Do you have any comments or questions regarding Philhealth please feel free to write them here.

REGISTRATION/ENROLLMENT

Who should enroll?
All Filipinos aged 21 years old and above (no longer qualified as dependents) must register and have their own PhilHealth ID Number or PIN. Once a legal dependent reaches 21 years of age, he/she must apply for his/her membership.

Is there any age limit for prospective members?
None, the NHIP promotes mandatory coverage for all Filipinos.

How do members enrol into the program? Where can they enrol?
Sponsored Program
Members whose names appear in the NHTS-PR list or LGU‟s list of priority families are automatically enrolled into the program. Their IDs may be claimed from the Local Social Welfare and Development Office. To date, the NHTS list has been distributed to providers and has been made available online through PhilHealth‟s website:
http://www.philhealth.gov.ph/members/sponsored/nhts-pr_list.html.
If members feel like they should be part of the SP, he/she can approach their local DSWD office,which in turn, will evaluate and determine if he/she is qualified to join the program. The DSWD shall then endorse the list of possible beneficiaries to the Local Government Unit (LGU) or any Sponsor.

Individually Paying Program
In general, these are the steps that each member has to go through to register. The following section details the documents/protocols that are unique to each member type.

1. Fill out two copies of the PhilHealth Member Registration Form (PMRF).
STEP 1: Fill out the PMRF (2 copies)
STEP 2: Prepare supporting documents (see list below).
STEP 3: Go to the nearest PhilHealth Service Office to submit the docs and pay your premium.

 2. Attach a clear copy of the following supporting documents to this form (for the applying member and
his/her qualified dependents):
a. Member – Birth/baptismal certificate or any ID card issued by a government official authority
b. Dependents
i. Spouse: Marriage certificate/contract
ii. Children below 21: Birth certificate; court decree of adoption (for adopted children)
iii. Parents 60 and above: Birth certificate
3. Submit these documents to the nearest PhilHealth Service Office for processing.
4. Upon submission of documents, the registrant will be issued his/her PhilHealth Identification Number
(PIN) and a Member Data Record (MDR).
5. He/she shall then be asked to pay the required premium through the PhilHealth Cashier or any
accredited collecting agent (banks, local government units, etc.)
 
Online Registration
STEP 1: Visit the PhilHealth website eregister.philhealth.gov.ph
STEP 2: Fill out and submit online registration form.
STEP 3: Go to the nearest PhilHealth Service Office to pay your premium.

1. Members also have an option to register online. Simply visit http://eregister.philhealth.gov.phand go
through the procedures indicated in the site.

Employed Sector Program
1. For newly hired employees without PIN yet (Also applicable to existing employees without PIN):
a. Fill out two copies of the PhilHealth Member Registration Form (PMRF).
b. Attach a clear copy of the following supporting documents to this form (for the applying member
and his/her qualified dependents):
i. Member – Birth/baptismal certificate or any ID card issued by a government official authority
ii. Dependents
1. Spouse: Marriage certificate/contract
2. Children below 21: Birth certificate; court decree of adoption (for adopted children)
3. Parents 60 and above: Birth certificate
c. Submit these documents to the company‟s HR Department that is in charge of forwarding the
documents to PhilHealth together with the ER2 Form (Report of Employee-Members).
d. After processing, PhilHealth will send the member, through the employer, his/her PhilHealth
Identification Number (PIN) and a copy of the Member Data Record (MDR).
2. Newly hired employees with PIN need only to report their PIN to their employers for them to be
specified in their ER2 (and subsequently updated in PhilHealth‟s database).

Overseas Workers Program
When in the Philippines:
1. Submit the following documents to any PhilHealth office:
a. Duplicate copies of PhilHealth Member Registration Form (PMRF)
b. Supporting documents:
i. Member – Birth/baptismal certificate or any ID card issued by a government official authority
ii. Dependents
1. Spouse: Marriage certificate/contract
2. Children below 21: Birth certificate; court decree of adoption (for adopted children)
3. Parents 60 and above: Birth certificate
c. Any of the following as proof of being an active OFW:
i. Valid Overseas Employment Certificate (OEC) or E-receipt
ii. Valid overseas employment contract or certificate of employment
iii. Valid re-entry visa
iv. Valid job contract
2. Pay the one-year premium of PhP 1,200. If you have already paid PhP900 during your last transaction,
please expect a notice from PhilHealth charging the additional PhP300 to complete your annual premium.

When abroad:
1. Submit the following documents to any PhilHealth office:
a. PhilHealth Premium Payment Slip (PPPS)
b. Duplicate copies of the PhilHealth Member Registration Form (for initial registration)
c. Supporting documents (birth certificate, baptismal certificate, POEA ECARD/SSS/Company ID,
Passport or any valid ID)
2. Pay the one-year premium of PhP 1,200. If you have already paid PhP900 during your last transaction,
please expect a notice from PhilHealth charging the additional PhP300 to complete your annual premium.

Lifetime Members Program
Members are qualified to enrol as lifetime members if they satisfy the following conditions:
1. They are 60 years old and above, AND
2. They have given at least ten years‟ worth of premiums to the NHIP.
To register, simply follow these steps:
1. Submit the following to any PhilHealth Office nearest you:
a. Duly accomplished PhilHealth Membership Registration Form
b. Two (2) latest 1" x 1" ID picture
c. Certified True Copy (CTC) of the SSS or GSIS Retirement Certification or the following as
applicable:
For SSS Retirees/Pensioners:
1. Printout of Death, Disability and Retirement (DDR) from any SSS office indicating that the
type of claim is retirement in nature and the effectivity date of pension; and
2. Printout of contributions issued by any SSS office indicating the latest contributions (if
he/she retires after March 4, 1995.
For GSIS Retirees - any of the following:
1. Certification/Letter of Approval of Retirement from the GSIS indicating the effectivity date
of retirement;
2. Service Record issued by the employer/s indicating not less than 120 months of service
excluding leave of absences without pay;
3. Certification/retirement Gratuity from the employer indicating not less than 120 months of
service.
For AFP, PNP, BFP and BJMP Retirees/Pensioners - those who are in active military service until they
retire at age 56 and those separated by retirement or other reasons prior to the said age but have
reached the age of 60, shall submit any of the following:
1. Statement of Services issued by previous employer indicating not less than 120 months of
service excluding leave of absences without pay;
2. Certification/Letter of Approval of Retirement from the GSIS indicating not less than 120
months of service;
3. General, Bureau or Special Order indicating the effectivity date of retirement.
d. Certified true copy (CTC) of Birth Certificate or any two of the following:
1. CTC of Baptismal Certificate
2. CTC of Marriage Contract/Certificate
3. Passport
4. Driver's License
5. SSS Members ID
6. Alien Certificate of Registration (ACR)
7. Service Record/s
8. Employee ID
9. School records
10. Voter's ID
11. Senior Citizens ID
12. Duly notarized joint affidavit of two disinterested persons attesting to the fact of birth of the
registrant
e. Any other valid documents acceptable by PhilHealth
2. After submission and processing, member will be issued his/her PhilHealth Lifetime Member Card,
which shall serve as a valid ID to be used in all PhilHealth transactions.

MEMBERS

Who can be members of PhilHealth?
All Filipino citizens are mandated to enrol into the National Health Insurance Program.
What are the different membership types at PhilHealth?
There are currently five membership types/programs under the NHIP. These are:
1. Sponsored Program
2. Individually Paying Program
3. Employed Sector Program
4. Overseas Workers‟ Program
5. Lifetime Member Program

Who can enrol under these different programs?
As a general rule, remember that each Filipino is entitled to become part of the National Health Insurance
Program. Your type of membership depends primarily on two things: 1) capacity to pay and 2) employment.
Those who are below 21 are generally considered as dependents, rather than primary members.
Sponsored Program
Under the Sponsored Program, indigents belonging to the lowest 40% (Quintiles 1 and 2) of the Philippine
population in terms of income may enrol, including:
1. Families listed under the National Household Targeting System for Poverty Reduction (NHTS – PR) of
the Department of Social Welfare and Development (DSWD)
2. Families identified poor by the sponsoring Local Government Units (LGUs).

Individuals are encouraged to check whether they belong to the DSWD/LGU lists. Identified members and their dependents shall be considered part of the NHIP.

Individually Paying Program
Under the Individually Paying Program, the following may enroll:
1. Self-employed individuals. These are individuals who work for him/herself and are therefore both the
employer and employee of their businesses. These include but are not limited to the following:
a. Self-earning professionals (ex. doctors and lawyers)
b. Business partners and single proprietors/proprietresses
c. Freelancers, actors, actresses, directors, scriptwriters and news reporters who are not under an
employer-employee relationship
d. Professional athletes, coaches, trainers and jockeys
e. Farmers and fisherfolk
f. Workers in the informal sector (ex. ambulant vendors, watch-your-car boys, hospitality girls, tricycle
drivers, etc.)
2. Separated from employment. These are individuals who were previously formally-employed (with employeremployee
relationship) and are separated from employment.
3. Employees of international organizations and foreign governments based in the Philippines without agreement with
PhilHealth for the coverage of their Filipino employees in the program.
4. All other individuals not covered under the previous categories mentioned, including but are not limited
to the following:
a. Parents who are not qualified as legal dependents, indigents or retirees/pensioners
b. Retirees who did not meet the minimum of 120 monthly premium contributions to qualify as nonpaying
members
c. Children who are not qualified as legal dependents
d. Unemployed individuals who are not qualified as indigents

Employed Sector Program
Under the Employed Sector Program, the following may enroll:
1. Government Sector. Employees of the government, whether regular, casual or contractual, who renders
services in any 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.

2. Private Sector. Employees who render services in any of the following:
a. Corporations, partnerships, or single proprietorships, non-government organizations, cooperatives,
non-profit organizations, social, civic, or professional or charitable institutions, organized and based
in the Philippines
b. Foreign corporations, business organizations, non-government organizations based in the Philippines
c. Foreign governments or international organizations with quasi-state status based in the Philippines
which entered into an agreement with PhilHealth to cover their Filipino employees
d. Foreign business organizations based abroad with agreement with PhilHealth to cover their Filipino
employees
e. Sea-based OFWs
f. Household employees

Overseas Workers Program
Under the Overseas Workers Program, the following may enrol:
1. Active land-based OFWs who underwent the normal process of registration as an OFW at POEA
Offices
2. OFWs who are currently abroad but are not yet registered with PhilHealth.

Lifetime Member Program
Under the Lifetime Member Program, the following may enrol:
1. Old-age retirees and pensioners of the GSIS, including uniformed and non-uniformed personnel of the
AFP, PNP, BJMP and BFP who have reached the compulsory age of retirement before June 24, 1997,
and retirees under Presidential Decree 408
2. GSIS disability pensioners prior to March 4, 1995
3. SSS pensioners prior to March 4, 1995
4. SSS permanent total disability pensioners
5. SSS death/survivorship pensioners
6. SSS old-age retirees/pensioners
7. Uniformed members of the AFP, PNP, BFP and BJMP who have reached the compulsory age of
retirement on or after June 24, 1997, being the effectivity date of RA 8291 which excluded them in the
compulsory membership to the GSIS
8. Retirees and pensioners who are members of the judiciary
9. Retirees who are members of Constitutional Commissions and other constitutional offices
10. Former employees of the government and/or private sectors who have accumulated/paid at least 120
monthly premium contributions as provided for by law but separated from employment before reaching
the age of 60 years old and thereafter have reached 60 years old
11. Former employees of the government and/or private sectors who were separated from employment
without completing 120 monthly premium contributions but continued to pay their premiums as
Individually Paying Members until completion of the required 120 monthly premium contributions and
have reached 60 years old as provided for by law
12. Individually Paying Members, including SSS self-employed and voluntary members, who continued
paying premiums to PhilHealth, have reached 60 years old and have met the required 120 monthly
premiums as provided for by law
13. Retired underground mine workers who have reached the age of retirement as provided for by law and have met the required premium contributions.

What are the fundamental processes that each member should know?
Each member ought to be familiar with the following fundamental processes:
1. Enrolling or registering into the NHIP
2. Updating their records regularly
3. Paying for their premiums on-time
4. Getting their claims from PhilHealth
5. Knowing their benefits

What is my proof that I am already a registered member?
After registering, each member should receive the following important documents:
1. PhilHealth ID – contains the member‟s PIN (PhilHealth Identification Number), name, picture, and
signature. Remember that each member should have only one PIN.
2. Member Data Record (MDR) – contains the member‟s name, address and legal dependents listed in the
PhilHealth database.

History

THE call to serve the rural indigents echoed since the early '60s when the Philippine Medical Association introduced the MARIA Project which prioritized aid to communities in need of medical assistance. The Project would then be considered a valuable precursor to the Medicare program, from which a medical care plan for the entire Philippines was created. On August 4, 1969, Republic Act 6111 or the Philippine Medical Care Act of 1969 was signed by President Ferdinand E. Marcos which was eventually implemented in August 1971.

The Philippine Medical Care Commission (PMCC) was tasked to oversee the implementation of the program which went for almost a quarter of a century.

In the 1990s, a vision for a better, more responsive government health care program was prompted by the passage of several bills that had significant implications on health financing. The public's clamor for a health insurance that is more comprehensive in terms of covered population and benefits led to the development of House Bill 14225 and Senate Bill 01738 which became The National Health Insurance Act of 1995 or Republic Act 7875, signed by President Fidel V. Ramos on February 14, 1995. The law paved the way for the creation of the Philippine Health Insurance Corporation (PhilHealth), mandated to provide social health insurance coverage to all Filipinos in 15 years' time.

PhilHealth assumed the responsibility of administering the former Medicare program for government and private sector employees from the Government Service Insurance System in October 1997, from the Social Security System in April 1998, and from the Overseas Workers Welfare Administration in March 2005.

CONTACT INFORMATION

Head Office Address
Citystate Centre, 709 Shaw Blvd.,
1603 Pasig City, Philippines