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PIA Press Release

Philhealth offers TB package

Tabuk, Kalinga (6 June) -- Aiding the government in solving the prevalence of tuberculosis (TB) cases in the country, the PhilHealth insurance system has included a TB Package benefit as an insurance rider providing a chance for members or their qualified beneficiaries to undergo the six month TB-DOTS medication.

Kalinga Philhealth Officer Rommel Aranca during the TB Forum conducted in the province recently, said that the package would cover new cases of TB for both children and adult.

The TB-DOTS packages will be given in two payments corresponding to the two phases of DOTS medication. Each confirmed cases will receive P4,000.00 where the first payment of P2,500.00 will be released after the intensive phase with the remaining P1,500.00 to be given after the maintenance phase, Aranca said. The package include the payment to the attending physician, health care workers and referral centers to be settled by the referring DOTS center.

According to Aranca, prior to the enrollment, cases should be confirmed through the mandated three sputum specimens for adult cases and follow-up of sputum smear follow-up examination must be done to monitor the patient's response to the DOTS. In both adult and children cases, the patient should not have undergone treatment for TB or has not taken anti-TB drugs for less than one month.

He said that the package will not cover TB patients who are considered failure case, relapse case and return after default cases.

Failure cases are those who are still TB positive based on sputum test at five months or later during the treatment. A relapse case pertains to a patient 'previously treated for TB who has been declared cured or treatment completed and is diagnosed with bacteriologically positive smear or culture TB while the Return after default (RAD) case are patients who return to treatment with positive bacteriology smear following interruption of treatment for two or more months.

Eligible applicants he said are the employed or individually paying members with three month contribution paid within the immediate six months prior to enrollment at a DOTS center and monthly premiums should be paid during duration of DOTS course.

The reckoning date for a patient's contribution eligibility he clarified "will be the date of enrollment or registration to DOTS" underscoring that "claims for those who only satisfied the contribution eligibility during the progress of DOTS shall be denied." (ggd/PIA-Kalinga) [top]

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