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Overview I-ENROLL SA PHILHEALTH ANG BAWAT PAMILYA SA INYONG BAYAN O LALAWIGAN! What is PhilHealth or the National Health Insurance Program (NHIP)? * NHIP is the "new Medicare" with an expanded health package of the Philippine Health Insurance Corporation. * Through PhilHealth, local governments can give universal coverage to their citizens  - it ensures that people with illnesses do not become a burden to the local government. * It is a pro-poor Benefit Package that provides uniform benefits to all. * Premium payments can be made easily and conveniently. * Reimbursements to hospitals and other health service providers are fast and orderly. * Rural health units are paid through capitation by PhilHealth to provide quality outpatient benefits to indigent families. How much does it cost an LGU to enroll one indigent family in PhilHealth Plus? Class of LGU LGU Pays National Gov't Pays Total Premium per family per year 4th - 6th P 118.80 (10%) P 1,069.20 (90%) P 1,188.00 1st - 3rd P 594.00 (50%) P 594.00 (50%) P 1,188.00 What specific medical benefits does a PhilHealth Plus member get? Hospital Benefits (for all enrolled families) Outpatient Benefits (for enrolled indigent families only)   Room and Board Drugs and Medicines X-Ray Laboratory Professional Fees Operating Room, Surgeon's fees, Anesthesia   Primary Consultation Laboratory fees for Chest X-ray Complete Blood Count Fecalysis Urinalysis Sputum Microscopy Preventive/Promotive Health Service Visual Acetic Acid Cervical Screening Regular Blood Pressure Measurement Annual Digital Rectal Exam Body Measurements Periodic Clinical Breast Examination Counselling for Cessation of Smoking Lifestyle Modification Are you interested? Get in touch now with the PhilHealth Regional Office (PRO) or PhilHealth Service Office in your locality.

Priority Documents on Social Health Insurance A Handbook for the Capitation Payment Mechanism for the Outpatient Benefit Package of PhilHealth (.pdf file) Alternative Financing Sources for PhilHealth's Indigent Program (.pdf file) Consolidated Licensing and Accreditation Survey Program Systems Design for Policy Implementation - Final Report (.pdf file) Concept Paper on In-Patient Capitation for Indigent Members of the NHIP (.pdf file) Strategic Options for the Use of Clinical Practice Guidelines (CPGs) by the Philippine Health Insurance Corporation (.pdf file) Final Report: A Social Marketing Plan for the National Health Insurance Program (.pdf file) Actuarial Study to Review the Premium Structure in Relation to the Planned Changes/ Enhancements in the National Health Insurance Program (.pdf file) A Proposed Monitoring System and Evaluation Plan for PhilHealth Plus (.pdf file) Actuarial Study on the Planned Changes/ Enhancements in the National Health Insurance Program: Final Report (.pdf file)