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What medical assistance can we get from PhilHealth?

Below are the COVID-19 related benefits you can claim from PhilHealth:

1. Testing

Based on DOH Circular 2021-0374, the cap limit for RT-PCR costs is Php 3,360. PhilHealth will cover Php 2,800. 

 

2. Home Isolation
Patients who are asymptomatic or with mild symptoms that subjected themselves to home quarantine can avail benefits amounting to Php 5,917 to cover recovery expenses. The patient, however, must qualify based on the prescribed social criteria. 

3. Community Isolation
Patients who are isolated in community isolation and treatment facilities are covered with benefits amounting to Php 22,449, subject to the guidelines prescribed by the Department of Health. 

4. Inpatient Care
Patients confined due to COVID-19 are covered with hospital benefits amounting to:

  • Mild Pneumonia: Php 43,997
  • Moderate Pneumonia: Php 143,267
  • Severe Pneumonia: Php 333,519
  • Critical Pneumonia: Php 786,384


5. Vaccine Injury Compensation
Individuals who experienced severe adverse reactions which resulted to hospitalization, permanent disability, or death after receiving the COVID-19 vaccine are entitled to receive benefits up to Php 100,000 subject to implementing guidelines. 

Source:

  • Benefit Package for SARS-COV-2 Testing Using RT-PCR (PC 2021-001)
  • Benefit Package for SARS-COV-2 Testing Using Cartridge-based PCR (PC 2021-003) 
  • COVID-19 Home Isolation Benefit Package (PC 2021-0014) 
  • Guidelines on the COVID-19 Community Isolation Benefit Package (PC 2020-0018) 
  • Benefit Packages for Inpatient Care of Probable and Conformed COVID-19 Developing Severe Illness/Outcomes (PC 2020-0009) 
  • The COVID-19 Vaccine Injury Compensation Package (PC 2021-0007)
  • Facility-Based COVID-19 Rapid Antigen Testing Benefit Package (PC 2022-0010)

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