Is medicine covered by PhilHealth?

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Is medicine covered by PhilHealth?

Yes, it is the only drug package that is reimbursable by PHIC (PhilHealth Board Resolution No. 1214 s 2099 and 1831 s-2010) as take-home medicines for all PHIC members.

Is senior citizen covered by PhilHealth?

Under Section 5 of RA 10645, all senior citizens shall be covered by PhilHealth. Their annual premium contributions shall be borne by the National Government from the proceeds of RA No. 10351 (Sin Tax Law), provided that they are not currently covered by any existing [membership] category of PhilHealth.

Who are covered by PhilHealth?

Direct Contributors

  • Employees with formal employment.
  • Kasambahays.
  • Self-earning individuals; Professional practitioners.
  • Overseas Filipino Workers.
  • Filipinos living abroad and those with dual citizenship.
  • Lifetime members.
  • All Filipinos aged 21 years and above with capacity to pay.
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How do I know my PhilHealth beneficiary?

MEMBERS of the Philippine Health Insurance Corporation (PhilHealth) may now check on the accuracy of their member data records through a new facility in the government corporation’s website. Launched on PhilHealth’s 20th Anniversary, the Member Inquiry facility can be found on the homepage of www.philhealth.gov.ph.

Can I reimburse PhilHealth?

The amount of refund varies per member, based on the lists reported by the HCIs. The lowest amount that can be refunded is one hundred pesos (P100).

Will PhilHealth cover Covid?

Corporation (PhilHealth) announced its coverage on home isolation of COVID-19 confirmed mild and asymptomatic patients through its Circular No. 2021-0014 published on August 19, 2021 and will take effect in 15 days from publication.

What is PhilHealth lifetime membership?

Members under the Lifetime Member Program (LMP) are those who have reached the age of retirement and have paid at least 120 months’ premium. They are granted lifetime coverage without having to pay premium contributions anymore.

How many beneficiaries are there in PhilHealth?

In 2020, there were 59.1 million beneficiaries of PhilHealth covered members that were categorized as direct contributors. On the other hand, indirect contributors comprising of the indigent, senior citizens, and sponsored programs members had around 36.87 million beneficiaries.

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Can I use my mother’s PhilHealth?

THE country’s health insurer today announced that it is now extending its insurance coverage to parents below 60 years old but with permanent disability. As beneficiaries, parents can avail themselves of PhilHealth benefits in any accredited health care institution nationwide.

Does PhilHealth cover Covid?

Can I still use my PhilHealth even if unemployed?

You can apply for PhilHealth voluntary membership even if you have no job as long as you can pay your monthly premiums. There’s also no need to worry about PhilHealth requirements if you’re unemployed. Just fill out the registration form and submit it with accurate information.

What is PhilHealth and its benefits?

PhilHealth implements the National Health Insurance Program that aims to provide Filipinos with financial assistance and access to affordable health services. It covers hospital costs, subsidy for room and boarding, medicine, and professional services.

Can you use PhilHealth if you are not hospitalized?

Outpatient Benefits Even if you’re not going to be hospitalized, you can still use PhilHealth to pay for several outpatient services. PhilHealth partially covers ambulatory or day surgeries, which are non-emergency procedures that allow patients to be sent home within the day. It is available in ambulatory surgical clinics accredited by PhilHealth.

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Are you eligible for PhilHealth benefits?

You are also eligible for PhilHealth benefits if you are suffering from any illness that is part of PhilHealth’s Millennium Development Goals (MDG). These diseases include malaria, HIV-AIDS, tuberculosis, and animal bites.

How much is my medical or surgical case covered by PhilHealth?

 Each medical or surgical case is covered by a fixed amount. For medical cases, 30\% of the fixed amount is for Doctors’ Professional Fees  (PF) and 70\% is for hospital costs. For surgical cases, it’s 40\% for PF and 60\% for hospital costs. You can no longer file your Philhealth claims directly with Philhealth.