PhilHealth increases benefits for members in 2025 | ABS-CBN
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PhilHealth increases benefits for members in 2025
The façade of the PhilHealth Head Office in Pasig City on September 5, 2020. George Calvelo, ABS-CBN News/File
The façade of the PhilHealth Head Office in Pasig City on September 5, 2020. George Calvelo, ABS-CBN News/FileMANILA — The Philippine Health Insurance Corp. (PhilHealth) on Monday announced that it would increase by 50 percent almost all of its benefit packages starting January 2025.
MANILA — The Philippine Health Insurance Corp. (PhilHealth) on Monday announced that it would increase by 50 percent almost all of its benefit packages starting January 2025.
The announcement came despite a controversial decision to cut government subsidies for the state health insurer for this year.
The announcement came despite a controversial decision to cut government subsidies for the state health insurer for this year.
Dr. Israel Francis Pargas, Senior Vice President for Health and Finance Policy Sector of PhilHealth, said that the hike covers 9,000 case rate packages for its members.
Dr. Israel Francis Pargas, Senior Vice President for Health and Finance Policy Sector of PhilHealth, said that the hike covers 9,000 case rate packages for its members.
“Kung matatandaan ninyo, noong February of 2024, nag-increase na po tayo ng 30 percent, and ngayon po bago matapos ang taon, ay nag-increase tayo ng another round, this time 50 percent naman po sa around 9,000 benefit packages starting January 1 admissions,” Pargas said in a televised briefing.
“Kung matatandaan ninyo, noong February of 2024, nag-increase na po tayo ng 30 percent, and ngayon po bago matapos ang taon, ay nag-increase tayo ng another round, this time 50 percent naman po sa around 9,000 benefit packages starting January 1 admissions,” Pargas said in a televised briefing.
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“Lahat ho halos ng ating benefit packages, or yun pong ating case rates ay nag-increase ng 50 percent. Ang hindi lamang po natin naisama dito ay yun pong mga ni-rationalize natin, or in-increase natin ng hiwalay doon sa 50 percent," he said.
“Lahat ho halos ng ating benefit packages, or yun pong ating case rates ay nag-increase ng 50 percent. Ang hindi lamang po natin naisama dito ay yun pong mga ni-rationalize natin, or in-increase natin ng hiwalay doon sa 50 percent," he said.
"Katulad po halimbawa ng ating Kidney Transplantion Package na dati ay P600,000, ngayon po aabot sa P800,000 to P2 million package. O yung sa ating Heart Attack, yung Acute Myocardial Infarction na dati ay tinatawag na Angioplasty, na around P30,000 ang ating benefit package, ngayon po ay aabot na sya sa P530,000,” Pargas added.
"Katulad po halimbawa ng ating Kidney Transplantion Package na dati ay P600,000, ngayon po aabot sa P800,000 to P2 million package. O yung sa ating Heart Attack, yung Acute Myocardial Infarction na dati ay tinatawag na Angioplasty, na around P30,000 ang ating benefit package, ngayon po ay aabot na sya sa P530,000,” Pargas added.
Meanwhile, PhilHealth will also be providing coverage for emergency outpatient services, which was earlier excluded from existing benefit packages.
Meanwhile, PhilHealth will also be providing coverage for emergency outpatient services, which was earlier excluded from existing benefit packages.
“Dati meron tayong primary care, meron tayong inpatient care. Pero yung mga pasyente na nadadala sa emergency room pero hindi naa-admit, wala po silang benepisyo before," Pargas said.
“Dati meron tayong primary care, meron tayong inpatient care. Pero yung mga pasyente na nadadala sa emergency room pero hindi naa-admit, wala po silang benepisyo before," Pargas said.
“Pero ngayon po we came out already with an emergency care package na kung saan yung ating mga miyembro na madadala sa emergency room dahil sa pagkakasakit o karamdaman, pero hindi kailangan ma-confine but rather after a few hours of stay ay pauuwiin na po, yun po ay ating iko-cover at babayaran na po natin sya,” he said.
“Pero ngayon po we came out already with an emergency care package na kung saan yung ating mga miyembro na madadala sa emergency room dahil sa pagkakasakit o karamdaman, pero hindi kailangan ma-confine but rather after a few hours of stay ay pauuwiin na po, yun po ay ating iko-cover at babayaran na po natin sya,” he said.
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Pargas said PhilHealth would also begin coverage for preventive oral health services, such as oral screening, oral prophylaxis, and fluoride application.
Pargas said PhilHealth would also begin coverage for preventive oral health services, such as oral screening, oral prophylaxis, and fluoride application.
“Yun pong ating primary healthcare is what we call Konsulta, na kung saan ay meron tayong libreng konsultasyon, merong 15 laboratory na libre na makukuha, at 21 drugs na makukuha rin na libre," the official said.
“Yun pong ating primary healthcare is what we call Konsulta, na kung saan ay meron tayong libreng konsultasyon, merong 15 laboratory na libre na makukuha, at 21 drugs na makukuha rin na libre," the official said.
"Ngayon inexpand po natin sya at kasama na ngayon ang ating tinatawag na dental healthcare... Kung kinakailangan din po ang tinatawag na emergency tooth extraction, kasama rin po sya, at yung paglalagay ng tinatawag na (screening).”
"Ngayon inexpand po natin sya at kasama na ngayon ang ating tinatawag na dental healthcare... Kung kinakailangan din po ang tinatawag na emergency tooth extraction, kasama rin po sya, at yung paglalagay ng tinatawag na (screening).”
Pargas said members could avail of these services in accredited Konsulta providers capable of providing dental services.”
Pargas said members could avail of these services in accredited Konsulta providers capable of providing dental services.”
President Ferdinand Marcos, Jr. earlier assured that members would still be able to avail of expanded and increased benefits from PhilHealth despite concerns over the decision to scrap government subsidies from the state health insurer.
President Ferdinand Marcos, Jr. earlier assured that members would still be able to avail of expanded and increased benefits from PhilHealth despite concerns over the decision to scrap government subsidies from the state health insurer.
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