PhilHealth


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Special Benefit Packages

Enhanced Outpatient Benefit Package

Enjoy a comprehensive package of benefits designed to ensure the health of our new heroes and their families. Available in the Philippines only.

A. Consultation

B. Diagnostic services

  • Complete blood count (CBC)
  • Routine urinalysis
  • Fecalysis
  • Fasting blood sugar
  • Blood typing
  • Hemoglobin/Hematocrit
  • Electrocardiogram (ECG)
  • Anti-streptolysin O (ASO-Titer)
  • Hepatitis B Screening Test
  • Treponema pallidum hemaglutination assay (TPHA)
  • Potassium hydroxide (KOH)
  • Erythrocyte sedimentation rate (ESR)
  • Pregnancy test
  • X-ray (Skull, Chest, Lower and Upper Extremities)
  • Sputum Microscopy
  • Pap Smear

C. Visual acuity examination

D. Psychological evaluation and debriefing

E. Promotive/preventive health services

  • Visual acetic acid screening for cervical cancer
  • Periodic digital rectal examination
  • Periodic clinical breast examination (CBE)
  • Counseling for cessation on smoking
  • Lifestyle modification (regular blood pressure measurement and nutritional or dietary counseling)
  • Counseling for reproductive health particularly breastfeeding
  • Nutritional or dietary counseling

F. Auditory evaluation

G. Treatment of the following diseases based on PhilHealth-adopted clinical practice guidelines

  • Urinary tract infection (UTI)
  • Upper respiratory tract infection (URTI)
  • Acute gastroenteritis (AGE)

Availment Procedures

Submit the following to the receiving clerk before proceeding to the doctor for consultation:

  • Duly accomplish PhilHealth Claim Form 1 (original).
  • Clear copy of Member Data Record or MDR. If MDR is not available, submit official receipt of applicable premium payment. If qualified dependent is not listed in the MDR, submit valid ID and proof of dependency.
  • After verification, you may now proceed to the doctor for consultation.

Availment of this package shall not be deducted from your 45-days allowance for room and board and from the separate 45-days allowance of your dependents.