Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

Home  »  Ask an ExpertGovernment ServicesPhilHealth   »   Is CT Scan Covered by PhilHealth?

Is CT Scan Covered by PhilHealth?

Is CT Scan Covered by PhilHealth?

PhilHealth implements the case rate system with its coverage. The amount that PhilHealth will reimburse the patient depends on the specific illness/case. This coverage includes healthcare professional fees and facility charges. 

Are you wondering if imaging procedures like CT scans are covered by PhilHealth? Let’s find out the answer in this quick guide. 

Disclaimer: This article has been published for educational purposes only. Neither the author nor FilipiKnow is affiliated with PhilHealth, so specific queries about your membership and insurance benefits must be forwarded to the proper authority.

Table of Contents

Are Imaging Procedures Like CT Scan Covered by PhilHealth?

It depends. Any laboratory tests or imaging deemed necessary will be covered within the limit of the case rate, if inpatient hospitalization. If it is an expensive imaging procedure like a CT scan, and outpatient, it might not be covered by PhilHealth. 

PhilHealth does have the Z Benefits Package1 which might cover laboratory and imaging costs of catastrophic diseases as long as deemed necessary and covered by the package.

What Is the Z Benefits Package?

The Z Benefits Package covers conditions that are considered to be economically and medically devastating and are categorized as Case Type Z. It aims to assist members whose illnesses will require lengthy and expensive therapies.

Illnesses and operations eligible for Z Benefits include:

  • Acute lymphocytic or lymphoblastic leukemia (standard risk)
  • Breast cancer (early stage)
  • Prostate cancer (low to intermediate risk)
  • Kidney transplant (low risk)
  • Coronary artery bypass graft surgery (standard risk)
  • Tetralogy of Fallot surgery for children
  • Ventricular septal defect surgery for children
  • Cervical cancer (early stage)
  • Selected orthopedic implants
  • Colon and rectum cancer
  • Prevention of preterm delivery

If sponsored members match the eligibility and risk criteria listed by PhilHealth, they may get up to 100% coverage for diseases of case type Z.

Return to the main article: How To Register in PhilHealth Online: A Complete Guide for New Members

Reference

  1. Philippine Health Insurance Corporation (PhilHealth). (2021, December 2). PhilHealth Circular No. 2021-0022: The Guiding Principles of the Z Benefits (Revision 1) [Press release]. Retrieved September 20, 2022, from https://www.philhealth.gov.ph/circulars/2021/circ2021-0022.pdf

Camille Lamera, MD

Camille Lamera is a medical doctor with clinical and government work experience. She has always been passionate about health education and public service, having worked in two government offices and as a part-time educator in Preventive and Community Medicine. She is currently working as a doctor in public health while also doing freelance academic and scientific writing.

Browse all articles written by Camille Lamera, MD

Copyright Notice

All materials contained on this site are protected by the Republic of the Philippines copyright law and may not be reproduced, distributed, transmitted, displayed, published, or broadcast without the prior written permission of filipiknow.net or in the case of third party materials, the owner of that content. You may not alter or remove any trademark, copyright, or other notice from copies of the content. Be warned that we have already reported and helped terminate several websites and YouTube channels for blatantly stealing our content. If you wish to use filipiknow.net content for commercial purposes, such as for content syndication, etc., please contact us at legal(at)filipiknow(dot)net

FILIPIKNOW® is a registered trademark of the owner of Pacific Pact with Registration No. 4/2019/00504365. All content is copyrighted.
Terms of Service & Privacy Policy About Filipiknow Facts & Figures