PhilHealth Peritoneal Dialysis (CAPD) Coverage in the Philippines [2026]

Quick Answer: As of 2026, PhilHealth covers Continuous Ambulatory Peritoneal Dialysis (CAPD) for adults at ₱389,640 or ₱510,140 per year, depending on how many dialysis solution bags you use daily. For pediatric patients the package runs ₱510,000 to ₱765,210 for CAPD and up to ₱1.2 million for Automated Peritoneal Dialysis (APD). This is up to an 89% increase from the old ₱270,000/year rate, and the package now includes catheter insertion, treatment of PD-related peritonitis, laboratory tests, and medicines. By comparison, PhilHealth's hemodialysis benefit covers 156 sessions per year at ₱6,350 each (about ₱990,600/year). These are officially published amounts effective January 1, 2025 — always confirm the current figure and your eligibility directly with PhilHealth before enrolling.

🧮 Check your coverage: use our free PhilHealth Benefit Estimator to see the case rate for dialysis and other conditions, then find accredited clinics near you.

Table of Contents

• How PhilHealth Covers Peritoneal Dialysis in 2026
• 2026 Coverage Amounts at a Glance
• What the Package Covers
• CAPD vs Hemodialysis: PhilHealth Coverage Compared
• Who Is Eligible
• How to Enroll and Avail the Benefit
• What You May Still Pay Out of Pocket
• Frequently Asked Questions
• Conclusion

How PhilHealth Covers Peritoneal Dialysis in 2026

Peritoneal dialysis (PD) is a home-based treatment for end-stage kidney disease. Instead of routing blood through a machine at a center, PD uses the lining of your own abdomen (the peritoneum) as a natural filter. A soft catheter is placed in your belly, and you fill the cavity with a sterile dialysis solution that draws out waste and excess fluid, then drain it out and replace it several times a day. Because you do the exchanges yourself at home, PD gives patients far more mobility than three-times-a-week center hemodialysis.

For years, the biggest barrier to choosing PD was cost. PhilHealth restructured its peritoneal dialysis benefit so that it now funds a much larger share of a patient's annual supply of dialysis solutions and related care. The reform took effect on January 1, 2025, and PhilHealth has openly stated that the goal is to "encourage the availment of peritoneal dialysis as a first-line modality" by removing the financial penalty that used to make PD more expensive out of pocket than hemodialysis.

This is part of the same wave of expansions that raised hemodialysis coverage and increased many inpatient case rates. For the full picture of how PhilHealth pays for kidney care, surgery, and catastrophic illness, see the master PhilHealth Benefits & Coverage Guide.

2026 Coverage Amounts at a Glance

The package amount depends on the patient's age and how many liters of dialysis solution they need per day. Higher-volume patients qualify for the larger annual amount.

The increase reaches up to 89% over the prior ₱270,000 annual rate, and for the first time, children receive dedicated pediatric PD packages — including Automated Peritoneal Dialysis, where a cycler machine performs the exchanges overnight. PhilHealth pays CAPD for adults, and both CAPD and APD for younger patients.

Note that the larger pediatric and APD figures reflect the higher solution volumes and supplies that growing patients require. The exact amount your case qualifies for is determined by your nephrologist's prescription and PhilHealth's assessment, so treat the ranges above as the published ceilings, not a guarantee for every patient.

What the Package Covers

The expanded PD benefit is designed to cover a full year of treatment, not just the solution bags. According to PhilHealth, the package includes:

• PD catheter insertion — the minor surgical placement of the abdominal catheter used for exchanges
• The dialysis solutions themselves for daily exchanges across the year
• Exit-site infection and peritonitis prevention care — the routine wound and catheter care that keeps infections away
• Outpatient treatment of PD-related peritonitis — managing the most common PD complication without a separate bill
• Laboratory and diagnostic tests tied to monitoring your dialysis
• Drugs and medicines for both adult and pediatric patients

This bundling matters. With hemodialysis, related labs and complication care can fall outside the per-session rate; the PD package is structured to absorb more of the year-round costs of staying on treatment.

CAPD vs Hemodialysis: PhilHealth Coverage Compared

Many kidney patients weigh PD against hemodialysis (HD), and PhilHealth now covers both substantially. Here is how they line up.

PhilHealth's own framing is that PD coverage should "give autonomy and flexibility to our members in choosing the treatment modality" while promoting quality of life and mobility. Neither modality is automatically "better" — the right choice depends on your kidney function, lifestyle, home setup, and your nephrologist's advice. The reform simply means cost is no longer the reason to rule out PD.

For how PhilHealth handles the inpatient side of kidney care and other admissions, see our guide to PhilHealth hospitalization benefits and case rates.

Who Is Eligible

To avail the peritoneal dialysis benefit, you generally need to be:

• A PhilHealth member or qualified dependent with active, updated contributions (or covered under an indigent/sponsored category)
• Diagnosed with end-stage renal disease / Chronic Kidney Disease Stage 5 requiring chronic dialysis
• Prescribed peritoneal dialysis by an accredited nephrologist
• Treated through a PhilHealth-contracted PD provider — the benefit is delivered via a network of contracted providers nationwide

Because the benefit runs through contracted providers and is tied to a clinical assessment, eligibility is confirmed at enrollment rather than at a walk-in counter. Always verify your membership status is current before treatment begins so the package isn't delayed.

How to Enroll and Avail the Benefit

1. Confirm your PhilHealth membership is active. Check that your contributions are updated and your Member Data Record (MDR) is on file. Indigent, senior, and sponsored members should confirm their category is current.
2. Get a nephrologist's assessment. Your kidney specialist confirms that peritoneal dialysis is appropriate and issues the prescription that sets your solution requirement (which determines the package tier).
3. Choose a PhilHealth-contracted PD provider. The benefit is delivered through accredited, contracted providers — your nephrologist or the hospital's PhilHealth desk can direct you to one.
4. Complete the provider's enrollment. The provider files the package on your behalf, including the catheter insertion and your year-long solution supply schedule.
5. Track your annual cycle. The package covers a defined treatment year. Coordinate renewals with your provider before the cycle lapses so coverage continues without a gap.

Because program rules, contracted-provider lists, and exact amounts can change, call the PhilHealth hotline or visit a Local Health Insurance Office to confirm the current figure and the steps for your specific case before you commit.

What You May Still Pay Out of Pocket

The package is generous, but a few costs can fall outside it depending on your provider and clinical situation:

• Professional fees beyond what the package covers, in some setups
• Supplies or equipment not included in the standard package (for example, certain APD cycler arrangements)
• Treatment of unrelated complications or admissions that fall under separate case rates
• Transport and home setup costs for storing solutions and performing exchanges safely at home

For these gaps, many patients pair PhilHealth with an HMO or supplemental coverage. If you're comparing private health plans on top of PhilHealth, our guide on how to choose an HMO in the Philippines walks through what to look for.

Frequently Asked Questions

How much does PhilHealth cover for peritoneal dialysis in 2026?

For adults, PhilHealth covers Continuous Ambulatory Peritoneal Dialysis (CAPD) at ₱389,640 or ₱510,140 per year, depending on your daily dialysis-solution requirement. Pediatric CAPD ranges from ₱510,000 to ₱765,210, and pediatric Automated Peritoneal Dialysis (APD) goes up to ₱1.2 million per year. These amounts took effect January 1, 2025 and replaced the old ₱270,000/year rate — an increase of up to 89%. Confirm the current figure with PhilHealth, as program rates are subject to revision.

Is peritoneal dialysis or hemodialysis better covered by PhilHealth?

Both are now substantially covered. Hemodialysis is covered at 156 sessions per year × ₱6,350 (about ₱990,600/year), while adult peritoneal dialysis is covered at ₱389,640–₱510,140/year with catheter insertion, peritonitis care, labs, and medicines bundled in. PD also covers children up to ₱1.2M for APD. The "better" option depends on your medical needs and lifestyle, not just the peso amount — discuss it with your nephrologist.

What does the PhilHealth peritoneal dialysis package include?

It includes PD catheter insertion, your year's supply of dialysis solutions, exit-site infection and peritonitis prevention care, outpatient treatment of PD-related peritonitis, laboratory and diagnostic tests, and drugs and medicines for both adults and children. The bundling is meant to cover a full treatment year rather than just the solution bags.

How do I enroll in the PhilHealth peritoneal dialysis benefit?

Make sure your PhilHealth membership and contributions are active, get a nephrologist's assessment and prescription, then enroll through a PhilHealth-contracted peritoneal dialysis provider. The provider files the package and handles your catheter insertion and solution supply. Confirm the exact process and the current list of contracted providers with PhilHealth directly.

Does PhilHealth cover children for peritoneal dialysis?

Yes. As of 2025, PhilHealth introduced dedicated pediatric packages: CAPD for children at ₱510,000–₱765,210/year and APD (overnight cycler-based dialysis) up to ₱1.2 million/year. This was a major addition, since earlier coverage did not provide separate pediatric or APD amounts.

Will I still have out-of-pocket costs with peritoneal dialysis?

Possibly. Depending on your provider and case, you may face professional fees beyond the package, certain supplies or equipment not included, treatment of unrelated complications under separate case rates, and home setup or transport costs. Many patients add an HMO or supplemental plan to cover the gaps. Verify what your chosen provider includes before starting.

Conclusion

PhilHealth's 2026 peritoneal dialysis coverage is one of the most significant kidney-care reforms in recent memory: adults now get ₱389,640–₱510,140 per year for CAPD, children get dedicated packages up to ₱1.2 million for APD, and the benefit bundles catheter insertion, peritonitis care, labs, and medicines into a single year-long package. Paired with hemodialysis coverage of roughly ₱990,600 per year, Filipino kidney patients now have two genuinely subsidized paths — and the freedom to choose the one that fits their life, not just their budget.

These are officially published figures effective January 1, 2025, but program details and contracted-provider lists change. Confirm the current amount and your eligibility with PhilHealth (hotline or your nearest Local Health Insurance Office) before enrolling.

For more on how PhilHealth pays across the system, read:

• PhilHealth Benefits & Coverage Guide — the complete overview
• PhilHealth Hospitalization Benefits & Case Rates — inpatient coverage explained
• How to Choose an HMO in the Philippines — closing the gaps PhilHealth leaves

Need a nephrologist or a dialysis-capable facility near you? Find a clinic on ClinicFinderPH to compare locations and services.