RRepublic of the Philippines PHILIPPINE HEALTH INSURANCE CORPORATION Citystate Centre, 709 Shaw Boulevard, Pasig City Call Center (02) 4417442 Trunkline (02) 4417444 www.philhealth.gov.ph Case No.
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How to fill out the Philhealth Annex A online
This guide provides clear instructions on how to successfully fill out the Philhealth Annex A form online. It will help you understand each section and field, ensuring a smooth completion process.
Follow the steps to fill out the Philhealth Annex A online
- Press the ‘Get Form’ button to obtain the Philhealth Annex A form and open it in your preferred editing tool.
- Provide the case number in the designated field at the top of the form.
- Fill in the health care institution (HCI) details, including the name and address of the HCI.
- Enter the patient's information by filling out their last name, first name, middle name, and suffix, along with their PhilHealth ID number.
- If the patient is a dependent, complete the member's information section by entering the last name, first name, middle name, suffix, and PhilHealth ID number of the member.
- Indicate whether the criteria for pre-authorization have been fulfilled by checking 'Yes' or 'No.' If 'No,' specify the reasons in the provided space.
- Complete the pre-authorization checklist by placing a check mark where applicable, following the guidelines for the patient's eligibility based on age and diagnostic criteria.
- Document the necessary diagnostics by entering the date performed, as well as the specified CBC and CSF cell count results.
- Have the attending physician certify the form by providing their printed name and signature, along with PhilHealth accreditation number.
- Once all fields are complete, review your entries for accuracy, then save the form, download, print, or share it according to your needs.
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What are the illnesses covered by PhilHealth?
For IN PATIENTS Benefits ILLNESSCOVERAGEUpper Respiratory Tract Infection (URTI)• Hospitals: Php4, 000 • Primary Care Facilities: Php2, 800Dengue• Dengue Fever: Php10, 000 • Severe Case of Dengue: Php16, 000Chronic Obstructive Pulmonary Disease (COPD)Php12, 200Congenital SyphilisPhp12, 80019 more rows
What diseases are covered by PhilHealth?
For IN PATIENTS Benefits ILLNESSCOVERAGEUpper Respiratory Tract Infection (URTI)• Hospitals: Php4, 000 • Primary Care Facilities: Php2, 800Dengue• Dengue Fever: Php10, 000 • Severe Case of Dengue: Php16, 000Chronic Obstructive Pulmonary Disease (COPD)Php12, 200Congenital SyphilisPhp12, 80019 more rows
How much is the coverage of PhilHealth for hypertension?
Among the medical cases and the corresponding package rates are Dengue I (P8,000.00), Dengue II (P16,000.00), Pneumonia I (P15,000.00), Pneumonia II (P32,000.00), Essential Hypertension (P9,000.00), Cerebral Infarction (CVA I, P28,000.00), Cerebro-vascular Accident with Hemorrhage (CVA II, P38,000.00), Acute ...
How much is covered by PhilHealth?
Prior to 2019, PhilHealth has primarily reported “coverage rate” or the entitlement of members based on premium payments. But with the signing of the UHC Act (RA11223), all Filipinos are already automatically included under the National Health Insurance Program (NHIP) – making PhilHealth's coverage rate at 100%.
How much will PhilHealth cover for pneumonia?
An intermediate package for previously managed as probable COVID-19 case but had negative RT-PCR test results are also covered with the Intermediate package amounting to P18,000 and P38,000 for moderate and severe/ critical pneumonia, respectively.
Is pneumonia covered by PhilHealth?
PhilHealth has extended the coverage of probable COVID-19 pneumonia cases with inpatient COVID-19 benefit packages admitted from November 26, 2020 to June 18, 2021. Thereafter, the said benefit packages shall only be applied to confirmed COVID-19 pneumonia as provided in PhilHealth Circular No. 2021- 0020.
How much pneumonia covered by PhilHealth?
An intermediate package for previously managed as probable COVID-19 case but had negative RT-PCR test results are also covered with the Intermediate package amounting to P18,000 and P38,000 for moderate and severe/ critical pneumonia, respectively.
How much is PhilHealth coverage for acute gastroenteritis?
PhilHealth pays up to P 6,000 for food poisoning or acute gastroenteritis with moderate to severe dehydration when confined in any PhilHealth accredited hospital.
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