Guide on PhilHealth Beneficiaries / Dependents of Members
Here’s a guide on who are considered as the beneficiaries or dependents of a PhilHealth member who may also avail the benefits.
Are you one of the members of the Philippine Health Insurance Corporation or just about to be a member? It is one wise move and an excellent preparation against the unforeseen medical emergencies.
If you are a member of PhilHealth with an updated account, you may be entitled to the inpatient, outpatient, Z, and SDG-related benefits. It is important to know that some of your family members may be your PhilHealth beneficiaries thus they can avail certain benefits even without you paying for addition premiums for their coverage.
Who are considered as PhilHealth beneficiaries or dependents? Here are the qualifications set by the state-run health insurance institution:
- Legitimate spouse who is not a member
- child or children below 21 years old, single and unemployed
- legitimate, legitimated, acknowledged and illegitimate, adopted or stepchild or stepchildren
- children who are twenty-one (21) years old or above but suffering from congenital disability
- Foster child as defined in Republic Act 10165 otherwise known as the Foster Care Act of 2012
- parents who are at least 60 years old and not members of PhilHealth and whose monthly income is lower than an amount to be determined by PhilHealth in accordance with the guiding principles set forth in the NHI Act of 2013
- parents with permanent disability regardless of age as determined by PhilHealth
According to PhilHealth, the dependents are entitled to a separate coverage of up to 45 days annually. The said additional coverage will be shared among all the beneficiaries of a member. It is important to indicate the names of your beneficiaries under your Member Data Record or MDR to ensure their qualification for the 45-day coverage.
