MANILA, Philippines – The Benefits Committee (BenCom) of the Philippine Health Insurance Corp. (PhilHealth) Board of Directors has decided to create a new policy that would remove the single period of confinement rule.
MANILA, Philippines – The Benefits Committee of the Philippine Health Insurance Corp. Board of Directors has decided to create a new policy that would remove the single period of confinement rule.In a meeting on Tuesday, Health Secretary and PhilHealth Board Chairman Teodoro Herbosa said the new policy would be recommended to the board en banc that is scheduled to meet on Friday.
PhilHealth's All Case Rates Policy 2 states that availing of the benefit for the same illness or procedure – not separated from each other by more than 90 calendar days – will not be provided with a new benefit, until after the 90-calendar day period computed from the date of admission.In 2023, the rule resulted in the denial of 26,750 claims, including community-acquired pneumonia, acute gastroenteritis, urinary tract infection, and chronic kidney disease.
Board Recommends End Of Single Period Confinement Rule
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