The Philippine Health Insurance Corporation (PhilHealth) continues to provide coverage and regular benefits to its members despite controversies hounding the agency.
In a COVID-19 virtual presser hosted by the Philippine Information Agency (PIA), PhilHealth Iligan chief Christine Mae Magno said their operation was not affected except for the changes in schedules and working hours brought about the community quarantine protocols implemented in the city.
“Wala mi naapektuhan kay padayon lang gihapon ang among mga serbisyo ug padayon tang gamonitor kung naka avail ba ang mga tawo sa PhilHealth packages,” she said.
(We are not affected because our services are still ongoing and we continue to monitor if people have availed of the PhilHealth packages.)
Aside from the regular benefits, Magno said PhilHealth is also offering three types of benefit packages in response to the coronavirus disease 2019 (COVID-19) pandemic.
According to her, those who have contracted the coronavirus can avail of the COVID-19 package rates depending on severity.
Under this, patients with mild pneumonia due to COVID-19 can avail Php43,997; those with moderate pneumonia can avail Php143,267; while those with severe and critical pneumonia can avail Php333,519 and Php786,384, respectively.
“When you look into the packages,kung pila ang atong ma avail, kinahanglan ang tawo masayod pud kung kaning hospital nga iyang gesudlan, aside nga Philhealth-accredited unsa pud ni nga level nga ospital. Kay kung Level 1 hospital, taman lang sa mild case ug moderate pneumonia related to COVID ang matreat, pero kung naa kay severe pneumonia kinahanglan nga naa ka sa usa ka Level 2 hospital,” she further said.
(When you look into the packages on how much we can avail, the person should also know which hospital he was admitted to, aside from being Philhealth-accredited, what level of hospital it is. Because if it is a Level 1 hospital, only mild cases to moderate pneumonia related to COVID can be treated there, but if you have severe pneumonia you should be in a Level 2 hospital.)
Magno emphasized that aside from the severity of cases, the PhilHealth package will vary depending on what kind of hospital is qualified to manage the case.
“Ang level 1 hospital kay for mild pneumonia ug moderate pneumonia. Pero all other accredited hospitals, Level 2 and Level 3, pwede siya maghandlle og mild, moderate , severe, ug critical,” she added.
(Mild pneumonia and moderate pneumonia are for Level 1 hospital. But all other accredited hospitals, Level 2 and Level 3 can handle mild, moderate, severe, and critical.)
COVID-19 testing benefit package
PhilHealth also has a benefit package for COVID-19 testing using the reverse transcription-polymerase chain reaction (RT-PCR) test.
Magno said this is intended for those who need to be tested under the Department of Health (DOH) Memorandum 0258-A.
“Kung gusto ka magpatest pero wala ka sa classification sa DOH or wala ge prescirbed sa DOH, pwede gihapon ka magpatest pero ikaw ang magbayad. Pero kung ge prescirbed ni DOH kay naa ka didto sa listahan sa memorandum nga priority individual, wala kay bayaran sa imong RT-PCR,” she explained.
(If you want to be tested but you are not in the DOH classification or the DOH did not prescribe it, you can still take the test but you will have to pay. But if it prescribed by the DOH because you are included in the list of priority individuals under the memorandum, you will not pay for your RT-PCR.)
At present, there are three PhilHealth-accredited COVID-19 testing facilities in Northern Mindanao, namely the Northern Mindanao Medical Center, Polymedic Medical Plaza, and Maria Reyna Hospital, all located in Cagayan de Oro City.
Community Isolation Package for COVID-19
The PhilHealth Iligan chief also disclosed that they accredit community isolation facilities as they also offer Community Isolation Package for COVID-19 amounting to Php 22,449 per person.
Currently, the accredited isolation facility in Iligan City is the NSC isolation facility with a 22-bed capacity. However, the city government has also recently submitted applications for the accreditation of five more isolation facilities in the city.
Magno said there are also eight accredited isolation facilities in Lanao del Norte as of September 26. These are the MCC stadium with 91 beds, Old Kapatagan Provincial Hospital Annex with 15 beds, two Ligtas COVID Centers in Kolambugan with 21 beds, two Ligtas COVID Centers in Baroy with 24 beds, Lanao Provincial Hospital Isolation Unit with 32 beds, and Kauswagan Ligtas COVID Center with 12 beds. (APB/PIA ICIC)