ANNEX A.

SCHEDULE OF PROFESSIONAL FEES for PEDIATRIC SPECIALISTS

(Based on PAHMOC-PPS MOA)

TYPE OF SERVICE PROFESSIONAL FEE

Effectivity Date of MOA: Sept 1, 2021;
Expiry Date of MOA: August 31, 2023;
Effectivity Date of PF Rate: March 1,2022
IN-PATIENT
Ward 750 per daily visit
Semi-private 950 per daily visit
Private 1,050 per daily visit
Suite 1,400 per daily visit
ICU 1,600 per daily visit
OUT-PATIENT CONSULTATION (does 500 per consultation
not apply to consultation fees payable
to accredited diagnostic centers/ clinics)
1,600 (Intra-operative monitoring)
1,200 (In-patient/ Out-patient,
MEDICAL CLEARANCE pre-procedure medical evaluation
related to procedure)
1,000 (In-patient/out-patient, pre-
procedure, medical evaluation not
related to procedure)

The 12% Value-Added Tax shall be shouldered by CareHealth Plus while withholding tax will be
deducted from the physician’s PF, provided the physician submits VAT registration certificates.

CONFORME DATE
(Signature over printed name of Physician