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Special Benefit Packages

SARS and Avian Influenza Package

Inclusions
Amount of Coverage For members and their qualified dependents - Php 50,000 per case
For health care workers(forefront and high risk) - Php 100,000 per case
Services 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.
For afflicted health care workers:

  • 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.