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Inpatient Benefits
These benefits are paid to the accredited Health Care Institution (HCI) through All Case
Rates
The case rate amount shall be deducted by the HCI from the members total bill, which
shall include professional fees of attending physicians, prior to discharge
The case rate amount is inclusive of hospital charges and professional fees of attending
physician
Availment condition: Member must have at least three (3) months premium contributions
within the immediate six (6) months prior to the month of availment
Documents needed: copy of Member Data Record or PhilHealth Benefit Eligibility Form
(PBEF) and duly accomplished PhilHealth Claim Form 1
Outpatient Benefits
1. Day surgeries (ambulatory or outpatient surgeries) are services that include elective (nonemergency) surgical procedures ranging from minor to major operations, where patients
are safely sent home within the same day for post-operative care
2. Radiotherapy
3. Hemodialysis
4. Outpatient Blood Transfusion
5. Tamang Serbisyo Para sa Kalusugan ng Pamilya (TSeKaP)
Preventive Services
Consultation
Visual inspection with
https://www.sss.gov.ph/
http://www.pagibigfund.gov.ph/Default.aspx
Asthma including
nebulisation services
http://www.philhealth.gov.ph/about_us/
http://ecc.gov.ph/
acetic acid
Regular BP
measurements
Breastfeeding
program education
Periodic clinical
breast examinations
Counseling for
lifestyle modification
Counseling for
smoking cessation
Body measurements
Digital rectal
examination
Fecalysis
Sputum microscopy
Fasting blood sugar
Lipid Profile
Chest x-ray
Acute Gastroenteritis
(AGE) with no or
mild dehydration
Upper Respiratory
Tract Infection
(URTI)/Pneumonia
(minimal and low
risk)
Urinary Tract
Infection (UTI)
PhilHealth also has Z Benefit Package to help cure some cases of cancer and other serious
illnesses in the Philippines and Millennium Development Goal-related packages.
Pag-IBIG
Provident (Savings) Benefit Claim
Pag-IBIG Fund guarantees the refund of member's total accumulated savings (TAV), which
consists of the member's accumulated contributions, the employer counterpart contributions, if
any, and the dividend earnings credited to the member's account upon occurrence of any of the
following grounds for withdrawal:
1. Membership maturity. The member must have remitted at least 240 monthly membership
contributions with the Fund. For Pag-IBIG Overseas Program (POP) members,
membership with the Fund shall be at the end of five (5), ten (10), fifteen (15), or twenty
(20) years depending on the option of the member upon membership registration.
2. Retirement. The member shall be compulsorily retired upon reaching age 65. He may
however, opt to retire upon the occurrence of any of the following:
https://www.sss.gov.ph/
http://www.pagibigfund.gov.ph/Default.aspx
http://www.philhealth.gov.ph/about_us/
http://ecc.gov.ph/
3. Permanent and Total Disability or Insanity. The following disabilities shall be deemed
total and permanent:
Temporary total disability lasting continuously for more than 120 days;
Such other cases which are adjudged to be total and permanent disability by a
duly licensed physician and approved by the Board of Trustees.
http://www.philhealth.gov.ph/about_us/
http://ecc.gov.ph/
https://www.sss.gov.ph/
http://www.pagibigfund.gov.ph/Default.aspx
http://www.philhealth.gov.ph/about_us/
http://ecc.gov.ph/
If the member has an existing Housing Loan, Multi-Purpose Loan (MPL) and/or
Calamity Loan, the account must not be in default as of the date of the loan application.
2. How much can one loan? An eligible member may borrow up to a maximum of 80% of
his Total Accumulated Value (TAV) subject to the terms and conditions of the program.
The current interest rate for the Calamity Loan is 5.95% per annum.
3. What is the payment period? The Calamity Loan is amortized over a period of 24
months with a grace period of 3 months. Said member shall start paying his loan on the
4th month following the date of his DV/Check date.
4. Can a member still avail of a Calamity Loan even if he has an outstanding
MPL/Calamity Loan? Yes, said member may still avail of a Calamity Loan subject to
certain conditions. In no case, however, will the aggregate short-term loan (MPL and
Calamity Loan) exceed 80% of the borrowers TAV.
If, in addition to an outstanding MPL, the member also has an outstanding calamity loan
in the amount of P2,000, in the example above, the member is still granted a new
calamity loan of P3,000 but will only receive P1,000 because the P2,000 will pay off the
existing calamity loan balance. This means that at any given time, a member can have
both MPL and calamity loan, but only one calamity loan.
5. Until when can an eligible member avail of the loan?Eligible borrowers must avail of
the Calamity Loan within a period of 90 days from the declaration of a state of calamity.
6. What are the documentary requirements for the loan application?
1. Completely filled-up Calamity Loan Application Form*
2. Photocopy of at least 2 valid IDs
3. Proof of Income
4. For formally employed members, duly accomplished Declaration of Being
Affected by Calamity*.
* Said documents can be downloaded from the Pag-IBIG Fund website at
www.pagibigfund.gov.ph or can be secured at any Pag-IBIG Fund office.
o Where can one apply for a loan? The borrower may submit his requirements to
any Pag-IBIG Office nationwide. For inquiries, Pag-IBIG Funds hotline is open
24/7 (02) 724-4244. E-mails can be sent to publicaffairs@pagibigfund.gov.ph.
https://www.sss.gov.ph/
http://www.pagibigfund.gov.ph/Default.aspx
http://www.philhealth.gov.ph/about_us/
http://ecc.gov.ph/
https://www.sss.gov.ph/
http://www.pagibigfund.gov.ph/Default.aspx
http://www.philhealth.gov.ph/about_us/
http://ecc.gov.ph/
http://www.philhealth.gov.ph/about_us/
http://ecc.gov.ph/
and other related matters. PAC is located at the ECC ground floor for this purpose
and was operationalized since 2005.
https://www.sss.gov.ph/
http://www.pagibigfund.gov.ph/Default.aspx
http://www.philhealth.gov.ph/about_us/
http://ecc.gov.ph/