In 18th year, PhilHealth expands coverage



MANILA, Philippines—Members of PhilHealth who have heart problems can now undergo treatment under the national health insurance program following the expansion of a package that previously covered only a few diseases.

Health Secretary Enrique Ona announced during PhilHealth’s 18th anniversary at Edsa Shangri-La Manila in Mandaluyong City on Thursday the release of the expanded Case Type Z Benefit Package, which now covers “catastrophic” illnesses such as severe coronary heart disease, congenital heart defects, and ventricular septal defects (holes in the ventricles of the heart).

Alexander Padilla, PhilHealth executive vice president and chief operating officer, said the package, which was released in July last year, previously covered treatments for breast and prostate cancer and leukemia in children; and dialysis only.

Under the expanded package, those with severe coronary heart disease can consume up to P550,000 for the coronary artery bypass surgery; those with congenital heart defects up to P320,000; and those with holes in the ventricles of the heart up to P250,000 in selected accredited hospitals.

Members with cervical cancer can also consume up to P120,000 for their treatment; and those who wish to undergo a prosthetic surgery for the lower limbs up to P15,000 per limb.

Ona said that authorities were also looking at the possibility of adding other sicknesses to the package in the future, and looking at ways to expand and partner with other accredited hospitals.

“As I said, we are still starting. We are still looking at the kinds of sicknesses that (Filipinos get inflicted with) and the costing in other hospitals,” he said.

In pursuance of this mandate, PhilHealth is tasked to ensure a sustainable national health insurance program, including an expanded government subsidy for the enrolment of the poor and the creation of local health service delivery system to all members.

In its 18th year, PhilHealth aims to rally the entire nation through the PhilHealth-DOH Nationwide Run to stage a push toward bringing universal healthcare into a reality.

The nationwide run on Sunday marks PhilHealth’s 18 years of service to the Filipino people, having been established in 1995. The event’s simultaneous gunstarts across 18 sites in the country emphasize the need for unity in aim and spirit.

In support of the country’s efforts toward achieving the Millenium Development Goals of reducing child mortality and improving maternal health, proceeds from the event will be used to support national and regional institutions promoting the protection of mothers and children in the country. The national beneficiary of the PhilHealth Run 2013 is the Philippine Children’s Medical Center. The local beneficiaries vary per region.

RiteMed, the country’s leading uni-branded medicine, hosted Thursday’s press conference announcing PhilHealth’s thrust. RiteMed has an extensive portfolio of products for cardiovascular, respiratory, endo-metabolic, anti-infectious diseases, among others. In 2011, it started a campaign to push for the people’s right to health.

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  • prince_janus

    Philhealth contributions are just an additional burdens to every employee. It doesn’t gave benefit to the member at all. If you’re receiving a bigger salary, you contribute a lot, but the services you will receive will still be the same with those who contribute the minimum. Its quite unfair. Philhealth part of the bill when hospitalized is just a decoration and additional income of crocks doctors.

    • reforms


      • reforms

         wait until philhealth will achieved universal healthcare and you will know the effects of it

      • prince_janus

         you’re more than what you think! SOCIAL RESPONSIBILITY????? seguro nakikinabang ka sa Philhealth. Isa ka rin segurong empleyado ng Philhealth na nagpasasa sa mga malaking bonuses o di kaya isang may-ari ng hospital o doctor na ginagatasan lang ang isang pobreng may sakit sa ngalan ng Philhealth.  walang kwenta yang Philhealth. Ok lang yan kung gamitin mo sa isang walang kwentang government hospital na palpak ang serbisyo ng mga medical workers.

  • Beng Atibo

    Ibaba ang presyo nang gamot so it can be affordable to poor people. Whatever happened to that initiative??? Whatever happened to the importation of cheap medicine from India. Filipinos are being rob of our hard earned money from foreign Pharmaceutical companies!!!

  • raul n

    the problem is the philhealth part of the hospital bill is still nothing because the charges made by the hospital for admission is being doubled by the hospital. this just make the operation of the hospital, doctors and other members of the medical team richer because of philhealth share.

    • reforms

       the problem is not with philhealth…it’s with the hospital….and doctors….making philhealth as their extra income…..


    Bakit hindi na lang kase 100% ang coverage ng philhealth para sa mga member na nasa higher bracket, o kaya may option na kung gusto mo ng 100% coverage may additional contribution, ganun din kase kukuha ka ng health card mas mahal pa ang monthly payment at limited din lang ang coverage. Opinyon ko lang naman po.

    • prince_janus

       totoo yan. pang-additional bonus lang yang philhealth benefits kuno sa doctor at hospital.

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