PhilHealth: Benepisyo ng dialysis, papalo na sa P1 milyon kada taon

by Info @Brand Zone | Oct. 16, 2024

(Updated — October 14, 2024 | PR No. 2024-0018) Sa loob lamang ng tatlong buwan ngayong taon, dalawang beses  itinaas ng PhilHealth ang benepisyo nito  sa hemodialysis na aabot na sa P1 milyon  kada taon kada pasyente. Unang  ipinatupad ng PhilHealth noong Hulyo ang umento mula P2,600 sa P4,000 kada  sesyon, at ngayong Oktubre ay itinaas pa  sa P6,350.  

Inilathala at epektibo noong Oktubre 9,  2024 ang PhilHealth Circular No. 2024- 0023, ang polisiyang nagtataas sa  nasabing pakete para sa mga miyembro at  qualified dependents nila na may chronic  kidney disease stage 5 (CKD5). Maaari  nilang magamit ang pinagbuting  benepisyo sa alinmang accredited dialysis  facility na malapit sa kanila.  

“Ito ay patunay na hindi lamang  nakikinig ang PhilHealth sa hinaing ng  ating mga miyembro. Tinutupad namin  ang aming pangako para makatugon ang  ating mga benepisyo sa pangangailangan  ng mga pasyente na siyang layunin ng  Universal Health Care Law”, pahayag ni  Emmanuel R. Ledesma, Jr., Pangulo at  Punong Tagapagpatupad ng PhilHealth. 

Binigyang-diin ni Ledesma na sa kabila ng  pagtaas ng reimbursement rate ng PhilHealth na P4,000 kada sesyon noong  Hulyo ay nakatatanggap pa rin sila ng ulat  ng mga pasyenteng malaki pa rin ang binabayaran sa kanilang dialysis. “Layunin naming mawala na ang anumang  bayarin sa mga serbisyong kailangan  nila, dapat maramdaman nila nang lubos  ang kanilang benepisyo.”  

Nagpasalamat din siya sa PhilHealth  Board of Directors sa pamumuno ni  Health Sec. Ted Herbosa sa mabilis na  pag-apruba sa umento sa benepisyo na walang dagdag-bayad sa pasyente.  Paliwanag pa ni Ledesma, nakatulong din  nang malaki ang kooperasyon at suporta  ng mga nephrologists at dialysis centers  para masigurong wala nang co-payment  ang pasyente sa tuwing nagda-dialysis.  

Sa pagtaas sa P6,350 kada sesyon, aabot  na ang benepisyo hanggang P990,600  bawat taon. Ito ay mula sa P624,000 sa  dating P4,000 kada sesyon.  

Isinaad din sa nasabing Circular ang mga  serbisyong dapat ibigay sa mga pasyenteng  may CKD5. Kasama rito ang anti coagulation medications at gamot sa  anemia, iba’t ibang laboratory tests, mga  supply gaya ng dialyzers, hemodialysis  solutions at isang dialysis kit kada sesyon.  Sakop din ng pakete ang paggamit ng  dialysis machines, pasilidad, utilities, at  sweldo ng mga kawani ng pasilidad. Ang  lahat ng serbisyong ito ay dapat ma-avail sa lahat ng accredited public at private  hemodialysis facilities sa bansa. 

Samantala, ang mga pasyenteng  mangangailangan naman ng karagdagang  serbisyo na hindi kasama sa minimum standard of care na itinakda sa Circular ay  maaaring magkaroon ng dagdag-bayad.  May itinatakda ring hanggang P450 na  limit para sa professional fees sakaling  mangailangan ng karagdagang serbisyo  tulad ng telemedicine at/o agarang  interbensyon para sa komplikasyon  habang nasa sesyon ng dialysis. Ayon sa  PhilHealth, dapat linawin ito ng pasilidad  sa pasyente.

“Magandang balita para sa aming mga  dialysis patient ang pagtaas ng dialysis  package na handog ng PhilHealth”, ito  naman ang nasabi ni Roseanne Lappay,  isang CKD 5 patient mula sa Tabacalera,  Pateros.  

Patuloy namang pagtitiyak ni Ledesma sa  lahat ng mga miyembro ng PhilHealth,  “Kapag ipinangako namin, ginagawa po  namin sa PhilHealth. Kaya ang  panawagan ko sa lahat ng Pilipino,  huwag na po kayong matakot sa  pagpapagamot dahil sagot kayo ng  PhilHealth!”

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ERRATUM 

October 16, 2024 

Subject: Clarification on the effectivity date of increased PhilHealth dialysis  package to P6,350/session 

We wish to clarify that the publication and effectivity date of PhilHealth Circular No. 2024- 0023 is October 9, 2024 and not October 7, as earlier disseminated through PR No. 2024- 0018. 

We apologize for any inconvenience that this oversight may have caused.  

The revised press release is available at the PhilHealth website and FB page for reference. For  additional questions, please call our Action Center Hotline at (02) 8662-2588. Thank you.

Alagang PhilHealth: PhilHealth coverage para sa hemodialysis mas tumaas pa, P6,350 na kada sesyon!

by Info @Brand Zone | Oct. 11, 2024

Benepisyo ng PhilHealth para sa hemodialysis lalo pang tumaas! Mas mataas na ang sasagutin ng PhilHealth para sa mga kababayan nating nagpapa-hemodialysis. Bukod pa ito sa pagpapalawig ng coverage mula sa dating 90 sessions na ngayon ay 156 na ang sagot ng PhilHealth. Simula October 1, 2024, P6,350 na ang package para sa hemodialysis! Nauna na itong itinaas noong July 1 sa P4,000 mula sa dating P2,600. Sumatotal, higit doble na ang naging increase sa benepisyo kada sesyon!

Ang benepisyo para sa dialysis ay magagamit ng mga pasyenteng may Chronic Kidney Disease Stage 5 o CKD5. Sa kabuuan ay aabot sa halos P1 milyon sa buong taon ang maaaring ma-avail ng mga hemodialysis patient. Kinakailangan lamang ay nakarehistro sa PhilHealth Dialysis Database (PDD) ang pasyente para magamit ito. Kaya panawagan ng PhilHealth, makipag-ugnayan agad sa dialysis clinic para mairehistro sa PDD at magamit ang pinagbuting benefit package.

Nakalulungkot isiping isa ang Pilipinas sa mga bansang may mataas na kaso ng CKD. It ay isa sa mga pangunahing sanhi ng pagkamatay sa bansa. Batid ng PhilHealth ang gastusing kaakibat ng mga nagda- dialysis, lalo na 'yung mga CKD5 patients na hanggang tatlong sesyon kada linggo ang kailangan. Kaya naman pinalawig ng PhilHealth ang coverage para masigurong buong taon ay may pantustos ang mga pasyente sa kanilang gamutan.

Covered ng pinagbuting benefit package ang lahat ng supplies, laboratory tests, drugs and medicines, at iba pang sebisyong medikal na kaakibat ng pagda-dialysis. Malaking tulong ito para masigurong tuluy-tuloy ang pagbuti ng kundisyon ng mga pasyente n wala nang aalalahanin sa gastos sa kanilang pagpapa-dialysis.

Hindi lang 'yan, kasama rin sa benepisyong PhilHealth ang Z Benefits para sa Kidney Transplantation. Sa katunayan, P600K ang sagot ng PhilHealth dito para sa surgery, professional fees, at iba pang gastusin sa ospital. Maaaring magtungo sa mga ospital na contracted ng PhilHealth para sa Kidney Transplantation. Sa kasalukuyan, 25 ospital na ang contracted para rito na pwedeng puntahan.

Bukod sa Kidney Transplantation, kasama rin ang Z Benefit para sa Peritoneal Dialysis. 30 ospital naman ang contracted ng PhilHealth para rito. Ito ay isang alternatibo sa hemodialysis. Isa rin itong paraan para alisin ang excess fluids at nakalalasong toxins sa kidney. Abangan pa ang mga susunod na anunsyo sa pagtataas ng Z Benefits packages. Kaya isa na manan itong magandang balita para sa ating lahat!

Tandaan, Huwag matakot sa pagpapagamot dahil sagot ka ng PhilHealth!

Para sa detalye, tumawag sa 24/7 (02) 8662-2588

PhilHealth Your Partner in Health / BAGONG PILIPINAS

www.philhealth.gov.ph

PhilHealth, UNICEF launch benefit package to address severe malnutrition in children

by Info @Brand Zone | Oct. 1, 2024

Manila, 1 October 2024 – The Philippine Health Insurance Corporation (PhilHealth), with support from the United Nations Children’s Fund or UNICEF, has launched the first-ever Severe Acute Malnutrition Outpatient Therapeutic Care Benefit Package in the Philippines and globally. This groundbreaking initiative puts lifesaving treatment within reach of the country’s most vulnerable children. For the first time, the country’s national health insurance system includes comprehensive support for children suffering from severe wasting and other life threatening forms of acute malnutrition. 

A critical response to malnutrition in the Philippines 

Severe acute malnutrition (SAM) is one of the most critical global health concerns affecting 14.3 million children worldwide, yet only a small percentage receive the necessary treatment. In the Philippines, where one in three children faces the triple burden of malnutrition—undernutrition (stunting and wasting), micronutrient deficiencies, and overnutrition (overweight and obesity)—nearly 600,000 children suffer from wasting. In regions like Bangsamoro Autonomous Region in Muslim Mindanao, the wasting rate reaches 10 per cent, double the national average. 

SAM is the most dangerous form of undernutrition and can leave children extremely thin, weak, and unable to fight off infections. Without early identification and immediate intervention, SAM can quickly lead to death, or even if the child survives, it can lead to stunting later on. Children with SAM have very low weight-for-height, a very low mid-upper arm circumference, or suffer from nutritional oedema. Families and caregivers whose children have SAM should visit their local health centers to access this free benefit package. 

The SAM benefit package is available in health centers and primary care facilities across the country to ensure that lifesaving treatment and care reach those in most need. 

What the benefit package means for children and families 

Through the benefit package, families with children suffering from SAM will receive treatment services worth ₱7,500 for children 0-6 months old and ₱17,000 for children 6-60 months old. This financial support helps relieve families from the burden of added treatment costs. 

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The treatment package provides medical care and ready-to-use therapeutic foods, which help restore weight and treat the underlying infections affecting children with severe acute malnutrition. Families are also supported with ongoing counseling from health professionals, who guide them in proper infant and young child feeding and hygiene practices to prevent the reoccurrence of malnutrition. Regular follow-ups through home visits help monitor each child’s progress, especially those who are not responding well to treatment or struggling to thrive. Moreover, referrals to inpatient care are available for children with medical complications and requiring more specialized care. 

“These packages are PhilHealth's support to the government’s effort to fight malnutrition in the country. With these, we may help reduce the developmental and medical impacts of malnutrition to the children and their families that will lead to a healthier Philippines,” said PhilHealth President and CEO Emmanuel R. Ledesma Jr. 

Working together for every child 

PhilHealth and UNICEF encourage health providers and parents to take full advantage of this package. As the first line of defense in the fight against child malnutrition, primary care health workers have the power to save lives by ensuring that children in their care are identified early and receive the appropriate treatment they need for SAM. 

“Every child, whoever they are and wherever they live, has the right to a healthy start in life, and no family should be held back by financial barriers when it comes to life saving treatment to overcome malnutrition,” said Oyunsaikhan Dendevnorov, UNICEF Representative to the Philippines. “Through a national health insurance, we can make sure every child is identified early and has free access to the care they need. We are giving them a real chance at a healthy and productive future.” 

For more information, visit this page or view resources on managing severe malnutrition. Families may also contact their local health center or call PhilHealth’s hotline at (02) 8662-2588. 

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For more information, please contact: 

Dr. Israel Francis A. Pargas l PhilHealth Spokesperson and SVP for Health Finance Policy Sector | +63 917 808 9399 

Lely Djuhari | Chief of Advocacy and Communication, UNICEF Philippines | +63 917 567 5622 | ldjuhari@unicef.org 

About PhilHealth 

The Philippine Health Insurance Corporation (PhilHealth) is a Government Owned and Controlled Corporation mandated to administer the National Health Insurance Program to provide social health insurance coverage and ensure affordable, acceptable, available and accessible health care services for all Filipinos. 

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About UNICEF 

UNICEF, the United Nations agency for children, works to protect the rights of every child, everywhere, especially the most disadvantaged children and in the toughest places to reach. Across more than 190 countries and territories, we do whatever it takes to help children survive, thrive, and fulfil their potential. 

For more information about UNICEF and its work for children in the Philippines, visit https://www.unicef.org/philippines. Follow UNICEF Philippines on Facebook, X, and Instagram.