PHILHEALTH INDIGENT: Qualifications at mga pwedeng Dependent

Who Are Qualified

To this category belong to persons who have no visible means of income, or whose income is insufficient for family subsistence, as identified by the Department of Social Welfare and Development (DSWD), based on specific criteria. All indigents identified by the DSWD under the National Household Targeting System (NHTS) for Poverty Reduction and other such acceptable methods, shall automatically be enrolled and covered under the Program. The female spouse of the families identified by DSWD may be designated as the primary member of the Program.

Qualified dependents

The following also enjoy PhilHealth coverage without additional premiums

• Legitimate spouse who is not a member;
• Child or children - legitimate, legitimated, acknowledged and illegitimate (as appearing in birth certificate) adopted or stepchild or stepchildren below 21 years of age, unmarried and unemployed.
• Children who are twenty-one (21) years old or above but suffering from congenital disability, either physical or mental, or any disability acquired that renders them totally dependent on the member for support, as determined by the Corporation;
• Foster child as defined in Republic Act 10165 otherwise known as the Foster Care Act of 2012;
• Parents who are sixty (60) years old or above, not otherwise an enrolled member, whose monthly income is below an amount to be determined by PhilHealth in accordance with the guiding principles set forth in the NHI Act of 2013; and,
• Parents with permanent disability regardless of age as determined by PhilHealth, that renders them totally dependent on the member for subsistence.

Qualified dependents shall be entitled to a separate coverage of up to 45 days per calendar year. However, the 45 days allowance shall be shared among them.

Important:

Qualified dependents must be declared by the principal member. Their names must be listed under the principal member's Member Data Record (MDR) to ensure hassle-free benefits availment

Amending your data

1. Download PhilHealth Member Registration Form or (PMRF)

2. Tick FOR UPDATING on the upper right-hand corner of the PMRF

3. Fill out PMRF as appropriate

4. Submit properly filled out PMRF to the nearest PhilHealth Office

5. Await printout of updated Member Data Record

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Kung nais mag-renew o mapabilang bilang isang INDIGENT PHILHEALTH member, mangyari lamang na sundin ang mga sumusunod na hakbang:

🔰Kumuha sa inyong barangay ng Certificate of Indigency.

-🔰Dalhin ang Certificate of Indigency sa Social Walfare Department na nakatalaga sa inyong munisipyo.

🔰Magpa-assess sa mga social worker upang kanilang maberipika kung ikaw ba ay qualified na mapabilang sa indigent member. 

🔰Once na ikaw ay mapatunayan na walang kakayahang magbayad ng premium contribution, ikaw ay maaari ng mapabilang sa mga indigent member.

🔰Once na ikaw ay kabilang na as indigent member, hindi mo na kinakailangan na magbayad ng PhilHealth contribution dahil ang National Government na ang magbabayad nito.

❗Isang mahalagang paalala para sa mga indigent member: Ang validity ng pagiging indigent member ay valid lamang ng one calendar year. Regardless kung kailan nagpa-member as indigent, mag-eexpired ang validity nito sa pagsapit ng Ika-31 ng Disyembre ng taon.