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PHHealth5 days ago

Palace orders probe into PhilHealth benefit denial claim

The Philippine government has ordered an investigation into allegations that a PhilHealth member was denied benefits due to the insurer's 24-hour confinement rule. The case involves Maria Lourdes Sulit, whose husband passed away before being formally admitted to the hospital. According to Sulit, PhilHealth officials informed her that her husband was ineligible for benefits because his confinement lasted less than 24 hours. Palace Press Officer Claire Castro emphasized the need for a proper investigation and urged PhilHealth staff to ensure accurate information is provided to citizens.

Palace press officer Claire Castro — File photo

MANILA, Philippines — Malacañang on Tuesday ordered a thorough investigation into claims that a member of the Philippine Health Insurance Corporation (PhilHealth), who later died, was denied benefits due to the state insurer’s 24-hour confinement rule.

The issue stemmed from a viral social media post by Maria Lourdes Sulit, whose husband needed an operation estimated to cost between P2 million and P4 million to remove a brain hematoma.

READ: P60-B ‘excess funds’ returned to PhilHealth

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According to Sulit, her husband died before he could be formally admitted to the hospital and was transferred to the morgue a few hours later. She said PhilHealth personnel informed her that her husband was ineligible for claims because he had only been confined for less than 24 hours.

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“In situations like this, a proper investigation should really be conducted. We are also reminding everyone at PhilHealth—whether you are PhilHealth staff assigned to hospitals or anyone processing the benefits of our fellow citizens—to please be aware of all available coverages so that you can provide the correct information to our fellow Filipinos,” Palace Press Officer Claire Castro said in Filipino during a briefing in Kazan, Russia.

“We will look into it. We do not yet know who is at fault in this matter, so a thorough investigation is being ordered,” she added.

In a statement issued on June 14, after the post went viral, PhilHealth said it was already coordinating with the hospital to better understand the circumstances surrounding the member’s case.

“PhilHealth immediately mobilized, upon learning of the incident, to understand and address the situation,” it also said.

The state insurer also expressed its sympathies to the family of the deceased member. /jpv

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Read the full article at Philippine Daily Inquirer
Source document: PhilHealth

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Philippine Daily InquirerIndependentCenter5 days ago
Palace orders probe into PhilHealth benefit denial claim

The Philippine government has ordered an investigation into allegations that a PhilHealth member was denied benefits due to the insurer's 24-hour confinement rule. The case involves Maria Lourdes Sulit, whose husband passed away before being formally admitted to the hospital. According to Sulit, PhilHealth officials informed her that her husband was ineligible for benefits because his confinement lasted less than 24 hours. Palace Press Officer Claire Castro emphasized the need for a proper investigation and urged PhilHealth staff to ensure accurate information is provided to citizens.

Bias read (Center): The article presents the situation factually without overtly favoring any side. It reports the government's response to public concern and includes direct quotes from Palace Press Officer Claire Castro, indicating an effort to balance perspectives. There is no clear indication of loaded language, o

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