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These are the surgical and medical cases, and the corresponding fixed rates or payments/reimbursements by Philhealth. Dengue Fever and DHF Grades 1 and 2 — : For SURGERIES, the Case Rates payment will apply only to cases managed in Levels 2 to 4 hospitals, with certain exceptions.According to Philhealth, the advantages of Case-Rate-Basis are the following: – Fixed payments regardless of hospital size and length of treatment – No more itemization of costs – Reduction in claim processing costs – Faster payment of claims – Lower financial risk for Philhealth – Reduction of fraud risk This proposed Philhealth program is also called No Balance Bill Policy because it seeks to cover the full costs of the medical and surgical procedures in accredited government hospitals.An employer, however, may give to his employees one half of the required 13th month pay before the opening of the regular school year and the other half on before the 24th of December of every year.

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However, these salary-related benefits should be included as part of the basic salary in the computation of the 13th month pay if by individual or collective agreement, company practice or policy, the same are treated as part of the basic salary of the employees.

The required 13th month pay shall be paid not later than December 24 of each year.

Only basic salary is included in the computation of 13th month pay.

Allowances and monetary benefits which are not considered or integrated as part of the regular or basic salary, such as the cash equivalent of unused vacation and sick leave credits, overtime, premium, night differential and holiday pay, and cost-of-living allowances, shall be excluded from the computation.

Almost 50 percent daw ng Philhealth claims ay itong mga 22 cases na ito.

Proposal pa lang ito, at pinag-uusapan pa ng Philhealth board.Private school teachers are entitled to 13th month pay regardless of the numbers of months they work in a year, provided it is at least one month.Employees who resigned or were separated during the calendar year shall be entitled to 13th month pay in proportion to the length of time he worked during the year, provided it is at least one month. With the removal of the salary ceiling, all rank and file employees become entitled to a 13th month pay regardless of the amount of their monthly basic salary (unless their employers are exempted from the application of PD 851).Managerial employees are excluded from the coverage of the law.The payment may be demanded by the employee upon the cessation of employment.

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