PhilHealth implements a case rate payment system where the amount that PhilHealth will reimburse the patient depends on the specific illness/case. This coverage includes healthcare professional fees and facility charges.
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Dengue is among the cases covered by PhilHealth. Dengue fever with and without warning signs is covered up to ₱10,000 while Severe Dengue is covered up to ₱16,000.
Listed below are other common illnesses covered by PhilHealth and their case rates. Take note that this is not a complete list. Complete case rate information can be searched in the Philhealth Portal.
| Illness | Coverage |
| Acute Gastroenteritis Amoebiasis | ₱6,000 |
| Acute Renal Failure | ₱19,300 |
| Allergic Reactions | ₱6,200 |
| Anaphylactic Shock (Severe Allergic Reactions) | ₱7,600 |
| Anemia | ₱10,000 |
| Arthritis (Infectious) | ₱9,700 |
| Asthma (In Acute Exacerbation) | ₱9,000 |
| Back Pain, Radiculopathy, Sciatica | ₱6,400 |
| Bleeding Disorders/Hemorrhagic Conditions | ₱12,800 |
| Brain Injury/Intracranial Injury | ₱8,800 |
| Breast Cancer/Malignancy | ₱11,800 |
| Cancer/Malignancy (Depends on Affected Organs), Examples: Bone and Cartilage Case Rate Range for Malignancy Central Nervous System Digestive Organs | ₱16,500 ₱11,000-₱16,900 ₱16,900 ₱14,200 |
| Cardiac Arrhythmia and Cardiomyopathy | ₱13,400 |
| Cellulitis | ₱9,600 |
| Chikungunya and Other Arthropod-Borne Viral Fever | ₱8,100 |
| Cholecystitis | ₱11,300 |
| Chronic Heart Disease Without Complication | ₱4,000 |
| Chronic Obstructive Pulmonary Disease | ₱12,200 |
| Chronic Kidney Disease | ₱14,500 |
| COVID-19 Moderate Without Pneumonia With Risk Factors for Progression COVID-19 Moderate With Pneumonia COVID-19 Severe COVID-19 Critical | ₱43,997 ₱143, 267 ₱333,519 ₱786,384 |
| Dengue Fever Dengue, Severe | ₱10,000 ₱16,000 |
| Diabetes Mellitus With Complications Other Than Coma or Ketosis | ₱12,600 |
| Diabetes Mellitus With Coma or Ketosis | ₱15,800 |
| Dehydration (Moderate-Severe) | ₱4,000 |
| Ebola Virus Disease | ₱110,000 up to ₱222,000 |
| Epilepsy | ₱7,800 |
| Glaucoma | ₱6,500 |
| Heart Failure | ₱15,500 |
| Heat Stroke and Other Heat Exhaustion | ₱6,500 |
| Hydrocephalus | ₱17,300 |
| Hypertensive Urgency/Emergency | ₱9,000 |
| Hyperthyroidism | ₱8,500 |
| Hypoglycemia | ₱4,000 |
| Hypothyroidism | ₱8,100 |
| Inflammatory Bowel Disease | ₱9,100 |
| Inflammatory Diseases of the Central Nervous System (Encephalitis, Myelitis, etc.) | ₱21,600 |
| Inflammatory Disease of the Heart (Endocarditis, Myocarditis, etc.) | ₱14,400 |
| Influenza | ₱6,000 |
| Injuries to Muscle, Tendons, and Joints | ₱7,200 |
| Intestinal Obstruction | ₱10,100 |
| Ischemic Heart Disease With Myocardial Infarction Ischemic Heart Disease Without Myocardial Infarction | ₱18,900 ₱12,000 |
| Leptospirosis Moderate to Severe | ₱11,000 |
| Liver Failure | ₱20,600 |
| Malnutrition | ₱11,700 |
| Meningitis | ₱25,700 |
| Meningococcemia | ₱19,800 |
| Mental and Behavioral Disorders | ₱7,800 |
| Middle East Respiratory Syndrome (MERS-CoV) | ₱50,000-₱100,000 |
| Migraine and Headache Syndromes | ₱5,500 |
| Miscarriage If With Complications | ₱5,000 ₱6,900 |
| Newborn Sepsis | ₱11,700 |
| Nutritional Disorder | ₱9,200 |
| Osteoporosis and Disorders of Bone Density and Structure | ₱7,900 |
| Otitis Media | ₱7,800 |
| Pancreatitis and Diseases of the Pancreas | ₱12,600 |
| Parasitic Infection Without Complications (Ex. Malaria, Schistosomiasis) | ₱4,000 |
| Peptic Ulcer With Hemorrhage Peptic Ulcer Without Hemorrhage | ₱12,800 ₱6,100 |
| Perinatal Infections | ₱12,700 |
| Pneumonia High Risk Moderate Risk | ₱32,000 ₱15,000 |
| Postpartum Complications | ₱9,300 |
| Pregnancy/Maternal Comorbidities | ₱6,800 |
| Pyelonephritis | ₱10,900 |
| Rheumatic Heart Disease | ₱12,800 |
| Sepsis | ₱32,000 |
| Skin Infections | ₱4,000 |
| Stroke-Hemorrhagic Stroke-Infarction | ₱38,000 ₱28,000 |
| Systemic Lupus Erythematosus | ₱11,900 |
| Tetanus | ₱16,500 |
| Tuberculosis (Extrapulmonary) TB (Miliary) TB (Pulmonary) | ₱11,900 ₱11,900 ₱9,800 |
| Typhoid Fever | ₱10,000 |
| Upper Respiratory Tract Infection (Acute Bronchitis) | ₱4,000 |
| Urinary Tract Infection or UTI (Admissible) | ₱7,500 |
| Urolithiasis | ₱4,000 |
| Viral Hepatitis | ₱11,800 |
| Viral Infection (Ex. Measles) (Admissible) | ₱7,700 |
| Viral Infection of the Nervous System | ₱21,100 |
| Zika Virus | ₱8,100 |
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