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PhilHealth launches prosthesis program

President Benigno Aquino III listens to the testimonial of Person with Disability Raissa Laurel-Subijano during the Joint Launch of the new PhilHealth Card the Z Morph Prostheses Benefit Package and Other Services at the Heroes Hall of Malacañan Palace on October 31, 2013. Joining him are Health Secretary Enrique Ona and PhilHealth president and chief executive officer Alexander Padilla. Malacañang Photo Bureau

PHILHEALTH on Thursday launched a benefit pagage for lower limb prosthesis and various enhancements in services, including a complete shift in the way it pays the claims of its health care providers. 
President Benigno Aquino III and Health Secretary Enrique Ona led the launching of the newest benefit package known as Z-MORPH, which aims to benefit persons with lost or deficient limbs.
The move is in support of government initiatives to protect the interest and well-being of disabled people.
Philhealth President Alexander Padilla said that, in coming out with the Z-MORPH, they recognized the equal right of every person with disability to live a productive and normal life.
“We are providing them benefits coverage for quality prosthetic services,” he said.
The Z-MORPH covers the initial fitting of external lower limb prosthesis at a package rate of P15,000 per limb or P30,000 for both limbs for the entire pre- and post-prosthetic management of either the foot,  symes  and ankle or below-the- knee levels of amputation.
The eligible members and their qualified dependents may initially avail themselves of the benefit at the University of the East Ramon Magsaysay Medical Center, at the Philippine Orthopedic Center and at the Philippine General Hospital.
The Z Package was introduced in 2012 to provide financial risk protection to PhilHealth members faced with medically and financially catastrophic conditions.
Padilla said PhilHealth could now pay pre-determined amounts for all compensable treatments and procedures with the new payment scheme, which he said was internationally accepted.
Since its inception and even during the Medicare era, he said, PhilHealth had been reimbursing its members paying health providers for their services to patients.
But he said the practice was prone to abuse as it could lead to prolonged hospital stays and the use of unnecessary use services.
He also announced PhilHealth’s a complete shift from the traditional Fee-for-Service to a case-based payment system for all compensable medical and surgical cases.
 

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