PHIC Philhealth Circular No. 33 (2009)
AMENDMENT TO PHILHEALTH CIRCULAR NO. 25, S. 2009 - PHILHEALTH COVERAGE FOR CONFIRMED CASES OF NOVEL INFLUENZA A (H1N1) IN HUMANS
(NAR) VOL. 20 NO.3 / JULY - SEPTEMBER 2009
[ PHIC PHILHEALTH CIRCULAR NO. 33, S. 2009, September 01, 2009 ]
AMENDMENT TO PHILHEALTH CIRCULAR NO. 25, S. 2009 - PHILHEALTH COVERAGE FOR CONFIRMED CASES OF NOVEL INFLUENZA A (H1N1) IN HUMANS
Date Filed: 23 September 2009 Relative to the increasing number of confirmed Influenza A (H1N1) cases in the country and the Department of Health’s policy of shifting from containment of infection to mitigation strategy, the revised rules in claims reimbursement of benefit for Influenza A (H1N1) are as follows:
1. Payment of benefit for Influenza A (H1N1) stated in PhilHealth Circular No. 25, s. 2009 is applicable to all accredited hospitals.
2. However, starting September 1, 2009, the benefit payment stated in PhilHealth Circular No. 25, s. 2009 shall only be applicable to Level 3 & 4 (Tertiary) hospitals. On the other hand, payment for Level 1 (Primary) and Level 2 (Secondary) hospitals are as follows: Level 1 (Primary) Level 2 (Secondary) BENEFIT ITEMS Members/ Members/DependentHCW HCW Dependents 500 per day 500 per day 700 per day 700 per day Room and Board Max = 10,000 Max = 20,000 Max = 10,000 Max = 20,000 Drugs and Medicines X-ray, Laboratory and Others •Supplies including PPE 50,000 100,000 50,000 100,000 •Transfer services (Ambulance) Operating Room Fee 500 per day 500 per day 700 per day 700 per day Professional Fee Max=15,000 Max=30,000 Max=15,000 Max=30,000 TOTAL 75,000 150,000 75,000 150,000 All other provisions of previous issuances which are not inconsistent with this Circular remain in full force and effect.Please be guided accordingly. Adopted: 01 Sept. 2009
(SGD.) DR. REY B. AQUINO President and CEO