What Does PhilHealth Cover?

How much is the PhilHealth contribution for voluntary?


PhilHealth contribution table in 2021 for voluntary/self-employed or direct contributors.Monthly IncomeTotal Monthly ContributionPhp 10,000 and belowPhp 350Php 10,000.01 to Php 69,999.99Php 350 to Php 2,449.99Php 70,000 and abovePhp 2,450Jan 13, 2021.

Is outpatient covered by PhilHealth?

Your PhilHealth membership covers ambulatory and non-emergency surgical procedures done on an outpatient basis. … To avail of PhilHealth coverage, you should have at least three months of premium contribution within the immediate six months before your first day of hospitalization.

How much is the monthly contribution of PhilHealth?

Under the Universal Health Care Law and reiterated in PhilHealth Circular 2020-005, effective Jan. 1, 2021, those with monthly basic salary of P10,000 and below will pay a fixed rate of P350 per month while those with monthly basic salary of P70,000 and above will pay a fixed rate of P2,450 per month.

What is PhilHealth and its benefits?

The Philippine Health Insurance Corporation (PhilHealth) is a government corporation attached to the Department of Health. It administers the National Health Insurance Program, which was established to provide health insurance coverage and ensure affordable and accessible health care services for all Filipinos.

Does PhilHealth cover medicines?

In line with the Implementing Rules and Regulations (IRR) of Republic Act (RA) 9502 o·therwise known as the “Universally Accessible Cheaper Medicines Act of 2008” and pursuant to PhilHealth Board Resolution 1214 s-2009, approving the PhilHealth coverage of the Pl 00 drugs for eligible sponsored members, PhilHealth …

Does MRI covered by PhilHealth?

Is MRI covered by PhilHealth? Unfortunately, MRI is not covered by PhilHealth since it’s a diagnostic procedure.

Is Doctors fee covered by PhilHealth?

paid for their services. PhilHealth is committed to providing you with the most comprehensive understanding of how the professional fee for surgical procedures is computed. … * This fee only represents PhilHealth payment to the surgeon. It does not include payment to other physicians if required, or hospital costs.

How many times can I use my PhilHealth?

No. Only payments of three (3) months within the six (6) months period made prior to the first day of availment will be accepted, unless listed in the exemptions.

How much percentage is covered by PhilHealth?

Registered Members and Dependents But with the signing of the UHC Act (RA11223), all Filipinos are already automatically*** included under the National Health Insurance Program (NHIP) – making PhilHealth’s coverage rate at 100%.

Does PhilHealth cover dental care?

Medical (includes surgical) and dental services, including diagnostic and laboratory fees for all senior citizens confined in service wards of government facilities shall be provided for free as long as these are in accordance with available Clinical Practice Guidelines or Hospital Treatment Protocols, and therefore, …

How much should I pay for PhilHealth?

Premium Contributions for Voluntary and Self Employed Self-employed members earning a monthly income of P25,000 and below need to pay the contribution of P200 per month or P2400 per year. On the other hand, members having a monthly income above P25,000 need to pay P300 monthly contribution or P3600 yearly.

Are OFWs required to pay PhilHealth?

The circular said that OFWs “are classified as direct contributors” under Republic Act No. 11223 or the Universal Health Care Act. Because of this, PhilHealth said, “payment and remittance of premium contributions is mandatory.”