PhilHealth intensifies member protection efforts; welcomes Ombudsman support

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via GRAPHIC PLUS — PhilHealth extends its gratitude to Ombudsman Remulla for amplifying the concerns of Filipino patients. His voice adds to a conversation PhilHealth has long been committed to — ensuring every member receives the full benefit they deserve.

PhilHealth’s support for Filipino families continues to grow

PhilHealth paid out ₱300.45 billion in benefits this past year, an 81.72% increase from the previous year. Every peso represents a family that PhilHealth was able to stand beside as their partners in health and the Corporation will continue to provide expanded benefits to every Filipino family.

As part of their ongoing monitoring efforts, PhilHealth is looking into reported discrepancies between what patients are told about their coverage and what providers submit in their claims. PhilHealth is reinforcing their auditing systems, deepening coordination with oversight bodies and healthcare providers, and ensuring that their members always receive accurate, transparent information about their benefits.

Know your benefits that you have every right to.

Every Filipino has the right to claim PhilHealth benefits as part of the implementation ofUniversal Healthcare and their benefit packages cover primary, emergency outpatient, and inpatient care.

● Patients and their family can ask the hospital care team how much PhilHealth covers for your case,

● Android users can also download the PhilHealth Search ACR app to find the Case Rate for the patient,

● You can reach out to the PhilHealth Cares (PCARES) representatives in the hospital if you have questions or concerns and they can also help you get the care that is appropriate for you,

● You may request an itemized bill and check for your PhilHealth coverage before settling your account

Member reports directly support PhilHealth’s ongoing reviews and help improve the system for everyone.

PhilHealth remains committed to working with all partners, government, providers, and patients, toward a healthcare system that is transparent, responsive, and truly protective of every Filipino.

For inquiries and reports, contact your hospital’s PCARES representative or reach PhilHealth through official PhilHealth channels (02) 8662-2588 or actioncenter@philhealth.gov.ph

Started in 1927, the Philippines Graphic is the longest-running printed magazine of national circulation that provides relevant news and features and promotes Philippine literature.

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