PhilHealth eyes further benefits expansion | ABS-CBN

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PhilHealth eyes further benefits expansion

Lady Vicencio,

ABS-CBN News

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MANILA -- The Philippine Health Insurance Corporation (PhilHealth) is set to further increase its benefits coverage driven by its robust financial health, an official said on Monday.

PhilHealth President and CEO Emmanuel Ledesma Jr. said in a press briefing that the agency plans to implement a 30 to 50 percent increase in benefit coverage by November across all its benefit packages. 

This comes after PhilHealth implemented a 30 percent increase in coverage rate of most of its benefit packages last February 2024.

The state health insurer also wants to offer benefit packages for the top 10 most burdensome diseases in the country namely pneumonia, severe dengue, acute stroke, chronic kidney disease, asthma, sepsis, ischemic heart disease, cataract, and cancers of the lung, liver, ovary, and prostate.

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PhilHealth currently covers 60 percent of these conditions under the expanded healthcare financial benefits. 

Ledesma emphasized that the agency’s strong financial standing provides ample resources to reduce out-of-the-pocket expenses of Filipinos. 

“One of the reasons why we are aggressively enhancing the case packages across the board is because maraming maraming pondo po ang PhilHealth,” Ledesma said.

“It’s been more than 10 years that the case packages of PhilHealth have been enhances. Almost 10 years ‘yan hindi nagagalaw so nagpile up na po ‘yong pera,” he explained.

Ledesma added that there have been less benefit claims during the COVID-19 pandemic while premium contributions continued to increase as set by the Universal Health Care Law. 

As of September 30, 2024, investments to PhilHealth has reached P512 billion with over P9 billion already remitted by the national government. Payouts for case packages has reached P120 billion this year.

The Supreme Court en banc has scheduled on January 14, 2025 the oral arguments on the transfer of P89.9 billion funds of PhilHealth to the National Treasury, after groups asked it to stop the transfer of the said funds.



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