Guide on PhilHealth Konsulta Package Benefits for Members of the Gov’t Health Insurance Institution
PHILHEALTH KONSULTA PACKAGE BENEFITS – Here is a full list of the benefits or coverage under this health program offer for members.
In the Philippines, the state-run health insurance agency is the Philippine Health Insurance Corp. or more popularly called PhilHealth which offers both in-patient and out-patient coverage to its members. It has millions of members across the nation.
The PhilHealth member populace is made of individuals from different walks of life — locally employed, self-employed, overseas Filipino workers (OFWs), and unemployed. To keep an up-to-date account, it is important to check the right PhilHealth contribution rate 2023 set based on your salary and the premium rate.
An up-to-date account with the state-run health insurance agency can get you qualified to the PhilHealth benefits for the members. You can pay for the premium monthly, quarterly, semi-quarterly, or yearly.
PhilHealth has also launched several programs for the benefits of the members. One of these is the PhilHealth Konsulta Package which features an out-patient major benefit for the qualified members of the health insurance entity.
The benefits of PhilHealth Konsulta Package covers primary care services, selected laboratory and diagnostic examinations, and selected drugs and medicines for disease treatment. Here are the primary care services that are under the program:
- Consultation and case management for any conditions, including individual health education, that can be managed by a Primary Care Physician and team as determined by the legal scope of practice
- Referral to specialty and higher levels of care
- Provision of preventive health services
- Assisting eligible beneficiaries in accessing services in subcontracted or partner facilities
As mentioned earlier, there are selected laboratory and diagnostic examinations that are covered under the PhilHealth Konsulta Package. Here are the tests:
- CBC w/ platelet count
- Fecalysis
- Urinalysis
- Pap smear
- Sputum Microscopy
- Chest X-Ray
- OGTT
- Lipid profile (Total Cholesterol, HDL and LDL Cholesterol, Triglycerides)
- Fecal Occult Blood
- ECG
- Creatinine
- FBS
- HbA1c
With regards to the drugs and medicines that are part of the PhilHealth Konsulta Package benefits, they are anti-microbial, fluid and electrolytes, anti-asthma, anti-pyretics, anti-diabetic, anti-dyslipidemia, anti-hypertensives, anti-thrombotics, and anti-histamine medicines.
Anti-microbial
- Amoxicillin
- Co-Amoxiclav
- Cotrimoxazole
- Nitrofurantoin
- Ciprofloxacin
- Clarithromycin
Fluid and Electrolytes
- Oral Rehydration Salts
Anti-asthma
- Prednisone
- Salbutamol
- Fluticasone + Salmeterol
Anti-pyretics
- Paracetamol
Anti-diabetic
- Gliclazide
- Metformin
Anti-dyslipidemia
- Simvastatin
Anti-hypertensives
- Enalapril
- Metoprolol
- Amlodipine
- Hydrochlorothiazide
- Losartan
Anti-thrombotics
- Aspirin
Anti-histamine Medicines
- Chlorpheniramine Maleate
