You Can Avail of Philhealth if You’ve Paid 9 Months Within Past 12 Months

Updated January 7, 2021

Mula noong October 1, 2018, requirement na uli ang nine months of premium payment para maka-avail ng Philhealth.
Pero starting November 2019, meron nang Immediate Eligibility policy, meaning kahit hindi mo nabayaran lahat ng required premiums, magagamit mo pa rin ang Philhealth. Pababayaran lang sa iyo ang mga kulang mong premiums, plus interests.
Pero siempre, kahit meron nang Immediate Eligibility policy, maigi pa rin na magbayad ng premiums on time, para hindi ka na maabala kapag na-confine ka o na-confine ang beneficiary mo.

Sa pagbilang ng 9 months within the past 12 months prior to your hospitalization, isama mo sa bilang ang month ng iyong hospitalization.

Nag-increase na rin ang Philhealth premiums! Noon pang January 2020 nag-start. Ngayong January 2021, merong uli panibagong increase.

Marami ang nagagalit sa increase kasi meron ngang pandemic at hindi pa maliwanag sa atin kung ano na ang nangyari doon sa maraming corruption allegations against Philhealth officials.

Philhealth Premium Contributions for this year 2021

As of January 6, 2021, Philhealth has suspended and deferred the premium rate increase scheduled for the year 2021 (which is 3.5% of monthly gross income) dahil sa panawagan ni President Duterte at ng mga legislators.

Sabi ng Philhealth, ang i-implement ay yong premium rate last year, 2020, which is 3% of monthly gross income.

300 pesos pa rin ang minimum premium (for those earning 10k pesos or less).

1,800 pesos pa rin ang maximum premium (for those earning 60k pesos or more).

For those earning between 10k and 60k, multiply your gross monthly income by 3%.

Idinagdag din ng Philhealth na kung walang new legislation na ire-release ng Congress about the increase, itutuloy ng Philhealth yong 3.5% increase this year.

Itong scheduled Philhealth premium increase, presented below, which is 3.5% of gross monthly income, ay suspended muna, habang pinag-uusapan sa Congress ang Philhealth premiums. 

Minimum contribution is 350 pesos — for members earning a monthly income of 10,000 pesos or less

Maximum contribution is 2,450 pesos — for members earning a monthly income of 70,000 pesos or more

For those earning a monthly income between 10,000 pesos and 70,000 pesos, the premium contribution is equal to monthly income multiplied by 3.5%.

Examples:

10,500 pesos — premium is 10,500 x 3.5% = 367.50 pesos

11,000 pesos — premium is 11,000 x 3.5% = 385 pesos

12,000 pesos — premium is 12,000 x 3.5% = 420 pesos

15,000 pesos — premium is 15,000 x 3.5% = 525 pesos

20,000 pesos — premium is 20,000 x 3.5% = 700 pesos

25,000 pesos — premium is 25,000 x 3.5% = 875 pesos

30,000 pesos — premium is 30,000 x 3.5% = 1,050 pesos

70,000 pesos — premium is 70,000 x 3.5% = 2,450 pesos

Para sa mga OFWs:

Walang pagbabago. Ganon pa rin ang eligibility nio na dapat ang hospitalization dates nio ay within the validity dates na nasa inyong Philhealth premium payment receipt. Halimbawa, kung ang receipt nio ay July 31, 2020 to July 30, 2021, dapat ang hospitalization dates nio ay within these dates.

Reference:

Philhealth Circular No. 2017-0021:
Application of Sufficient Regularity of Payment of Premium Contributions to the Required Qualifying Contributions for Eligibility to Philhealth Benefits.

—————————————-

Hindi na valid ang mga notes below, kasi nag-iba na ang requirement ng Philhealth.

Now, you need only to make 3 monthly payments! 

This is for Individual Payors, Employees and Seafarers.

The nine-month payment requirement has been reduced to 3 monthly premium payments.

To avail of Philhealth coverage, you must pay for at least 3 of the 6 months prior to your hospitalization or treatment.

Kasama sa 6-month counting yong current month.

Read this for updated instructions on Philhealth requirements for Individual Payors.

Para sa mga OFWs:

You can use your Philhealth within the Validity Dates on your premium payment receipt.

Para sa mga Sponsored Members, at Indigent Members:

You can use your Philhealth within the Validity Dates on your Philhealth card.
[adsense]
—————————————————————————————————————–

HINDI NA VALID ang SINASABI sa BABA.  Statements below are no longer valid. 

Updated Feb 14, 2013:

In September 2010, Philhealth announced that starting July 2011, Employed Members and Individually Paying or Voluntary Members will have the same eligibility requirement — the 9 over 12 requirement — for all types of confinements or treatments.

9 over 12 means that: A member should have paid at least 9 of the 12 months immediately prior to hospitalization, in order to qualify for coverage.

But this order was reversed before July 2011.

As of February 14, 2013, the eligibility requirement is as follows:

Employed Member: 3 over 6 — Member should have paid at least 3 of the 6 months immediately before confinement, for all types of hospitalization.

Individually Paying Member or Voluntary Member:
3 over 6, for non-surgery cases and non-maternity cases
9 over 12, for maternity and surgery cases. Member should have paid at least 9 of the 12 months immediately before surgery or delivery.

Now, Philhealth has launched a new program, the Individually Paying Contract (IPC). I’m still gathering information about it. But if you lack eligibility and you need coverage for maternity or surgery, visit Philhealth and ask. You might become eligible if you commit to pay 1 year, 2 years or 3 years in advance.

September 2010 Circular:
Philhealth Circular No. 25, s. 2010,signed by Philhealth President and CEO, Dr. Rey B. Aquino on September 8, 2010, as published on philhealth.gov.ph.

Related Articles:
No Philhealth Payments Prior, No Philhealth Benefits

Philhealth Branches — Membership Reactivation

Philhealth Branches in South Metro, Laguna, Cavite, Batangas, Lucena

165 Comments

  1. Jenny June 11, 2021
  2. Lea matic May 10, 2021
  3. josie March 27, 2021
  4. Jamie March 19, 2021
  5. Jackielyn olveda March 15, 2021
  6. Liza Santos March 10, 2021
  7. Luz March 9, 2021
  8. Siony negrite February 23, 2021
  9. Siony negrite February 23, 2021
  10. Jane oliver February 18, 2021
  11. CecileBlanco February 17, 2021
  12. hainz February 9, 2021
  13. ellaine mallari January 27, 2021
  14. Helen Grace Gans January 26, 2021
  15. jerson palada January 21, 2021
  16. Divina junio January 20, 2021
  17. Dianne Erika January 9, 2021
  18. Nora January 7, 2021
  19. Rizalyn arisgar January 3, 2021
  20. Nora January 3, 2021
  21. elizabeth godmalin December 25, 2020
  22. ghel December 6, 2020
  23. Airish September 2, 2020
  24. Airish September 2, 2020
  25. Nora August 30, 2020
  26. Jovelyn cabinong August 18, 2020
  27. Nora August 11, 2020
  28. Kristine ongoco August 11, 2020
  29. Mary Josieyl Pineda August 3, 2020
  30. Nora July 5, 2020
  31. Carlyn Cheng July 3, 2020
  32. Zaldy aragon May 9, 2020
  33. Zaldy aragon May 9, 2020
  34. Nica March 19, 2020
  35. Yshanggg Reyes February 21, 2020
  36. Nora February 2, 2020
  37. Shena January 16, 2020
  38. Marjorie November 28, 2019
  39. Nora September 22, 2019
  40. Jhonna September 22, 2019
  41. Nora September 17, 2019
  42. Nora September 17, 2019
  43. jony boy September 9, 2019
  44. jony boy September 9, 2019
  45. Ma.LOurdes G. Terez September 9, 2019
  46. Nora September 9, 2019
  47. Nora September 9, 2019
  48. Nora September 9, 2019
  49. Nora September 9, 2019
  50. Marivic fiala September 8, 2019
  51. Jane September 8, 2019
  52. Rubie Ramos September 8, 2019
  53. Jean September 7, 2019
  54. Nora September 1, 2019
  55. Nora September 1, 2019
  56. Cherry August 29, 2019
  57. lyra August 29, 2019
  58. Algilica papacion August 29, 2019
  59. Nora August 26, 2019
  60. Nora August 26, 2019
  61. Edith August 25, 2019
  62. nhicka August 25, 2019
  63. Kim August 23, 2019
  64. Nora August 22, 2019
  65. Jeddielyn Largoza August 21, 2019
  66. Giselle gamponia August 20, 2019
  67. Lourdes August 19, 2019
  68. jacquelyn caugira August 19, 2019
  69. Anna Fe Samoy August 17, 2019
  70. Nora August 14, 2019
  71. Nora August 14, 2019
  72. Aiza August 14, 2019
  73. Rose August 13, 2019
  74. Nora August 12, 2019
  75. elaine August 9, 2019
  76. Iravince Napiza July 28, 2019
  77. kit July 12, 2019
  78. Yutrine July 2, 2019
  79. Cristy June 7, 2019
  80. Rea mae obejas June 7, 2019
  81. aNgEliCa bEsitaN May 19, 2019
  82. Nora May 18, 2019
  83. aNgEliCa bEsitaN May 18, 2019
  84. Maricon Arjona May 2, 2019
  85. Nora April 15, 2019
  86. mylene arcenal April 14, 2019
  87. Nora April 8, 2019
  88. Nora April 8, 2019
  89. Eureka May La Rosa April 6, 2019
  90. abhie April 4, 2019
  91. Nora March 27, 2019
  92. Anariza Macute March 27, 2019
  93. Nora March 23, 2019
  94. Angelica escat March 22, 2019
  95. Nora March 6, 2019
  96. marites March 1, 2019
  97. Nora November 29, 2018
  98. claribel rigunan November 28, 2018
  99. Jennifer October 21, 2018
  100. Nora October 2, 2018
  101. Michelle October 1, 2018
  102. Nora May 27, 2018
  103. Janine May 24, 2018
  104. Nora February 3, 2018
  105. Gwendolyn February 3, 2018
  106. Cherry Cruz August 23, 2017
  107. Avis promo May 18, 2017
  108. Nora November 14, 2016
  109. anne November 14, 2016
  110. Riezel B. Ladisla October 24, 2016
  111. Jenny January 8, 2016
  112. ella December 30, 2015
  113. Nora November 4, 2015
  114. Yanee November 3, 2015
  115. Nora July 12, 2015
  116. Maricar Sasis July 11, 2015
  117. Nora May 31, 2015
  118. jah May 29, 2015
  119. Nora March 3, 2015
  120. jenny March 3, 2015
  121. rose December 23, 2014
  122. margie December 23, 2014
  123. Nora November 12, 2014
  124. jhie November 11, 2014
  125. Nora October 25, 2014
  126. Karen October 25, 2014
  127. Nora August 7, 2014
  128. lena August 6, 2014
  129. Nora August 5, 2014
  130. nora capistrano August 5, 2014
  131. Nora July 24, 2014
  132. chayette July 24, 2014
  133. Nora April 18, 2014
  134. Tess April 18, 2014
  135. Nora April 10, 2014
  136. zel April 10, 2014
  137. Nora April 8, 2014
  138. anivid April 7, 2014
  139. Nora March 16, 2014
  140. dem March 15, 2014
  141. Nors October 12, 2013
  142. charisse October 11, 2013
  143. Nors October 4, 2013
  144. ROWELENE October 3, 2013
  145. Nors September 16, 2013
  146. kath September 16, 2013
  147. Nors September 15, 2013
  148. kath September 15, 2013
  149. Nors September 10, 2013
  150. Kanneth September 9, 2013
  151. Nors August 27, 2013
  152. febie c, magbanua August 26, 2013
  153. Nors August 22, 2013
  154. Nors August 22, 2013
  155. jhen August 21, 2013
  156. Nors August 21, 2013
  157. lailani v.hernandez August 20, 2013
  158. len August 19, 2013
  159. Nors August 16, 2013
  160. len August 16, 2013
  161. Nors August 15, 2013
  162. len August 14, 2013
  163. reya pascual June 6, 2013

Leave a Reply