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PhilHealth Primary Care Benefit: What You Need to Know

Navigating healthcare options can be overwhelming, but understanding the PhilHealth Primary Care Benefit (PCB) is essential for every Filipino. This benefit provides access to vital health services, ensuring you and your family stay healthy without breaking the bank.

Whether you’re new to PhilHealth or looking to maximize your benefits, this guide will simplify everything you need to know about the PCB. Learn how to access services, what treatments are covered, and how this benefit can significantly impact your overall health and well-being.

Read on to make the most of your PhilHealth membership and ensure a healthier future.

What are PhilHealth Primary Care Benefit?

The PhilHealth Primary Care Benefit (PCB) is a benefit that covers the cost of essential health care services for members at the primary care level. It is designed to provide members with access to preventive, diagnostic, and treatment services that can help them stay healthy and manage their chronic conditions.

Benefits of PhilHealth Primary Care Benefit

The PCB is available to all PhilHealth members, regardless of their employment status or income level. The benefit is renewable every year.

The PCB covers the cost of the following services:

  • Preventive care: This includes well-child checks, immunizations, and cancer screenings.
  • Basic diagnostic services: This includes laboratory tests, x-rays, and ultrasounds.
  • Basic treatment services: This includes consultation fees, prescription drugs, and outpatient procedures.

The PCB also covers the cost of certain chronic care services, such as management of diabetes, hypertension, and asthma.

To be eligible for the PCB, members must meet certain criteria. These criteria include:

  • The member must be a PhilHealth member in good standing.
  • The member must have been seen by a PhilHealth-accredited primary care provider.

How to Claim PhilHealth Primary Care Benefit

To file a claim for the PCB, members must submit a claim form to their local PhilHealth office. The claim form must be accompanied by the following documents:

  • PhilHealth member ID card
  • Proof of payment of PhilHealth premiums
  • Medical receipts

Once the claim is processed, PhilHealth will reimburse the member for the cost of the covered services.

The PCB is a valuable benefit that can help to reduce the financial burden of primary care for PhilHealth members and their families.

Here are some additional information about PhilHealth Primary Care Benefit:

  • The PCB is worth Php2,000 per year.
  • The PCB can be availed of up to 12 times in a calendar year.
  • The PCB can be availed of in any PhilHealth-accredited primary care provider.

For any concerns or inquiries regarding your PhilHealth matters, you can easily reach out for assistance. You can send an email to [email protected] or you can check our guide in other ways to contact Philhealth.

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