National Health
Insurance Program
(PhilHealth)
PhilHealth is the
national health
insurance scheme. It
covers the premiums
for poor and
vulnerable households
to participate in the
NHIP to effectively
assure them of access
to free medical
services. The program
covered about 9.6
million beneficiary
households in 2013,
covering 31.6 million
direct beneficiaries, 146
representing about
one-third of the
population.
Objectives:
sessions, which
include topics on
responsible
parenting, health,
and nutrition;
3. Children aged
0-5 must receive
regular preventive
health check-ups
and vaccines;
4. Children aged
6-14 must receive
deworming pills
twice a year; and
5. Childrenbeneficiaries aged
3-18 must enroll
in school and
maintain an
attendance of at
least 85% of class
days every
month.144
3 types of
PhilHealth
membership: (as
of writing)
-indigents
identified through
the NHTS-PR
operated by the
DWSD
(premiums for
this group are
financed entirely
by the national
government)
-sponsored
members
identified as
needy by local
government or
other agencies,
whose premiums
may be paid by a
The direct benefit
provided is the
premium paid on
behalf of the
beneficiary.
Members granted
lifetime coverage
are entitled to
full PhilHealth
benefits and are
no longer
required to pay
premiums. The
true value of the
benefit consists
of the effective
value of the
medical services
received by the
beneficiaries148
The package of
144 Coverage/Conditions and Compliance, Pantawid Pamilyang Pilipino Program, Official Gazette, available
from https://www.officialgazette.gov.ph/programs/conditional-cash-transfer/
145 Ibid. Cash grants
146 Statistics, Bureau of Labor and Employment, 2014
45
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