Philhealth Deduction for Gallbladder Removal or Cholecystectomy

Here are Philhealth coverages for different types of cholecystectomy or gallbladder removal.

Cholecystectomy is a surgical procedure used to remove the gallbladder.
This is to treat gallbladder inflammation, gallstone-caused illnesses and other gallbladder conditions.

Code 47562
Laparoscopic cholecystectomy, surgical laparoscopy; or any method of cholecystectomy
Total coverage: 31,000
For PF: 12,400
For Hospital costs: 18,600

 

Code 47563
Cholecystectomy with cholangiography
Code 47570
Cholecystoenterostomy; Surgical laparoscopy
Code 47600
Cholecystectomy
Code 47605
Cholecystectomy with cholangiography

Total coverage: 31,000
For PF: 12,400
For Hospital Expenses: 18,600

 

Code 47564
Cholecystectomy with exploration of common duct; Surgical laparoscopy
Code 47610
Cholecystectomy with exploration of common duct
Code 47620
Cholecystectomy with exploration of common duct, with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography

Total coverage: 46,500
For PF: 25,200
For hospital costs: 21,300

 

Code 47612
Cholecystectomy with exploration of common duct, with choledochoenterostomy
Total coverage: 53,400
For PF: 29,400
For Hospital costs: 24,000

36 Comments

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  1. Saan ko po makukuha ang philhealth refund ko po?

    1. Hi maricar, dapat nadeduct yong coverage mo before discharge. Did you file your Philhealth with the hospital? Is this a government hospital? If yes, wait for your benefit payment notice from Philhealth through postal mail, then go to your hospital with the notice, ORs and hospital docs and ask for a refund.

  2. good day, inoperahan po kagabi brother ko…acute panceatitis at inalis mo appendix nia…magkano po ba mababawas sa bill nia?

    1. Hi edgie, yong pag-alis ba ng appendix niya ang main procedure na ginawa? If yes, ang coverage for appendectomy is 24,000 (14400 for hospital costs and 9600 for PF)

  3. Tanong ko lang po .kapag po ba senior citizen na automatic na po ba na may philhealth?at hindi na hinuhulugan?

    1. Hi Jho, yes, basta senior automatic Philhealth lifetime member na. Pero merong mga hospitals/clinics nirerequire nila ang MDR or ID from Philhealth; yong iba naman, require lang nila senior citizen ID. 2 options to get Philhealth ID card: sa Philhealth nearest your residence or sa OSCA in your town/city. Bring senior citizen ID and 1×1 ID photo

  4. Ask ko lang po. Nag undergo ako ng cholecystectomy. Package ung usapan namin ng doctor na 130k pero less pa daw Philhealth. Pagdating ng bill ung hospital cost lang ang binawas na 18k. Pano po ung sa PF. Marerefund po ba un?

    1. Hi Kelly, dahil sabi ng doctor mo na “less pa daw Philhealth” dapat mai-minus din yong PF na 12,400 at dapat 18,600 ang deduction for hospital cost. Tanungin mo yong hospital bakit hindi binawas. Ipilit mo na irefund

  5. Hi good day ask q lng poh if ofw ako, ung mama q ba mka avail ng philhealth koh ? Db my discount yun? Ooperahan po cya sa gallbladder nya. At paano nla ma avail yun dto po ako Singapore. Slamat poh

    1. Hi Analiza, is your mama 60 years old or older? Puede lang dependent ang mother or father kung 60 years old or older at kung merong permanent disability with medical certificate. Bukod doon, pag 60 or older na, puede na silang Lifetime free member as senior citizens.

  6. dianah rose manipon

    Ask ko lang po panu po pag nagamit na ung phil health ko ng dec 2017.maavail ko pa po b ngayon jan 2018 ung phil health ko?mgppaopera po kasi ako this january.thank you.

    1. Hi dianah rose, yes, basta hindi parehong sakit or hindi parehong operation. Kung pareho, tanungin mo yong hospital kung yong pagbilang nila ng 90 days ay titigil every Dec 31 at nagsisimula uli ng panibago simula January 1.

  7. Hi po ask ko lng kung magagamit parin po ba agad ung philhealth ng mother ko kung huhulugan ngaun? Inactive kc ung philhealth nya dahil Hindi nahulugan. need nya ma operahan to remove gallstones

    1. Hi Anne, wala siyang payment simula September 2017? Kapag wala, kung safe at puedeng ma-postpone ang operation to March, puedeng magbayad siya ASAP ng Jan to March 2018 para ma-cover siya in March. Before deciding, ask your doctor and the hospital.

  8. Mgkanu po deduction s galbladder removal?

    1. Hi Ariane, total coverage is 31,000 (12,400 for doctor and 18,600 for hospital)

      1. Hi po,

        nakaschedule dn me po for lap chole for gallbladder surgery. Mapa ward or semi and private rooms, fixed po ba ung coverage ba P31,000?

        Thanks po.

        1. Hi Genalyn, yes, 31k ang coverage kahit anong room. Ang PF ay depende rin sa room, so better kung ward or semi-private para hindi expensive yong PF. Merong cases din na separate payment yong PF na sasabihin ng doctor

  9. Hi po, kakukuha lng ng mama ko ng philhealthnya kahapon. Ngbayad sya ng 600php. Ooperahan sya sa gallstone this coming august. Magagamit na po ba nya philhealth nya?

    1. Hi Bermarie, July Aug Sep ang binayaran niya? Hindi pa puede sa August. Puede na sa September. 3 months ang required. Starting Oct 1, nine months na ang required

  10. Mgkno po payment kpg senior citizen mgundergo ng laparoscopy?

    1. Hi Aileen, iba-iba ang prices ng hospital, so mas mabuti na tanungin mo ang Philhealth package ng hospital na malapit sa inyo na pinaka-affordable. Meron ding mga regional government hospitals na no-balance policy para sa mga seniors. Magtanong lang sa nearest government hospital.

  11. Hi, tanong ko lang po pano pag nagamit na yung philhealth para sa sakit na cholelithiasis sa unang confinement, di na po ba magagamit yung philhealth para sa lap chole sa susunod na confinement? Senior Citizen po. Thank you po.

    1. Hi Yan, different naman ang RVS and ICD10 codes ng cholelithiasis and cholecystectomy, pero para sure, tanungin mo muna sa hospital na kung saan ka magpapaopera kung covered ang lap chole mo kahit within 90 days of your cholelithiasis treatment. Pero kung more than 90 days na ang lumipas since your cholelithiasis treatment, yes, magagamit mo uli ang Philhealth for your lap chole, basta hindi mo pa naubos yong 45 days na confinement allowance mo from Philhealth.

  12. OFW po ako at 2 years na hindi nakabayad sa philhealth. Uuwi po sana ako sa pinas para magpaopera. Pwede po kaya maglumpsum payment then mag claim ng benefits sa Philhealth agad? Magkano po need ibayad sa Philhealth?

    1. Hi Maycee, yes, dahil OFW ka. Pay at Philhealth as OFW. Show any proof that you are OFW para OFW ang category mo, kasi kapag OFW, magagamit mo agad. Merong validity dates. If you pay Aug 15, halimbawa, your validity dates will be Aug 15, 2018 to Aug 18, 2019. Kapag voluntary or self-employed ang category mo, hindi mo pa magagamit. 1 year payment is 2,400 pesos. Ask you surgeon how much will you pay before surgery if you will use Philhealth

  13. Hello po…tanong ko lang po kung separate ang discount as senior citizen at yung philhealth discount po….may schedule po kasi father ko para sa gallbladder removal nya. magkanu po total discount po. Thank you po

    1. Hi lyn, yes, separate. Pero yong senior citizen discount, certain items lang ang merong discount. Bago surgery, tanungin mo yong surgeon kung magkano ang babayaran nio using Philhealth para ready kayo sa amount na kelangan pang bayaran

  14. Good day po, pwede po malaman kung anong hospital yung mga pinag kunan nyo ng price for gall bladder removal at endoscopy? Yung dito kasi sa providence kasi 40k naka less pa yung philhealth nun. Sobrang laki kasi ng difference. Salamat po in advance and god bless you po.

    1. Hi Jeffrey, yong mga prices dito ay hindi prices from hospital. Ito yong amounts na ibinibigay ng Philhealth. Nasa list ng Philhealth. Oo, nakakalungkot na expensive ang mga singil ng mga hospitals at konti lang ang ibinibigay ng Philhealth. Merong list dito: Philhealth coverages for surgeries or medical procedures

  15. Hi good day po mgkano po deduct ng gallbladder stone removal?same pa rin po b kung lumipat kme sa payward ng hospital?magagamit po b kung ang bnayaran namin is jan-march 2018
    Jul-dec 2018?operahan po kc mother ngayon september salamat po

    1. Hi Kaycielyn, yes, kung ngayong September, makaka-avail kayo kasi 3 monthly payments pa rin ang required. Starting Oct 1, nine monthly premium payments na ang required. Pay for July to Sep. Puede na ring bayaran Oct to Dec. Ask hospital prior to surgery

  16. Good Day po! Wala po akong philhealth pero ang husband ko po member sya, kung ako po ba ay mag undergo ng operation paano po ba ang discount nun? Thanks po.

    1. Hi Giselle, tanungin mo ang husband mo kung na-register ka niya as your dependent. Kung hindi sure, humingi ka ng MDR ng husband mo from Philhealth. Bring your ID and marriage certificate. Dapat updated din ang premium payments. 31k ang Philhealth coverage ng cholecystectomy. Maghanap ka ng hospital na ang 31k ay kasya na or konti na lang ang pupunuan mo. May nag-comment dito na sa Mandaluyong Medical Center ay covered na lahat. Ask mo na lang kung ganon nga.

  17. good day po, I’m a govt employee at nag undergo po ako ng operation in gallbladder removal last august 9,2018 at 4days po ako s hosp. Mand.Med.Centre at na cover po ng Phealth ang bill ko na P39k . ask ko LNG po if may Refund pa po ba ako mkukuha? and paano ko po malalaman yun ? salamt po.

    1. Hi jhay, mabuti at 39k ang binayaran ng Philhealth for you, kasi 31k lang ang coverage ng usual na cholecystectomy. Meron sigurong second rate na na-qualify sa case mo na worth 8k. Makaka-receive ka ng notice from Philhealth later on at nakalagay doon ang hospital bill mo at yong binayaran ng Philhealth. Wala kang makukuhang refund kasi sabi mo binayaran naman ng Philhealth ang bill mo.

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