Prosthesis package expanded
BARELY five years after introducing its first special benefits for persons with disability (PWDs), the Philippine Health Insurance Corp. (PhilHealth) is expanding the Z MORPH Package or the Z Benefits for Mobility, Orthosis, Rehabilitation, Prosthesis Help to provide its members with better financial risk protection.
At its 21st anniversary celebration held at Chardonnay by Astoria in Pasig City, PhilHealth formally announced the Expanded Z MORPH which is a special benefit for the fitting of upper limb prostheses, orthoses and orthoprostheses.
“Based on our assessment of the ZMORPH package and on a series of consultative meetings and dialogues with our stakeholders, our current coverage of P15,000 per lower limb is enough. However, there are still some services that need to be included such as physical therapy, other levels of amputation, and orthoses, thus we are expanding the package now,” said PhilHealth president and chief executive officer Alexander A. Padilla.
The move to expand the package inclusions is in support of the United Nations Convention on the Rights of Persons with Disabilities andRights of the Child wherein 21 countries, including the Philippines, are signatories to the APEC Global Friends of Disability. The collaboration envisions persons with disabilities as active participants in and contributors to their respective economies through education, inclusion and participation.
According to the World Health Organization (WHO), people with disabilities have the same general healthcare needs as others, but they are twice as likely to find healthcare providers’ skills and facilities inadequate. They are also three times as likely to be denied healthcare as the general population, and twice as likely to suffer catastrophic health expenditures. “We recognize the full and equal enjoyment of human rights by persons with disabilities, hence PhilHealth shall ensure protection of their inherent dignity through prosthetic, orthotic and orthoprosthetic devices that are safe, available and of the right quality,” Padilla said.
The expanded Z MORPH package rate for above knee/knee disarticulation prostheses is P95,000, while coverage for hip disarticulation prostheses is P180,000. Coverage for below elbow and above elbow prostheses are P60,000 and P80,000, respectively.
On the other hand, coverage for Van Ness rotationplasty is P85,000 while coverage for ankle-foot orthoprostheses is P35,000.
PhilHealth will also pay P70,000 for knee-ankle-foot orthoses, and P104,400 for hip-knee-ankle-foot orthoses.
Coverage for spinal orthoses is set at P40,000 for thoracolumbosacral; P25,000 for lumbosacral; and P30,000 for cervicothoracic orthoses.
PhilHealth members may soon avail themselves of the expanded Z MORPH package in contracted hospitals such as the University of the East Ramon Magsaysay Memorial Medical Center (UERMMMC), University of the Philippines-Philippine General Hospital (UP-PGH), Southern Philippines Medical Center in Davao City, and Zamboanga Medical Center.