How to Get a Philhealth ID in the Philippines?

How to Get a Philhealth ID in the Philippines?

Even if you think you don’t, you need health insurance to live life with fewer worries, knowing you’ll receive financial assistance when you get sick or hurt.

Since it’s no secret that receiving health or medical care is expensive in the Philippines, sudden injuries or sicknesses can even cost some people their life savings when they aren’t insured.

So whether you’re a high-earning employee or earn the minimum wage, you have to make the most out of your health insurance coverage so you don’t incur medical bills you can’t afford to pay out of your pocket.

In the Philippines, the Department of Health owns and controls a tax-exempt corporation that administers the National Health Insurance Program, established to provide health insurance coverage and ensure affordable, acceptable, available, and accessible health care services for millions of Filipinos. 

What are the Benefits Offered by Philhealth?

The corporation, the Philippine Health Insurance Corporation (PhilHealth), offers a list of benefits to its members:

  1. Inpatient Benefits
  1. Outpatient Benefits
  1. Z Benefits
  1. SDG Related 

For more information about the benefits available for PhilHealth members, check out Benefits | PhilHealth.

While all Filipinos can become a PhilHealth member and avail the benefits PhilHealth has to offer in all its accredited HCIs, members can do the latter easily if they can present their PhilHealth ID and their Member Data Record (MDR).

These two documents are necessary for identification, eligibility verification, and utilization recording.

Upon enrolment or registration, PhilHealth members receive a PhilHealth Identification Number (PIN), a permanent and unique 12-digit number assigned to every PhilHealth member they will use for their monthly payments.

After becoming a member and receiving their PIN, applicants must still go through the process of getting a PhilHealth ID card. In this article, you will find the step-by-step application procedure for a PhilHealth ID.

So if you’re a PhilHealth member who’s yet to have a PhilHealth ID and want to know how to get one ASAP, don’t stop scrolling now!

What is a PhilHealth ID?

philhealth
Image Source: Instagram

While members receive a PIN upon enrolment or registration, they still need an ID card that certifies that they are a PhilHealth member.

A PhilHealth ID serves as proof that a member and their dependents can avail of the benefits and privileges provided by the government’s National Health Insurance Program. 

A PhilHealth ID card is a paper ID that PhilHealth members can use. The Department of Health defines a PhilHealth ID as the “unique and permanent number issued to any client upon enrolment/membership registration to the National Health Insurance Program of the Corporation,” usually for identification, eligibility verification, and utilization recording purposes.

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Essentially, a PhilHealth ID serves as proof that a person is a PhilHealth member and allows them to avail of PhilHealth’s health insurance and benefits. PhilHealth Members can and are encouraged to claim their PhilHealth ID at any PhilHealth Local Health Insurance Office (LHIO) free of charge. 

Who can apply for and claim a PhilHealth ID?

Technically, only registered PhilHealth members are eligible for a PhilHealth ID. However, given that all Filipinos can become registered PhilHealth members, it’s safe to say every Filipino can get a PhilHealth ID. 

So if you aren’t a registered PhilHealth member yet, follow the steps below to become a registered member.

How to become a registered PhilHealth member:

For Members of the Formal Economy 

Formal Economy Members include:

  • Government employees
  • Private employees
  • Workers that render services, whether in government or private offices, such as project-based contractors.
  • Owners of Micro Enterprises
  • Owners of Small, Medium, and Large Enterprises
  • Household Help as defined in Republic Act 10361 or “Kasambahay Law.”
  • Family Drivers

For Newly Hired And Existing Employees Without PIN Yet as of August 2022

Step 1: Prepare two copies of the PhilHealth Member Registration Form (PMRF).

The form is downloadable online for you to print out. Make sure to fill out both printed copies of the registration form, especially the boxes for your personal information.

Step 2: Submit the filled-out PMRF to the HR Department of the employer.

The employer is responsible for reaching out to PhilHealth to submit the employee’s filled-out PMRF and other documents, such as valid IDs and pictures. 

Step 3: Wait for the employer to provide the Member Data Record and PhilHealth ID card.

Once you receive the MDR and PhilHealth ID card, you will settle your premium contribution based on the new premium contribution rate.

After deducting half of the premium requirement from your monthly salary, the employer remits the total premiums to PhilHealth.

how to get philhealth id
Image Source: Instagram

For Newly Hired And Existing Employees With PIN as of August 2022

Step 1: Report your PIN to your employer for them to indicate the same in their ER2

The ER2 indicates the names of newly hired employees. It’s the employer’s responsibility to submit these records to PhilHealth.

For Members of the Informal Economy 

Informal Economy Members include:

  • Migrant Workers (documented or undocumented Filipinos engaged in a remunerated activity in another country of which they are not citizens.)
  • Informal Sector (includes street hawkers, market vendors, pedicab and tricycle drivers, small construction workers, and home-based industries and services.)
  • Self-Earning Individuals
  • Filipinos With Dual Citizenship (Filipinos who are also citizens of other countries.)
  • Naturalized Filipino Citizens (those who have become Filipino citizens through naturalization as governed by Commonwealth Act No. 473 or the Revised Naturalization Law.)
  • Citizens of other countries working or residing in the Philippines (foreign citizens with valid working permits or Alien Certificate of Registrations ACRs working or residing in the Philippines)
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Step 1: Visit the PhilHealth portal to locate the nearest PhilHealth Local Health Insurance Office or PhilHealth express outlets. 

You can locate the PhilHealth Local Health Insurance Offices and PhilHealth express outlets within your area using the PhilHealth portal.

Step 2: Prepare two copies of the PhilHealth Member Registration Form (PMRF).

The form is downloadable online for you to print out. Make sure to fill out both printed copies of the registration form, especially the boxes for your personal information.

Step 3: Prepare two valid government IDs, your (NSO) birth certificate, and two 1×1 recent passport photos.

You can request a copy of your NSO birth certificate online at PSAHelpline.ph. You can refer to the List of Valid IDs in the Philippines | Primary and Secondary for a list of valid Government IDs you can use. 

Step 4: Submit the documents to your chosen PhilHealth Local Health Insurance Office or PhilHealth express outlet. 

Submit your filled-out PhilHealth Member Registration Form and IDs to the officer-in-charge at your chosen PhilHealth Local Health Insurance Office or PhilHealth express outlet. 

Step 5: Wait for your documents to be processed and for your Member Data Record (MDR) and PhilHealth ID Card.

Step 6: Pay the necessary premium contribution using your PhilHealth ID number.

Two Types of PhilHealth ID

how to register at philhealth
Image Source: Instagram

Regular ID (free for all active PhilHealth members)

How to get your ID if you don’t receive it through your company’s HR department:

Step 1: Visit any PhilHealth Express branch. 

Step 2: Bring two valid government IDs and the PhilHealth Insurance number assigned to you upon applying for membership.

Step 3: Go to the officer-in-charge and ask for a “Request Form.”

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Step 4: Accomplish the Request Form thoroughly and submit it to the officer-in-charge.

Step 5: Double-check each section of the Form to ensure all the information you put is correct.

Digitized PhilHealth Insurance ID Card (optional for employed members)

How to get your ID if you don’t receive it through your company’s HR department:

Step 1: Refer to the step-by-step process previously mentioned for the regular PhilHealth ID but this time, check the option for the Digitized Insurance ID in the Request Form. 

Step 2: State the names of your dependents. Your insurance will also protect your dependents. Adding dependents will require you to submit two of your dependents’ government valid IDs on their behalf.

Step 3: Pay a standard fee of 90 PHP. You will have to pay a fee of 358 PHP for applications with dependents.

What’s the difference between the two IDs?

The Regular PhilHealth ID is applicable in availing of PhilHealth Inpatient and Outpatient benefits at accredited HCIs.

The same goes for the Digitized PhilHealth Insurance ID Card. What makes the latter better is that it can also serve as a valid government ID for other transactions, including banking, monetary exchange, and identity verification.

However, the issuance of the digitized ID to voluntary members is currently on hold.

Final Thoughts

If there’s anything that the COVID-19 pandemic has taught us, it’s the importance of prioritizing our safety and health and preparing ourselves for unfortunate and unprecedented circumstances.

So if you want to do both, you should consider getting yourself a PhilHealth ID or register as a PhilHealth member if you aren’t one yet as soon as possible.

To be extra safe, beware of transacting with fixers offering online assistance for securing PhilHealth ID documents, as they can be scammers.

Remember that it’s better to always directly transact with the PhilHealth office when requesting a PhilHealth ID, MDR, or other PhilHealth-related documents.

For more details about PhilHealth-related transactions apart from getting a PhilHealth ID, check out the official PhilHealth website or visit their socials on Facebook and Twitter.

I hope reading this article will help you get your PhilHealth ID easier, and I wish you the best of luck in enjoying being a PhilHealth member!

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