PhilHealth


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Members

benefit coverage

inpatient coverage

Subsidies for hospital room and board fees, drugs and medicines, x-ray and other laboratory exams, operating room and professional fees for confinements of not less than 24 hours. Please refer to the table of rate ceilings/maximum allowances for inpatient coverage.

outpatient coverage

Day surgeries, dialysis and cancer treatment procedures such as chemotherapy and radiotherapy.

Special Benefit Packages
exclusions
  • Fifth and subsequent normal obstetrical deliveries
  • Non-prescription drugs and devices
  • Alcohol abuse or dependency treatment
  • Cosmetic surgery
  • Optometric services
  • Other cost-ineffective procedures as defined by PhilHealth