Amount of coverage

For members and their qualified dependents - Php 50,000 per case.

For health care workers or HCW (forefront and high risk) - Php 100,000 per case.

Services included

• Professional fees (Php 2,500 - pay to doctor)
• Hospital charges (Php 42,500 - pay to hospital)
• Official receipts amounting to Php 12,000 (Php 5,000 - pay to member)

Providers

Patients must be admitted only in accredited DOH-designated SARS or AI/IP hospitals.

Confinements abroad shall be paid compensated provided a certification from the attending physician is submitted.

Eligibility

Must be certified by the DOH as SARS or avian influenza/influenza pandemic patient.

Confinement within the validity period as stated in the Member Data Record.

Exclusions

SARS suspect cases.

Cases of acute respiratory illness where an alternative diagnosis can fully explain such illness.

Other conditions

Rule on single period of confinement and 45-days allowance for room and board per year applies.

Other conditions (for afflicted HCWs)

• Must also be active PhilHealth members.
• Contracted the disease while caring for a SARS or AI/IP patient (person to person transmission).
• Renders service in DOH-designated hospital.
• DOH attests that HCW contracted the disease while on official duty.