Journal: PhilHealth

Members Category

1.       Members in the Formal Economy

This member category includes those with formal contracts and fixed terms of employment including workers in the government and private sector, whose premium contribution payments are equally shared by the employee and the employer.

2.       Overseas Filipinos

3.       Sponsored Members

4.       Members in the Informal Economy

This member category includes a wide range of individuals and sectors ranging from the self-earning to migrant workers.

5.       Lifetime Members

This category is for members who have reached the age of retirement under the law and have paid at least 120 monthly premium contributions.

6.       Indigent Members

7.       Senior Citizens

This category is for those who are 60 years old and above and are not currently covered by any of the existing membership categories of PhilHealth.

2/3/2020:

Paid PhilHealth member contribution for January to March 2020…P900.00

Last paid contribution: January to March 2019

Total number of monthly contributions to date: 180 months

PhilHealth Benefits

1.       Inpatient Benefits

• These benefits are paid to the accredited Health Care Institution (HCI) through All Case Rates

• The case rate amount shall be deducted by the HCI from the member’s total bill, which shall include professional fees of attending physicians, prior to discharge

• The case rate amount is inclusive of hospital charges and professional fees of attending physician

• Availment condition: Member must have six (6) months contributions preceding the three months qualifying contributions within the 12-month period prior to the first day of confinement

• Documents needed: copy of Member Data Record or PhilHealth Benefit Eligibility Form (PBEF) and duly accomplished PhilHealth Claim Form 1

2.       Outpatient Benefits and others…click https://www.philhealth.gov.ph/benefits/