Guide on PhilHealth Benefit for Radiotherapy of Members w/ Updated Accounts
PHILHEALTH BENEFIT FOR RADIOTHERAPY – Here is a guide on the case rate amount, coverage, and guidelines to avail a PhilHealth benefit.
Many Filipinos are members of the Philippine Health Insurance Corporation. More commonly called PhilHealth, it has been the turn to of many Pinoys in times of medical emergencies for decades now. It is under the national government, specifically under the Department of Health (DOH).
To keep an updated PhilHealth account, a member must also keep his or her contributions updated. It can be done monthly or quarterly. An updated account can qualify a member and the beneficiaries for both inpatient and outpatient benefits.
One of the outpatient benefits of health insurance agency is the PhilHealth benefit for radiotherapy. According to PhilHealth, P2,000 is extended for radiotherapies using cobalt while P3,000 pers session for linear accelerator.
Multiple sessions may be claimed under a single claim and there is a 45-day limit with one session equivalent to one (1) day deduction.
Steps on How to Process PhilHealth Assistance:
- Step 1 – In processing your PhilHealth claim, there are documents that you need to prepare and it is a case-to-case basis depending on whether you are claiming an inpatient or outpatient benefit or which outpatient benefit you want to claim. There are also Z benefits for the members. While other documents may differ, you must prepare your PhilHealth ID.
- Step 2 – Once you have your document ready, present it to the billing office of the Health Care Institution (HCI) or hospital where you availed the medical services. Make sure that the HCI is accredit to PhilHealth.
- Step 3 – Wait for the processing of your claim. The case rate amount will be deducted from your total bill and the deduction may include both the case rate amount and the deduction on the professional fee of the doctor or the attending physician.
- Step 4 – Pay for the remaining hospital bill.
It is one of the wisest moves to make sure that your PhilHealth account is active and updated so in times of medical situations, whether it is an emergency or non-emergency, you have an entity to turn to for assistance. The benefits are not only for the sole account holder as well as the beneficiaries of the account holder – his or her spouse, childre, and parents depending on the order of beneficiaries set by the agency.