Here's your guide for PhilHealth Formal Economy Members.
Workers in the government and private sectors who have established employee-employer relations are qualified for PhilHealth Direct Contributors for Formal Economy.
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Who are the Formal Economy members?
An employee of the government, who renders services in any of the government branches, military or police force, political subdivisions, agencies or instrumentalities, including government-owned and-controlled corporations, financial institutions with original charter, Constitutional Commissions, and is occupying either an elective or appointive position, regardless of status of appointment.
Corporations, partnerships, or single proprietorships, NGOs, cooperatives, non-profit organizations, social, civic, or professional or charitable institutions, organized and based in the Philippines including those foreign owned;
Foreign governments or international organizations with quasi-state status based in the Philippines which entered into an agreement with the Corporation to cover their Filipino employees in PhilHealth;
Foreign business organizations based abroad with agreement with the Corporation to cover their Filipino employees in PhilHealth.
Other PhilHealth Members under Formal Economy
- All other workers rendering services, whether in government or private offices, such as project-based contractors, and the like
- Owners of Micro Enterprises
- Owners of Small, Medium and Large Enterprises
- Household Help (as defined in Republic Act 10361 or “Kasambahay Law”)
- Family Drivers
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Who are Qualified as Dependents?
The following also enjoy PhilHealth coverage without additional premiums
- Legitimate spouse who is not a member;
- Child or children - legitimate, legitimated, acknowledged and illegitimate (as appearing in birth certificate) adopted or stepchild or stepchildren below 21 years of age, unmarried and unemployed.
- Children who are twenty-one (21) years old or above but suffering from congenital disability, either physical or mental, or any disability acquired that renders them totally dependent on the member for support, as determined by the Corporation;
- Foster child as defined in Republic Act 10165 otherwise known as the Foster Care Act of 2012;
- Parents who are sixty (60) years old or above, not otherwise an enrolled member, whose monthly income is below an amount to be determined by PhilHealth in accordance with the guiding principles set forth in the NHI Act of 2013; and,
- Parents with permanent disability regardless of age as determined by PhilHealth, that renders them totally dependent on the member for subsistence.
Qualified dependents shall be entitled to a separate coverage of up to 45 days per calendar year. However, the 45 days allowance shall be shared among them.
Important: Qualified dependents must be declared by the principal member. Their names must be listed under the principal member's Member Data Record (MDR) to ensure hassle-free benefits availment
How to Register for PhilHealth Membership
For Newly Hired And Existing Employees Without PIN Yet
- Fill out two (2) copies of the PhilHealth Member Registration Form (PMRF)
- Submit PMRF to the HR Department of employer
- Await Member Data Record and PhilHealth ID card from employer
For Newly Hired Employees With PIN
- Report your PIN to your employer for them to indicate the same in their ER2
- Premium contributions are shared by the employee and the employer, the amount of which is determined based on the new premium contribution rate. After deducting half of the premium requirement from your monthly salary, total premiums are remitted by your employer to PhilHealth.
RELATED: How to Register for PhilHealth Voluntary Membership (Requirements, Online Registration & Updating Guide)
When do I Pay for Philhealth Contribution?
PhilHealth members (especially those Self-Earning and Voluntary Members) can choose any of the 4 payment options:
Learn more about PhilHealth Contribution Schedule and Computation.
Any Individuals aged 60 years and above and have paid at least 120 monthly contributions with PhilHealth and the former Medicare Programs of SSS.
Uniformed personnel aged 56 years and above and have paid at least 120 monthly contributions with PhilHealth and the former Medicare Programs of SSS.
SSS underground miner-retirees aged 55 years above and have paid at least 120m monthly contributions with PhilHealth and the former Medicare Programs of SSS.
ACTIVITIES AND TOURS IN MANILA
The Philippine Health Insurance Corporation or Philhealth was created in 1995 to implement universal health coverage in the Philippines. It is a tax-exempt, government-owned and controlled corporation of the Philippines, and is attached to the Department of Health.
PhilHealth Head Office: Citystate Centre, 709 Shaw Blvd, Pasig City, Metro Manila
PhilHealth Website: philhealth.gov.ph
How to Contact PhilHealth
Callback Channel: 0917-898-7442 (PHIC)
Text "PHICcallback [space] Mobile No. or Metro Manila landline [space]
details of your concern" and we will call you during office hours, weekdays only.
(Callback requests will expire after 72 hours.)
Call Center Hotline: 84417442 (PHIC)
(Self-help only; agent assistance temporarily not available)
Email address: email@example.com
PhilHealth LHIO Branches
I have written a comprehensive guide on how to find the nearest PhilHealth branch near you.
You can also process your PhilHealth requests and payments from any of the PhilHealth Express Branches near you.
IMPORTANT NOTE: The rates, contact details and other information indicated in this post are accurate from the time of writing but may change without IMFWJ's notice. Should you know the updated information, please message us on Facebook.