PhilHealth Benefits

1. Concept

PhilHealth benefits – refer to the benefits provided for under the National Health Insurance Program (NHIP)

a. 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.’ (2024 DOLE-BWC Handbook on Workers’ Statutory Monetary Benefits or “DOLE-BWC Handbook”, p. 57)

2. Coverage

‘The NHIP covers all Filipinos pursuant to Republic Act No. 11223 or the Universal Health Care (UHC) Act.’ (DOLE-BWC Handbook, p. 57)

3. Benefits

PhilHealth benefits include:

1) Inpatient benefits,

2) Outpatient benefits,

3) Z benefits,

4) SDH Related. (DOLE-BWC Handbook, p. 57)