Figure 6: Trend of PhilHealth reimbursements for RH ted by all LGUs, 2014 - 20192015-2019
PhilHealth
reimbursements for
RH services has been
declining over the
past couple of years.
couple of years.
Source: RPRH Annual Reports, 2014 to 2019
Table 4: Financial Risk Protection for Family Planning
Procedure/Claims Status
Insertion of Intrauterine Device
• % of paid claims
• % of denied claims
Subdermal Contraceptive Implant
• % of paid claims
• % of denied claims
Vasectomy, Unilateral or Bilateral
• % of paid claims
• % of denied claims
Grand Total for all FP Claims
• % of paid claims
• % of denied claims
2015
3,155
75%
17%
1
0%
0%
39
100%
0%
3,273
73%
1%
2016
7,123
81%
11%
2,844
87%
10%
48
96%
4%
10,060
83%
3%
Source: Rapid Analysis on Foregone Reimbursements on Family Planning, USAID/ReachHealth
2017
6,800
87%
7%
11,644
89%
6%
59
93%
5%
18,553
88%
4%
2018
4,602
89%
5%
21,071
87%
9%
73
78%
18%
25,796
87%
7%
2019
3,406
87%
3%
17,591
90%
4%
44
80%
5%
21,087
90%
3%
Table 5: Estimated Foregone Reimbursements (October 2018 - March 2019)
FP Method
No. of Hospitals
Covered
Bilateral Tubal Ligation
Non-Scalpel Vasectomy
Post Partum Intrauterine
Device
Intrauterine Device
Progestin Sub-Dermal Implant
All Hospitals Covered
Estimated Foregone Reimbursements
Total Services
Provided
128
4
84
10,506
2
10,380
Percentage of
Services
Reimbursed
98%
0
91%
41
144
252
1,090
12,691
34,669
PhP29,123,000
62%
33%
71%
USD582,460
Source: Rapid Analysis on Foregone Reimbursements on Family Planning, USAID/ReachHealth
Percentage of
Services Not
Reimbursed
2%
100%
9%
38%
67%
29%
35 2019 Annual Report Responsible Parenthood and Reproductive Health Act of 2012
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