Knowledge Base

Direct Contributors

• Employees with formal employment

• Kasambahays

• Self-earning individuals; Professional practitioners

• Overseas Filipino Workers

• Filipinos living abroad and those with dual citizenship

• Lifetime members

• All Filipinos aged 21 years and above with capacity to pay

Indirect Contributors

• Indigents identified by the DSWD

• Beneficiaries of Pantawid Pamilyang Pilipino Program

• Senior citizens

• Persons with disability

• Sangguniang Kabataan officials

• Previously identified at point-of-service / sponsored by LGUs

• Filipinos aged 21 years old and above without capacity to pay premiums

• Solo Parent

WALK-IN REGISTRATION

For Employed Individuals

• Duly accomplished PMRF (PhilHealth Member Registration Form)

• Valid ID (photocopy and original)

• Birth Certificate from PSA (photocopy and original)

• ER2 (Report of Employee-Members), duly signed by the employer

For Self-Paying Individuals

• Duly accomplished PMRF (PhilHealth Member Registration Form)

• Valid ID (photocopy and original)

• Birth Certificate from PSA (photocopy and original)

• Pay applicable premium contribution (minimum of ₱500 per month)

For Pre-employment or First-Time Job Seekers

• Duly accomplished PMRF (PhilHealth Member Registration Form)

• Barangay Certificate of First-Time Job Seeker

• Birth Certificate from PSA (photocopy and original)

• Valid ID (photocopy and original)

After registration, the member will be given their PhilHealth ID Card and Member Data Record (MDR) with their PhilHealth Identification Number. 

ONLINE REGISTRATION 

Registration process: 

1. Register through this link https://memberinquiry.philhealth.gov.ph/member/

2. Click “PhilHealth Member Registration”

3. Provide your valid email address and input the CAPTCHA and click "Proceed".

4. Continue the registration by clicking "Click here" on the email sent to your email address.

5. Kindly follow the instructions and provide the necessary documents before submitting the registration.

Reminder: 

Only the informal economy members (voluntary) are allowed to register online. Please note that the processing of online registration is within 3 to 5 working days and a separate email will be sent to you indicating your unique PhilHealth Identification Number (PIN).

There is also an issue with PhilHealth member online registration when "Duly Attested PMRF" is selected as the proof of income. In the meantime, to proceed with the registration, please select other proof of income. If no other proof of income is available, kindly visit the nearest PhilHealth Local Health Insurance Office (LHIO) in your area for walk-in registration.

FOREIGN NATIONAL REGISTRATION

For employed foreign nationals in the Philippines: 

• Duly accomplished PMRF (PhilHealth Member Registration Form) 

• Valid Alien Certificate of Registration Identity Card (ACRI-Card) 

• ER2 (Report of Employee-Members) duly signed by the Employer 

Reminder: The contribution will be equally divided between the employee and the employer and computed as 5% of the employee’s basic monthly salary.

For Self-Paying Individual 

-Duly accomplished PMRF-FN (PhilHealth Member Registration Form for Foreign National) 

-Valid Alien Certificate of Registration Identity Card (ACRI-Card) 

-Annual premium contribution (15-17k)

Updating or amending the PhilHealth record is only done at the Local Health Insurance Office (LHIO) anywhere in the country. 

GENERAL REQUIREMENTS: 

1. PhilHealth Member Registration Form (PMRF)

2. 2 valid government-issued IDs

SPECIFIC REQUIREMENTS 

Correction in Name/Date of Birth/Place of Birth/Sex

• Birth Certificate issued by PSA

Change in Name and Civil Status due to Marriage 

• Marriage Certificate issued by PSA

Change in Name and Civil Status due to Reversion (from married to single)

• Court Decision/Order (as applicable) (from married to single)

• Death Certificate of the spouse issued by PSA (from married to widowed)

Change in Address

• Certification from the Barangay (as applicable) 

Change in Email Address and Contact Number

• Same as the general requirements

Shifting of Membership Category

1. Employed/OFW (landbased)/Indigent/Sponsored to Self-Paying Individual

• Proof of income (for Self-Earning Individuals, properly filled out PMRF is sufficient enough to use for the declaration of monthly income)

• Pay applicable premium contribution

2. Self-Paying Individual/ OFW (landbased)/Indigent/Sponsored to Employed

• ER2 (report of employee) duly signed by the employer

• Can be submitted through employer or personally visit nearest PhilHealth branch

3. Employed/Self-Paying Individual/Indigent/Sponsored to Migrant worker (landbased)

• Valid Job Contract or any other equivalent proof, subject to the approval of the authorized officer.

4. Employed/Self-Paying Individual/OFW(landbased) to Indigent/Sponsored

• Kindly coordinate with the local DSWD/LGU 

• Once qualified and approved, the National Government/LGU will subsidize the contribution

For any transaction through an authorized representative, the following additional requirements must be included: 

• Signed Authorization Letter from the member indicating the full name, address, contact number, and relationship to the representative;

• Photocopy of two (2) valid IDs of the member;

• Original and photocopy of two (2) valid IDs of the authorized representative.

The following may be declared as qualified dependent/s of our program: 

Legal spouse who does not have a PhilHealth membership or whose membership status is inactive 

Requirements 

• Duly accomplished PMRF (PhilHealth Member Registration Form) 

• Copy of Marriage Certificate (PSA copy) 

• Deactivation Form or Letter of Request for deactivation (if applicable, from the inactive spouse) 

• Valid ID of the member 

Child under the age of 20, unemployed and unmarried (legitimate or illegitimate) 

Requirements 

• Duly accomplished PMRF (PhilHealth Member Registration Form) 

• Copy of Birth Certificate of the dependent (PSA copy) 

• Valid ID of the member 

Child aged 21 and over with a congenital disability (physical or mental), or any other disability (subject for evaluation and approval) 

Requirements 

• Duly accomplished PMRF (PhilHealth Member Registration Form) 

• Copy of Birth Certificate of the dependent (PSA copy) 

• Medical Certificate stating nature and extent of disability 

• Valid ID of the member 

Parents under the age of 59 with permanent disabilities (subject for evaluation and approval) 

Requirements 

• Duly accomplished PMRF (PhilHealth Member Registration Form) 

• Copy of Birth Certificate of the member (PSA copy) 

• Medical Certificate stating nature and extent of disability 

• Valid ID of the member 

Adopted child 

Requirements 

• Duly accomplished PMRF (PhilHealth Member Registration Form) 

• Copy of the court decree of adoption 

• Valid ID of the member 

Foster child 

Requirements 

• Duly accomplished PMRF (PhilHealth Member Registration Form) 

• Foster Family Care License (issued by the DSWD) 

• Foster Placement Authority (issued by the DSWD)

• Valid ID of the member 

Reminder: 

NO FOREIGN NATIONAL SHALL BE DECLARED AS DEPENDENTS.

• Secure a Certificate of Indigency from the local barangay office.

• Submit the Certificate of Indigency to the Social Welfare Department assigned to the member’s municipality.

• Undergo an assessment by social workers to determine your eligibility for classification as an indigent member. If verified that you are financially incapable of paying the premium contribution, you may be enrolled as an indigent member.

• Once enrolled, the member will no longer be required to pay PhilHealth contributions, as the National Government will shoulder the cost on your behalf.

• Membership only has a validity of 1 year and is subject to renewal every year. 

PWD COVERAGE

• Member shall be enrolled under the DOH-PRPWD (Philippine Registry of Persons with Disability) 

• Only the unemployed PWDs will be covered under the program. 

• The contributions of employed persons with disabilities (PWDs) will continue to be shared between the employer and the employee, as no budget has been allocated for the year 2025 from the General Appropriations Act (GAA) to cover the government's share of their contributions. Because of this, the provision stated in Republic Act No. 11228 cannot yet be implemented.

EXPANDED SOLO PARENT COVERAGE 

All Solo Parents registered with the Solo Parents Office or Solo Parents Division of their municipality and who hold a valid Solo Parent Identification Card (SPIC) are now covered by PhilHealth. To register with PhilHealth, simply submit a PhilHealth Member Registration Form (PMRF) along with a photocopy of the SPIC to the nearest PhilHealth branch.

If the application will be submitted by an authorized representative, the following documents must be presented: 

• PhilHealth Member Registration Form (PMRF)

• Letter of Authorization 

• SPIC 

• Valid ID of the Authorized Representative

The member may also consult with their Local Government Unit (LGU) or Municipal Social Welfare Department (MSWD) for further information.

Reminder: At present, only unemployed solo parents are included in the program, as funding from the General Appropriations Act (GAA) has not yet been allocated. Consequently, employed solo parents must continue to shoulder their portion of the premium contributions.

Qualifications: 

• 60 years old and above

• Unemployed

• Not under Indigent/Sponsored 

Documentary requirements for registration/amendment: 

• PhilHealth Member Registration Form (PMRF)

• Senior Citizen ID from OSCA or any Valid ID indicating the date of birth (government issued) 

The above-mentioned requirements shall be submitted to the nearest PhilHealth branch for processing.

Reminder: 

NO FOREIGN NATIONAL SHALL BE ENROLLED AS SENIOR CITIZEN.

LIFETIME MEMBERSHIP PROGRAM

Qualifications: 

• 60 years old and above for non-uniformed personnel

• 56 years old and above for uniformed personnel (AFP, PNP, BFP and BJMP)

• No longer employed

• With at least 60 ea

Documentary requirements for amendment: 

• Duly accomplished PhilHealth Member Registration Form (PMRF)

• Senior Citizen ID from OSCA or any Valid ID indicating the date of birth (government issued) 

The above-mentioned requirements shall be submitted to the nearest PhilHealth branch for processing.

ID REQUEST

The PhilHealth ID card can be requested at the nearest Local Health Insurance Office (LHIO) nationwide. Only active PhilHealth members can request such and no fees will be collected.

Documentary requirements: 

• 2 government-issued valid IDs

Self-earning individuals and practicing professionals: 

• The premium contribution shall be computed based on the individual’s monthly income as shown in documents prescribed by PhilHealth. 

• For Practicing Professionals: Non-submission of acceptable proof of actual income shall result in the charging of the rate based on the income ceiling.

Kasambahays 

• Premium payments or contributions of Kasambahays shall be shouldered by the employer. 

• If the kasambahay is receiving a wage of Five thousand pesos (P5,000.00) and above per month, the kasambahay shall pay the proportionate share in the premium payments or contributions, in accordance with RA 10361 (Domestic Workers Act).

 Overseas Filipino Workers 

• The premium contribution shall be salary-based as prescribed by the Act and shall require submission of acceptable proof of actual income. 

• Non-submission of acceptable proof of actual income shall result in the charging of the rate based on the income ceiling. 

• The Philippine Overseas Employment Administration (POEA) shall ensure that land-based overseas Filipino workers, whether new hires or returning (balik manggagawa), pay their PhilHealth premiums prior to issuance of the Overseas Employment Certificate (OEC). Specific guidelines shall be issued by the POEA and PhilHealth.

Persons with Disability 

• Premium payments or contributions of formally employed persons with disability shall be shared equally by their employers and the National Government.

• However, for 2025, there is no government subsidy for employed PWDs yet. Meantime, while there is no government subsidy: 

  • collect personal share from PWDs, or

  • bill DBM on the government share

In addition to over-the-counter transactions at PhilHealth branches and accredited collecting agents such as Bayad Center, select banks, and SM Payment Centers, self-paying individuals including land-based migrant workers may also try paying online through the PhilHealth Member Portal.

Steps for Online Payment:

• Create an account and log in to the PhilHealth Member Portal

• Click on Payment Management and generate a Statement of Premium Account (SPA)

• Click “Pay” to proceed and view available payment options (GCash, PayMaya, Credit/Debit Card)

Reminders: 

• To enable Payment Management features and generate the Statement of Premium Account (SPA), the member must be classified under the informal economy or voluntary category, and their monthly income must be updated.

• Online payment is recommended for members with updated contributions, as any payment made while there are lapses will automatically be applied to cover missed contributions.

Payment of Premium Contributions through the GCash App

1. Open the GCash App and click “Bills”

2. In the categories, select “Government” and search “PhilHealth”

3. Input the required information in each field. Payment of Premium Contributions through the GCash App 

• For members with generated Statement of Premium Account (SPA): Input amount indicated in the SPA. For members without SPA: Input appropriate premium amount. 

• Select appropriate member type in the dropdown. 

• Input the 12 digit PhilHealth number. 

• Enter either SPA or Payor Name. Choose only 1 (one). 

• Applicable End Date should be later than the Start Date (e.g. 012024-012024; 012024-032024). 

4. Review and make sure that all information is correct before clicking the next button.                       

5. Click “Confirm” and save receipt.

Reminder: Posting of contribution is at least 3 working days.

Maintaining updated contributions is mandated by the Universal Health Care (UHC) Law, which PhilHealth is required to implement in order to expand and enhance benefit coverage.

Under the UHC Law, one of the provisions is to increase the benefits for Direct Contributors and ensure access to preventive, promotive, curative, rehabilitative, and palliative care for all Filipinos. These are the benefits that are in place and will be progressively felt by members.

The new premium rate are the following:

• November 2019: Php 200 (old rate)

• December 2019: declared monthly income (wherein the contribution floor is Php 10,000.00 and ceiling is Php 50,000.00) x 2.75%

• 2020 - 2021: declared monthly income (wherein the contribution floor is Php 10,000.00 and ceiling is Php 60,000.00) x 3.0%

• 2022-2023: declared monthly income (wherein the contribution floor is Php 10,000.00 and ceiling is Php 80,000.00) x 4.0%

• 2024-2025 : declared monthly income (wherein the contribution floor is Php 10,000.00 and ceiling is Php 100,000.00) x 5.0%

Accreditation

• No application fee for pharmacies

• Certificate of Availability of Gamot - isa sa mga requirements para sa accreditation para mai-commit ng pharmacy kung ano lamang ang mga available na gamot sa kanila, kung hindi kumpleto, maaari pa ring ma-accredit. 

• Certificate of Availability of Gamot and Certificate of IT Requirements - must be signed by the owner/manager of the pharmacy (no format required) 

• Kung may multiple branches ang pharmacy, magpapasa lahat ng branches ng requirements sa kanilang main office/headquarters at ipapasa ng HQ sa PRO within their jurisdiction

Benefit Availment

• Ang mga primary care physician o YAKAP doctor lamang ang maaaring makapag-prescribe sa pasyente na magagamit sa ilalim ng YAKAP o GAMOT Facilities

• Ngayong taon, ang additional 54 na gamot pa lamang ang maaaring ma-avail sa mga pharmacy dahil ang original 21 na gamot ay nasa ilalim pa ng YAKAP. Layunin na sa susunod na taon, buong 75 na taon na ang nasa GAMOT benefits.

• Annual Benefit Limit - P20,000 per beneficiary/person

  • Kung may multiple dependents ang isang principal member, magkakahiwalay sila ng benefit limit

• Patient Journey: 

  • Complete First Patient Encounter/Consultation > Physician will prescribe medicine through GAMOT app with Unique Prescription Security Code > Prescription validation by the pharmacy through GAMOT app as well before dispensing

  • Kinakailangang mag-provide ng pharmacy ng Gamot Availment Slip kung saan makikita ang total amount na nagamit at natitirang balance sa annual benefit limit (P20,000)

• Prescription Validity 

  • For antibiotics - kinakailangang makakuha na ang pasyente within 2 days after ma-prescribe 

  • For other medicines - maximum of 2 weeks dapat ma-dispense na rin ito 

  • Kung hindi ma-dispense within the time frame, automatic na magnu-null ang prescription

• Maximum Quantity for prescription

  • Up to 3 months worth ng gamot ang pwedeng ireseta ng doctor

  • For dispensing, up to 30 days/1 month worth lang ng gamot ang pwedeng i-dispense pero maaari nang bumalik after 2 weeks ang pasyente para sa next 1 month worth of medicines kahit hindi pa ubos ang naunang nakuhang gamot 

• Kung hindi nakakuha ng gamot sa isang pharmacy dahil wala ito sa nai-commit nila upon accreditation, maaari pa ring mag-avail sa iba pang pharmacy 

• Kung choice ng pasyente ang branded na gamot, hindi ito maco-cover. Kinakailangang bayaran nang buo ng member (out of pocket) ang presyo ng branded na gamot depende sa presyo ng pharmacy

• GAMOT App

  • Ang mga YAKAP clinic at pharmacies ay maaaring mag-self registration sa GAMOT App 

  • Para sa mga YAKAP clinic, ang accreditation number na ilalagay sa registration ay ang accreditation number ng primary care physician (ang user details ay kapareho lamang ng details ng physician bilang accredited professional)

  • Para naman sa mga pharmacy, kinakailangan ang accreditation number ng mismong pharmacy