The Medical City Now Offers Philhealth Z Benefit Package on Colorectal Cancer
March is Colorectal Cancer Awareness
Month. This is an important campaign as colorectal cancer (CRC) is the third
most common cancer among Filipinos. Breast and lung cancers are more prevalent
in the Philippines. If you’re suffering from said cancer and you’re a
PhilHealth member, did you know that The Medical City announced during a
presscon held recently that they now offer Philhealth Z Benefit Package on Colorectal
Cancer.
The
Medical City is now ready to provide the special benefits package for members
of the Philippine Health Insurance Corporation (PhilHealth) who are diagnosed
withcolorectal cancer.
The
Z Benefits will provide state of the art treatment for early stage up to stage
III colon and rectum cancers that can up the survival rate from this disease.
Under
this agreement with PhilHealth, TMC shall make available the benefit packages
for colon cancer Stage I to II (low risk) worth P150,000 up to Stage II (high
risk)-III worth P300,000 to PhilHealth members who pass the selections
criteria. The Z benefit rate for the entire course of treatment for rectum
cancer Stages I to III is P150,000 to P400,000.
|
Paggamot/Operasyon/Intervention
|
Halaga
|
|
Colon
Cancer
Stage I to II (low risk)
Stage II
(high risk) to III
|
P
150,000
300,000
|
|
Rectum
Cancer
Stage I (clinical and pathologic)
Clinical Stage II to III
|
150,000
400,000
|
TMC
will also implement the ceiling amount of P 300,000 as maximum co-payment for
colon cancer, and P300,000 for rectum cancer for PhilHealth members and their
dependents who are classified as charity patients Classes 1 and 2, as well as
to members with income of less than P50,000 per household per year.
|
Colon Cancer co-payment
|
250,000
|
|
Rectum Cancer co-payment
|
300,000
|
Who are eligible: Patients with Stage I to III
colorectal cancer (TMC’s screening committee shall refer
the patient to the PhilHealth Officer for completion of requirements.)
How do we know they have colorectal
cancer: They must
have their pathology/colonic biopsy report with them when they apply.
How do we know they are NOT Stage IV:
StageIVmeans that the
cancer has spread to other organs or parts of the body. It may also be called
advanced or metastatic cancer. To be eligible for this package, patients must
present their chest Xray results and liver ultrasound or CT abdomen results
stating NO MASSmetastases
in the lungs and liver.
What are the other criteria that will
increase the likelihood they will be sponsored by the Philhealth Z Package:
a) They must have no other uncontrolled illness like uncontrolled
diabetes or hypertension.
b) They must be able to walk unassisted, feed themselves, do activities
of daily living on their own.
c) They must be willing to meet with their team of doctors and
participate in the planning and payment for their treatment.
If you have Colon or Rectal Cancer, Stage I to III, and have proper
documents ((pathology/colonic biopsy report), go to The Medical City Augusto P.
Sarmiento Cancer Institute (APSCI), at 8th Flr., With the referral order from
the doctor to be reviewed by the TMC Screening Committee.
Step 1: Go to The Medical City Augusto P Sarmiento Cancer Institute
(APSCI), 8th Flr, with the referral order from the doctor to be reviewed by the
TMC Screening Committee.
Step 2: Go to the Philhealth Officer for the required documents.
Step 3: APSCI will schedule a Multidisciplinary Team Conference (MDTC)
or Family Meeting.
Step 4: Submit PhilHealth requirements for pre-authorization approval.
Step 5: Resolve procedure tests after PhilHealth.
What is the
commitment of the Augusto P. Sarmiento Cancer Institute (APSCI) of The Medical
City:
Treatment cost will be minimized and special discounts from the
hospital and doctors will be given without compromising outcomes. The patient
will be fully informed of plans for care and will be part of a
Multidisciplinary Team of doctors and allied health professionals.
For inquiries, please call APSCI Tel. 9881000 ext 6214
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