The PhilHealth Konsulta Package is a comprehensive outpatient benefits program offered by the Philippine Health Insurance Corporation (PhilHealth) as mandated by the Universal Health Care (UHC) Law.
This package aims to provide Filipinos with equitable access to quality and affordable healthcare services, protecting them from financial risks associated with medical expenses.
The PhilHealth Konsulta Package is designed to help reduce healthcare costs by covering consultations, laboratory tests, and necessary medications.
By offering these services, it supports the overall goal of improving health outcomes across the country.
What is the PhilHealth Konsulta Package?
The PhilHealth Konsulta Package is an outpatient healthcare service designed to provide members with regular medical consultations, necessary lab tests, and medicines at no additional cost.
The package includes a range of preventive care services, such as health screenings and education, all aimed at keeping Filipinos healthy and reducing the long-term financial burden of healthcare.
The program was introduced under the Universal Health Care Law, which seeks to provide universal health coverage to all Filipinos.
Through this program, PhilHealth aims to partner with healthcare providers nationwide to deliver these services to a wide range of communities.
What Does the PhilHealth Konsulta Package Include?
The Konsulta Package covers a comprehensive list of services that help address various health needs.
Here are the key benefits you can expect:
- Consultations with Healthcare Providers
Primary care physicians are available to provide health risk screenings, individual health assessments, and health education.
Members can receive advice on managing their health, preventing diseases, and addressing existing medical concerns.
- Selected Laboratory and Diagnostic Tests
To support early detection and prevention of diseases, the package includes coverage for essential laboratory tests such as:
- Complete Blood Count (CBC)
- Fecalysis and Urinalysis
- Pap Smear
- Sputum Microscopy
- Chest X-ray
- Oral Glucose Tolerance Test (OGTT)
- Lipid Profile (measuring cholesterol levels)
- Electrocardiogram (ECG)
- Fasting Blood Sugar (FBS)
- Creatinine and HbA1c tests
These tests help monitor overall health, detect infections, and assess risks for conditions like diabetes, heart disease, and other chronic illnesses.
- Essential Medications
The Konsulta Package covers several commonly prescribed medicines for a variety of conditions, including:
- Anti-microbials for infections
- Anti-asthma medications
- Anti-pyretics for fever
- Medications for diabetes, high cholesterol, and high blood pressure
- Anti-thrombotic drugs for preventing blood clots
- Fluid and electrolyte solutions to treat dehydration
By providing access to these medications, the package helps members manage their health conditions without the added financial burden of expensive prescriptions.
Eligibility
The PhilHealth Konsulta Package is available to all registered members of PhilHealth.
Both direct contributors (employed individuals) and indirect contributors (such as senior citizens, indigents, and sponsored members) are eligible to benefit from the program.
How to Register for the PhilHealth Konsulta Package
To avail of the PhilHealth Konsulta benefits, members need to register with an accredited PhilHealth Konsulta provider.
Registration can be done through the following methods:
- Self-Registration
Members can register themselves by logging into the PhilHealth Member Portal using their credentials.
From there, they can choose an accredited Konsulta provider and complete the registration process.
- Assisted Registration
Those who may need help with registration can seek assistance from the PhilHealth CARES (Customer Assistance, Relations, and Empowerment Staff) located in hospitals.
Alternatively, members can visit the nearest PhilHealth office or call the PhilHealth Action Center for support.
Once registered, members will receive an Authorization Transaction Code (ATC), which they will need to present when they visit their chosen healthcare provider.
The ATC serves as proof of eligibility for the services covered by the Konsulta Package.
How to Avail of PhilHealth Konsulta Services
After successfully registering with a Konsulta provider, members can begin to access the services included in the package.
Here’s a step-by-step guide on how to avail of the benefits:
- Schedule an Appointment: Contact your registered Konsulta provider to set up an appointment for a consultation or lab test.
- Present Your ATC: Bring your Authorization Transaction Code (ATC) with you to your scheduled appointment.
This code confirms your eligibility to receive the services.
- Avail of the Services: Depending on your health needs, you may undergo consultations, receive diagnostic tests, and be prescribed medication as part of the package.
- Follow Up: If necessary, your provider will advise on follow-up visits or additional tests to monitor your health and offer continued care.
Video: ALAMIN: Benepisyo ng PhilHealth Konsulta Program | TeleRadyo
Conclusion
The PhilHealth Konsulta Package is a key step toward improving healthcare access in the Philippines.
By offering comprehensive outpatient services—ranging from consultations and diagnostic tests to essential medications—this program enables Filipinos to have access to healthcare without facing additional financial burdens.
Whether you are managing a chronic illness or simply seeking preventive care, the PhilHealth Konsulta Package provides a safety net that promotes healthier lives for all Filipinos.
By registering with an accredited Konsulta provider and utilizing the available services, you can take charge of your health and receive the medical attention you need.
For more information on how to register or find an accredited provider, visit PhilHealth’s official website or contact the nearest PhilHealth branch.