Enhancement in PhilHealth benefits on track, more to expert this year

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STATE HEALTH INSURANCE Chief Emmanuel R. Ledesma Jr. assures President Ferdinand R. Marcos, Jr. that members and their beneficiaries can expect better and more responsive health benefits packages that they can avail of at any accredited health facility nationwide.

Chief Emmanuel R. Ledesma Jr. assures President Ferdinand R. Marcos, Jr. that members and their beneficiaries can expect better and more responsive health benefits packages that they can avail of at any accredited health facility nationwide.

Ledesma recently announced that the 30-percent increase in most of its case rate packages already took effect for all admissions starting February 14, 2024, the first time that an across-the-board increase was implemented since the all case rate scheme was launched in 2013. “ said Ledesma. PhilHealth also significantly increased its coverage for certain conditions that are included among the high burden disease in terms of finances and effect on the quality of life of patients. It increased the benefits packages for acute ischemic stroke from P28,000 to P76,000; and acute hemorrhagic stroke from P38,000 to P80,000. Ledesma said these two packages alone have increased by 200% percent.

In October last year, it launched the Outpatient Mental Health Package which provides outpatient coverage for general and specialty mental health services for P9,000 and P16,000 per patient annually, respectively. The Agency is partnering with the National Center for Mental Health for the initial implementation of the package and is currently contracting more providers at the grassroots level to make this even more accessible to more than three million Filipinos with mental health conditions.

said Ledesma. He further said that guidelines for outpatient therapeutic care benefits package for severe acute malnutrition in children aged 5 years old and below and services for physical medicine and rehabilitation will also be expected this year.

 

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