Philhealth Coverage for Colonoscopy

Colonoscopy is a procedure done by a doctor to examine the large intestine to see inflammation, ulcers, tumors, lesions or abnormal growths like polyps, or foreign bodies.

The doctor uses a long flexible tube called colonoscope which is gently pushed through the anus to the large intestine. Images of the large intestine are transmitted to a monitor.

Colonoscopy is often performed to investigate the cause of persistent abdominal pain, prolonged constipation or diarrhea, thin stool, rectal bleeding, weight loss or body weakness.

Here are 7 types of colonoscopy through stoma, covered by Philhealth:

1. Diagnostic, with or without collection of specimen by brushing or washing
PF: 7,560
Hospital: 7,400
Total Coverage: 14,960

2. With single or multiple biopsies
PF: 7,560
Hospital: 7,400
Total Coverage: 14,960

3. With removal of foreign body
PF: 8,400
Hospital: 9,600
Total Coverage: 18,000

4. With control of bleeding, using any method
PF: 8,400
Hospital: 9,600
Total Coverage: 18,000

5. With removal of tumors, polyps, or other lesions by hot biopsy forceps or bipolar cautery
PF: 8,400
Hospital: 9,600
Total Coverage: 18,000

6. With ablation of tumors or polyps or other lesions not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
PF: 9,240
Hospital: 12,700
Total Coverage: 21,940

7. With removal of tumors, polyps, or other lesions by snare technique
PF: 9,240
Hospital: 12,700
Total Coverage: 21,940

 

*Can be single or multiple tumors, polyps or lesions

*PF means professional fee

*Hospital costs include costs of medicines, room, equipment and laboratory procedures

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