PhilHealth Hemodialysis Benefits

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PhilHealth Case Rates

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PhilHealth Case Payment - The Hemodialysis Package

Another package offered under the Case Payment Scheme is the Hemodialysis Package for a total of Php4,000.00 with Php500.00 professional fee for every treatment inclusive in the package.

Coverage of Hemodialysis

• Covers all outpatient hemodialysis procedures with RVS code 90935;
• Includes payment per session for:
• Facility use and hemodialysis machine;
• Drugs and medicines (0.9% sodium chloride, heparin, bicarbonate or acetate hemodialysis solution, e-cart drugs and epoetin alfa or beta);
• Supplies and others (fistula kits, blood tubing set, dialyzet. syringe, and gauze).

Excluded in the package will be paid for through the fee-for-service scheme such as:

• Hemodialysis performed during hospital confinement;
• Other renal replacement therapy (e.g., CAPD, automated peritoneal dialysis);
• Emergency dialysis procedure for Acute Renal Failure (e.g., ARF secondary lo leptospirosis);
• Creadon of fistula for hemodialysis.

Source: PhilHealth Circular No. 011-B-2011