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What is 2nd case rate PhilHealth?

What is 2nd case rate PhilHealth?

Second case rate – Case rate claimed by HCis for PhilHealth reimbursement \vhich represents/ covers the medical condition of d1e patient with the second tnost· resources used. C. Cnsc rate code – Code developed by the Corpora’tion assigned ro groups of medical. conditions, and individual procedures.

What is ACR in PhilHealth?

In order to keep up with this mobile app trend and be able to provide its clientele with easy benefit information access anytime and anywhere, the Philippine Health Insurance Corporation (PhilHealth) has created its own application called PhilHealth ACR (All Case Rates) Search mobile application.

What is Z package of PhilHealth?

The Z-Benefit packages include mandatory services for the totality of care that are essential for the treatment of the condition, hospital services such as accommodation, medicines, laboratories and professional fees and other services or alternative guideline recommendations that may be needed by the patient.

How can I check my PhilHealth record?

You can call PhilHealth to inquire about your PhilHealth number. The number to call is (02) 8441-7442. The PhilHealth call center is available from Monday to Friday, 8 AM to 5 PM. If you are calling PhilHealth from a Smart or Globe mobile number, dial 2-8441-7442.

How many times can I use my PhilHealth?

PhilHealth members are entitled to a maximum of 45 days confinement per calendar year1. The qualified dependents of the member share another set of 45 days benefit per calendar year. However, the 45 days allowance shall be shared among them.

How many percent is PhilHealth discount?

This Circular is issued in support of DOH Administrative Order 2012-0007: Guidelines on the Grant of Twenty Percent (20%) discount to Senior Citizens on Health Related Goods and Services and for Other Purposes; and, to amend the PhiiHealth Circular 2, s.

Is outpatient covered by PhilHealth?

Your PhilHealth membership covers ambulatory and non-emergency surgical procedures done on an outpatient basis. To avail of PhilHealth coverage, you should have at least three months of premium contribution within the immediate six months before your first day of hospitalization.

Is Doctors fee covered by PhilHealth?

PhilHealth is committed to providing you with the most comprehensive understanding of how the professional fee for surgical procedures is computed. * This fee only represents PhilHealth payment to the surgeon. It does not include payment to other physicians if required, or hospital costs.

How will I know if my PhilHealth is active?

Go to At the home page of the website, you will see the four navigation tabs: about us, members, our partners, online services, and downloads. Since you want to view your philhealth contribution online, you need to go to ‘online services’ tab.

Can I get MDR online?

You can get your PhilHealth Member Data Record (MDR) without having to go to a PhilHealth office. Go to the official PhilHealth website. 2. Click “online services” on the main menu.

Can I pay previous months in PhilHealth?

Retroactive payment of premium contributions may be allowed ONLY if members have been able to establish nine (9) consecutive months of premium contributions prior to the missed quarter. The said retroactive payment may be counted as qualifying contributions if paid prior to the first day of confinement.

What are the disadvantages of PhilHealth?

Disadvantages: It’s a bit harder for a freelance worker or self-employed starter as you would have to be the one going to PhilHealth or payment centers to pay and they have limited hospitals and doctors available (only government-owned hospitals usually accept PhilHealth).

What is the PhilHealth number in the Philippines?

The PhilHealth number is a unique 12-digit number issued to all members of the Philippine Health Insurance Corporation (PhilHealth). This number is required for all transactions with PhilHealth, such as paying your contributions and claiming benefits.

Which is case type Z under Philhealth classification of illnesses?

A new case type Z under the PhilHealth classification of illnesses covers for a unique set of catastrophic illnesses defined in PhilHealth Circular No. 29 s. 2012; and a con-esponding benefit package called the Z Benefit Package was developed (Phil.Health Circular No. 30 s

What kind of iD do you need for PhilHealth?

Eligibility to Philhealth benefits: Bring your Philhealth Lifetime ID Card, or Senior Citizen’s Card issued by the OSCA in the city or town where the member lives. There are hospitals that accept any government-issued ID that shows the member’s date of birth.

What to do if you lose your PhilHealth number?

In case you’ve lost or forgotten your PhilHealth number (and you don’t have a PhilHealth ID), there are several ways to retrieve your PhilHealth number online using your mobile phone or computer. At the moment, the PhilHealth website doesn’t have the option to recover your PhilHealth number, so you will have do it manually.