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

158 Comments

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

Leave a Reply