My mom is in intensive care with encephalitis which is a severe swelling of the brain. She has been sick since November 15 and at the hospital since November 23rd.
She has ars humano pdss as her health plan as this is the plan of the law. For all employees in dr. The problem is that she has been covered since august/September so she doesn't qualify for the full 1,000,000 pesos coverage for catostraphic cases. She could only get up to 250,000 to 500,000 because of her short time with the insurance. Her ,medical bill is already at 800,000 in less than 1 month. She is still in icu but may come out of it in a week or 2. She has not woken up from her coma.
So in her plan it says it covers 85% medicine(this is at 400,000 for her) at hospital stays, and 85% for icu cost per day(7,500 she is being charged now) and 90% of doctors pay (I have paid them 80,000 so far and they want another 80,000 soon) and also 80% of xrays and lab results(this is at 100k for her)
My question is, does these % differ from catastrophic cases? I ask because it says it is unlimited in all cases of which I stated the % of. So of the medicine bill comes out to 1,000,000 I would only have to pay 150,000 correct?
Also for catastrophic cases it states it should not exceed 2 minimum wages pay(12,942). If this true them what happens In cases of over 1,000,000 pesos? Do I have to put more?
She has ars humano pdss as her health plan as this is the plan of the law. For all employees in dr. The problem is that she has been covered since august/September so she doesn't qualify for the full 1,000,000 pesos coverage for catostraphic cases. She could only get up to 250,000 to 500,000 because of her short time with the insurance. Her ,medical bill is already at 800,000 in less than 1 month. She is still in icu but may come out of it in a week or 2. She has not woken up from her coma.
So in her plan it says it covers 85% medicine(this is at 400,000 for her) at hospital stays, and 85% for icu cost per day(7,500 she is being charged now) and 90% of doctors pay (I have paid them 80,000 so far and they want another 80,000 soon) and also 80% of xrays and lab results(this is at 100k for her)
My question is, does these % differ from catastrophic cases? I ask because it says it is unlimited in all cases of which I stated the % of. So of the medicine bill comes out to 1,000,000 I would only have to pay 150,000 correct?
Also for catastrophic cases it states it should not exceed 2 minimum wages pay(12,942). If this true them what happens In cases of over 1,000,000 pesos? Do I have to put more?