Case Study of Community Health Financing in Region XI

Page 197

4.4

The Medicare II Benefit Package Benefits 1.

Out-Patient: Consultation Laboratory, X-ray & Other Special Diagnostic Services Medicines

2.

Benefit Limit P 30

Special Rate (see Schedule A) 10% of hosp. price

90% of hosp. price

In-Patient: Ward room accommodation (10 days for member and 10 days shared by Free dependents per year)

BYOP

Lab Services Professional fee

Free Free

-

Medicines (Essential)

Free

-

Ordinary (maximum) Intensive

500 800

Pay excess

X-ray & other Special Diagnostic Services 3.

Patient Counterpart

Special Rate (see Schedule A)

Surgical Services: Anesthesiologists and Surgeon’s Fees Free (Selected cases on In-patient or Out-patient Services, see schedule B) Operating Room

100

P400

176


Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.