PhilHealth Konsulta presentation for Olongapo City

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Benefits

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Primary Care Benefits

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What is PhilHealth KonSulta?

4. PhilHealthOfficial teamphilhealth
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PhilHealth KonSulTa stands for “PhilHealth
Konsultasyong Sulit at Tama”, a primary
care benefit that covers all Filipinos.

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Services
Laboratory Tests
Medicines
PhilHealth Konsulta is composed of 3 benefits:

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Services
 Consultation and case management
 Provision of preventive health services
 Assistance in accessing services in
subcontracted or partner facilities
 Referral to specialty and higher level of care

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13 Laboratory Tests
based on doctor’s prescription
1. CBC with Platelet Count
2. Urinalysis
3. Fecalysis
4. Sputum Microscopy
5. Fecal Ocult Blood
6. Pap Smear
7. Lipid Profile (Total Cholesterol,
HDL and LDL Cholesterol,
Triglycerides)
8. Fasting Blood Sugar (FBS)
9. Oral Glucose Tolerance Test
10. ECG
11. Chest X-ray
12. Creatinine
13. HBA 1C Test

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Drugs and Medicines
Anti-microbial
 Amoxicillin
 Co-Amoxiclav
 Cotrimoxazole
 Nitrofurantoin
 Ciprofloxacin
 Clarithromycin
Fluid and electrolytes
 Oral Rehydration Salts
Anti-asthma
 Prednisone
 Salbutamol
 Fluticason + Salmeterol

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Drugs and Medicines
Antipyretics
 Paracetamol
Anti-dyslipidemia
 Simvastatin
Anti-hypertensive
 Enalapril
 Amlodipine
 Losartan
 Metropolol
 Hydrochlorothiazide
Anti-thrombotics
 Aspirin
Antihistamine
 Chlorphenarimine Maleate

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How to avail of the benefit?

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3 Easy Steps
Register to a Konsulta Provider (KP) of Choice
Generate and fill out the Authorization Transaction
Code (ATC)
Consultation proper

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Registration
Options:
Self-Registration
Assisted Registration

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Self Registration:
1. Log-in to the Member Portal or Member Online
Registration through the PhilHealth Website and Register
(www.philhealth.gov.ph)
2. Screen shot and/or print the confirmation message as
proof that you have been already registered to a Philhealth
Konsulta Facility

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Assisted Registration:
 Social Worker of the PhilHealth Konsulta Provider
 PhilHealth Local Health Insurance Office (LHIO)
 PhilHealth Customer Assistance, Relations, and Empowerment Staff (P-Cares)
 Corporate Action Center
 Employer

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PhilHealth Konsulta Registration Form
(PKRF) – to be filled out by dependent
PhilHealth Member Registration Form (PMRF)
– to be filled out by member
*Attach supporting documents for additional dependents.

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ATC Generation
2.1 Through Personal Internet
i. Log in to the PhilHealth Member Portal
ii. Generate the ATC
iii. Print/capture/write the generated ATC

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2.2 Through LHIO/P-CARES
i. Fill-out the Request for Authorization
Transaction Code (RATC)
ii. Submit to the authorized PhilHealth Staff
iii. Take a digital image of the QR Code
through the beneficiary’s camera or get
a copy of ATC Slip

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2.3 Through Corporate Action
Center (CAC)
i. Call 02-8441-7442
ii. Answer the Security Questions
iii. Write the ATC

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If ATC is not available, the Konsulta
beneficiary may proceed to the Konsulta
Provider and provide consent to the facility
to take his/her photo.

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Consultation

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Electronic Konsulta Availment Slip
(eKAS)
 a proof of availment of services
by the eligibile beneficiary.
 generated by the PhilHealth
Konsulta facility for every
patient encounter
 to be submitted to PhilHealth

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Electronic Prescription Slip (ePresS)
 a proof of availment of medicines
 generated by the PhilHealth
Konsulta facility for every patient
encounter
 to be submitted to PhilHealth

23. PhilHealthOfficial teamphilhealth
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Accredited KonSulTa Providers
as of August 09, 2022