The Philippine Health Insurance Corporation (PhilHealth) is a government-owned controlled corporation (GOCC) that provides health insurance benefits to Filipinos.
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Table of Contents
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 Act | Date | Remarks |
Republic Act (RA) No. 7875 | 1995 | National Health Insurance Act of 1995 |
Republic Act (RA) No. 9241 | 10 February 2004 | Amendment of National Health Insurance Program |
Republic Act (RA) No. 10606 | 19 June 2013 | National Health Insurance Act of 2013 |
Republic Act (RA) No. 11223 | 20 February 2019 | Universal 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.
Vyron earned his Bachelor of Arts in Psychology degree from De La Salle University – Manila and placed 9th in the 1st Psychometrician Board Exam held on 2014. A Human Resource Practitioner and an aspiring Attorney. He writes and answers questions regarding Human Resource Management for fun.
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