PGH Breast Care Center
Philippine General Hospital (PGH) Cancer Institute (CI)
The Carewell Community Foundation, Inc. 
Philippine Foundation for Breast Care, Inc.
Pink for Life Foundation
Soroptimist Ortigas
PhilHealth (Philippine Health Insurance Corporation)
SSS (Social Security System)
Roche Access Program Plus (RAP Plus)
Department of Health Breast Cancer Medicines Access Program (DoH-BC MAP)
Department of Health – Public Assistance Unit Medical Assistance for Indigent Patients (MAIP)

PGH Breast Care Center

Anyone may go to the PGH Breast Care Center for breast and mammography exams. The person must first go to the Out-Patient Department of PGH on the ground floor for assessment. The PGH Out-Patient Department is open daily from 8 am to 12 noon and 1 pm to 5 pm.

A patient classified as “Charity” can secure a BLUE CARD that entitles her to free medical services (consultations, laboratory exams, minor/major surgery) and minimal cost (covers medical supplies to be used for the operation) for surgery. Free chemotherapy treatment is also offered. However, medicines are bought by patients. The amount of chemotherapy medicines depend on the body weight of the patient, but cost usually ranges from P4,000 – P6,000 per treatment/cycle. There are 6 cycles (a cycle is 21 days) given by doctors.

For a patient who has been examined with suspicious breast mass, the doctor will refer her to go to the PGH Breast Care Center located at the 2nd Floor (Room 224) of the Cancer Institute.

The Breast Care Center’s schedule is as follows: Monday, Tuesday, Thursday & Friday: 9 am to 4 pm; and Wednesday: no clinic. Refer to www.thecancerinstitute.org/ci-clinics.htm.

Should you have other concerns, please do not hesitate to call Olen Jalandoni at 799 5039 or 0918 906 6454.

Philippine General Hospital (PGH) Cancer Institute (CI)

Dr. Jorge Ignacio, Chairman
Philippine General Hospital, Taft Avenue, Manila
Tel. +63 2 8521 8400 ext. 3928 or 4100 / 8526-6953

It has an “Alay Chemo sa CI” program. Assistance is given only to indigent patients (Class D) following evaluation of the Medical Social Services (MSS). The assistance depends on the need and may be given as full or partial support for chemotherapy drugs. The financial support is only for chemotherapy, antibiotics, antiemetic, and other medicines needed by the patient while undergoing chemotherapy.

The PGH Cancer Institute administration office is open from Monday to Friday, 8:00 am to 4:30 pm.

The Carewell Community Foundation, Inc.

Carewell provides partial financial assistance to a limited number of indigent cancer patients. The purpose is to provide them with some bridge funding to use for transportation, medicines, etc. while waiting for their PCSO grants. To avail of this financial assistance, patients should go to the Carewell office and register as Carewell members.

Submit the following documents:
a. Letter of Request addressed to Oliver Calasanz (Managing Director)
b. Clinical Abstract
c. Medical Protocol
d. Hospital or Medical Certificate
e. Social Case Study

In addition, Carewell also offers free medical consults with oncologists (by appointment) who can provide a second opinion or help clarify or further explain the patient’s diagnosis and offer other treatments, as necessary.

Whenever possible, Carewell prepares an endorsement letter to facilitate the financial assistance request process. The Carewell team assists those who wish to request assistance from the Philippine Cancer Society, the Andres Soriano Foundation, the JPIC Hospital Ministry and the Philippine Charity Sweepstakes Office (PCSO).

The Carewell office is at:

6th Floor, S & L Building dela Rosa
Corner Esteban Streets Legaspi Village,
Makati City 1200 Philippines

Contact Carewell at:

Phone: (632) 815-1294
TeleFax: (632) 779-8007
Email: info@carewellcommunity.org
Website: carewellcommunity.org

Philippine Foundation for Breast Care, Inc.

Everyone is welcome for clinical breast examination and consultation at the following address:

Philippine Foundation for Breast Care, Inc. Breast Care Center, Out-Patient Department East Avenue Medical Center, East Avenue, Quezon City Phone: 927.3492; Mobile: 0917.867.7624 Email: pfbci2001@yahoo.com Contact person: Aileen Antolin (0915.442.8958)

Clinic schedule is from Monday to Friday, 8 am to 5 pm. Regular mammography rate is P750.00.

Pink for Life Foundation

Pink for Life offers subsidized hormonal treatment, through discounted Femara (Letrozole).

For inquiries, please call +632 810 0810.

Soroptimist Ortigas

Soroptimist Ortigas offers free chemotherapy for indigent Stage 1 and Stage 2 breast cancer patients up to 6 cycles. It does not give financial assistance.

Please submit the following:

  1. Pathology report
  2. Complete patient details (name, postal address, landline, cell phone number)
  3. List of prescribed medicines (chemotherapy agents)

Submit by email to baby_doble@yahoo.com.

Soroptimist Ortigas will contact the patient if the application is approved.

PhilHealth (Philippine Health Insurance Corporation)

www.philhealth.gov.ph

4M!
1. Magparehistro
2. Magbayad ng kontribusyon
3. Mag-update ng record
4. Magpabawas ng benepisyo

Important reminder
To avail of Philhealth benefits, member must have at least three (3) months’ premium contributions within the immediate six (6) months prior to the month of availment.

For Working/Self-Employed Women

To enable the hospital to deduct PhilHealth benefits from the hospital bill, fill out PhilHealth Claim Form 1 and submit to the hospital billing section prior to discharge of the patient. Submit official receipts of medicines bought outside the hospital during confinement for possible refund. The hospital and doctor/s are supposed to deduct the benefits from the total bill before payment. If you pay the full amount for professional fees (that is, the doctor does not deduct any PhilHealth benefits), ask for a Waiver and attach doctor’s Waiver and the official receipt for professional fee to Claim Form 1. Submit also your Member Data Record (MDR) to support your Claim Form.

If you cannot submit a properly filled out Claim Form 1 and MDR, the hospital will not deduct PhilHealth benefits. In this case, pay the hospital bill in full and file your claim directly with PhilHealth for a refund of payments. Submit the following:

  1. PhilHealth Claim Form 1
  2. PhilHealth Claim Form 2
  3. PhilHealth Claim Form 3
  4. Hospital Waiver
  5. Physician’s Waiver (if full and actual professional fee was paid by patient)
  6. Official receipts of medicines bought outside the hospital during confinement

The claim must be filed with PhilHealth within 60 calendar days from discharge of the patient from the hospital, or within 60 calendar days from 1st treatment (first day of radiotherapy, first day of chemotherapy). Claims may be filed at the PhilHealth branch office nearest the member’s residence or place of work.

Click here for Guidelines on the Proper Accomplishment of Revised PhilHealth Claim Forms

The PhilHealth Z Benefit Package covers catastrophic illnesses. View Governing Policies on PhilHealth Benefit Package for Case Type Z. View Implementing Guidelines on the Z Benefit Package which includes breast cancer. View Z Benefit Package Rates for other illnesses including cervical cancer.

Philhealth’s Z Benefits for Catastrophic Illness

The Z Package is a P100,000 benefit offered to  Philhealth members and their qualified dependents who are  diagnosed as stage 0 to IIIA breast cancer patients. To qualify, it is IMPORTANT to go ONLY to the selected contracted hospitals (listed below) and have the procedures done from the start of the diagnosis to the end of the treatment. Coverage for breast cancer is P100,000. If total cost is greater that P100,000, Philhealth member will co-pay.

List of Contracted Hospitals for Breast Cancer (as of September 30, 2019, per Philhealth website):

NCR
1. NATIONAL KIDNEY AND TRANSPLANT INSTITUTE
East Avenue, Diliman, Quezon City
2. QUIRINO MEMORIAL MEDICAL CENTER
Katipunan Road, Project 4, Quezon City
3. UP‐PHILIPPINE GENERAL HOSPITAL
Taft Avenue, Manila
4. EAST AVENUE MEDICAL CENTER
East Avenue, Diliman, Quezon City
5. RIZAL MEDICAL CENTER
Pasig Boulevard, Bagong Ilog, Pasig City
Region I
ILOCOS TRAINING AND REGIONAL MEDICAL CENTER
Parian, San Fernando City, La Union
Region II
CAGAYAN VALLEY MEDICAL CENTER
Maharlika Highway, Tuguegarao City, Cagayan
Region III
1. JOSE B. LINGAD MEMORIAL REGIONAL HOSPITAL
Brgy. Dolores, San Fernando, Pampanga
2. DR. PAULINO J. GARCIA MEMORIAL RESEARCH & MEDICAL CENTER
Mabini St., Cabanatuan City, Nueva Ecija
Region IVB
1. BATANGAS MEDICAL CENTER
Binhi Road, Kumintang Ibaba, Batangas City, Batangas
2. ST. FRANCES CABRINI MEDICAL CENTER
Region V
1. BICOL MEDICAL CENTER
Concepcion Pequeña, Naga City, Camarines Norte
2. BICOL REGIONAL TRAINING AND TEACHING HOSPITAL
Rizal St., Legazpi City, Albay
Region VI
1. CORAZON LOCSIN MONTELIBANO MEMORIAL REGIONAL HOSPITAL
Lacson St., Bacolod City, Negros Occidental
2. WESTERN VISAYAS MEDICAL CENTER
Q. Abeto St., Iloilo City, Iloilo
Region VII
VICENTE SOTTO MEMORIAL MEDICAL CENTER
B. Rodriguez St., Sambag II, Cebu City, Cebu
Region X
NORTHERN MINDANAO MEDICAL CENTER
Capitol Compound, Cagayan de Oro City, Misamis Oriental
Region XI
1. DAVAO REGIONAL HOSPITAL
Purok 4, Apokon, Tagum, Davao del Norte
2. SOUTHERN PHILIPPINES MEDICAL CENTER
J. P. Laurel Ave., Davao City, Davao del Sur
CAR
BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER
Gov. Pack Road, Baguio City

What is paid for under the package?

  • hospital room and board fees
  • laboratory exams
  • medicines
  • operating room fees, mandatory and other services
  • professional fees

TO EMPHASIZE: To avail of the Z Package, it is IMPORTANT to go ONLY to the contracted hospitals listed above from the start of diagnosis up to the end of treatment.

Requirements:
1. Updated contributions
2. Approved pre-authorization (download pre-authorization checklist and request here)
3. Completed Membership Empowerment form (download membership empowerment form here)

SSS (Social Security System)

www.sss.gov.ph

For Working/Self-Employed Women

Sickness Benefits

To avail of sickness benefits, you must notify the SSS or your employer within five (5) days from the day you miss work or are confined to your home. However, this does not apply when you are confined in a hospital.

For hospital confinement, the claim for benefit must be filed within one (1) year from the last day of confinement from the hospital. For home confinement, the claim for reimbursement by the employer must be filed within one (1) year from the start of illness. Failure to file the claim within the prescribed period will result in denial of the claim.

What forms are needed in filing for sickness benefit?

  1. For the employed member: SSS Form CLD-9N (Sickness Notification).
  2. For the employer: SSS Form B-304 (Sickness Benefit Reimbursement Application)
  3. For the unemployed/self-employed/voluntary member
    1. SSS Form CLD-9A (Sickness Benefit Claim for Unemployed/Self-employed/ Voluntary Members)
    2. SSS Form MMD-102 (Medical Certificate)
  4. Other documents:
    1. For unemployed members
      • Certification from last employer showing the effective date of separation from employment or notice of the company’s closure/strike or certification from the Department of Labor and Employment that the employee or employer has a pending labor case.
      • Certification that no advance payment was granted, if the date of separation from employment is within the confinement period being applied for.
      • Presentation of the SS Digitized ID/SSS Form E-6 (acknowledgment stub) with 2 valid IDs, one of which with the recent photo. To ensure receipt of benefits by members, authorized company representatives who file sickness benefit claims shall present the members’ SS digitized ID or E-6 (acknowledgement stub) with two valid IDs (at least one with photo). This requirement is in addition to the presentation by the company representative’s own SSS digitized ID and blue card.

Where does the member file his claim for sickness benefit?

  1. For the employed/separated member – Claims may be filed at the nearest SSS office. However, processing will be done at the branch where the employer and employee records are based.
  2. For the voluntary/self-employed member – Claims may be filed at the SSS office nearest the member’s residence. However, processing will be done at the branch where the record is based.Download SSS forms from http://www.sss.gov.ph/sss/index2.jsp?secid=1&cat=8&pg=null

Disability Claims

Losing one or both breasts is a partial disability.

The prescriptive period in the filing of disability benefit claim is ten (10) years from the date of occurrence of disability.

What are the forms needed in filing for the disability benefit?

  1. Disability Claim Application (SSS Form DDR-1)
  2. Medical Certificate (SSS Form MMD-102)
  3. Other documents that may be required to support the disability claim such as clinical and laboratory tests results (pathology report) and hospital records.
  4. SSS digitized ID or E-6 (acknowledgement stub) with two valid IDs, one of which with recent photo.

Where can a member file his disability benefit application?

Applications forms of disability benefits are filed at the nearest SSS branch or representative office.
You will be called in for a physical examination by an SSS doctor. This can be done on the same day of submission of documents if the doctor is available at the time of your visit.

Download SSS forms from http://www.sss.gov.ph/sss/index2.jsp?secid=1&cat=8&pg=null

Roche Access Program Plus (RAP Plus)

The Roche Access Program Plus is an individualized financial assistance and patient support program for all Filipino patients prescribed with Roche medicines.

This program aims to improve sustainability of treatment of patients by offering access solutions in the form of discounts and/or free cycles to qualified enrollees and other value-added services.

It is patient-centric, accessible and user-friendly to serve more patients with innovative medicine programs. RAP Plus is accessible via a web-based portal anytime, anywhere, and on any PC or mobile device.

ELIGIBILITY
Patient must be more than 18 years of age who has been prescribed with a Roche treatment that is part of RAP Plus.

REQUIREMENTS
Patient must submit the following:
1. a fully accomplished Form1(enrollment form) as endorsed by his/her attending doctor (download Form1 here)
2. a duly signed consent form (download Consent Form here; download Tagalog version of Consent Form here)
3. a copy of two (2) valid government IDs

PROGRAM MECHANICS

1. Submit forms and requirements.
There are three ways to submit requirements:
—via ONLINE WEBSITE
a. Go to www.rapplus.ph and click the Register button
b. Fill out the required details
c. Upload your documents in the most common file format types such as PDF, JPEG/JPG, and IMG (Form1, consent form, 2 valid government IDs)
—via EMAIL
a. Fill out Form1 and consent form
b. Scan and email the filled out forms with 2 valid government IDs to rapplus@zuelligpharma.com
c. You will receive an email with your initial password. Use it to log in to the site www.rapplus.ph
—via MAIL
a. Fill out Form1 and consent form
b. Mail filled out forms with copies of 2 valid government IDs to:
RAP Plus
c/o Zuellig Pharmaceutical Corporation
Km.14 West Service Road, South Superhighway cor. Edison Ave., 1700 Brgy. Sun Valley, Paranaque City

2. Assessment
Wait for a call from the RAP Plus nurse for advice on your application and if a financial assistance assessment is needed.

3. Receive the results.
You will receive an email notification with an initial password on the result of your application.

4. Order your medicines.
Upon approval of your application, there are two ways of ordering:
—ONLINE: Visit www.rapplus.ph and use the password you received to log in. Start ordering your medicines.
—MANUAL: Call RAP Plus hotline (02) 395 3558, Mondays to Fridays (except holidays) from 8 a.m. to 5 p.m. or send an SMS with your name and order to 0917 165 0955.

For questions/clarification on the program, call RAP Plus hotline (02) 395 3558, Mondays to Fridays (except holidays) from 8 a.m. to 5 p.m.

Department of Health Breast Cancer Medicines Access Program (DoH BC MAP)

The Department of Health (DoH) provides free chemotherapy to breast cancer patients diagnosed as Stage 0, Stage 1, Stage 2, Stage 3A, and Stage 3B. To avail of the Breast Cancer Medical Access Program (BC MAP) of the DoH, it is important to start treatment ONLY at the following DoH BC MAP-accredited hospitals:

NCR
UP-PHILIPPINE GENERAL HOSPITAL (UP-PGH)
Taft Avenue, Manila
NCR
EAST AVENUE MEDICAL CENTER (EAMC)
East Avenue, Diliman, Quezon City
NCR
JOSE R. REYES MEMORIAL MEDICAL CENTER
Rizal Avenue, Sta. Cruz, Manila
NCR
AMANG RODRIGUEZ MEMORIAL MEDICAL CENTER
Sumulong Highway, Sto. Nino, Marikina City
IVB
RIZAL MEDICAL CENTER
Pasig Boulevard, Pasig City
V
BICOL REGIONAL TRAINING AND TEACHING HOSPITAL
Rizal Street, Legazpi City, Albay

TO EMPHASIZE: To avail of the BC MAP of the DoH, it is IMPORTANT to go ONLY to the seven (7) accredited hospitals listed above immediately upon diagnosis in order to access the chemotherapy medicines from the beginning up to the end of treatment.

HOW to AVAIL:

1. Get a referral from surgeon or oncologist to the Patient Navigation Program of the Philippine Cancer Society for pre-screening.
2. To avail of continuous and free supply of anti-cancer medicines, both patient and doctor will need to accomplish required forms.

Department of Health – Public Assistance Unit Medical Assistance for Indigent Patients (MAIP)

REQUIREMENTS
1. Medical/Clinical Abstract
2. Social Case Study Report/Barangay Certificate of Indigency
3. For chemotherapy medicines: Latest prescription
4. For hospital costs: Hospital bill

*Additional requirements for relative/proxy
a. Photocopy of valid ID of patient
b. Valid ID of authorized representative
c. Authorization letter

SUBMIT DOCUMENTS TO DOH-PUBLIC ASSISTANCE UNIT

ADDRESS:                     San Lazaro Compound, Tayuman, Sta. Cruz, Manila
SCHEDULE:                   Monday to Friday (except holidays)
CONTACT NUMBERS:   651 7800 ext. 1807, 1808, 1812