WHERE will your half a million pesos go? If you have heart disease and need coronary artery bypass graft surgery, that’s only half the cost.
That’s the reality facing PhilHealth members who drop more than a thousand pesos every month thinking that they won’t have any problems when they get sick.
In a PhilHealth briefing for the Senate committee on government corporations and public enterprise on October 5, committee chairman Senator Alan Peter Cayetano revealed that PhilHealth’s package for the aforementioned procedure is P550,000, while the actual cost in a major hospital in Manila is approximately P907,000. Therefore, there is still an out-of-pocket expense of P357,000, which for most of us is a huge amount.
That’s why, Cayetano said, many Filipinos are forced not to seek treatment because of the high cost even if they still have PhilHealth. In his presentation at the briefing, Cayetano said that 6 out of every 10 Filipinos die without even being able to see a doctor.
Also based on a survey in 2019, up to 99% of Filipinos do not buy the medicine that is prescribed to them because of its high cost. In total, up to 44.7% of the healthcare cost is spent by the citizens themselves instead of PhilHealth or other insurers.
All this is happening even though PhilHealth already has a No Balance Billing Policy, or what is called “zero billing.” It was started in 2012, and under it PhilHealth members should pay nothing else in government hospitals or in private hospitals that are PhilHealth-accredited. All Case was also started in 2012
Rates Policy of PhilHealth that assigns the amount to be reimbursed to the member who falls ill.
Nowadays, it is forbidden to get sick.
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