PhilHealth scraps 45-day benefit limit | ABS-CBN
ADVERTISEMENT
Welcome, Kapamilya! We use cookies to improve your browsing experience. Continuing to use this site means you agree to our use of cookies. Tell me more!
PhilHealth scraps 45-day benefit limit
PhilHealth scraps 45-day benefit limit
Health workers at the Dr. Jose Fabella Memorial Hospital in Manila work through the long weekend on October 31, 2023. Mark Demayo, ABS-CBN News
Health workers at the Dr. Jose Fabella Memorial Hospital in Manila work through the long weekend on October 31, 2023. Mark Demayo, ABS-CBN NewsMANILA — The Philippine Health Insurance Corporation (PhilHealth) on Friday announced it was lifting the 45-day limit on hospital admissions, readmissions, and benefit utilization per year.
MANILA — The Philippine Health Insurance Corporation (PhilHealth) on Friday announced it was lifting the 45-day limit on hospital admissions, readmissions, and benefit utilization per year.
"Kung dati tayo ay allowed lamang ng 45 days in year na makagamit ng benepisyo ng PhilHealth ngayon ay tinanggal na natin yung limitation na iyon," PhilHealth SVP and spokesman Israel Pargas said.
"Kung dati tayo ay allowed lamang ng 45 days in year na makagamit ng benepisyo ng PhilHealth ngayon ay tinanggal na natin yung limitation na iyon," PhilHealth SVP and spokesman Israel Pargas said.
"Makakagamit na ng PhilHealth benefit all throughout the year... Kung may re-admission, pwede na siya even after 45 days, Including dependents. Lahat makaka-avail," he added.
"Makakagamit na ng PhilHealth benefit all throughout the year... Kung may re-admission, pwede na siya even after 45 days, Including dependents. Lahat makaka-avail," he added.
In a statement on Thursday, PhilHealth CEO Edwin Mercado said the 45-day benefit limit was an "outdated cost-containment strategy."
In a statement on Thursday, PhilHealth CEO Edwin Mercado said the 45-day benefit limit was an "outdated cost-containment strategy."
ADVERTISEMENT
"Sa pagbabago ng ating payment mechanism, napapanahon na rin talagang repormahin ito. We cannot always predict or schedule our medical needs. Marami ring mga serbisyo ang kinakailangan ng higit sa 45 days na coverage,” Mercado said.
"Sa pagbabago ng ating payment mechanism, napapanahon na rin talagang repormahin ito. We cannot always predict or schedule our medical needs. Marami ring mga serbisyo ang kinakailangan ng higit sa 45 days na coverage,” Mercado said.
Pargas said the circular lifting the cap was published on Thursday, and would take another 15 days for it to take effect, or around April 3.
Pargas said the circular lifting the cap was published on Thursday, and would take another 15 days for it to take effect, or around April 3.
PhilHealth said it would use the 15 days to communicate the new policy to hospitals and other health facilities.
PhilHealth said it would use the 15 days to communicate the new policy to hospitals and other health facilities.
"Ito yung magiging communication plan with the hospital, with all the facilities para alam na nila para sa pag-start ng implementation day ay familiar na lahat ng stakeholders," he said.
"Ito yung magiging communication plan with the hospital, with all the facilities para alam na nila para sa pag-start ng implementation day ay familiar na lahat ng stakeholders," he said.
Pargas said this benefit would "include all illnesses."
Pargas said this benefit would "include all illnesses."
The spokesman said PhilHealth can afford the cost of the new policy.
The spokesman said PhilHealth can afford the cost of the new policy.
"Doon sa ating actuarial projection, aabutin ito ng P400 million kung lahat ng pasyante, magiging more than 45 days ang utilization ng kanilang ng kanilang illness. Kakayanin ng PhilHealth ang financial impact," he said.
"Doon sa ating actuarial projection, aabutin ito ng P400 million kung lahat ng pasyante, magiging more than 45 days ang utilization ng kanilang ng kanilang illness. Kakayanin ng PhilHealth ang financial impact," he said.
RELATED VIDEO:
ADVERTISEMENT
ADVERTISEMENT
