Guide on PhilHealth Outpatient Benefit for Radiotherapy Coverage & Claims
PHILHEALTH OUTPATIENT BENEFIT FOR RADIOTHERAPY – Here are the guidelines and the coverage under this PhilHealth benefit.
Many Filipinos are Philippine Health Insurance Corporation (PhilHealth) members. Every month or quarter, they remit a certain amount to the health insurance agency to keep their accounts updated and avail the benefits most especially during medical emergency cases.
Among the benefits for members are outpatient benefits like the radiotherapy. The case rate for PhilHealth outpatient benefit for radiotherapy is P2,000.00 per session using cobalt and P3,000.00 per session for linear accelerator. Multiple claims may be filed through a single claim and there is a 45-day limit and one session is equivalent to a one-day deduction.
How to Process your Claim for PhilHealth Assistance?
- Step 1 – There are documents that you need to prepare and it is a case-to-case basis depending on the type of benefit you need to claim (inpatient, outpatient, or Z benefits). In the case of claiming a PhilHealth Inpatient Benefits, you should prepare the following:
- Step 2 – Present your document to the billing office of the accredited hospital or Health Care Institution (HCI) where you got confined or operated. The case rate amount will be deducted by the HCI from your total bill. The deduction includes both the case rate and the charges or professional fees of the attending physician(s).
- Step 3 – Pay for the remaining hospital bill.
It is important to keep your PhilHealth account updated to secure a turn to in times of medical emergencies and even on non-emergency situations relating to health. It does not only benefit the account holder but as well as the beneficiaries – the spouse, children, parents of the account owner.
You can apply for PhilHealth membership online. To check on the online application process, you may visit – How To Apply for PhilHealth Membership Online & the Requirements to Submit.
