naconfine po ako for three days (april 14-16, 2013) at nde na po pinabayaran sa akin ang hospital bill na 6137 pesos. Hi, ako po si aileen ruiz may tanong lang po ako tungkol sa claims ko sa philhealth, ako po ay naconfine sa diosdado macapagal hospital dahil sa aking operasyon na Cholecystectomy. Nakasaad dun kung magkano ang dpat kong marefund, ipinasa na po ng mother ko sa hospital ang original receipt ng binayaran ko bakit ang sabi daw sa hospital wala na daw akong marerefund? bakit ganon? ano pa at nagbabayad ako ng contribution ko sa philhealth hinde ko rin naman pala magagamit? please advice po kung ano ang dapat naming gawin? sa pagkakaalam ko po ang cheque na inissue ng philhealth ay nasa hospital na, bakit ayaw nila irefund ang dapat kong makuha? Please help me.Thank you! Reply Ngayon po meron ng binigay sa mother ko na BPN letter. dinala ko ang aking mga original receipt dito sa dubai dahil kailangan ko sa aking company na pinapasukan dito. pero ang doctors fee na 30000 pesos ay aking binayaran ng cash. naconfine po ako for two days at nde na po pinabayaran sa akin ang hospital bill na 6137 pesos. Please ask others too because I might have missed some things. Kung sabihin nila ito, ask them kung ok lang bang mag-re-file by that time na lumampas na sa 60-day filing deadline. Maaaring sabihin nila na antayin nio ang benefit payment notice (yong sa maternity claim) and then mag-re-file at isama na ang prenatal ORs. Dalhin mo na rin yong prenatal ORs nio at tanungin kung paano i-file dahil hindi kinuha ng OSMUN. Dalhin mo na rin ang IDs mo and marriage certificate baka lang hanapin. Get your accomplished claim forms from the hospital and then file together with your MDR, Philhealth premium receipt, birth certificate, ORs of payments made to the hospital and ORs of meds bought outside the hospital. Puede ka namang pinapirma na doon sana.įor the sepsis treatment, dahil nabayaran nio na ang hospital, I suggest you file directly at Philhealth. For the newborn care package, you need to submit another claim form 1. Hi aaron, dapat kinuha nila yong prenatal ORs nio at isinama nila sa maternity claim it would be Philhealth that will send you the 1500 refund via a check. ![]() Ang gusto nilang mangyari ay lalabas ang pasyente na walang babayaran sa government hospital na Philhealth-accredited. This proposed Philhealth program is also called No Balance Bill Policy because it seeks to cover the full costs of the medical and surgical procedures in accredited government hospitals. ![]() – Fixed payments regardless of hospital size and length of treatment * Note: For SURGERIES, the Case Rates payment will apply only to cases managed in Levels 2 to 4 hospitals, with certain exceptions.Īccording to Philhealth, the advantages of Case-Rate-Basis are the following: Delivery by caesarian section (CS) - 15,000 - increased to 1 9,000ĥ. Normal spontaneous delivery (NSD) Levels 2 to 4 hospitals - 6,500Ĥ. Normal delivery or maternity care package (MCP) in maternity or lying-in clinics - 8,000 Newborn care package (NCP) - 1,000 - increased to 1,750ģ. Cerebro-vascular accident hemorrhage (CVA II) - 38,000ġ1. Dengue Fever and DHF Grades 1 and 2 - 8,000 pesosħ. ![]() These are the surgical and medical cases, and the corresponding fixed rates or payments/reimbursements by Philhealth.ġ. The amounts in blue color are the final rates.Īnother UPDATE: Philhealth announced that the Case Rates payments for surgical cases are applied to hospitalizations in Levels 2, 3 and 4 hospitals only (bigger hospitals), except for certain cases. Certain proposed rates have been increased. UPDATE: Philhealth has already announced that it will start implementing the Case Rates Payment scheme for hospital/clinic admissions starting September 1, 2011. According to some press releases, this Case-Rate-Basis will be implemented SOON. Proposal pa lang ito, at pinag-uusapan pa ng Philhealth board. Almost 50 percent daw ng Philhealth claims ay itong mga 22 cases na ito. Itong 22 cases ang pinakamadalas na binabayaran ng Philhealth for the past several years. Ibig sabihin, magkakaroon nang fixed Philhealth payment for each of the 22 cases, kahit saang accredited hospital, kahit sinong accredited doctor, at kahit ilang araw ang hospitalization or treatment. (PHILHEALTH or PHIC) ang pagbabayad ng 22 medical and surgical cases on a Case-Rate Basis, at hindi na on a Fee-for-Service basis. Matagal nang proposal ng Philippine Health Insurance Corp.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |