In the Philippines, the best partner of the healthcare system is PhilHealth. Every Filipino is required to become a PhilHealth member. However, the traditional application is a tedious and painful process. Luckily, we now have a service for PhilHealth online registration. It caters to all Filipinos in need of the benefits.
Everything you need to know is thoroughly explained in this Comprehensive PhilHealth Guide.
Understand PhilHealth to get registered. Pay the appropriate contribution. And claim your benefits.
What is the scope of PhilHealth?
Who can be a PhilHealth Member?
PhilHealth Online Registration Requirements
Quick Guide to PhilHealth Online Registration
How to Apply For PhilHealth Voluntary Membership
PhilHealth Registration Guide for OFWs
Where to Get Your PhilHealth ID?
How to Use the PhilHealth Contribution Table
Where Can I Pay My PhilHealth Contributions?
How to Check Your PhilHealth Contribution Online?
How to Add Dependents in PhilHealth Online Registration
How to Claim Your PhilHealth Benefits
Quick Tips to Maximize Your PhilHealth Benefits
Credit: PhilHealth Services
Mahirap magkasakit.
Some of us are unwilling to visit a doctor unless in too much pain.
Health care is expensive.
Not all Filipinos can pay for the cure and care for their illnesses. The primary beneficiary of PhilHealth are people who don’t have immediate access to quality healthcare.
PhilHealth, or Philippine Health Insurance Corporation, started way back in 1995. It was created to ensure every Filipino can access quality health services.
National Health Insurance Program is the other term for PhilHealth. Through this program, Filipinos have affordable and efficient healthcare insurance. PhilHealth is a government-owned and controlled corporation (GOCC).
Basically, PhilHealth is a universal health insurance program. It includes a sustainable system of funds constitution, collection, management, and disbursement of funds. With this, you can purchase a basic minimum package for your health needs.
As time goes by, supplementary health insurance benefits packages are developed to accommodate our growing needs.
However, keep in mind that PhilHealth has limited coverage.
It solely focuses on paying for the utilization of health services provided by beneficiaries. Medicines and healthcare professional fees in emergency rooms are not covered.
According to RA 7875, the PhilHealth program is a tax-exempted Government Corporation.
The priority objective is to formulate and enforce policies for the National Health Insurance Program administration.
There are specific standards, rules, and regulations to provide the best health benefits. That’s why tracking how quality healthcare facilities perform is significant.
Aside from that, the PhilHealth program has monetary property functions. It has the power to collect, deposit, invest, administer, disburse, receive and manage grants and donations for Filipinos overall wellness.
In addition, PhilHealth conducts an inspection of facilities, technologies, and medical equipment. This ensures that quality service is received by every PhilHealth member and dependent.
Overall, PhilHealth’s main concern is securing the country’s best health and wellness program.
PhilHealth online membership is vital for every Filipino.
Here’s why:
It includes inpatient and outpatient services in health facilities.
Regardless of your age, you can have a PhilHealth Membership. Senior citizens, dual citizens and foreigners, pregnant women, and premature and small newborns can also receive health benefits.
Moreover, being a PhilHealth contributor gives you special privileges.
PhilHealth covers your hospital charges and professional fees for the attending physician. Day procedures, radiotherapy, hemodialysis, and outpatient blood transfusion are included as well.
Aside from that, primary care benefits are part of your PhilHealth, including consultation, diagnostic tests, and medicines.
That’s how it is important to become a PhilHealth member.
Read this Comprehensive PhilHealth Guide to understand more of its advantages.
Employed Filipinos are automatic members of PhilHealth. Your employer is responsible for ensuring your membership, and you have regular contributions deducted from your paycheck.
Since PhilHealth aims to ensure all Filipinos, it opens membership to these people. Here is the answer to your question on how to be a PhilHealth member.
These are people who are members of the formal economy. It includes employees working in offices in the Philippines. Seafarers and household helpers are part of this group. Primarily any employee whose agency is based in the country.
Your premium range is about Php 200 to Php 875 per month.
PhilHealth requirements for self-employed are Filipinos paying individually, voluntary, unemployed, or members of the informal economy. They are self-earning individuals like business owners, lawyers, doctors, freelancers, retirees, and farmers. Basically, their income is generated from their business or profession.
Your premium range is about Php 600 per quarter and Php 900 per quarter. If you’re a PhilHealth self-employed and earn more than Php 25,000 a month, this is your due contribution.
Included in this group are people working in the informal economy. Specifically, they are jeepney and tricycle drivers, street and market vendors, and small construction workers.
Your premium range is about Php 2,400 annually.
All Filipinos working abroad are included here. If you passed through POEA and paid your OEC fees, you are an OFW.
Your premium range is about Php 2,400 per year.
Filipinos working for a non-profit organization are under this category.
The premium range paid by the sponsor is about Php 2,400 per year.
Filipino citizens with no source of income can be PhilHealth members. A breadwinner without a stable household income is part of this group.
Department of Social Welfare and Development (DSWD) predetermines this membership.
This included members who paid at least 120 monthly premiums. When you reach 60 years old, your membership becomes free.
Filipinos aged 60 and haven’t been a PhilHealth member. It includes senior citizens who fail to pay 120 premiums.
Assess yourself.
Which group do you fall in?
Prepare the right amount needed for your monthly contribution.
Read more in this comprehensive PhilHealth guide to maximize your membership.
Just like when you apply to any organization, PhilHealth requires the submission of requirements.
Don’t worry. You can easily provide these requirements for applying for PhilHealth membership.
Every applicant must identify which group they belong to and comply with the list of requirements needed.
Afterward, wait for your Member Data Record (MDR) and PhilHealth ID Card.
Simple as that.
Know which category you belong to. Prepare all the documents needed. Then, visit the nearest Local Health Insurance Office (LHIO).
Leave the premises as a PhilHealth member at the end of the day.
RELATED ARTICLE: Complete Guide to PhilHealth Contribution 2018
Unlike the conventional PhilHealth application, PhilHealth online registration is a lot easier and more convenient.
This comprehensive PhilHealth guide will discuss how to register for PhilHealth online.
Once on the page, click the link Online Services. Also, check out the PhilHealth Electronic Registration System. Go to PhilHealth Online Services.
You can find it under the category Membership.
Expect a new window to pop up.
Click the Proceed option.
The terms and conditions will appear. Read and understand. If you agree, tick the checkbox.
Then, click the Accept button.
Provide all this information:
Reminder:
Single individuals – list parents’ names 60 years and above as dependents.
Married individuals – list spouse and children’s names as dependents.
Scan, save, and upload your documents one by one. Make sure it is on JPEG, PNG, GIF, or PDF.
You will need a birth certificate, passport, driver’s license, or any government-issued identification.
The maximum file size of your documents should be 2MB.
To ensure a faster application process, submit readable copies.
Always check the information you have provided.
Enter the Captcha code. It is for your PhilHealth membership verification and security purposes. You can refresh the Captcha if not legible.
Do this by ticking the checkbox. This means all the details are correct and accurate. Next, click the Submit Registration.
Upon registration completion, an e-mail will be sent to you. It answers your question about how to know the PhilHealth number online.
Save it.
Viola!
In just 8 steps, you are now a member of PhilHealth.
No need to leave your house. Thanks to the comprehensive PhilHealth guide on this page. You now know how fast and easy PhilHealth online registration is.
Voluntary members are self-employed individuals.
Usually, they are Filipinos with their own businesses.
Nevertheless, they can still acquire PhilHealth membership through these steps.
Step 1. Visit the nearest PhilHealth branch.
Step 2. Fill up two (2) copies of the PhilHealth Member Registration forms.
You can download this form from their PhilHealth website online.
Step 3. Submit the form together with your other documents.
Step 4. Wait for the number of your PhilHealth member inquiry.
It is released by authorized PhilHealth personnel.
Step 5. Pay the contribution as a voluntary PhilHealth member regularly.
Overseas Filipino Workers should not neglect their health privileges.
Don’t take it for granted.
You or your kids might need it in the future.
However, how can you process while working abroad?
Don’t worry.
We got the best comprehensive PhilHealth guide for you.
There are three ways to accomplish your PhilHealth Registration. You can apply at:
1. Any branch of PhilHealth-accredited collecting partners. It can be either iRemit or Ventaja Corporation.
2. Through the PhilHealth online registration facility. The procedure is similar to the Online Application.
3. By downloading and printing the PMRF online registration. Complete all the required fields. Send it to ofp@philhealth.gov.ph.
You can use any of these methods. Make sure you pay the annual PhilHealth contribution regularly. It costs Php 2,400 per year. Payment is accepted at any PhilHealth office, collecting agents, or the PhilHealth Operations Center at the POEA Central Office.
If you have any questions or request, you may contact the following:
Apply now and pay your contributions.
PhilHealth Insurance ID Cards are a must-have. It is recognized as a valid secondary ID.
Members from the formal economy and the informal sector are granted with this ID.
Claim it for only Php 90 at any PhilHealth office.
Did you know that you can declare your dependent on your ID Card?
Just go to any Bayad Center Outlet. Prepare two (2) valid IDs of your dependent and pay Php 358.
Recently, the new rate for computing the contribution amount is 2.75%. This is according to the PhilHealth Circular No. 2017-0025.
The salary brackets are removed. The computation is now based on this table.
For example:
In March 2019, the employee had a basic salary of Php 15,000.
The monthly premium contributions rate is 2.75%. It is computed based on the basic salary.
So if the salary is Php 15,000, find out it’s 2.75%.
The computation should be: P15,000 x 0.0275 = P412.50
The total contribution is P412.50. Divide this by 2 since half of the contribution is paid by the employer.
P412.50/ 2 = P206.25.
This means P206.25 will be deducted from the payslip.
As per RA 10361, household helpers’ premium contributions are shouldered by the employer. A helper who earns more than Php 5,000 monthly, he or she will pay for his or her own contribution.
Members in this category pay quarterly, semi-annually, or annually.
The land-based OFW’s premium contribution is Php 2,4000 per year.
Sponsored members of PhilHealth must have their premium contributions paid fully or partially by their sponsors.
Such sponsors are LGUs, Private Entities, Legislators, and National Government Agencies.
The annual premium contribution is Php 2,400.
Based on the discussion, you have an idea of how much your premium contribution must be.
Check which category you’ll fall.
Reminder: In 2020, PhilHealth will increase the rate to 3% from the current rate of 2.75%. The Income floor is fixed at P10,000 while the ceiling will be P50,000 by 2020.
Aside from the PhilHealth branch near you, you can pay voluntary contributions through the following outlets.
Make timely payments by dropping by any of these convenient outlets.
Did you know that you can personally monitor your PhilHealth Contribution?
There are two ways to make a PhilHealth contribution inquiry.
PhilHealth has an Interactive Voice Response System. It has a 24/7 landline-based service.
All your inquiries about contribution status, membership, and benefits are accommodated here.
Dial (02)-441-7442. Follow the voice prompt instructions. Talk to the customer service assistant.
Isn’t that easy? Avoid the hassle of traffic. This is how to inquire PhilHealth about your contribution while at work.
Who can be your registered PhilHealth dependent?
If you have an immediate family member in the above category, you can register them as your dependent.
Qualified dependents must be declared and listed under the principal member’s Member Data Record (MDR). Also, this ensures that they can get benefits from PhilHealth.
Make it a habit to update PhilHealth online details regularly. This includes registering your dependents.
It is needed for a smoother transaction and faster benefit claim approval. Here’s how to update dependents in PhilHealth online registration.
Download the PhilHealth Member Registration Form online (PMRF) from the PhilHealth website.
It is located on the upper right-hand side of the PMRF. This means you’re not a new enrollee.
Provide all the correct and accurate information needed.
E-mail the copy to ofp@philheealth.gov.ph
It takes time for the request to be confirmed. You should check your SPAM folder as well.
Avoid long queue lines. Make changes in your account and update your PhilHealth online registration even at home.
RELATED ARTICLE: SSS Contribution Payment: List of Payment Channels
Listed below are the most commonly asked questions about PhilHealth.
Access your PhilHealth number in three ways.
1. Text 0917-512-9149 or e-mail to ofp@philhealth.gov.ph
The text format must be as follows:
2. Drop by the nearest PhilHealth branch. Also, you can try out this PhilHealth Express sites at:
You may visit the head office at Citystate Centre, 709 Shaw Blvd, 1603 Pasig City
3. Ask your previous employer about your PhilHealth records.
After learning how to apply for PhilHealth ID, you can enjoy the perks that come with it. Your PhilHealth Insurance ID Card guarantees you the following:
Yes, it does.
If you fail to pay for the required contributions within a specified time, you’re not entitled to claim benefits.
As mentioned earlier, you must pay at least 9 months’ worth of premium within the 12 months preceding confinement. It is clearly stated in the PhilHealth Circular No. 2017-0021.
PhilHealth covers your dental care.
Ensure all your procedures are done in a hospital and health maintenance organization (HMO).
Basically, only surgical procedures are accepted for your PhilHealth coverage. Cleaning and tooth extraction are not included.
The deadline for payment is based on the last digit of the PhilHealth employer number.
If your number ends in:
Check your number. Pay your employee’s contributions on time.
Check out the My PhilHealth Portal registration. It is the most efficient way to verify your PhilHealth contribution status.
But first, you must know your PIN. You can’t register your account without it. Provide it on the Member Inquiry page.
Don’t know your PhilHealth PIN? Reach out to PhilHealth assistance via:
For the best result, you can visit the nearest PhilHealth branch or satellite office. Inquire about your PIN and contribution history.
Recently got married? Or is your spouse died?
You have to update your PhilHealth online registration change status.
Present the following documents at the nearest PhilHealth branch in your area.
Complete a new Membership Form. Wait for your new PhilHealth ID with the updated civil status.
Health is wealth. Believe it. It is true indeed. You’ll never know how important it is until you are trapped in the worst medical situation. What is the better way to escape this? Be financially equipped with PhilHealth assistance. Secure readily available insurance for both your present and future life.
Grab the privilege. Follow the instructions from this Comprehensive PhilHealth Guide. Surely, you can acquire a PhilHealth number and ID.
Since October 2018, PhilHealth has required members to pay at least 9 months’ worth of premium contributions for the past 12 months.
Or simply,
You should have paid your contributions 9 months before your due date.
If you are a PhilHealth member with a regular monthly contribution (at least 9 months’ contribution for the past 12 months), you have nothing to worry about. You can enjoy the maternity benefits encompassing the above statements.
Keep in mind that there are certain coverage limitations. These are:
To claim your maternity benefits, you must provide the following:
Submit these documents to the PhilHealth representative in the hospital. He/She will verify your documents and check how much will be deducted from your bill.
If you gave birth in the hospital, you are entitled to Php6,500. If you gave birth to other healthcare facilities, such as lying-in clinics or birthing homes, you could get up to Php8,000.
Antenatal Care Package gives Php1,500. Pregnant women should have at least four prenatal checkups from a PhilHealth-accredited healthcare provider. They can reimburse the costs. Simply submit the original receipts for vitamins, medications, and laboratory tests.
MCP provides Php3,900 if you give birth in non-hospital facilities. Otherwise, you get Php3,000 if you give birth in a hospital. This is only for those who had Normal Spontaneous Delivery (NSD).
Also, MCP allots Php2,600 (non-hospital facilities) or Php2,000 (hospitals) for the doctor or healthcare professional who attended to your procedure.
In addition, PhilHealth MCP covers C-sections. You can get as much as Php19,000 to cover hospital fees and physician fees. Those with complicated vaginal delivery get Php9,700, P12,120 for a vaginal birth after a C-section, and Php12,120 for breech extraction. Those who had a miscarriage and needed raspa can get as much as Php11,000.
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