PhilHealth Benefit Packages - Case Payment Rates

PhilHealth Benefit Packages - Case Payment Rates

This post contains a list of benefit packages, under the case payment scheme, that are available to active PhilHealth members.

 

Name of Benefit Package

Case Rate (Php)



Maternity Care Package (MCP)

6,500.00

Normal Spontaneous Delivery (NSD) Package

6,500.00

TB-DOTS Package

4,000.00

SARS Package

50,000 - 100,000

Avian Influenza Package

50,000 - 100,000

New Born Care Package (NCP)

1,000.00

Bilateral Tubal Ligation (BTL) Package

4,000.00

Vasectomy Package

4,000.00

Malaria Package

600.00

Influenza A (H1N1) Package

75,000 - 100,000

NSD with BLT Package

10,500.00

Outpatient HIV / AIDS Treatment Package

30,000.00

Dengue I (dengue fever and DHF Grades I and II)*

8,000.00

Dengue II (dengue hermorrhagic fever grades III and IV)*

16,000.00

Pneumonia I (moderate risk)*

15,000.00

Pneumonia II (high risk)*

32,000.00

Essential Hypertension*

9,000.00

Cerebral Infarction (CVA I)*

28,000.00

Cerebro - vascular Accident with Hemorrhage (CVA II)*

38,000.00

Acute Gastroenteritis (AGE)*

6,000.00

Typhoid Fever*

14,000.00

Asthma*

9,000.00

Cesarian Section (CS)*

19,000.00

Dilatation and Curettage (D&C)*

11,000.00

Hysterectomy*

30,000.00

Mastectomy*

22,000.00

Appendectomy*

24,000.00

Cholecystectomy*

31,000.00

Herniorrhaphy*

21,000.00

Thyroidectomy*

31,000.00

Radiotherapy*

3,000.00

Hemodialysis*

4,000.00

Cataract Package*

16,000.00


* PhilHealth will be directly paying the health care facility inclusive of the professional fee, hence, this is directly deducted to the bill of the eligible PhilHealth member. Will also take effect for claims with admission date September 1, 2011.

 

This list will be updated once additional benefit packages become available.