Philippine Health Insurance Corp. (PhilHealth)

PUBLISHED ON: May 4, 2021
LAST UPDATED ON: May 7, 2021

The Philippine Health Insurance Corporation (PhilHealth) is a government-owned controlled corporation (GOCC) that provides health insurance benefits to Filipinos.

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Laws relevant to PhilHealth

The following is a list of laws that were promulgated to support Philippine Health Insurance Corporation (PhilHealth) in the Philippines:

Republic ActDateRemarks
Republic Act (RA) No. 78751995National Health Insurance Act of 1995
Republic Act (RA) No. 924110 February 2004Amendment of
National Health Insurance Program
Republic Act (RA) No. 1060619 June 2013National Health Insurance Act of 2013
Republic Act (RA) No. 1122320 February 2019Universal Health Care Act

Who are covered by PhilHealth?

Direct Contributors

  • Employees with formal employment characterized by the existence of an employer-employee relationship, which include workers in the government and private sector, whether regular, casual or contractual are occupying either an elective or appointive position, regardless of the status of appointment, whose premium contribution payments are equally shared by the employee and the employer.
  • Kasambahays, as defined in RA 10361 (Domestic Workers Act);
  • All other workers who are not covered by formal contracts or agreements or who have no employee-employer relationship and whose premium contributions are self-paid, and with capacity to pay premiums, such as the following:
    • Self-earning individuals; and
    • Professional(s) practitioners;
  • Overseas Filipino Workers, as defined in RA 10022 (Migrant Workers Act) and RA 10801 (OWWA Act) such as, but not limited to:
    • Sea-based Filipino workers or seafarers; and
    • Land-based overseas Filipino workers;
  • Filipino living abroad;
  • Filipinos with dual citizenship;
  • Lifetime members as defined in RA 10606 (National Health Insurance Act); and
  • All Filipinos aged 21 years and above who have the capacity to pay premiums.

Indirect Contributors

Indirect Contributors refer to all others not included as direct contributors, as well as their qualified dependents, whose premium are subsidized by the national government including those who are subsidized as a result of special laws.

  • Indigents identified by the DSWD
  • Beneficiaries of Pantawid Pamilyang Pilipino Program
  • Senior citizens
  • Persons with disability
  • Sangguniang Kabataan officials
  • Previously identified at point-of-service / sponsored by LGUs
  • Filipinos aged 21 years old and above without capacity to pay premiums

PhilHealth Benefits

PhilHealth is the National Health Care program of the Philippines

PhilHealth offers benefit packages for qualified members.

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