PhilHealth: Coverage for peritoneal dialysis now up to P1.2M

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IN line with President Ferdinand Marcos, Jr.'s assurance of continuous expansion in health care benefits despite zero subsidy, the Philippine Health Insurance Corp. (PhilHealth) has substantially enhanced its Z Benefit Package for peritoneal dialysis (PD), this time with separate packages for adult and pediatric patients effective Jan. 1, 2025.

According to the National Kidney and Transplant Institute, PD is a form of renal replacement therapy (RRT) where the patient's own peritoneal membrane or lining of abdominal organs and body surfaces within the abdominal cavity is used as an artificial kidney.

INCREASED HEALTH CARE SUPPORT Photo shows Philippine Health Insurance Corp. (PhilHealth) President and CEO Emmanuel Ledesma Jr. PHOTO FROM PHILHEALTH

INCREASED HEALTH CARE SUPPORT Photo shows Philippine Health Insurance Corp. (PhilHealth) President and CEO Emmanuel Ledesma Jr. PHOTO FROM PHILHEALTH

INCREASED HEALTH CARE SUPPORT Photo shows Philippine Health Insurance Corp. (PhilHealth) President and CEO Emmanuel Ledesma Jr. PHOTO FROM PHILHEALTH

The enhanced PD package covers different modalities based on age. For adults, PhilHealth pays for Continuous Ambulatory Peritoneal Dialysis (CAPD), and both CAPD and Automated Peritoneal Dialysis (APD) for younger patients.

For adult patients, coverage could either be P389,640 or P510,140 depending on the PD solutions a patient needs per day. The package used to be at P270,000 per year.

Meanwhile, benefits for pediatric patients under CAPD range from P510,000 to P765,210 while coverage for APD ranges from P763,000 to P1.2 million. PhilHealth also pays for exit site infection and peritonitis prevention care as well as ancillary services, which include catheter insertion, outpatient treatment of PD-related peritonitis and laboratory, diagnostic tests, and drugs and medicines for both adult and pediatric cases.

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The enhanced PD Z Benefits are available at any of the 51 contracted PD providers nationwide, the list of which can be viewed at www.philhealth.gov.ph.

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