Thursday, February 25, 2016
Tuesday, February 23, 2016
Monday, February 22, 2016
BARELY five (5) years after introducing its first special benefits for persons with disability (PWDs), the Philippine Health Insurance Corporation (PhilHealth) is expanding the Z MORPH Package or the Z Benefits for Mobility, Orthosis, Rehabilitation, Prosthesis Help to provide its members with better financial risk protection.
At its 21st Anniversary celebration held at Chardonnay by Astoria in Pasig City, PhilHealth formally announced the Expanded Z MORPH which is a special benefit for the fitting of upper limb prostheses, orthoses and orthoprostheses.
“Based on our assessment of the Z MORPH package and on a series of consultative meetings and dialogues with our stakeholders, our current coverage of P15,000.00 per lower limb is enough. However, there are still some services that need to be included such as physical therapy, other levels of amputation, and orthoses, thus we are expanding the package now,” said PhilHealth President and Chief Executive Officer Alexander A. Padilla.
The move to expand the package inclusions is in support of the United Nations Convention on the Rights of Persons with Disabilities and Rights of the Child wherein 21 countries, including the Philippines, are signatories to the APEC Global Friends of Disability. The collaboration envisions persons with disabilities as active participants in and contributors to their respective economies through education, inclusion and participation.
According to the World Health Organization (WHO), people with disabilities have the same general health care needs as others, but they are twice as likely to find health care providers’ skills and facilities inadequate. They are also three times as likely to be denied health care as the general population, and twice as likely to suffer catastrophic health expenditures. “We recognize the full and equal enjoyment of human rights by persons with disabilities, hence PhilHealth shall ensure protection of their inherent dignity through prosthetic, orthotic and orthoprosthetic devices that are safe, available and of the right quality,” Padilla said
The expanded Z MORPH package rate for above knee / knee disarticulation prostheses is P95,000.00, while coverage for hip disarticulation prostheses is P180,000.00. Coverage for below elbow and above elbow prostheses are P60,000.00 and P80,000.00, respectively.
On the other hand, coverage for Van Ness rotationplasty is P85,000.00 while coverage for ankle-foot orthoprostheses is P35,000.00.
PhilHealth will also pay P70,000.00 for knee-ankle-foot orthoses, and P104,400.00 for hip-knee-ankle-foot orthoses.
Coverage for spinal orthoses is set at P40,000.00 for thoracolumbosacral; P25,000.00 for lumbosacral; and P30,000.00 for cervicothoracic orthoses.
PhilHealth members may soon avail themselves of the expanded Z MORPH package in contracted hospitals such as the University of the East Ramon Magsaysay Memorial Medical Center (UERMMMC), University of the Philippines – Philippine General Hospital (UP-PGH) and Southern Philippines Medical Center in Davao City; and Zamboanga Medical Center. (END)
Reference: Dr. Israel Francis A. Pargas
OIC-Vice President, Corp. Affairs Group
THE country’s oldest government teaching hospital is now ready to provide the special benefits package for members of the Philippine Health Insurance Corporation (PhilHealth) who are diagnosed with colon and rectum cancers.
Through a memorandum of agreement signed with PhilHealth this morning in Pasig City, the University of the Philippines – Philippine General Hospital (UP-PGH) has formalized its commitment to be the first contracted provider of the Z Benefits for colorectal cancer.
The signing ceremony took place at the Chardonnay by Astoria on the occasion of PhilHealth’s 21st Anniversary. Signatories to the MoA were PhilHealth President and Chief Executive Officer Alexander A. Padilla and UP-PGH Director for Fiscal Services Dr. Margarita Luna.
Under the agreement, the UP-PGH shall make available the benefit packages for colon cancer Stage I to II (low risk) worth P150,000 up to Stage II (high risk)-III worth P300,000 to PhilHealth members who pass the selections criteria. The Z benefit rate for the entire course of treatment for rectum cancer Stages I to III is P150,000 to P400,000.
At the same time, it shall implement the No Balance Billing (NBB) Policy to members under the Sponsored and Indigent programs as well as to kasambahay and iGroup members. The NBB, which enforces that no other amount shall be collected from the member beyond what PhilHealth provides for, shall also be applied to members who are not covered due to lack of qualifying contributions, and to non-members who were assessed and classified as belonging to Class C-3 or D and enrolled under the Point-of-Care program.
The UP-PGH also agreed to implement the ceiling amount of P230,000.00 as maximum co-payment for colon cancer, and P300,000 for rectum cancer for PhilHealth members and their dependents who are classified as charity patients Classes 1 and 2, as well as to members with income of less than P50,000 per household per year.
“PhilHealth is committed to provide accessible health care services to our members that is why we are thankful to UP-PGH for this partnership, being our first contracted hospital for the Z Benefits for colon and rectum cancers. I would also like to thank our partner-health care providers for helping us achieve our mandate. Indeed, we can say that our government is doing its job in providing quality care to all Filipinos,” said Padilla.
The UP-PGH is likewise contracted to provide four (4) other Z Benefits packages, namely, Coronary Artery Bypass Graft (CABG), Surgery for Total Correction of Tetralogy of Fallot (TOF), patch repair of Ventricular Septal Defect (VSD) and the Z MORPH (Mobility, Orthosis, Rehabilitation, Prosthesis Help). (END)
Reference: Dr. Israel Francis A. Pargas
OIC-Vice President, Corporate Affairs Group