PhilHealth Releases Covid-19 Vaccine Compensation Guidelines
THE Philippine Health Insurance Corp. (PhilHealth) recently announced its compensation program for those who will develop serious adverse reactions (SAEs) as a result of an inoculation for Covid-19 that will result in hospitalization, permanent disability or death. The package and its guidelines are contained in PhilHealth Circular 2021-0007 issued on June 18.
In a recent Ministry of Health media forum, the state health insurer said the compensation program was only available to those who have been vaccinated against Covid-19 under the Philippine program. vaccination against Covid-19.
PhilHealth has clarified, however, that it will cover patients who have received vaccines through other initiatives, especially in the private sector, if the vaccines come from the country’s Covid-19 vaccination program.
The flat rate is capped at P 100,000 for hospitalizations to cover the remaining costs after deducting PhilHealth benefits, mandatory discounts and other coverage provided by private health insurance companies and health management organizations (HMOs). ).
Likewise, a lump sum of 100,000 pesos per beneficiary is paid in the event of permanent disability or death.
Compensation covers claims filed from March 3, 2021 to March 2, 2026 or until the end of the vaccination program, whichever comes first. Those who will benefit from this package must have received at least one vaccine as part of the Philippine Covid-19 vaccination program.
Hospitalization benefits can be used more than once if the limit of 100,000 pesos has not yet been reached. However, coverage for permanent disability or death can only be requested once.
Among the requirements for hospitalization compensation claims are proof of Covid-19 vaccination (vaccination card or slip); vaccine injury assessment survey; account statement; medical certificate; and an official receipt showing deductions from PhilHealth benefits, private insurers / HMOs and out-of-pocket expenses. Other supporting documents such as a signed physical examination report describing the disabling manifestation or a death certificate must also be included for permanent disability and death claims, respectively.
For more information, send an email [email protected]