PhilHealth, nagbayad ng higit P217 bilyong claims payment sa unang 9 na buwan

by Info @Brand Zone | October 30, 2025

PhilHealth PR 2025-43

Ipinahayag ng Philippine Health Insurance Corporation (PhilHealth) na nagbayad ito ng P217.93 B sa kabuuang benefit claims sa mga accredited healthcare facilities sa buong bansa. Ang benefit payout na ito ay nagpapakita ng 112.2 Bilyon o 94.18% na pagtaas kumpara sa parehong panahon noong nakaraang taon (Enero hanggang Setyembre). 

Sa nasabing benefit payout, P127.79 B ang naibayad sa mga accredited na pribadong health providers, habang P90.14 B naman ang naibayad sa mga pampublikong health care providers.  

Binigyang-diin ng PhilHealth na ang malaking bahagi ng nasabing halaga ay para sa benepisyo ng mga kumplikado at malubhang kondisyon.  Ito ay dahil sa patuloy na pagtaas ng claims para sa mga sakit na sakop ng Z Benefit Packages (kabilang ang heart surgery, kanser,at kidney transplantation) at mga serbisyongs tulad ng outpatient hemodialysis. Tinitiyak din ng PhilHealth na ang mga miyembrong may malulubhang sakit ay makakatanggap ng tuloy-tuloy at mataas na halaga ng pinansyal na suporta. 

Ayon pa sa PhilHealth, ang  turnaround time ng pagproseso ng claims ay 22 araw lamang.  Ito ay nagpapakita ng pagbuti ng proseso ng ng PhilHealth alinsunod sa direktiba ni Pangulong Ferdinand R. Marcos Jr. na pahusayin ang serbisyo ng ahensya. 

Ipinahayag din ng PhilHealth na mas makatutugon ang benepisyo kung magbabago ng sistema ng pagbabayad mula sa All Case Rates papuntang Diagnosis-Related Group (DRG) para sa mga mas komplikado at modernong paggamot,  

“Ang DRG ay mas makakatulong upang matukoy ang antas ng kalubhaan at ang mga resources na kailangan para sa pangangalaga ng pasyente. Sa gayon, matitiyak na ang ating mga healthcare provider ay mababayaran nang wasto at tuluy-tuloy para sa paggamot ng mga kumplikadong kondisyon,” paliwang ni Dr. Edwin M. Mercado, Pangulo at Punong Tagapagpatupad ng PhilHealth. ### 

Kung may katanungan sa benepisyo ng PhilHealth, tumawag sa tumawag sa 24/7 Action Center: (02) 8662-2588 o bisitahin ang www.philhealth.gov.ph.  

#Rise30 #SamasamangPagangatsaBagongPilipinas  

PhilHealth assures benefit coverage for flu

by Info @Brand Zone | October 28, 2025

PhilHealth PR 2025-42

The Philippine Health Insurance Corporation (PhilHealth) reminds that Filipinos can fully avail of its benefits for the treatment of influenza and influenza-like illnesses, emphasizing the role of its enhanced primary care package.

Members are urged to immediately consult with their chosen YAKAP Clinic upon experiencing flu-like symptoms. The PhilHealth YAKAP benefit provides coverage for consultations, essential medicines, laboratory tests, if recommended by the primary care physician. This package is designed to promote prevention and early disease detection to help curb financial hardship for the members in line with President Ferdinand R. Marcos Jr.’s directive to ensure a healthy nation.

PhilHealth encourages all Filipinos to select and be empaneled with a YAKAP Clinic to avail of primary care benefits through the eGovPH app, PhilHealth Member Portal or in PhilHealth Local Health Insurance Office.

Further, PhilHealth ensures coverage from the onset of severe symptoms. Patients rushed to the Emergency Room and classified as emergent or critical are covered by the Outpatient Emergency Care Benefit Package. PhilHealth also provides a P12,870 case rate package for influenza cases requiring confinement, with a separate package rate available for cases that develop complications like pneumonia.

Dr. Edwin M. Mercado, President and CEO of PhilHealth, reminded the public not only of the available benefits but also of the importance of prevention.

“We encourage everyone to avail their PhilHealth YAKAP benefit. Let us not wait for the cough, fever, or cold to worsen,” explained Dr. Mercado. “I also urge everyone to prioritize simple preventive measures: wash your hands frequently, cover your mouth and nose when coughing or sneezing, and avoid crowded places if you are already feeling sick.”

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Reference: PhilHealth CorComm

PhilHealth Pushes for Early Detection to Prevent Breast Cancer

by Info @Brand Zone | October 24, 2025

PhilHealth Press Release No. 2025-41 - October 22, 2025

In line with Breast Cancer Awareness Month this October, the Philippine Health Insurance Corporation (PhilHealth) is promoting early detection and reminding members of their financial coverage for breast cancer treatment, aligning with President Ferdinand R. Marcos, Jr.'s priority on improving healthcare in the country.

The Philippines has extremely low breast cancer screening rates, which is linked to the country having one of the highest breast cancer mortality rates in Asia. According to a 2023 study by the Philippine Institute for Development Studies, only 1% of Filipino women were screened for cancer, translating to only 540,000 women out of an estimated 54 million getting screened. Compounding the issue is that a significant majority—as high as 65%—of breast cancer cases are diagnosed in the advanced stage, greatly reducing the 5-year relative survival rate. 

To address the financial barrier that often delays diagnosis and treatment, the PhilHealth Z Benefit Package for Breast Cancer has been substantially enhanced. The package has increased by 1300%, reaching up to P1.4 million from the previous P100,000. The benefit now covers patients with breast cancer across Stages 0 to 4, including those who are already undergoing treatment. As of September 2025, the amount paid for Z Benefit Package for Breast Cancer has reached a total of P72.03M. 

PhilHealth YAKAP (Yaman ng Kalusugan Program) further reinforces this as it covers selected outpatient cancer screening tests for breast cancer including financial coverage for a mammogram (P2,610) and breast ultrasound (P1,350). By providing extensive financial protection from initial diagnostic tests to complex targeted therapy, PhilHealth aims to remove the cost as a barrier and encourage patients to seek care early, improving outcomes for a disease that is curable when detected in its initial stages.

"Sa pamamagitan ng PhilHealth YAKAP, ginagawa naming mas madali at mas abot-kaya ang serbisyong pangkalusugan. Hinihikayat ko ang bawat babae na huwag ipagpaliban ang inyong kalusugan. Magpa-check-up, follow-up, at sundan ang tamang gamutan. Ito ang karapatan ninyo, at narito kami para suportahan kayo," said PhilHealth President and CEO Dr. Edwin M. Mercado.

For more details on PhilHealth YAKAP and Z Benefit Package for Breast Cancer and other benefits, members may call PhilHealth’s 24/7 touch points at (02) 866-225-88 or mobile numbers (Smart) 0998-857-2957, 0968-865-4670, (Globe) 0917-1275987 or 0917-1109812.

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#naYAKAPnaako    

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