Calculators & Checkers
Coverage Cost Estimator
Select a medical procedure or disease case to see estimated PhilHealth Case Rate benefits and hospital splits.
Case Rate Estimate
Hospital Fees Share:
₱3,500.00
Professional Fees Share:
₱1,500.00
Total Case Benefit:
₱5,000.00
🧮 Calculation Formula & Rules
Benefits use standard Case Rates where payments are split into Hospital charges and Doctor's fees (Professional fees). Excess bills are settled as out-of-pocket expenses.
💡 Real-World Scenarios
Normal delivery in a level 1 facility receives a flat ₱5,000 benefit deduction.
❓ Frequently Asked Questions
Indigents and senior citizens admitted in government ward beds are covered under the 'No Balance Billing' (NBB) policy, paying ₱0 upon discharge.