Pursuant to Philippine Health Insurance Corporation (PHIC) Circular No. 9, Series of 1996, advising the concerned offices to disseminate information regarding the new NHI benefits of OFWs and their legal dependents, the following benefits and corresponding increased rates are hereby issued for the guidance of all concerned:

Particular Benefit

I. Room and Board not exceeding 45 days for each member and another 45 days to be shared by his dependents

From

To

1. Primary Care Hospitals

P55/day

P85/day

2. Secondary Care Hospitals

100/day

150/day

3. Tertiary Care Hospitals

145/day

220/day

II. Medical Expense benefit per single period confinement

1.For ordinary cases

a. Drugs and Medicines

Primary

595

895

Secondary

790

1,185

Tertiary

1,015

1,525

b. X-ray/Lab/Others

Primary

150

225

Secondary

360

540

Tertiary

635

955

2. Intensive Cases

a. Drugs and Medicines

Primary

1,350

2,025

Secondary

1,620

2,430

Tertiary

2,915

4,375

b. X-ray/Lab/Others

Primary

325

490

Secondary

630

1,245

Tertiary

1,280

1,890

3. Catastrophic Cases

a. Drugs and Medicines

Secondary

3,650

5,475

Tertiary

4,170

6,255

b. X-ray/Lab/Others

Secondary

1,620

2,430

Tertiary

3,845

5,770

III.. Medical/Dental Practitioner's Fee per day for

1. General Practitioner

55

85

2. Specialist

80

120

The Practitioner's Fee per single period of confinement shall not exceed:

1. For Ordinary Cases

a. General Practitioner 300 450

b. Specialist

450

675

2. For Intensive/Catastrophic Cases

a. General Practitioner

450

675

b. Specialist

750

1,125

IV. Surgeon's Fee shall be in accordance with the Relative Value Scheme not to exceed P10,620.00

V. Anesthesiologist's Fee (30% of Surgeon's Fee) not to exceed P3,190.00.

VI.. Operation Room Fee for Surgical Procedure under the following brackets of Relative Unit Value (RUV):

1. RUV of 5.0 and below
Primary	170	255
Secondary	295	445
Tertiary	470	705
2. RUV of 5.1 to 10 units
Secondary	505	760
Tertiary	600	900
3. RUV of above 10 units
Secondary	960	1,440
Tertiary	1,550	2,325
VII.. Fee for Surgical Family Planning Procedures (for members and spouses only):
Vasectomy	400	600
Tubal Ligation	500	750

This insurance scheme is in addition to other schemes the employer should provide under the employment contract and existing laws.

For information.

Adopted: 04 February 1997