PhilHealth Inpatient Benefits Coverage & Guidelines for Claim

Details about the PhilHealth Inpatient Benefits Coverage & Claim

PHILHEALTH INPATIENT BENEFITS – Here is a guide on the coverage and guidelines set by PhilHealth for hospitalizations.

In the Philippines, the state-run health insurance institution is the Philippine Health Insurance Corporation or more commonly called PhilHealth. Millions of Filipinos are members of PhilHealth. Undeniably, it is more affordable compared to private health insurance policies although the coverage may differ.

Many Pinoys secure their PhilHealth membership so they would have something to turn to in times of hospitalization and medical conditions. Most members submit their contributions either in a monthly or quarterly basis.

PhilHealth Inpatient Benefits Coverage
Photo Credit: Philippine News Agency

Among the benefits for members of the health insurance agency who have updated accounts are PhilHealth Inpatient Benefits or the assistance in hospital admission cases. The inpatient benefits include both the assistance in the payment of the hospital bill based on case rates and the charge of the attending physician.

According to PhilHealth, for hospitalization benefits, the benefits are paid to the accredited Health Care Institution (HCI) through all case rates. The amount of the case rate will be deducted by the HCI from the total hospital bill of the member. It includes professional fees and the charges of the attending physicians prior to the discharge.

PhilHealth stressed that only admissible cases will be reimbursed by the government agency. What are the requirements in claiming PhilHealth Inpatient Benefits?

Thank you for visiting You may express your thoughts and reactions below through the comment section. You may also follow us on Facebook, on Twitter, and subscribe to our YouTube channel Philnews Ph.

You may also read – How To Apply for PhilHealth Membership Online – Here’s A Guide in the Application Process

3 thoughts on “PhilHealth Inpatient Benefits Coverage & Guidelines for Claim”

  1. Hangang kelan po ba nagbabayad ng philhealth contribution retired na po ako. Nagbabayad pa din ako ng contribution hangang ngayon. Personal payment cya. Kelangan po ba continue wala pa akong 60 yrs.

  2. Pls monitor the alleged practice of physicians of charging full + Philhealth claim. I do have personal experiences in my various hospitalizations. The doctor’s bill is so high and when asked about the Philhealth claim, they just say it is different. Thanks. God bless Philhealth.


Leave a Comment