How to Get PhilHealth ID Card in 2023: A Comprehensive Guide

The size of the photo for PhilHealth ID is 1 x 1 inch, or 2.54 x 2.54 mm.

To update your PhilHealth online, you need to download and fill out the PhilHealth Member Registration Form (PMRF) and email it to your local PhilHealth office. You can download the PMRF from the PhilHealth website.

You need to provide your personal details, address and contact details, declaration of dependents, member type, and updating/amendment information on the form. You also need to attach a scanned copy or photo of your valid ID and other supporting documents if applicable.

After emailing your PMRF, you need to wait for PhilHealth to update your records. You can view or download your updated PhilHealth MDR online through the PhilHealth member portal.

To pay PhilHealth voluntary contribution, you need to register as a voluntary member first. You can register online through the PhilHealth Electronic Registration System or by email. You can also register in person at your nearest Local Health Insurance or PhilHealth Express Outlet.

If you are an OFW, you can register through the Philippine Overseas Labor Office (POLO) or any accredited collecting partner abroad.

Once you are registered, you can pay your PhilHealth contribution as a voluntary member through various channels such as banks, payment centers, remittance centers, or online platforms. The amount of your contribution depends on your monthly income. For 2020, the minimum contribution for voluntary members is Php 300 per month or Php 3,600 per year. However, this may change in the future as PhilHealth implements the Universal Health Care Law.

You should pay your PhilHealth contribution on or before the deadline to avoid penalties and ensure continuous coverage. The deadline for quarterly payments is on the last working day of March, June, September, and December. The deadline for semi-annual payments is on the last working day of June and December. The deadline for annual payments is on the last working day of February.

Yes, you can still pay your PhilHealth contribution late, but you may have to pay some penalties and interests depending on your situation.

According to PhilHealth, you can make a retroactive payment for up to three months as long as you have paid nine consecutive monthly contributions before the unpaid months and you pay within one month after the unpaid months. Otherwise, you will have to pay a monthly interest of 2% compounded on the unpaid amount.

To pay your PhilHealth contribution online, you can use the PhilHealth Member Portal and generate a Statement of Premium Account (SPA) that serves as your billing statement. You can choose to pay using Visa or Mastercard credit, debit, or pre-paid cards, or GCash. A flat rate of P25 and a service charge of 3% for cards or 2.5% for GCash will be added to your total payable amount. You will receive an electronic receipt and a confirmation message after a successful payment. Alternatively, you can pay over-the-counter at any PhilHealth office or accredited collecting agent by presenting your SPA.

To use PhilHealth benefits, you must be an active member who has paid at least nine monthly contributions within the last 12 months prior to your hospitalization or availment of outpatient services. You must also go to a PhilHealth-accredited health care institution (HCI) and submit the required documents, such as your Member Data Record (MDR) or PhilHealth Benefit Eligibility Form (PBEF) and PhilHealth Claim Form 1.

The number of times you can use PhilHealth benefits depends on the type of service and the benefit limit per year.

For inpatient services, you can use PhilHealth benefits up to 45 days per year for yourself and another 45 days to be shared among your qualified dependents.

For outpatient services, such as day surgeries, radiotherapy, and hemodialysis, you can use PhilHealth benefits up to 90 days per year.

For Z benefits, which are for certain illnesses that require prolonged and expensive treatment, you can use PhilHealth benefits once in a lifetime per illness.

For SDG-related benefits, which are for diseases that affect public health, such as animal bite, HIV-AIDS, and tuberculosis, you can use PhilHealth benefits depending on the specific package and guidelines.

PhilHealth benefits are paid to the HCI through All Case Rates, which means that the agency has a fixed amount for each illness or procedure. The case rate amount will be deducted from your total bill, including the professional fees of your attending physician, before you are discharged. The case rate amount may not cover all of your expenses, so you may still have to pay some out-of-pocket costs.

For more information on PhilHealth benefits and how to use them, you can visit their website at https://www.philhealth.gov.ph/ or call their hotline at (+632) 441-7442.

PhilHealth membership is mandatory for all Filipinos, unless exempt under some of the Philippines’ Totalization Agreements. This means that all Filipinos, whether employed or self-employed, must register and pay premiums to PhilHealth to avail of its benefits. PhilHealth benefits include a basic minimum package and other supplementary packages of health insurance benefits for various health conditions and services.

Yes, PhilHealth can be used abroad under certain conditions. According to PhilHealth, Filipino members and their dependents who are hospitalized abroad can file for reimbursement of their medical expenses within 180 days after discharge. However, foreign members are not eligible for this benefit.

To claim reimbursement, members need to submit various documents such as PhilHealth Claim Form 1, Statement of Account, medical certificate, official receipt, and operative record (if applicable), all translated into English. PhilHealth also offers coverage to foreign nationals and former Filipino citizens who have retired in the Philippines, starting from July 1, 2017.

A direct contributor in PhilHealth is a member who pays the monthly premium contribution. According to PhilHealth, direct contributors include the following:

1.       Employees with formal employment
2.       Kasambahays
3.       Self-earning individuals and professional practitioners
4.       Overseas Filipino Workers
5.       Filipinos living abroad and those with dual citizenship
6.       Lifetime members who have paid at least 120 monthly contributions
7.       Senior citizens and their qualified dependents

According to its website, PhilHealth covers everyone who is a member of the National Health Insurance Program (NHIP), which includes:

1. Formal sector employees and their dependents
2. Informal sector workers and their dependents
3. Senior citizens
4. Indigent families
5. Sponsored members
6. Overseas Filipino workers
7. Lifetime members

To avail of PhilHealth benefits, members must pay their monthly premium contributions and submit the required documents to accredited health care institutions. PhilHealth offers various benefit packages for different types of medical services, such as inpatient care, outpatient care, preventive care, emergency care, and catastrophic care.

Members can check their eligibility, contribution history, and benefit availment status through the online member portal or by calling the action center at 8441-7442.

The lifetime members of PhilHealth are those who have reached the age of retirement and have paid at least 120 monthly contributions with PhilHealth and the former Medicare Programs of SSS and GSIS. This includes individuals aged 60 years and above, uniformed personnel aged 56 years and above, and SSS underground miner-retirees aged 55 years and above. Lifetime members are granted lifetime coverage without having to pay premium contributions anymore.

Additionally, under the Expanded Senior Citizen Act or RA 10645, all senior citizens aged 60 and above automatically become PhilHealth members even if they didn’t pay for monthly contributions. They are considered as indirect contributors and can avail of PhilHealth benefits in accredited health care facilities.

Inactive PhilHealth members are registered members who have no qualifying contributions and are not entitled to avail of PhilHealth benefits. They can only be declared as dependents by active members.

Qualifying contributions refer to the minimum number of premium payment required to be granted coverage. Inactive members who wish to reactivate their membership status may visit the nearest PhilHealth office or pay their unpaid contributions with interest.

To reactivate your PhilHealth membership, you need to visit the nearest PhilHealth Regional or Local Health Insurance Office and update your Member Data Record (MDR). You also need to pay your premium contributions regularly to ensure active status and eligibility for benefits.

PhilHealth contribution for 2023 will remain at 4 percent premium rate just like last year. This means that the monthly contribution of an employed member will depend on their basic monthly salary.

For example, if an employee earns 10,000 PHP or below, their monthly contribution will be 400 PHP, but they will only pay half of it (200 PHP) since their employer will shoulder the other half. The same applies for those who earn between 10,000.01 PHP and 79,999.99 PHP. However, for those who earn 80,000 PHP or above, their monthly contribution will be capped at 3,200 PHP, with the employee and employer each paying 1,600 PHP .

To change your PhilHealth from informal to formal, you need to provide your employer with your PhilHealth Identification Number (PIN) which will be used in remitting and reporting your premiums as a member under the Formal Economy. This will update your membership category and ensure your eligibility for benefits.

You also need to submit a copy of your Member Data Record (MDR) to your employer for verification. If you do not have an MDR, you can request one from any PhilHealth office or download it from the PhilHealth website.

You should also update your personal information and dependents by filling out a PhilHealth Member Registration Form (PMRF) and submitting it to any PhilHealth office or Local Health Insurance Office (LHIO).

According to the Philippine Health Insurance Corporation (PhilHealth), foreign nationals who are living or working in the Philippines can avail of PhilHealth benefits as long as they are registered members and pay their contributions regularly.

The monthly contribution for foreign members is based on their monthly income bracket, which ranges from PHP 10,000 to PHP 100,000 and above. The contribution rate for 2023 is 4%, which can be paid quarterly, semi-annually, or annually. Foreign retirees who are 60 years old and above and have permanent residency status in the Philippines can also enroll in PhilHealth and pay a fixed contribution of PHP 15,000 per year.

Foreign nationals who are eligible for PhilHealth coverage can access the same benefits as Filipino citizens, such as inpatient and outpatient care, preventive and promotive services, emergency services, and Covid-19 testing and treatment packages.