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primary care benefit 1 - Philippine Health Insurance Corporation

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• Diagnostic examinations<br />

• Complete blood count<br />

• Urinalysis<br />

• Fecalysis<br />

• Sputum microscopy<br />

• Fasting blood sugar<br />

• Lipid profile<br />

• Chest x‐ray<br />

• Drugs and Medicines for the following conditions:<br />

• Asthma including nebulisation services<br />

• Acute Gastroenteritis (AGE) with no or mild dehydration<br />

• Upper Respiratory Tract Infection (URTI)/Pneumonia (minimal and low risk)<br />

• Urinary Tract Infection<br />

4. Who are entitled to this new PCB I package?<br />

For the transition period 2012‐2013, the package shall be available to Sponsored Program,<br />

Organized Groups and Overseas Workers Program members and their qualified dependents.<br />

5. Where can members avail themselves of the PCB 1 package?<br />

The PCB 1 package is available in all participating health centers/rural health centers<br />

(HCs/RHUs) and Out‐Patient Departments of Municipal <strong>Health</strong> Offices, City <strong>Health</strong> Offices,<br />

Provincial <strong>Health</strong> Offices and all government hospitals.<br />

6. When can members start availing themselves of the PCB1 package?<br />

The PCB 1 package shall be made available in all participating PCB1 providers starting April 1,<br />

2012.<br />

8. How will members avail themselves of the PCB 1 package?<br />

For the transition years (2012‐2013), Phil<strong>Health</strong> members who can avail of this Benefit<br />

are limited to the Sponsored Program, Organized Group and Overseas Workers Program<br />

members and their qualified dependents.<br />

The Sponsored Program members, whether identified through the NHTS‐PR or by the<br />

LGUs/ other Sponsors, must know the PCB Provider (RHUs or <strong>Health</strong> Centers or OPD of<br />

government hospitals) where they have been assigned for the year. They must visit their PCB<br />

Provider/contact the Community <strong>Health</strong> Team in their area to enlist and know the services<br />

under this Package. They must allow their PCB provider to do their and their dependents’<br />

56

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