PHIC PHILHEALTH CIRCULAR NO. 77-a, s. 2000 NEW BENEFIT SCHEDULE FOR INDIGENT MEMBERS January 31, 2000

Please be informed that in view of the recent equalization of medical care benefits for government and private sector employees and their dependents, the benefit schedule for indigent sector members has also been upgraded to the same level to ensure that all members of the National Health Insurance Program (NHIP) enjoy one Medicare benefit package. Following is the latest schedule of benefits for ALL members:

UNIFIED BENEFIT SCHEDULE For Government Indigent and Private Sector Members, including OWWA and Individually Paying Members and their Dependents
BENEFIT ITEMS	PRIMARY	SECONDARY	TERTIARY
ROOM AND BOARD	120	220	345
not exceeding 45 days for each member & another 45 days to be shared by his dependents)
DRUGS & MEDICINES (per single period of confinement)
	Ordinary	1,165	1,595	2,670
	Intensive	2,430	3,280	7,660
	Catastrophic	0	6,575	11,885
X-RAY, LAB, ETC. (per single period of confinement)
	Ordinary	305	760	1,625
	Intensive	590	1,680	3,405
	Catastrophic	0	3,405	9,810
PROFESSIONAL FEES (per single period of confinement shall not exceed:)	P105/day for General Practitioner P150/day for Specialist
	Ordinary
		General Practitioner	540	540	540
		Specialist	810	810	810
	Intensive/Catastrophic
		General Practitioner	810	810	810
		Specialist	1,350	1,350	1,350
OTHERS
	Hospital (OR)
	a. RUV 5 & Below	385	670	1,060
	b. RUV 1.5 to 10	0	1,140	1,350
	c. RUV Above 10	0	2,160	3,490
	SURGEON	Maximum of 15,390 @ 420/Relative Unit Value
	ANESTHESIOLOGIST	Maximum of 4,785 @ 420/Relative Unit Value
	Outpatient Benefits
		Chemotherapy	Radiotherapy	Hemodialysis
		Cataract extraction	Minor surgical procedure
SURGICAL FAMILY PLANNING PROCEDURE
	Vasectomy	900	900	900
	Tubal Ligation	1,125	1,125	1,125
Benepisyong Medicare Para sa Lahat

Adopted: 31 Jan. 2000

(SGD.) ENRIQUE M. ZALAMEA
President and CEO