Handbook on Workers' Statutory Monetary Benefits (2024)

Philhealth Benefits: National Health Insurance Program

The National Health Insurance Program (NHIP) is a compulsory health insurance program of the government established to provide universal health insurance coverage and ensure affordable, acceptable, available and accessible health care services for all citizens of the Philippines.

Philhealth Benefits: Coverage

The NHIP covers all Filipinos pursuant to Republic Act No. 11223 or the Universal Health Care (UHC) Act. Members who are considered direct contributors are 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; and 7. All Filipinos aged 21 years and above with capacity to pay.

Philhealth Benefits: Benefits 1. Inpatient Benefits

2. Outpatient Benefits 3. Z Benefits 4. SDG Related

Philhealth Benefits: Contribution

Pursuant to PhilHealth Circular No. 2020-0005, below is the premium contribution table for direct contributors: Monthly Basic Salary Premium Monthly Premium Year (in PhP) Rate (in PhP) 10,000.00 400.00 2022 10,000.01 to 79,999.99 4.00% 400.00 to 3,200.00 80,000.00 3,200.00 Refer to the following link: https://www.philhealth.gov.ph/benefits/ PhilHealth Circular No. 2020-0005 entitled Premium Contribution Schedule in the National Health Insurance Program (NHIP) Pursuant to R.A. No. 11223 Known as the “Universal Health Care Act” (Revision 1). Issued on 19 February 2020. Monthly Basic Salary Premium Monthly Premium Year (in PhP) Rate (in PhP) 10,000.00 450.00 2023 10,000.01 to 89,999.99 4.50% 450.00 to 4,050.00 90,000.00 4,050.00 10,000.00 500.00 2024 to 10,000.01 to 99,999.99 5.00% 500.00 to 5,000.00 2025 100,000.00 5,000.00 The premium of employed members in the government and private sector, including household help and sea-based OFWs, shall be computed straight based on the monthly basic salary of the employee to be equally shared between the employee and employer. For those whose basic monthly salary is below the income floor, the premium contribution shall be computed based on the income floor, while those whose basic monthly income is above the income ceiling, the premium contribution shall be computed based on the income ceiling in accordance with the DBM Circular Letter No. 2019-8. Employers shall ensure that premium contribution of women who are on maternity leave shall be regularly remitted to PhilHealth pursuant to DOLE Department Advisory No. 1, Series of 2019. For questions regarding the NHIP, please contact the PHILIPPINE HEALTH INSURANCE CORPORATION Address: Citystate Centre, 709 Shaw Boulevard, Pasig City Call Center Hotline: (02) 8441-7442 (PHIC) Callback Channel: 0917-898-7442 (Text "PHICcallback [space] Mobile No. or Metro Manila landline [space] details of your concern." PHIC will call you during office hours. Website: www.philhealth.gov.ph Facebook: www.facebook.com/PhilHealthOfficial