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.”

#Rise30 #SamasamangPagangatsaBagongPilipinas #naYAKAPnako #MalayoSaSakit

#PhilHealthYAKAP

Reference: PhilHealth CorComm

GAMOT Claims nabayaran ng PhilHealth bago ang 15 araw

by Info @Brand Zone | September 8, 2025

Nagsagawa ang PhilHealth ng kauna-unahang pagbabayad nito sa ilalim ng GAMOT (Guaranteed Access to Medicines and Outpatient Treatment) program sa CGD Medical Depot Inc., isang retail na botika na accredited ng PhilHealth GAMOT na matatagpuan sa Ayala Malls-Vertis North sa Quezon City. 

Para sa PhilHealth, ang isinagawang turnover ay bahagi ng kanilang pagtupad sa pangakong gawing abot-kamay ang mga gamot para sa bawat Pilipino. 

Ang PhilHealth GAMOT ay komprehensibong outpatient drug benefit package na sumasaklaw sa mga mahahalagang gamot, ito ay sa ilalim ng pinalawak na primary care benefits na YAKAP. Nagdagdag ito ng 54 na mahahalagang gamot sa kasalukuyang 21 na gamot upang gamutin ang iba’t ibang karamdaman gaya ng infections (anti-microbial), asthma at COPD, diabetes, high cholesterol (dyslipidemia), high blood pressure at heart conditions (cardiology), at nervous system disorders, kasama ang iba pang supportive therapies. Ang inisyatibang ito ay katuparan ng direktiba ni Pangulong Ferdinand R. Marcos Jr. sa kanyang nakaraang State of the Nation Address (SONA) na gawing abot-kaya at abot-kamay ang mga gamot para sa lahat. 

“Hindi lang ito basta bayad sa serbisyong ipinagkaloob ng ating partner pharmacy. Ito ay pagtupad sa pangako na gawing abot-kamay ang gamot sa nangangailangan nito,” saad ni PhilHealth Acting President at CEO Dr. Edwin M. Mercado sa ginanap na turnover rites sa Lungsod ng Makati. 

Sa pakikipagtulungan sa mga FDA-licensed retail pharmacies sa buong bansa, tinitiyak ng PhilHealth na madaling makukuha ng mga miyembro ang mga gamot na inireseta sa kanila sa pamamagitan ng mga accredited GAMOT facilities. 

Upang magamit ang benepisyong ito, hinihikayat ang mga miyembro na i-download ang eGovPH mobile app upang makapagregister, makapili ng YAKAP Clinic o Primary Care Provider (PCP), at pag-iskedyul ng First Patient Encounter (FPE). 

Nito lamang Setyembre 3, mayroon nang 41 GAMOT facilities ang nagpapatupad nito sa National Capital Region (NCR), at inaasahang madagdagan pa ang mga pasilidad na handang tumugon sa programang ito. Inaanyayahan ang publiko na bisitahin ang link na

ito https://www.philhealth.gov.ph/partners/providers/facilities/accredited/GAMOT.pdf upang manatiling updated sa pinakabagong listahan ng mga accredited GAMOT facilities. 

#Rise30 #SamasamangPagangatsaBagongPilipinas #naYAKAPnako #MalayoSaSakit

#PhilHealthGAMOT #PhilHealthYAKAP