![]() The case rate for outpatient blood transfusion is P3,640 (one or more units).Where available: All Accredited HCIs – this benefit is no longer restricted to hospitals and free standing dialysis centers provided that the service is within their capability as provided for in the DOH license.The procedure is exempted from Single Period of Confinement rule (admissions and re-admissions due to same illness or procedure within 90-calendar day period).90 days benefit limit: One session is equivalent to one day deduction from the 90 allowable days per year.Claims for multiple sessions may be filed using one (1) claim form for both inpatient and outpatient hemodialysis.Covers both inpatient and outpatient procedures including emergency dialysis procedures for acute renal failure.The Case Rate for hemodialysis is P2,600 per session.Where available: Accredited HCIs including Primary Care Facilities that are accredited for the said service.Exempted from Single Period of Confinement (SPC) rule (admissions and re-admissions due to same illness or procedure within 90-calendar day period).If procedure is done during confinement, only the total number of confinement days shall be deducted.45 days benefit limit: One session is equivalent to one day deduction from the 45 allowable days per year.May be availed of even as second case rate (full case rate amount).Claims for multiple sessions may be filed using one (1) claim form for both inpatient and outpatient radiation therapy.Includes radiation treatment delivery using cobalt and linear accelator.The case rate for radiotherapy using cobalt is P2,000 per session and P3,000 per session for linear accelerator.Where available: Accredited Ambulatory Surgical Clinics (ASCs).Documents needed: copy of Member Data Record and duly accomplished PhilHealth Claim Form 1.The case rate amount is inclusive of hospital charges and professional fees of attending physician.The case rate amount shall be deducted by the HCI from the member’s total bill, which shall include professional fees of attending physicians, prior to discharge.Payments for these procedures are made to the accredited facility through All Case Rates.Day surgeries (ambulatory or outpatient surgeries) are services that include elective (non-emergency) surgical procedures ranging from minor to major operations, where patients are safely sent home within the same day for post-operative care ![]()
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