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Individual Membership: Requirements and Procedures

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The following may enroll with PhilHealth's Individually Paying Program:

1. Self-employed individuals - those who work for him/her self and is therefore both the employer and employee, including but not limited to the following:

  • Self-earning professionals like doctors and lawyers
  • Actors, actresses, directors, scriptwriters and news reporters who are not under an employer-employee relationship
  • Professional athletes, coaches, trainers and jockeys
  • Farmers and fisherfolks
  • Workers in the informal sector such as ambulant vendors, watch-your-car boys, hospitality girls, tricycle drivers, etc.

2. Separated from employment - those who were previously formally employed (with employer-employee 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:

  • Parents who are not qualified as legal dependents, indigents, or retireess/pensioners.
  • Retirees who did not meet the minimum of 120 monthly premium contributions to qualify as non-paying members.
  • Children who are not qualified as legal dependents.
  • Unemployed individuals who are not qualified as indigents.

Registration procedures and documentary requirements

  • Fill out M1b Form (in duplicate copies).
  • Attach clear copy of supporting documents for qualified dependents to be declared.
  • Registrant will be issued his/her PhilHealth Identification Number or PIN and the Member Data Record or MDR and shall be asked to pay the required premiums to the PhilHealth Cashier or at any of PhilHealth's accredited collecting agents.

Premium requirements

  • Health insurance premium for Individually Paying Members is fixed at Php 100/month payable in quarterly, semi-annually or annually.
  • Schedule of payment:
Quarterly Semi-annual Annual
Pay until the last working day of the quarter being paid for.

Example:
Period: January to March
Deadline: March 31
Pay until the last working day of the first quarter of the semester being paid for.

Example:
Period: January to June
Deadline: March 31
Pay until the last working day of the first quarter of the year being paid for.

Example:
Period: January to December
Deadline: March 31

Continuity of Coverage

The following are some of the options available to you if you wish to continue your PhilHealth coverage. Use the M2 Form to update PhilHealth of changes in your membership status. Just be sure to have the form duly acknowledged by PhilHealth.

  • If gaining formal employment in the Philippines: Provide your employer with your PhilHealth Identification Number or PIN for their use in remitting your premiums as an Employed Member.
  • If seeking employment as land-based Overseas Filipino Worker (OFW): Indicate your existing PhilHealth Identification Number or PIN when processing your registration and payment to PhilHealth as an OFW.
  • If already reached 60 years old and have contributed at least 120 monthly premiums and is not gainfully employed: You may now register under as a Lifetime Member to enjoy lifetime coverage.

For more information contact the PhilHealth corporate office.

Source: Philippine Health Insurance Corporation, http://www.philhealth.gov.ph/members/individually_paying/bmember.htm

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