Medical Perspectives | Others

July 30, 2021

Medics Editorial Team

One of the most essential personal investments in this day and age is a good healthcare package. For Filipinos, PhilHealth coverage is the most basic of health packages, but do we really know what we are entitled to? Here’s a quick list of what PHhilHealth can do for you.


#1: Every Filipino is mandatorily covered under the National Health Insurance Program administered by Philippine Health Insurance Corporation (PhilHealth) as defined under the National Health Insurance Act of 2013.


#2: Workers and employees covered by PhilHealth include

  • Government employees
  • Private employees
  • Job order contractors and project-based contractors
  • Owners of micro enterprises
  • Owners of small, medium and large enterprises
  • Household help
  • Family drivers
  • Migrant workers
  • Informal sector: street hawkers, market vendors, pedicab and tricycle drivers, small construction workers, home-based industries and services
  • Professionals/self-earning individuals: doctors, lawyers, engineers, artists, architects, entrepreneurs, actors, actresses, performers, new correspondents, professional athletes, coaches, trainers and the like
  • Filipinos with Dual Citizenship
  • Naturalized Filipino Citizens
  • Citizens of other countries working and/or residing in the Philippines
  • Indigent
  • Retirees/pensioners from government sector
  • Retirees/pensioner from private sector
  • Uniformed members of the AFP, PNP, BJMP and BFP
  • PhilHealth members who have reached the age of retirement

#3: The benefit package includes

  • In-patient care: room and board; services of health care professionals; diagnostic and laboratory examination services; use of surgical or medical equipment and facilities; prescription drugs; health education
  • Out-patient medical and surgical care: services of health care professionals; diagnostic and laboratory examination services; personal preventive services; prescription drugs; health education
  • Emergency and transfer services
  • Health education


#4: Members can avail of PhilHealth benefits upon completing at least 3 months’ premium contributions within the six months prior to availment; or, paid the required premiums for the calendar year.


#5: The amount of the premium contributions paid are not more than 5% of the member’s monthly salary. These are deducted and withheld automatically by the employer from the employees’ salary or earnings.


#6: Republic Act No. 7875 created the National Health Insurance Program and established the Philippine Health Insurance Corporation.


*All information in this article was culled from the website.

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