[ OWWA MEMORANDUM OF INSTRUCTION NO. 005 SERIES OF 2002, MARCH 11, 2002, March 11, 2002 ]
IMPLEMENTATION OF THE NEW BENEFIT CAPS ON MEDICAL EXPENSES IN ACCORDANCE WITH PHILHEALTH CIRCULAR NO. 35 S. 2001, DATED DECEMBER 18, 2001
In the interest of the service and pursuant to PHIC Circular No. 35, S. 2001, the following new rates of benefits ceiling shall apply to members and their dependents discharged from any of Philhealth's accredited hospitals nationwide from January 1, 2002 onwards.
In the case of confinements for catastrophic illnesses, however, the benefit caps under OWWA Memorandum of Instruction No. 007, Series of 2000, providing 200% increase, shall continue to be adopted.
Benefit Item |
Hospital Category |
||
|
Primary |
Secondary |
Tertiary |
a. Drugs and Medicines (per single period of confinement/availment)
Ordinary Case |
P1,500 |
P1,700 |
P3,000 |
Intensive Case |
P2,500 |
P4,000 |
P9,000 |
Catastrophic Case |
(OWWA Rate) |
|
|
b. X-Ray, Laboratory, etc. (per single period of confinement/availment)
Ordinary Case |
P350 |
P850 |
P1,700 |
Intensive Case |
P700 |
P2,000 |
P4,000 |
Catastrophic Case |
(OWWA Rate) |
|
|
c. Professional Fees (per single period of confinement/availment) P150/day for General Practitioners and P250/day for Specialists
Ordinary: |
Gen. Practitioner |
P600 |
P600 |
P600 |
|
Specialist |
P1,000 |
P1,000 |
P1,000 |
Intensive: |
Gen. Practitioner |
P900 |
P900 |
P900 |
|
Specialist |
P1,500 |
P1,500 |
P1,500 |
Catastrophic: |
Gen. Practitioner: |
(OWWA Rate) |
|
|
|
Specialist: |
(OWWA Rate) |
|
|
This MOI supersedes the benefit caps for ordinary and intensive cases under MOI No. 007, Series of 1999.
For immediate compliance.
Adopted: 11 March 2002
(SGD.) WILHELM D. SORIANO
Administrator