PhilHealth Expands Peritoneal Dialysis Coverage

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PhilHealth Expands Peritoneal Dialysis Coverage
HEALTHCAREPHILHEALTHPERITONIAL DIALYSIS
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The Philippine Health Insurance Corporation (PhilHealth) has significantly enhanced its Z Benefit Package for Peritoneal Dialysis, offering separate packages for adult and pediatric patients starting January 1, 2025. This expansion aligns with President Ferdinand R. Marcos Jr.'s commitment to expanding healthcare benefits despite the lack of subsidies. The enhanced package covers different modalities based on age, with PhilHealth paying for Continuous Ambulatory Peritoneal Dialysis (CAPD) for adults and both CAPD and Automated Peritoneal Dialysis (APD) for younger patients.

In line with President Ferdinand R. Marcos, Jr.’s assurance of continuous expansion in healthcare benefits despite zero subsidy, the Philippine Health Insurance Corporation has substantially enhanced its Z Benefit Package for Peritoneal Dialysis, this time with separate packages for adult and pediatric patients, effective January 1, 2025.

The enhanced PD package covers different modalities based on age. For adults, PhilHealth pays for Continuous Ambulatory Peritoneal Dialysis , and both CAPD and Automated Peritoneal Dialysis for younger patients. Meanwhile, benefits for pediatric patients under CAPD ranges from P510K to P765,210, while coverage for APD ranges from P763K to P1.2 million. PhilHealth also pays for exit site infection and peritonitis prevention care as well as ancillary services which include catheter insertion, outpatient treatment of PD-related peritonitis and laboratory, diagnostic tests, and drugs and medicines for both adult and pediatric cases.

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