Republic of the Philippines

PHILIPPINE HEALTH INSURANGE CORPORATION

PhilHealth Regional Office V ANST III Bldg., Alternate Road, Legazpi City PRO 5 Health I i ne
05 2-48
1s5

96

uy\1'p,llilh_galtheo-y,ph

February

28,2074

FOR

ALL PHILHEALTH ENGAGED PROVIDERS AND MEMBERS

SUBJECT

SIMPLE MEASLES COVERAGE IN ACCREDITED HOSPITALS

This is to reiterate the statement of PhilHealth Spokesperson Dr. lsrae,l Pargas about the

inclusion
hospitals.

of Simple Measles in

PhilHealth's compensable case rates

in

accredited

ln line with this, all accredited hospitals under PRO V are hereby advised to

automatically deduct the case rate of P 7,000 from the hospital bill of PhilHealth members and/or dependents availing of this package. Pending the supplemental issuance from the PhilHealth Central Office, the PhilHealth

Regional Office V- Benefit Administration assures accredited hospitals that claims

submitted for simple measles will be reimbursed based on the previous advisories related
to this.

Please be guided accordingly. Cleared for Release:

DAVID I. ESCANDOR Officer- in- Charge[E!

teamphilhealth

r,/t;r"j

ffi..s

PhilHealth

. u.tion".nter@philhealth.gov.ph

MANILA, Philippines-The Philippine Health Insurance announced Tuesday that patients

hospitalized due to measles may avail themselves of PhilHealth benefits. In a news forum, PhilHealth president and CEO Alexander Padilla said that patients confined even due to simple measles cases are now covered by PhilHealth following the outbreak of the disease in many parts of the country. According to him, measles was previously removed from its list of benefits because there had been almost no hospital admissions due to simple measles.

"But those with complications due to measles such as pneumonia, dehydration and encephalitis have been continuously covered by PhilHealth," he said.
"Since there is an outbreak of the disease, we decided to revive this month the simple measles case rate package, but it has to involve hospital confinement," added PhilHealth spokesperson Dr. Israel Francis Pargas.
Pargas said patients will be covered for P7,000 and up to P32,000 if it involves complications from the disease. He added that the coverage will be implemented retroactively, which means those who were admitted even from January 1 to 14 canfile for PhilHealth clairirs.

Meanwhile, almost 800 suspected cases of measles have been reported in Metro Manila for the first 11 days of the month, according to the Department of Health.
Based on the DOH-National Capital report, there were 760 suspected cases reported from January 1 to 11, 2014 compared with only 10 cases during the same period last year.

Most (272) cases were in Manila City, followed by Paraflaque City with

13

8 cases.

Other cities with significant increase in cases were Quezon, Taguig, Navotas and Las Piflas. The DOH report said clustering of suspected measles cases has been noted in the cities of Caloocan, Las Piflas, Malabon, Mandaluyong, Manila, Muntinlupa, Navotas, Paraflaque, Pasay, Quezon, Taguig, and Valenzuela. Three deaths from suspect measles cases were also reported during the period, the reporl added.

Thirty-nine percent of those affected belonged to the 1-4 years age-group, the DOH report said, adding that 9 percent or 67 victims had history of previous measles vaccination.

Atotal of
including

1,724 casesof measleshavebeenreportedfromJan.

l toDec,

14,2013 nationwide,

2l

deaths.

The DOH is to launch in September a nationwide mass vaccination campaign to eliminate measles in the country.