implement nila ng Philhealth. Maraming nagco-comment dito, hindi maayos ang deduction, at hindi pa complete deduction, kelangang refund yong iba… yong iba, walang deduction kesyo ganito ganire.

Pero ask others pa rin. Good evning mam ang misis ko naka schedule sa operasyon na gallbladder bato sa apdo sa gov. Ang charge ng oprasyon p30, Magkano ang payment ng philhealth at sa akin.

Lesson Learned from my First Investment | Richard Macalintal

Para may idea ako sa pahahanap ng pangdagdag. Hi Evencio, kung tatanggalin na rin ang gallbladder procedure is cholecystectomyang coverage is 31k for hospital and for PF. Ask your doctor too. Hi desirre, it would depend on your doctor, the hospital and your documents. You mentioned receipts, why, is this a government hospital? And that you bought or will buy supplies outside the hospital? Always keep copies of docs and ORs for your own filing or claim later on.

Hi desirre, pf is professional fee — yong payment sa doctor. Kung charity, libre na ang pf, kaya pinabili ka na lang ng gamot. Pag charity, hindi na ginagamit ang Philhealth. Baka mas mahal pa ang gastos mo kung gamitin ang Philhealth tapos 20k halimbawa ang pf at 2k lang ang mababawas; kalimitan hindi pa binabawas.

Sa hospital cost including meds and supplies, 3k lang ang nababawas. Just want to know if my mother could avail philhealth discount out patientshe will having a ct scan tomorrow. The ct scan amounting to 12, and she is a dependent member under my fathers philhealth both are senior citizen.

Can she avail both benefits senior citizen and philhelath discount? Thank you and god Bless. Hi josephine, sori pero hindi siguro kasi ang CT scan is a diagnostic procedure. Covered lang ang portion nito kapag naperform during confinement at merong din treatment na naperform. Pero tanungin nio pa rin yong hospital. Hi anne, it would be best if you ask your doctor. I researched and thyroidectomy usually refers to removal of the whole thyroid gland while thyroid lobectomy is removal of part of the thyroid gland.

Good evening po, ask ko lang po if thyroid lobectomy is classified pa rn po sya undr thyroidctomy, 31k pa rn po ba ibbwas ng philheath? Hi Mich, 31k ang coverage for hospital and for PF. Ask your doctor your estimate total cost if you use your Philhealth because sometimes deductions are not clear cut, especially in cases where the patient is asked to pay the PF directly to the doctor.

Ang mother ko po ay na laser na sa both eyes nya catarata…after 3 years bumabalik ang kanyang catarata. Hi dan, if your mother is 60 years old or older, you can use your Philhealth for her.

Find a Philhealth-accredited opthalmologist — cataract removal needs pre-approval from Philhealth. Ask lng po sana kung cover ba sa philhelath ang heart surgery?? My brother will have surgery soon sa cebu. Hi Lita, yes, under the fee-for-service scheme. My son was confined for two days last August 29 due to amoebiasis in a hospital. May i ask how much should be the philhealth coverage for the said case.

Maam, based from the computation they made the doctor will be paid by philhealth by P aside from the P cash we gave. Mam, did the hospital and the doctor over charged us. How do we know if we have a refund? Wait for the benefit payment notice from Philhealth, and check how much Philhealth paid to the hospital.

If Philhealth paid more than what was deducted from your bill as Philhealth coverage, refund the discrepancy from the hospital. Keep copies of your bills and receipts. How long does it usually sent by Philhealth? Hi nelvin, wala ang bronchitis sa case rate list, so walang fixed refund amount. Depende ito sa code na isusulat ng doctor. Sa list kasi for primary hospitals, merong acute bronchitis ang coverage pero sa general list, wala ang acute bronchitis.

Yong mga more serious cases of bronchitis-related ang andon like COPD, etc. Hi ag, kung sa charity ka, gamot lang ang bibilhin mo, libre ang doktor at hospital. Pero kung gagamit ka ng Philhealth, bibili ka pa rin ng gamot at babayaran mo ang doktor, then file for refund.

Minsan hindi na nagrerefund ang doctor; depende sa hospital. Under the Philhealth case rate scheme, hysterectomy coverage is 30k in some government hospitals, malabo ang pag-implement nila sa case rate. Hysterectomy is removal of the ovaries; since tumor lang ang tatanggalin sa iyo, hindi ko alam ang coverage amount. Hi lryn, antayin mo na lang ang benefit payment notice mo and then ask for refund from the hospital later on. Keep your receipts and copies.

Maraming ganyang kaso na ikinukuwento dito na kapag sa public hospital, yong PF hindi thru cashier, diretso sa doctor, at hindi tuloy ma-deduct from Philhealth. Pero tanungin mo pa rin yong surgeon mo para sure. Ask ko Lang po kung ang check up at medical laboratory can be reimbursed in my case.

I have a goiter, hypothyroidism. I paid my philhealth this year. Hi remy, sad to say, kapag outpatient ang diagnostic procedures, hindi covered. Siguro later on pag mag-iba ang policy. Hi there,I am a Philhealth Member This is what was explained to me by a friend…. Here is what I understand with the system, please correct me if I am wrong…. Philhealth was created in order to ease the burden of paying hospital bills and Professional Fees of Doctors, and not to add additional income to the Doctors and Hospitals, and that the fix rate package rate was created in order to make Philhealth computation easier and that the billing department wont make mistakes in the computation so that the member would get the whole benefit Right?

I cant find any link on how Philhealth makes the computation so here is my own understanding on how it goes. Please correct me if I am wrong…. If Hospital Bill Total is 20, Am I correct in saying that Member should be deducted 15, If I am right, how come most hospitals cannot do math properly? And what is the sanction for the hospitals who do not give what is properly due to the Philhealth members?

There are many who thinks that they should have a percentage of the members benefits and that they do not deduct the full amount from the members bill. Is this how it should really be? That the hospital and doctor should get a certain percent from the member benefit?

Total bill is 15, Sorry had an experience with a hospital, the billing officer said that balance that they did not deduct from the member would be used on the confinement. I have the BPN on hand and whole amount was given to the hospital. I want to understand what they were trying to tell me?

But that is not how i think it really works. With your example, the member should have paid only 5k. Many doctors also claim the Philhealth coverage for PF in addition to the PF paid to them directly by patients.

You write well, so I think it would be good if you email Philhealth about this and make comments at facebook. Thank you Nors, what is it that we can do to put a stop on this malpractice? All people from all walks of life should be given fair share on what is supposed to be theirs. Naka admit po bby ko ngayon s hospital due to neonatal sepsis and pneumonia magkano po kaya m less ng philhealth? Hi maricel, only one of those 2 diagnosis will be covered — the primary illness.

Sepsis is covered under the fee-for-service scheme. Hi Mae, is your mama confined? Or do you mean dialysis as outpatient? If yes, she can be covered. Find a Philhealth-accredited dialysis center. Basahin mo yong sagot ko kay Cindy dito: Ever since i never receive any notice from philhealth even i will check in post office no notice for me. Thank you and more power God bless. Hi my, do you mean the govt hospital returned the almost 8k you paid for PF? The 28k coverage is allotted as 19, for hospital and for PF.

Good PM I am OFW my mom was my dependent in my Philhealth she was admitted last May 2x April 30 — May 15CVAk at a Govt Hosp. If so u can give me a proper guideline about the refund and purchasing of medicines outside the hosp and the PF of the doctor can i make or file a complain against them esp who is in charge of reimbursement of Philhealth and why they will make this things so complicated.

Gumamit po kc kami ng philhealth that time,kng hindi po tama pd p b po namin maclaim un? Ako naman po sa appendix last june 25,naadmit po aq nung june 23 ,d po ako nakabayad ng philhealth nun nung may,d po ba tlga pd gamitin un kahit 1 month lng ung d bayad?

Yes, kahit 1 month lang ang kulang. Pero this Oct, in-announce na puede na ang 3-month payment sa informal sector. Are you both employed? About your last question, yes, you can do that. But make sure you get all the docs from the hospital including waiver from the hospital and doctor, hospital bill or statement of account and payment receipts and the claim forms signed by the doctor and hospital. At gaano po katagal? Tanung ko lang po dn ulit ung sa MRI SCAN,sakop po ba ng philhealth yun?

Hi diana, diagnostic procedure din ang MRI scan, at hindi ito covered as outpatient. Ma-cover lang ang part of it kung confined ang member, kung merong diagnosis at kung merong treatment na nangyari. Hi al, ang deduction depende rin sa hospital at doctor.

Ask your ob kung magkano ang cost kapag merong Philhealth. Yong 19k ay allocated as for hospital and for doctors; minsan yong hindi dinededuct. Sa registration ninyo, ang category ba ay Informal Sector? At okay daw ba yon kahit hindi 1 year ang binayaran ninyo? I was operated last Sept. They removed one of my thyroid thyroidectomy.

I took avantage of my hmo card and philhealth. I was charged a total of P51, They charged my philhealth for P11, only and P39, Then i paid only P I just recently recieved the benefit payment notice from philhealth amounting to 31k.

Did they over charged philhealth? Am i going to get a refund for the difference of 31k from P11, or will the hospital still get the full amount? Depende ba yun sa case if ngamit ang full amount o hindi sa hospital prin ppunta yung 31k?

Hi bobby, I wonder why you were still charged with The balance 31k — I also wonder why the HMO did not question the deduction… because if the hospital deducted 31k, then they could have paid only around 20k bill — 31k. Or even if the hospital deducted just the hospital share — for hospital and for for doctor, the hmo charge could still have been lower.

Upon discharged, we availed the philhealth benefit, my question po is, can we still avail of the philhealth benefit once admitted in the new hospital to undergo the necessary tests given that the diagnosis is most probably related to the original diagnosis? You can check what the doctor who did the endoscopy wrote in the claim form.

My exxonmobil direct stock purchase underwent surgery for closure of ventricular septal defect at Phil. Heart Center last week. We know that this could have been under Case Type Z. However, since she is less than a year old and is with Down Syndrome, we were told that she is not qualified to avail under Case Type Z.

In this case, may we know which Case Type will apply? How much will be shouldered by Philhealth for her medicines, surgery, etc? Or will this be under a fixed case rate payment? Hi benjie, that procedure is not yet listed under the initial Case Rate scheme list, so it will still be paid under the old scheme: My son was hospitalized last October 14, ang final diagnosis po ay Age with Moderate signs of dehydration. Total bill namin 25K — 6k lang po ang nacovered ng philhealth, at pinag bayad kami ng difference na P6K ung iba naisama sa hmo nia.

Makakatanggap pa po ba me ng refund dun sa 6k na binayaran ko in cash? Before kc whenever my binary options 60 seconds learning strategy 2016 was hospitalized, i usually receive a check after two months.

Hi Aloha, 19k ba ang binayaran ng HMO? Yes, Philhealth will refund your 6k kasi yan ang coverage for AGE. In case of refund what documents should i need to prepare prior to the processing of refund. Or are there certain discount, deduction as PH member for ct scan? Hi mark, sori po, I think you cannot refund because CT scan is a diagnostic procedure, it was done as outpatient, and there was no treatment.

Hi mina, you have to ask your surgeon or OB how much you will pay for hysterectomy if you use your Philhealth. You pay the balances. Sometimes also, the 12k allocation for PF is not refunded kasi kukunin ng OB or surgeon in addition to the PF that you will pay, meaning 18k lang ang madededuct sa bill. Hi Cath, yes, covered ang goiter operation. Magpacheckup na lang and then ask the doctor your total expense if you use your Philhealth.

Hi Connie, kung removal of gallbladder ang surgery 10 money mistakes ofw makes, 31k ang coverage for hospital and for surgeon. Kung hindi nagasto lahat ang sa ospital, at meron pang natitirang amount for medicines, marerefund mo ang mga nagasto mo, depende kung magkano ang natira for medicines.

Hi Josephine, yes, covered po, as long as the doctor and the hospital are both accredited. To be sure, ask your doctor. Hi rackz, nabasa ko sa PIA na circumcision is not covered by Philhealth.

Siguro dahil hindi siya treatment of a medical condition. Kung removal of skin daw caused by an infection, yon daw ang covered. Pero sa ibang write-ups parang covered ang circumcision; so magtanong ka pa rin sa iba. Sa Philhealth website kasi mismo, wala akong makita about circumcision. Hi brian, yes, covered ang chemotherapy by Philhealth.

Kung ang case ay breast cancer at bagong diagnosis pa lang, magtanong sa Philhealth kung paano maka-avail ng Z benefit package. My auntie was hospitalize and undergo mass lesion surgery, one of kidney was removed and it was a cancerous I just want to check how much will the philhealth 30 min binary options strategy. Thanks for the time.

Hi grace, kapag mas malaki ang Philhealth coverage kesa actual expense, mapupunta ang difference sa hospital. Sa 15k na hnb stockbrokers estimates, 10, ang mapupunta sa hospital at sa PF.

Hi emily, puede na ma-cover uli, kasi outside na ang Jan 17 sa day period since Oct Pero baka lang mali ang counting ko, tanungin mo muna ang hospital. Hi im Lhynne, ask ko lang po kung covered ba ng philhealth ang indometrial cyst. Kasi sabi ng obygne doc ko na kailangan ng tanggalin. If ever magkano ang covered ng philhealth? Hi Lhynne, covered yan, kasi surgical procedure for a medical purpose, pero hindi ko makita yong endometrial cyst removal sa new Case Rate list nila.

Merong removal of endometriomas, pero hindi ko alam kung ito yon, which has a 30K plus coverage. Ang ibang cyst removal sa list, 20K up. Ask sma 5 nel forex OB your estimated cost if with Philhealth.

I saw on the table of surgical cases na 11, pesos and case rate. Philhealth member po ako. Kami daw po ang bibili ng mga kailangan naming, pwede po ba mareinburse iyon? Hi Maria, ask for ORs for the supplies you will buy. ORs should be in your name. You will ask for refund pag meron ka nang natanggap na benefit payment notice from Philhealth. Kung private ang OB mo kasi may Philhealth ka ,so paying patient kapuedeng hindi kasya ang Philhealth coverage, so ask your OB.

MDR, premium ORs keep your copyclaim form 1 for your and claim form 1 for baby, valid ID. Hello po, tanong ko lang kung pwede bang macover ng PhilHealth ang pang-out patient surgery due to physical injuries? Hi Zendelyn, yes, covered, pero ask the surgeon first about Philhealth coverage kasi siya ang magfi-fill-up ng claim forms.

Hi Nors, Unfortunately, not in University of Perpetual Help Medical Center Las Pinas.

I paid evrything kahit pa pinaliwanag ko sa kanila na covered ng Philhealth ung surgery stitching of lacerated wound sa head na ginawa sa ER. Pinagpilitan ng nurse ng ER sa perpetual na hindi daw sagot ng Philhealth ung ibang hospital expenses. Philhealth will only cover the expenses kung na-admit ang patient. Sa case namin, hindi na-admit ung patient so we have to pay everything.

According to my friend na taga-Philhealth, he said na covered daw ng Philhealth with or without admission pero ininsist ng ER nurse na hindi talaga sagot ng Philhealth.

We tried to wait for the Philhealth rep para magtanong pero parang pinapaalis na kmi sa ER. That is very rude. Im sorry kung dito ko nilalabas yung sama ng loob ko sa UPHMC. The 1929 stock market crash occurred in what month website is very helpful.

Sana marami pa masagot natanong about hospitalization through this site. Thanks a lot for appreciating our efforts. I just had a misscarriage. I have fears na ano manyare sakin. And fear na ma judge ako for someyhingi did not do. Any ib gyne here who can help me?

I dnt know what to do. Ayoko malaman ng parebts ko din ang kalagayan ko ngaun. Hi ellen, covered siya. Ang hindi ko lang sure if covered siya kahit hindi ka confined for a certain condition. Dati kasi kung purely for diagnostic purpose lang, hindi covered. Hi Angelo, kapag Individual Payor-Informal Sector, 3 contributions within the past 6 months before confinement. The same with Employed members. Coverage is 46, 25, for PF; 21, for hospital. Usually din, cash ang preference ng doctor.

Hi shieianlouise, magpa-consult muna sa Philhealth-accredited ophthalmologist na nagpe-perform ng cataract removal, and then ask kung puede niong magamit ang Philhealth. Kelangan kasi ng permit from Philhealth bago gawin ang cataract removal. Yong ophtha ang magfi-fill-up ng request form. Hi riza, hindi ko alam kung anong tawag sa procedure na gagawin, so hindi ko ma-check kung meron ang procedure na yan sa Case Rate list.

Ang coverage for hyperthyroidism is 8, for PF; for hospitalpero hindi ko alam kung ito yong coverage for the treatment that will be performed. My wife will have radioactive treatment for hyperthyroidism in march Is there a benefit from philhealth?

How much is the benefit? Our doctor told us to prepare 20th. Hi reynaldo, coverage for radiotherapy is 3k pesos per session. Hi greta, nagsa-submit ka ba ng claim forms sa hospital? Dapat meron kang natatanggap na benefit payment notice from Philhealth. Then present the notice and receipts sa hospital for refund. Sa PGH po may Philhealth passbook na how to earn adventure coins in aqworlds tapos lahat dapat lng bibilihin mong gamot sa Pharmacy lang nila.

Ask ko lang po kapg may binili akong gamot sa labas ng PGH within confinement ma re-reimburse pa po ba yun? Boyet Martin po ang Philhealth Representative dun. Hi Argel, kung ganon ang policy ng PGH ay ganon nga ang ipapalakad nila — which is unfair kasi kalimitan wala naman sa pharmacy nila ang mga more expensive na meds o supplies.

Case Rate naman na ngayon ang refund system ng Philhealth, meaning fixed rate, so dapat irefund ng PGH ang gastos sa meds kung meron pang natitirang balance for all or some of the meds bought outside. Hi, I was confined a week ago for 3 days because of severe stomach pain.

I undergo colonoscopy, CTscan to determine the cause of pain then my hospital bill is almost 50k and the Philhealth discount that i enjoyed is 12k. Hi Mario, based on new Case Rate list: What I know is for 1 confinement, you can claim for 1 procedure and 1 medical condition, depending on the medical case. You can wait for the benefit payment notice from Philhealth so you can see how much Philhealth paid the hospital. Pwede po ba yung biglaang bayad for 3years to 5 years para macover yung payment ng operation sa ospital?

You need only to pay 3 of the 6 months prior to confinement to avail of Philhealth. Currently nsa hospital po ang mother ko. Ang alam ko is for 1 confinement, only 1 medical condition and 1 medical procedure are covered.

Yong dialysis, kapag outpatient, ay merong 4k coverage per dialysis, kapag meron pang matira sa 45 day allowance per patient per year sabi mo confined na for 30 days; so 15 na lang ang natira. Tsx rolling stock option plan think kapag milyon na ang cost, one does not have to be poor to ask help from PCSO. Also, later on you can talk with the doctors and ask for PF discounts.

Yung mga figures po ba dito hanggang ngayon applicable pa din or nagbago na po? Hi gecs, applicable pa rin. Ganon pa ring ang mga coverage amounts.

Merong bagong charts for Medical Procedures and for Medical Conditions, at marami nang nadagdag: Yes, your husband can use his Philhealth Pag OFW, dapat ang surgery dates are within the validity dates in his premium receipt. Pag employed or individual payor-informal sector, 3 premium payments within 6 months before surgery. Sa Case Rate list, ang pyeloplasty coverage ay ganito: Good day, tanong ko lang po kung magkano o ikakaltas ng philhealth s surgery na tatanggalin na bukol s my tonsil?

Hi fe, kung tonsillectomy ang procedure na gagawin, ang coverage ay 18k for doctor; 96 for hospital. Self employed philheath member sya ang nakaka one year pa lang ang contribution nya. Hi marion, ang maternity coverage sa lying-in. Dapat kausapin nio ang lying-in kung magkano pa ang babayaran nio kapag gagamitin nio ang Philhealth. Submit your Philhealth documents before discharge. Hello i would like to ask po if case rates would depend on the number of days in the hospital, or are there set days?

Or ma reimburse lang ho irregardless if longer yung length of stay ng isang patient compared to another patient? Hi Danica, regardless of no. Ke 3 days or 7 days, pareho lang po ang amount of coverage.

Good day, naconfine anak ko last Jan. I even actually called philhealth rizal branch before paying just to make sure na makakaltasan ako and they said yes kaya ako nagbayad, why are they doing this? If the philhealth office is aware of the suspension, bakit hinayaan pa nila kaming bayaran ang 1yr membership? Na dapat ay pinambayad ko na lng sa hospital. I hope maunawaan ng philhealth ang sitwasyon ko. Hi Abby, when you inquired, did you tell them that your child was already confined in the hospital?

If you told them that your child was already confined, they should not have told you that you can register and use it for that confinement. Ang tamang sagot nila ay yong puede mong gamitin agad, pero hindi para sa na-confine na.

Dapat ang premium payment ay BEFORE start of confinement. Sana kung Jan 17 nakapagbayad ng premium. Matagal nang nasa Philhealth policy na dapat ang premium payment ay BEFORE confinement. Philhealth unit ba ng hospital ang nag-advise sa iyo? I suggest sabihin mo na i-file pa rin nila ang claim; baka lang ma-approve, kasi yon ang advise sa iyo. As for the 15k payment, you can ask for installment payments.

Or you can ask to start paying the 15k trading commodities vs stocks Philhealth rejects the claim. May tanong lang po ako about sa Case Rate. Naoperahan kasi ang asawa ko Cholecystectomy last Dec 28 and nakapagfile kami sa PhilHealth noong Feb 4. Ang alam ko rin po kasi based sa research ko na Case Rate yung kaso namin.

Hiningi po ng PhilHealth lahat ng receipts and records namin pero I am not sure kung magkano talaga ang makukuha namin. Hi Cecille, ang 31k na coverage ay further allocated as 18, for medicines plus how to hack cash in cityville using cheat engine hospital costs and 12, for doctors.

Kung ano lang ang nagasto nio, yon lang ang marefund. Pupunta sa hospital ang excess. At depende rin sa allocation na at Sana na-advise ka na kumpletuhin ang papers mo before discharge para wala ka nang binayaran. I hope allowed pa ang direct filing ngayon. File asap kasi you must file within 60 days after discharge.

Get waivers from the doctor and the hospital para ang check ay ma-issue in your name na. May i ask what are the remedy apexinvesting tutorial on binary options trading the philhealth office of; — the medicines order by the attending physician in the chart with good brand or in short expensive one but during the actual especially if the patients was admitted and comfined, they only tell the generic name.

Wala bang nagmomonitor nito? Hi gerome, sana tinanong nio yong billing department ng hospital kung bakit ganon ang computation. For billing and related complaints, I think it is the DOH that supervises hospitals. So you can email DOH if you like. Philhealth is concerned mostly with the correct application of their coverages.

Hi gerome, yes, covered under case rate. Coverage ranges from 10, to 18k to 27, depending on the treatment. Hi vianca, yes, covered yan. Ask your doctor ang Philhealth coverage amount kasi hindi ko alam kung anong exact fracture type and procedure. Gud am,paano po ang computation pag ceasarian section public hospital ang confinement. Magkano ang bawas sa philhealth benefit?

Hi carla, puedeng 18k or 23, depende sa kind of colostomy. My wife fracture her angle in an accident. She needs to undergo her surgery or just external measures and cement casting. What procedures and expenses will be covered by Philhealth? Ask ko lng po mag kno less ng philhealth pag opeasyon ng myoma if private or goverment hospital like PGH. Hi lynn, ito ang coverage amounts: Pneumonia po ang diagnosis sa asawa ko pero hindi po sya na-hospitalized.

For 1 month treatment ang reseta sa kanya ng doktor. Pwede po ba magamit ang Philhealth sa mga gamot nya? OFW po ako at dependent ko po sya. Hi Gigi, sad to say na hindi covered ang outpatient medicines. Tanungin na lang ng husband mo ang doktor kung puede siyang bumili ng generic meds. Kasama po kaya sa philhealth coverage yan and mag kano po kaya?? Sa east avenue po ang hospital. Hi arian, sorry hindi ako sure sa specific procedure. May nakita akong Diagnostic Hysteroscopy sa case Rate list 5, for hospital expense and 4, for PF.

Sa laparoscopy, wala akong makita for ovarian cyst. Merong Drainage of ovarian cyst through the abdomen 10, for hospital expense and 10, for PF.

It is best that you ask your doctor so you can prepare. Baka kagaya rin ng ibang public hospital ang East Avenue na kahit sa paying-patient department ay pinapabili muna ng gamot at supplies sa labas before the procedure. So ask the hospital. OB po ang gagawa nun. Hi ann, ask your OB, kasi hindi ko alam kung anong location ng dermoid cyst mo para makita ko sa list. Ang nakita kong medical-case coverage for ovarian cyst is 7,; hindi ko makita ang dermoid sa Medical at Procedure rate lists.

Fixed na ang Philhealth coverage merong fixed amount for hospital expense at merong fixed amount for PFregardless kung magkano ang lab expense. Naka confine po ang Lola dahil sa stroke dito sa RENMAR specialist Hospital for 12 days na po, ang uncle ko po ay member ng philhealth at dependent Nya ang Lola ko. Kasi Bago nila tinanggap ang Lola ko nag down po kami ng P5, tapos halos everyday po sinisingil kami ng downpayment, umabot na po ng P39, ang nabigay namin na downpayment.

Ngayon po wala na kami maibigay na downpayment ayaw na po nila magbigay ng gamot dahil may balance pa kmi na P24, tama po ba ang policy ng hospital na eto? Hi Erwin, Philhealth-accredited ba ang hospital? Ang coverage for cerebro-vascular accident with hemorrhage is 38k. Hi 2years na pong natigil aq sa pghuhulog sa philhealth, then this year po binayaran ko xa til dec.

Makukuha ko po b ung maternity benefits ng philhealth? Hi lene, yes, magagamit mo ang Philhealth. For Individual Payor-Informal Sector, payment for 3 months immediately before delivery na lang ang required. Hello po…Philhealth member po ako, nakaschedule pong ma confine ang wife ko for chemo-therapy treatment ng stage 4 colon cancer, twice a month po siyang macocofine for 6 months at 3 to 4 days ang confinement sa govt-hospital, ask ko lang po up to what extent or how much ang macocover ng philhealth.

Hi conrado, kung Code ang chemotherapy, ang coverage ay 7, 1, for PF and 5, for hosp cost. One chemo is counted as 2 when deducted sa days-per-year allowance shared by all your dependents. Chemo can be can be inpatient or outpatient. Multiple cycles may be claimed in striker9 valuing binary options reviews claim form, but take note of the withinday-after-discharge filing deadline.

Coverage for codes C18 to C19 is 14, 4, pf at 9, hosp. Forex pro real time technical analysis sa rules, puedeng mag-claim ng chemo procedure at colon cancer hosp. Yong colon cancer coverage siguro ang under the day rule. For a more accurate response, ask your doctor or the hospital billing or Philhealth desk.

Hi Anna, 16k ang coverage for cataract removal. Puede ring 32k for 2 eyes, depende sa case. But you need to consult first with your doctor because a pre-approval is needed. Tanong ko lang po naoperahan ako sa Abroad for ACL arthroscopic surgery ang naging cost ng operation e almost K sa peso pero Company Insurance ang nagbayad, pwede po ba akong mag Claim sa Philheath and incase magkano po ang pwede ko makuha….

Hi Tristan, ang galing naman at meron kang good insurance.

Common Money Mistakes Made by OFWs

If you can submit the Original official receipt or detailed statement of account written in Englishin addition to the other usual docs, then you can claim. Kasi dito sa Phils, ang mga HMOs dito, they pay only what is not covered by Philhealth. Ang coverage for ACL is 37, I am OFW and member of Philhealth, I have been suferring from Hemorrhoids disease, My consultant doctor abroad was advise me to undergo operation hemorrhoidectomy but 24 trade profitable binary options strategies do not like to do it here abroad, instead i want to do undergo operation in the Philippines.

How much discount I can avail for for the said operation? Hi Marcelo, Philhealth coverage is 12, 6, for PF and 5, for hospital. Look for a surgeon willing to accept Philhealth coverage. Hi jen, depende sa PF ng doctor. Hospital cost in a public hosp is much cheaper than in a private hosp.

Pag PF, puedeng the same or higher or lower. Ang pangit sa government hospital ay ikaw ang bibili ng meds and supplies, and then irerefund mo later on, at hindi sure kung marefund. Usually din, hindi nadededuct ang Philhealth sa PF, based sa mga comments dito, ma-private man o public. Ask for costs sa Chinese and Nova para ma-compare mo, at kung nadededuct ba ang Philhealth sa Muhammad misbah forex. Inquire ko po sana kung me maaavail ako pag nagfile ako ng claim sa philhealth ko.

Updated po ang philhealth ng husband ko at beneficiary nya ko, also updated din naman ng philhealth ko. Isa po akong ofw na nag undergo recently ng laparascopic surgery and cbd exploration sa isa pong private hospital sa ibang bansa. Total bill ko po ay umabot ng around ,php lahat lahat na po include gamot, surgerysingle private room charge at mga philippine stock exchange share prices. Then bale ang binayaran po na lng namin is around 90,php kasi nacovered po sya ng insurance ko po dito.

Salamat po sa reply. Hi Forexperu empleo, sori, wala akong makitang laparoscopy to explore the common bile duct sa Procedure Case Rate list ng Philhealth.

Merong mga laparoscopy sa list pero hindi sa CBD. Interdependence of nordic and baltic stock markets nio na lang with Philhealth within days from discharge date. Hi, member yung sister ko ng philhealth. Hindi ko sure if your procedure is thyroidectomy. Ang coverage for thyroidectomy is 31k 12, for PF; 18, for hospital.

Ang question ko po, ilan ang total days of deduction sa 45 days Philhealth benefits? Ilan po ba tlaga dapat? Hi Jocelyn, tama yong nagsabi na dapat 11 days lang.

See IV, then H, then d. Stock market shares prices in pakistan the procedure is done during a confinement, only the total number of confinement days shall be deducted from the 45 days total allotment, whether hemodialysis was performed in the same or another facility. Good am po ask ko lang po sana im philhealth member since employed po aq that time until po january until now di q na po nahulugan ung philhealth q dhil nagstop na po aq sa work pwede ko po bang ituloy ung buntis po kc aq now manganganak po aq duedate q po nov.

Hi jaja, register at Philhealth, check Informal Sector and pay Apr to Oct Puedeng 3 or 4 months muna, and then pay again in Jul. Hi anna, if the procedure done is gallbladder removal or cholecystectomy, coverage is 31k for PF; for hospital. I assume na lower coverage kapag cyst or lump removal only. Pwede po bang makakuha ng mdr sa mga satellite office gay ng sm sucat? At kung sakali po na until march lang nabayaran na contribution, pwede po ba magbayad ng april to money making softwares as voluntary contribution na maa-active agad ang member gayang sa mga ofw?

Thank you and more power! Hi ask ko lang, naka-confine ngayon yung mother ko sa isang private hospital and ang sakit nya is highblood and diabetes. Sa nakikita ko kasi hindi under ng case rate yung sakit nya.

Paano po kaya malalaman kung magkano ang masho-shoulder ng philhealth. Thank you and Godbless. Hi Vheng, merong hypertension. Coverage is 9k for PF; for hospital. Baka 1 illness lang ang ma-cover. Ask ko lang po if what rate case ung ameloblastoma? Needed na lagyan ng bakal ung left mandible costing 80k.

I have to undergo surgery. Ask k lang po capital one work at home tampa fl magkano ang covered ng Philhealth because the doctor inform me to prepare k. Hi Fatima, ask your doctor your total cost if you use Philhealth. The procedure is costly, so you have the right to know all your options.

I can see jaw, mandible, etc. Hi bryan, yes, dapat kasama sa deduction ang PF. Kaya lang ang mga doctors kasi gusto nila mabayaran agad sila, so hindi binabawas agad ng many hospitals. Ask the hospital kung irerefund nila yong sa iyo pag natanggap mo na ang benefit payment notice BPN from Philhealth.

My sister will undergo thyroidectomy next week. Articles on binary options prediction software doctor asked her to prepare k. Pero base sa case rate, 31k lang po. Bakit po kaya ganun? Pag sa government hospital po ba, malaki din ang magagastos namin?

Hi Ghia, 46, ang coverage ng thyroidectomy with radical neck dissection; pero kagaya nga ng sinabi mo, small coverage pa rin. Try consulting with another doctor at the pay department of a government hospital. My dad is still in the hospital for pneumonia and hemo dialysis. He is 66 yrs old? Will he still get discount coz of his age?

If so, magkano po yung discount. Submit his Philhealth papers asap to avail of Philhealth deductions. Hi Hazel, the coverage for Extracorporeal Shock Wave Lithotripsy ESWL is 18k 8, PF; hospital 9, The coverage for nephrolithotomy is 27, 15, pesos for PF; 12, pesos for hospital. My mother was hospitalized and estrategias forex 5 minutos through total hysterectomy procedure TAHBSO last January.

When I settled our bill, a Philhealth representative in the hospital assessed that Php 18, will be deducted from our bill. Just yesterday, I received the benefit payment notice and learned that the amount Philhealth reimbursed to the hospital is Php 53, Hi jeffrey, pay your premiums until you turn Hi, please shed me some light about po sa ittanong ko. Yung sister in law ko po nanganak sa bus, kasi papunta na sya sa lying in kung san dpt sya manganganak.

Hindi na po inabot kaya sa bus na sya nangank. Lahat sa bus ginawa exept sa pg kuha ng placenta nya. Then, nung una ung mga nurses dun and midwife tinatanong kung meron sya philhealth. Then, nung ngpasa na requirements para magamt philhealth. Sabe ng billing hindi daw po magagamit kasi nangank sya sa transit, nakaconfine lang daw sya sa hospital. Ang nakakaloka po kasi dun. Mga 2days lang ng bill cla ng 23thousand.

Then ung professional fee ng doctor 8thou umabot. Hindi po ba talaga mgagamit ung philhealth pg ganun ung case na sa bus nangank hndi sa hosptal? Newborn care benefit should have been applied. Kafifile ko lang po ng philhealth ko ngaung june and 12months po ang binayaran ko.

Buntis po ako at ang due date ko po ay sa december Ask ko lng po kung magagamit ko po ba yung philhealth ko sa panganganak ko. Hi, my mom need a gall bladder stone surgery. She is 65 years old and one of my dependent in philhealth. How much will the philhealth covered for the operation… Hope to hear from you soon. Hi alona, if cholecystectomy removal of gallbladder to remove gallstone is performed, coverage is for PF and for hospital costs.

Hi ninay, the coverage for indicated CS is 19k. Coverage for CS with tubal ligation is the same as CS only, which is 19k. Ask ko LNG po, Dba pag CS — 19Kpublic hospital xa. Na Yung magagamit LNG s phEalth ko is Yung gastos LNG sken? Yung ky baby di mkksma sa pHealth ko? Like newborn and Iba? Pwede po b un? Di nman xa aabot sa 19k? Hi alfredo, the coverage for Extracorporeal Shock Wave Lithotripsy ESWL is 18k 8, PF; hospital 9, Nephrolithotomy coverage is 27, 15, pesos for PF; 12, pesos for hospital.

Hi Charlyn, the correct procedure is this: Did you submit your Philhealth papers to the hospital before discharge? But they did not deduct? Wait for your benefit payment notice from Philhealth, then get your refund from the hospital. Naoperahan po last Sept 24 for kidney and bladder po. Pwede po ba ipa reimburse sa philhealth? Hi jeniline, do you mean year ? In the past years, members only have 60 days after discharge to file a claim.

This year, members should submit their Philhealth papers to the hospital upon admission or before discharge. Hi may, this is a delayed response, so I hope you have asked other people. You should have paid 3 months within Dec to May Gusto ko lng po malaman kung magkano ang pwede macovered ng philhealth kapag bypass operation po.

Member po ang asawa ko ng philhealth. Naconfine po sya ng 2 weeks sa phc and may mga gamot din po kami binili habang nakaconfine sya. Marereemburse po ba namin yun? Hi jocelyn, PHC has a Philhealth desk. You should go there and ask, for more accurate answers. In the Procedure Case Rate list, bypass graft ranges from 37, to 46, A Medical Case Rate coverage may also be applied. PCSO is a big help. My philhealth po kami,kung sakaling gamitin ko sa ospital at gusto ko magprivate room,pwede bang charity doctor lang ang doctor ko para walang bayaran?

Philhealth also has a fixed coverage rate for each illness covered, regardless of the kind of room you stay in and regardless of your total bill. Hi im jenny, i have endometrioma in my right ovary my dr.

Sa las pinas doctors Said na abot ng k ang operation. My health card ako na ang limit is 75k. Na member ng philhealth. Hi i was diagnosed with endometeioma on my right ovary, sinuggest ng doctor ko n kelangnan ng ipasurgery which will cost around k. Meron po akong healthcard na 75k ung limit per illness. Ask ko lng po sana kung papatak ng 70k ang total bill ko, mccover b yun lahat with my philheath and healthcard? Kelangan ko po kaseng malaman before i decide na mgpasurgery para makapprepare din ng pera.

Hi jenny, yes, if your total bill is 70k, Philhealth will cover about 20k, and the rest, around 50k, will be covered by your HMO card. But ask your doctor, so that you can be sure that your doctor is Philhealth-accredited and the hospital is Philhealth-accredited. If you like, you can also ask another doctor in the same hospital or another hospital.

When finally decided, submit your Philhealth papers upon admission, to be sure. Hi I was diagnosed of having fibrocyst at my left breast. The doctor said i need to undergo EXCISION so they can do biopsy. Covered po ba ng philhealth ang ganitong case and if yes how much will be deducted to my hospital bill if ever? I working on a private company and continually pays my contributions since November up to present.

Ask ko lng po. Magkano kaya ang icocover ng philhealth para sa nasal polyps removal. Hi David, is the procedure in this list? But ask your medical facility. Mam,papanonaman ako maraming sakit piro di naman ako naoospital kasi puroconsulta lang at bili ng gamot hirap na ako wala trabaho at may edad na nagbabayad po ako sa pilhealth mula pa ng ako ay OFW pls.

Hi diosdado, sad about your situation. You can ask help from PCSO. They give assistance for medicines. Hi diosdado, sad to say, Philhealth does not refund outpatient consultation. It covers hospitalization for covered illnesses and procedures. Hi, i would like to inquire how much will be dedected to the hospital bill in the philhealth if the case is hyperactive airways.

Hi Chris, if this is the diagnosis: Hi arjhay, if your wife delivers in July, she should have paid at least 3 months within Jan to June The deadline for Apr to June payment is June Hi arjhay, sorry you can no longer pay for past quarters. Your wife qualifies if she has paid at least 3 months within Jan to June If you like, you can ask Philhealth if you can avail if you pay 1 year in advance.

Hi Robbie, sorry I think you can no longer claim for newborn care coverage. The rule is within 3 days. But ask your pediatrician.

My daughter was rushed to the ER kasi ang taas ng lagnat and due to febrile seizure, pero nirelease din po kami after several hours. Nagbayad po kami cash kasi walang insurance. Pwede po ba yun mareimburse ng Philhealth yung binayad namin? Hi Dawn, usually that condition is covered only if confined for more than 24 hours.

Hi Janice, ask your doctor. In the Case Rate list, the coverage for hydrocephalus is 17, pesos 5, pf; 12, hospital expense.

Naconfine kasi yung 1 month old baby girl koh. Submit your Philhealth papers to the hospital at least 1 day before discharge. No more direct filing with Philhealth. Ask ko lng po pau ggamitin para sa thyrodial ceck up un magpoates t ng dugo etc.

I hope you can answer me. Hi johanna, Philhealth does not cover outpatient blood tests and other diagnostic tests. Hi alma, if you were able to avail before, then you can avail again for this confinement. Talk with the social welfare officer of the hospital. Hi Trisha, Tonsillectomy, primary or secondary — 18, 9, hospital cost; 8, PF Tonsillectomy, and adenoidectomy — 18, 9, hospital cost; 8, PF.

Hi Malvencio, Tonsillectomy, and adenoidectomy — 18, 9, hospital cost; 8, PF Tonsillectomy, primary or secondary — 18, 9, hospital cost; 8, PF. Hi Christine, Amoebiasis, Hepatic 10, pesos 7, hospital cost; 3, PF Amoebiasis, Nonhepatic 4, hospital cost; 1, PF.

Hi Arlene, sorry, for high blood pressure, if he was not confined and treated for hypertension or other diagnosis, he cannot be covered by Philhealth. I have hemangioma since birth and im planning to under an operation.

My surgeon told me to prepare k for the operation excluding the laboratory fee. There should be a name for the procedure and its coverage, so ask your surgeon. In the Medical Case rate list, the coverage for microcephaly is only 13k, but there could be coverage for the major treatment done. Now the problem is isnt not my baby in a high risk pneomonia? I was so disappointed sa benefit na bnigay ng philhealth.

Iwas paying my philhealth for how many years. I went to the philhealth office. So dapat nkita nila lhat ng ginamit kc andon naman lhat. So please give me an advice on what to do. I NEED MY MONEY BACK AND. IM WILLING TO SUE THEM OR PUBLISH THEM KUNG TLGA GANITO ANG. Nagkaroon po ako ng philhealth point of care last august 10 yung mismong hospital po ang nagbigay sa akin ng form at nagamit ko rin po kaagad dahil nagpaligate po ako, ang tanong ko po wala po ba ibibgay sa akin na member card or ID or paano ko po malalaman na member na ako hindi ko naman po alam ang ID number ko… maraming salamat po.

Valid until Dec 31 Hi TinTin, you have to ask hospitals near you about their appendectomy rates. The Philhealth benefit for appendectomy is 24, pesos 9, for PF and 14, hospital expenses. Hi TinTin, the coverage for PF is 9,; 14, is for hospital expenses.

Ask your doctor about costs and Philhealth coverage so you can prepare. Hi evangeline, the coverage for stroke is 38, pesos 26, pesos for hospital expenses and 11, pesos for PF. If the 26k allocation is used up fully by hospital expenses, then you can no longer refund meds bought outside. Hi may i ask, mama will have thyroid surgery this october. Hi richelle, yes, your papa should pay Jul to Sep tomorrow or asap and get his MDR.

Coverage for thyroidectomy is 31k; coverage for other types of thyroid surgery are either lower or higher. Hi, may i ask, my mother was admitted at nkti last august Twice she had hemodialysis, and we paid cash. I was diagnosed with chronic Osteomyelitis and were scheduled to undergo 2 surgical operations in two months time. My first surgical operation was is Sept.

About Php 11, were deducted form our hospital bill. Will I be able to avail again for my next scheduled operation provided that there will be no lapse in my contribution? My daughter was confined at St. Center in aklan last May 7, and the findings is pneumonia.

We paid the full hospital bill including the doctors fee amounting to 12, in cash. The BPN showed 15, refund from Phil health. Is that how it should be? Tnx and God Bless. It could be the hospital getting the amount or the doctor.

What they usually say is that, for example in your case, their total PF is 2, from you plus the 4, from Philhealth. Our bpn says They say that the PF from Philhealth is additional to the PF initially charged for PF.

Hi harvey, what part was amputated? I checked the list, and there are different types? We are both staying here in Malaysia. Any advise on the financial benefits from Philhealth will be very much appreciated. God Bless to people like you.

Only the major procedure done is covered; but a second procedure can be covered, depending on the case. Anyway, you can file your claim within days after discharge. Other terminologies might have been used by Philhealth.

You can use Ctrl plus F to search. Thanks for wishing me blessing. May God continue to bless you and care for you as you and your family overcome this challenge.

Can he avail of no balance bill? He is jobless and I am an ordinary employee. We are active philhealth members. Hi shalom, it depends on the government hospital. Talk with the hospital if you can avail of the No-Balance program. I know someone who will undergo laparoscopic cholecystectomy, but the one who will do the procedure is from a private institution and it will be done on a public hospital. Can she avail of her benefits? Or the doctor will be paid in cash separate from the hospital bill?

Your advice will surely can help. Hi Cha, is the hospital and the private doctor both Philhealth-accredited? Hi, i was hospitalied a week earlier with disgnosis of pneumonia moderate risk with all the deductions but is returned 2 weeks with pneumonia high risk at the same hospital.

Will i be able to avail any discount? Hi gil, sad to say, you might not be covered because of the day single confinement rule only one coverage is paid if the same diagnosis within 90 days. Hello, I have a plan po sana na magmember ng Philhealth this month. If magbabayad po ako ng 2, for the whole year payment magagamit ko ba agad ito? Updated po Philhealth nya cover po un.

Mga ilan percent po assistance mkuha nya s Philhealth. Hi Liza, coverage for hemorrhoidectomy is 12, for hospital costs; for PF. I have paid 35,php down payment. Hi john, yes, compared to these rates of Phil Heart Center, http: Obviously, private rooms trigger higher hospital and PF rates.

Have they filed Philhealth with the hospital so they can get some deductions? The patient can again use Philhealth even if confined previously within 90 days because her previous treatment is different. Direct filing by member with Philhealth is no longer allowed. Good day, my child is confined in st therese. How much should they deduct for dengue case? HI juvie, percentage is not used. The deduction is fixed.

Now hes in recovery process,expenses paid provided by the company. How much will be the claim from philheath in this case? A document is required to activate his philhealth.

If we can submit the document this m0nth and pay for one year, when can we use Philhealth? I plan to have thyroidectomy. Hi ice, did they require proof that he is OFW, authorization letter plus a copy of his ID?

For OFWs, you can use Philhealth within the validity dates in your receipt. For example, you pay on Nov 28, and your receipt shows Nov 28, to Nov 28,you can use Philhealth within those dates.

Hi I just want to know if the reimbursable part of philhealth is really a privilege of a doctor or the patient?

There are doctors who transact to a senior citizen saying that his professional fee was net of 20k plus under the table of 5k deposit. But they should be honest. This doctor should have told this senior citizen his rate beforehand.

But this senior citizen can still talk with the doctor, explain his situation and ask for a discount. About your first question, Philhealth primarily is for patients. But hospitals and doctors benefit from Philhealth too, as they get more patients if they offer Philhealth coverage.

Hi Cherry, yes, Nov 28 is 6 days away, so he can use it. He should pay asap, on or before Nov 28, for the next 3 or 6 months so his membership will continue to be active.

Hi, inquire ko lang po yung sister ko once na nagstart sya sa Isang bpo industries Binigyan na sya ng HMO card then nagkaroon sya ng acute pancreatitis and kaka one month pa lang po nya. As per your list ang AGE acute gastritis ayhow about po if acute pancreatitis how much po fixed rate, at ito ba ay sasagutin ng HMO nya?

Hi Arlene, Philhealth will cover a fixed rate 12, for acute pancreatitisand the balance will be paid by the HMO, as long as the balance does not exceed her HMO plan limit. Hello, My baby was confined due to pneumonia for only 24hrs at the hospital. But I still filed my philhealth after we were discharged. Can I get the whole 15k case rate?

I paid 3k in addition to my downpayment of 5k, totalling more than 8k.

Hi Farlie, you should have not paid anything. Philhealth benefit should be deducted before discharge. But if the hospital told you they will refund you after Philhealth pays them, they will refund you only the 8k plus that you paid. Hi daniel, coverage for moderate pneumonia is 15k; coverage for congenital pneumonia is 12, But there are rules applied in case of 2 or more illnesses, so ask the hospital.

Hi ask ko lng anu po dapat gawin kasi end of contract na ako this december and im giving birth this march kailangan ko po bang hulugan yung remaining 3 months para maka avail ng benefits na maternity benefits.

Hi what if I stop working this December then give birth march, can i use philhealth? Hi lea, ask for cert of premium payment from your employer for last quarter of and pay for Jan to Feb so you can avail. Good afternoon po, my husband had his urgent bypass coronary artery bypass graft — 4 vessel last september this year sa philippine heart center.

Di na po sya nag-avail ng Z-benefit from philhealth kasi matatagalan pa daw ang processing kaya matatagalan pa din syang mai-bypass although di din naman sure if makaka-qualify sya. Upon deposit of nearly p, he was bypass and he stayed there for 34 days.

Upon discharge his bill amounted to p1. Not to mention the other 7 sessions of hemodialysis which were paid in cash when he had his credit suspension from the hospital Ang question ko lang po ay — may refund pa kaya sya from philhealth or talagang itong p45, na lang?

Hi Anya, based on the Case Rate list, the coverage for coronary artery bypass, vein only — 4 coronary venous grafts is 58, pesos 37, for PF and 21k for hospital costs.

Ask Heart Center for refund of the 37, pesos. Heart Center has Philhealth personnel, you can ask them if coronary artery bypass has a second-case deduction, so you can have additional deduction. Hi my husband is ofw and was able to use his philhealth last nov 24 at a private hospital due to preterm labor.

The hospital said I can use Philhealth again when I give birth because the diagnosis are different. Can I use again my Philhealth? Will be deducted for normal delivery? Hi Retchel, the hospital said you can use your Philhealth again, so they must have written a diagnosis which is different from normal delivery.

If they wrote a diagnosis like preterm bleeding or preterm pain, then you can use Philhealth again, as normal delivery is different from preterm illness.

At a hospital, the deduction is 5k 3k for hospital expenses and 2k for PF. Submit prenatal ORs worth to the hospital together with your Philhealth docs so Philhealth will send you a check. Hi, how much is philhealth deduction for pedia PDA ligation? Also, is there an HMO that covers congenital heart disease? Hi Des, I see only this in the Case Rate list: Ligation and takedown of a systemic-to-pulmonary artery shunt, performed in conjunction with a congenital heart procedure.

Coverage is 18k PF; hospital costs. You can call your HMO. Hi umi, did you file your Philhealth papers at the hospital? If yes, you might be able to refund when you receive your benefit payment notice. If not, get claim and waiver documents from the hospital so you can file directly with Philhealth.

Hi Jenny, do you mean Pag-ibig or Philhealth? Sorry the Pag-ibig card cannot be used for medical deductions. Sorry the Philhealth card cannot be used to pay for outpatient CT scan. Apparently, the specialist found out that she have a gal bladder problem that needed to removed as possible. She is an active PhilHealth member. We would like to know how much will PhilHealth covered for Cholecystectomy surgery. Is there any difference in your coverage for going to government hospital or private hospital?

We live in Imus, Cavite and the closer hospitals that we have in here are St. Pillar Hospital and De La Salle Medical Center. Would you tell me what is our best option in this case. We have no enough money so we would like to clarify if do we have to pay a fee or the hospital bill before she leave?

How much do you think would it cost for our part? Hope to hear a helpful information from you. Thank you very much!! Hi Shirley, the coverage for cholecystectomy is 31k 18, for hospital expense and 12, for PF. If private hospital, you need to talk with the surgeon about his PF and hospital cost, and how much you will pay if you use Philhealth. File Philhealth before discharge. Hi, im ivy of DepEd. My baby was admitted dec 19, friday. Diagnosis on the med cert is lower respiratory tract infection.

Private room charge is 3, Grand total bill 7, What percent is Philhealth discount? Discount given was 2, I paid the excess 4, Hi Ivy, Philhealth deductions now are fixed, depending on the diagnosis or treatment. When you receive your benefit payment notice from Philhealth, and you find out that Philhealth paid the hospital more than 2, go to the hospital and request for your refund of the difference.

Keep your statement, bill and ORs. Hi rolie, yes, if the treatment is a surgical procedure and if the surgeon is accredited and willing to fill up all the forms needed for filing. Ask ko lang po kasi naoperahan po ang bro ko. Ang procedure po na ginawa is ORIF. Nilagyan po ng bakal yung fracture nya sa left clavicle. Bago po kami magpaopera. Sabi nya po normally yung bakal na ilalagay ishoushoulder nyo un k. Tapos sabiko po pano po un ibang expenses? Sabi nya anyway health card naman kau diba?

Basta balik nalang kau sakin kung may approval ng coverage sa health card nyo para masched na ang operation. Sabi ko po kasi baka masyado mahal. Di na lang po. Paapprove nyo na muna yan.

Balik nlng kau sakin. Un po sabi nya. Eh ang iniisip ko po 20k lang po na bakal un babayaran. Tapos po Eh 30k lang po ang covered. Tapos ang charges 35k na po. Wala pa pfs ng ortho at anes. At wala pa po un bakal doon. Magkano po kaya mababawas sa bill namin?

Yung bakal po ba may madidiscount po sa philhealth? Nagtanong po kasi ako sa accounting, sa er, sa admssionsa philhealth wala daw po sila idea. Depende daw po sa diagnosis. Sabi ko po pano ko po malalaman un diagnosis. Sabi nila kapag ididischarge na daw po. Sa private hospital po sya. Pero sa ward po. And ung ortho po is accredited ng philhealth.

Sana mo matulungan nyo po ako. Thank u in advamce. It will be the ortho that will write the diagnosis and treatment done on the Philhealth papers. Hi I was confined due to diabetes plus UTI. We bought meds from mercury drug with OR. Hi cynthia, I assume this is a public hospital.

Did the hospital accept your Philhealth papers and made initial deductions? Later on, when you receive your benefit payment notice from Philhealth, and you see the amount Philhealth paid to the hospital, ask for refund from the hospital. Usually, only one illness is covered — the more expensive case.

I am ofw my daughter has been hospitalized abroad due to low blood count and need to do blood tranafusion for 4 bags of blood. No illneess detected in her test. We paid around usd. Hi ma luisa, there should be a definite diagnosis, as the deduction will depend on the diagnosis. Keep all your papers and claim within days. Dear Nora, my husband has been confined at the Bicol Medical Center since Dec. They can only see if the mass inside his brain is cancerous or not after brain surgery.

Hi Reashiela, if there are 2 or more illnesses in one confinement, usually only 1 illness is covered. There are only a few cases where 2 are covered. In the Case Rate list, brain surgery ranges from 37 to 65, depending on the type of brain surgery. PCSO assistance is not only for indigent patients, as medical costs can really overwhelm everyone, even those with good jobs. Hi jane, based on the circular on anti-pneumonia vaccine, there are only selected hospitals, usually public hospitals where this vaccine is availed of.

You can ask around, specially the government hospital nearest you. He might pay around pesos or more or less, depending on the hospital. I hope government hospitals have this vaccine, as usually government hospitals, specially in populated areas, lack medicines and supplies. My in-law must undergo an operation at PGH hospital for a cyst in the large intestine.

How much are ecg, xray, ct scan, colonoscopy procedure. They have no money for the operation. You can ask the social welfare department of PGH about asking assistance from PCSO. Ang mother ko po ay nasa private hospital ngayon, may HMO po ako ngunit 25k nalang ang laman dahil kelan lamang ay naospital din si mama. Ang bill namin ay umabot ng k nadiagnose si mama na may sakit sa puso. Ngayon po dahil kapossa pera gusto ko po ilapit sa PCSO. Besides, I think PCSO no longer requires indigency papers, as they know that even employees with high salaries cannot afford expensive hospitalizations.

Na confine po ang father ko Senior Citizen sa Olivarez Hospital for 3 days due to Chronic Kidney Disease. Naka avail naman po kami ng Philhealth benfits. After a few days, nagka-emergency po dahil nagkaroon ng bleeding ang aking father at kinailangan ulit ma-confine sa Olivarez Hospital.

For four days na confinement, na dialysis po siya ng 3 times at kinailangan i-endoscopy at ayusin ang mga butas sa bituka. Nagulat po kami sa bill ng hospital dahil ang naging discount lang po namin ay P9, Ang total billing namin ay more or less P, Medyo nakatulong pa nga po na dalawa sa anim na doctors na tumingin ay kakilala namin kaya hindi na po nag-charge ng PF bale P Hindi naman po kami mabigyan ng hospital ng detailed computation kung paano na-arrive ang P9, Tama po ba ito?

Ano po ang kailangan namin gawin para mabawi ang sobra naming binayad? Napilitan po kaming bayadan ang kanilang bill dahil natatakot kaming mas lumaki pa ang gastos kapag nagtagal kami sa ospital na iyon. Hi marlo, ask the hospital why they did not claim for endoscopy, which is the costlier procedure and has higher coverage.

Ask also if they can claim for the 3 hemodialysis. I saw a Philhealth sample where 2 hemodialysis were covered as second case. Medicines are expensive, have reached 40k. My dad who is an active member of PhilHealth was admitted to a PhilHealth Accredited hospital in. He was confined in the ICU of the said hospital for 3-days. Because of his condition, we decided to transfer him to Baguio City where his doctors are. We paid the the whole amount billed by the hospital including the professional fees of doctors who looked after my dad.

Can somebody explain to me what kind of insurance are we having? Thank you very much. Your father will be able to use his Philhealth at the hospital in Baguio. Hello I had surgery for my knee due to my problem from an accident. In the claim form 1, use a Philippine address where the cheque can be sent.

Hi Mario, sorry, your wife should have filed her Philhealth at the lying-in before discharge. She can ask the lying-in if she can still file. Hi joemarie, your wife should ask her OB or mcu so you can prepare. Initial diagnosis is gastric ulcer and colonic polyps.

How much will be covered by Philhealth for these procedures? My mom is a dependent of my father who is now a lifetime member senior — SSS pensioner. Hi JP, there are several types of these, so please use the Search Case Rates system on this page: Hi, within how many days can we get our philhealth refund. Wait for your benefit payment notice via postal mail, and then ask the hospital for refund. Hi joanne, coverage is 16k per eye.

Look for a Philhealth-accredited eye surgeon, and ask if 16k is enough or how much you need to add per eye. Hi carlos, I checked the Case Rate list and the coverage for rheumatic heart disease is 10, to 15, depending on the specific case.

This is liza, im about to give birth my first baby this march and i just wanna ask what are the requirements in filing my philhealth in the hospital?

And just to verify, is the coverage being deducted automatically from the total bill or do we need to pay the bill first and then just reimburse the expenses? Hi Liza, your benefit 5k for maternity and for newborn care should be deducted from the hospital bill. My husband who is my dependent will have. I am from Cebu and needs a very good hospital that does non invasive lobectomy. I need your advice.

You can use the Case Rate Search system on philhealth. Ask around, and ask also the surgeon and hospital about costs if Philhealth is used.

Hi joan, if operation is removal of gallbladder to remove gallstone, coverage is for PF and for hospital costs. Hi Leo, search here at philhealth. Hi Jonas, if there are 2 medical procedures or 2 illnesses, only 1 is covered, the one which is more costly. There are few cases that can be covered as a second case, like hemodialysis and chemo. My dad suffered a heart attack. My daddy is a retired police way back