Mon, 18 Nov 2019

PhilHealth pays P81-M dengue claims in WV

Philippine Information Agency
22 Jul 2019, 04:38 GMT+10

NEGROS OCCIDENTAL, July 21 (PIA) -- Philippine Health Insurance Corporation or PhilHealth paid a total of P81 million worth of benefits for 8,005 dengue cases in Region 6 from January to July this year.

The amount is 223 percent higher compared to the payments made for claims on dengue-related cases for the same period last year.

PhilHealth record showed that Negros Occidental has the most number of dengue confinements with 3,278 cases or about 40 percent of the regional figures followed by Iloilo with 2,484 and Aklan with 1,253 patients who availed of PhilHealth benefits based on the severity of the condition.

PhilHealth 6 assistant regional vice president Janet A. Monteverde said that patients diagnosed of dengue fever are given a package of P10,000 while P16,000 is paid for patients with severe dengue condition.

"Poor or indigent and elderly patients are not required to pay anything in excess of what PhilHealth covers. Drugs and medicines; laboratory exams and other supplies needed in treating the patients; as well as professional fee of the attending doctors are covered by NBB," Monteverde added.

Indigent and Sponsored Program members mostly confined in district hospitals in the region have already availed of 54 percent of the total claims amounting to P44,098,000 as of July 15 this year, according to PhilHealth.

Monteverde assured patients who are not yet registered in PhilHealth or have gaps in their premium payment that automatic coverage and entitlement to benefits through the Point of Service (POS) program of PhilHealth will be employed.

Under this policy, patients/members are referred to the Medical Social Worker of the hospital to be assessed whether financially capable or incapable to pay PhilHealth premiums.

Those assessed as poor or financially incapable will be covered for free under the Sponsored Program while those who are financially capable are required to pay the P2,400 for the entire year premium as Informal Sector member.

Once enrolled, patients automatically avail of PhilHealth benefits prior discharge. She emphasized however, that POS is currently implemented in government hospitals.

"We encourage our members to seek early consultations when feeling ill especially when symptoms like fever persist for two to three days. Be assured that PhilHealth is ready to cover your medical expenses," Monteverde said. (LTP/EAD-PIA6 Negros Occidental)

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