The Philippine Health Insurance Corporation (PhilHealth) was created in 1995 to implement universal health coverage in the Philippines. It is a tax-exempt, government-owned and controlled corporation (GOCC) of the Philippines, and is attached to the Department of Health.
The National Health Insurance Program was established to provide health insurance coverage and ensure affordable, acceptable, available and accessible health care services for all citizens of the Philippines. It shall serve as the means for the healthy to help pay for the care of the sick and for those who can afford medical care to subsidize those who cannot. It shall initially consist of Programs I and II or Medicare and be expanded progressively to constitute one universal health insurance program for the entire population. The program shall include a sustainable system of funds constitution, collection, management and disbursement for financing the availment of a basic minimum package and other supplementary packages of health insurance benefits by a progressively expanding proportion of the population. The program shall be limited to paying for the utilization of health services by covered beneficiaries. It shall be prohibited from providing health care directly, from buying and dispensing drugs and pharmaceuticals, from employing physicians and other professionals for the purpose of directly rendering care, and from owning or investing in health care facilities. (Article III, Section 5 of RA 7875 as amended)
Its stated goal is to “ensure a sustainable national health insurance program for all”, according to the company. In 2010, it claimed to have achieved “universal” coverage at 86% of the population, although the 2008 National Demographic Health Survey showed that only 38 percent of respondents were aware of at least one household member being enrolled in PhilHealth. Nevertheless, this social insurance program provides a means for the healthy to pay for the care of the sick and for those who can afford medical care to subsidize those who cannot. Both local and national governments allocate funds to subsidize the indigent.
PhilHealth collects premiums, accredits providers, sets the benefits packages and provider payment mechanisms, processes claims, and reimburses providers for their services. PhilHealth is responsible for oversight and administration of public sector insurance schemes. PhilHealth’s mandate is to provide health insurance coverage to all Filipinos. In partnership with Local Government Units (LGUs), PhilHealth has enrolled millions of families who otherwise have no access to health services.
Interestingly, PhilHealth has vacancies available in its First and Second Level Positions.
List of Vacant First and Second Level Positions (Rank and File) in PRO III
One (1) Chief Social Insurance Officer (SG22/ Php 83,966 Monthly Salary)
- Plantilla Item No.: 48-06-0017
- Education: Bachelor’s degree relevant to the job
- Training: 24 hours of relevant training
- Work Experience: 4 years of relevant experience
- Eligibility: Career Service (Professional/Second Level Eligibility)
- Place of Assignment: PhilHealth Regional Office III – Branch A
One (1) Senior Social Insurance Officer (SG18/ Php 51,987 Monthly Salary)
- Plantilla Item No.: 48-05-0018
- Education: Bachelor’s degree relevant to the job
- Training: 8 hours of relevant training
- Work Experience: 2 years of relevant experience
- Eligibility: Career Service (Professional/Second Level Eligibility)
- Place of Assignment: PhilHealth Regional Office III – Branch B
One (1) Fiscal Controller II (SG15/ Php 43,711 Monthly Salary)
- Plantilla Item No.: 32-02-0035
- Education: Bachelor’s degree relevant to the job
- Training: 4 hours of relevant training
- Work Experience: 1 year of relevant experience
- Eligibility: Career Service (Professional/Second Level Eligibility)
- Place of Assignment: PhilHealth Regional Office III – Branch A
One (1) Fiscal Controller II (SG15/ Php 43,711 Monthly Salary)
- Plantilla Item No.: 32-02-0036
- Education: Bachelor’s degree relevant to the job
- Training: 4 hours of relevant training
- Work Experience: 1 year of relevant experience
- Eligibility: Career Service (Professional/Second Level Eligibility)
- Place of Assignment: PhilHealth Regional Office III – Branch B
One (1) Social Insurance Officer III (SG15/ Php 43,711 Monthly Salary)
- Plantilla Item No.: 48-03-0074
- Education: Bachelor’s degree relevant to the job
- Training: 4 hours of relevant training
- Work Experience: 1 year of relevant experience
- Eligibility: Career Service (Professional/Second Level Eligibility)
- Place of Assignment: Angeles City Service Office
One (1) Personnel Specialist I (SG13/ Php 37,317 Monthly Salary)
- Plantilla Item No.: 23-01-0002
- Education: Bachelor’s degree
- Training: None required
- Work Experience: None required
- Eligibility: Career Service (Professional/Second Level Eligibility)
- Place of Assignment: PhilHealth Regional Office III
One (1) Planning Officer I (Republican) (SG11/ Php 32,121 Monthly Salary)
- Plantilla Item No.: 53-01-0004
- Education: Bachelor’s degree relevant to the job
- Training: None required
- Work Experience: None required
- Eligibility: Career Service (Professional/Second Level Eligibility)
- Place of Assignment: PhilHealth Regional Office III
One (1) Social Insurance Officer I (SG11/ Php 32,121 Monthly Salary)
- Plantilla Item No.: 48-01-0119
- Education: Bachelor’s degree relevant to the job
- Training: None required
- Work Experience: None required
- Eligibility: Career Service (Professional/Second Level Eligibility)
- Place of Assignment: PhilHealth Regional Office III – Branch B
One (1) Human Resource Management Assistant II (SG10/ Php 25,027 Monthly Salary)
- Plantilla Item No.: 21-02-0002
- Education: Completion of two years studies in College
- Training: 8 hours of relevant training
- Work Experience: 2 years of relevant experience
- Eligibility: Career Service (SubProfessional/First Level Eligibility)
- Place of Assignment: PhilHealth Regional Office III
Qualified applicants are advised to send their complete application documents at the PhilHealth Regional Office III-A, PhilHealth Building, Lazatin Blvd., Dolores, City of San Fernando, Pampanga or at email address hr.pro3a@philhealth.gov.ph until AUGUST 26, 2022.
List of Vacant First and Second Level Positions (Rank and File) in PRO IV-A
One (1) Medical Specialist I (Republication) (SG21/ Php 51,987 Monthly Salary)
- Plantilla Item No.: 40-04-0011
- Education: Doctor of Medicine
- Training: 4 hours of relevant training
- Work Experience: 1 year of relevant experience
- Eligibility: RA 1080
- Place of Assignment: PhilHealth Regional Office IV-A
One (1) Medical Specialist I (Republication) (SG21/ Php 51,987 Monthly Salary)
- Plantilla Item No.: 40-04-0010
- Education: Doctor of Medicine
- Training: 4 hours of relevant training
- Work Experience: 1 year of relevant experience
- Eligibility: RA 1080
- Place of Assignment: PhilHealth Regional Office IV-A
One (1) Social Insurance Officer I (Republication) (SG11/ Php 32,121 Monthly Salary)
- Plantilla Item No.: 48-01-0136
- Education: Bachelor’s degree relevant to the job
- Training: None required
- Work Experience: None required
- Eligibility: Career Service (Professional) Second Level Eligibility
- Place of Assignment: PhilHealth Regional Office IV-A
One (1) Social Insurance Officer I (Republication) (SG11/ Php 32,121 Monthly Salary)
- Plantilla Item No.: 48-01-0132
- Education: Bachelor’s degree relevant to the job
- Training: None required
- Work Experience: None required
- Eligibility: Career Service (Professional) Second Level Eligibility
- Place of Assignment: PhilHealth Regional Office IV-A
One (1) Social Insurance Assistant I (Republication) (SG8/ Php 22,288 Monthly Salary)
- Plantilla Item No.: 51-01-0133
- Education: Completion of two years studies in College
- Training: 4 hours of relevant training
- Work Experience: 1 year of relevant experience
- Eligibility: Career Service (SubProfessional) First Level Eligibility
- Place of Assignment: PhilHealth Regional Office IV-A
One (1) Social Insurance Assistant I (Republication) (SG8/ Php 22,288 Monthly Salary)
- Plantilla Item No.: 51-01-0135
- Education: Completion of two years studies in College
- Training: 4 hours of relevant training
- Work Experience: 1 year of relevant experience
- Eligibility: Career Service (SubProfessional) First Level Eligibility
- Place of Assignment: PhilHealth Regional Office IV-A
Qualified applicants are advised to send their complete application documents at the PhilHealth Regional Office IV-A, Lucena Grand Central Terminal, Ilayag Dupay, Lucena City or at email address hr.pro4a@philhealth.gov.ph until AUGUST 26, 2022.
List of Vacant First and Second Level Positions (Rank and File) in PRO IX
One (1) Administrative Officer I (Republication) (SG11/ Php 32,121 Monthly Salary)
- Plantilla Item No.: 16-01-0059
- Education: Bachelor’s degree
- Training: None required
- Work Experience: None required
- Eligibility: Career Service (Professional) Second Level Eligibility
- Place of Assignment: Zamboanga Sibugay Service Office
Qualified applicants are advised to send their complete application documents at the PhilHealth Regional Office IX, BGIDC Bldg., Gov. Lim Ave., Zamboanga City or at email address hr.pro9@philhealth.gov.ph until AUGUST 26, 2022.
PhilHealth recognizes the right to equal opportunity in the workplace. Thus, all qualified applicants will be considered for employment without regard to age, ethnicity, religion, sex, civil status, national origin, disability status, political affiliation, or any other similar factors/personal circumstances which run counter to the principles of merit and fitness and equal employment opportunity.
For republished positions, previous applicants shall be considered in the processing, however, they can still submit updates on their application during this publication, if any.
The HRD/PRO HRU shall prepare a record of applicants with special needs and determine proper assistance to be provided according to their needs (i.e. auxiliary aids in coordination with appropriate agency or institution, ramp, wheelchair, elevators, and lactation room).
Documentary Requirements
Internal Applicant
- Application Form;
- Properly accomplished and updated Personal Data Sheet (PDS) (CS Form No. 212 Revised 2017) wuth recent passport-sized photo and Work Experience Sheet (WES);
- Certificate of Performance Rating (latest rating period).
External Applicant
- Application Form;
- Properly accomplished and updated Personal Data Sheet (PDS) (CS Form No. 212 Revised 2017) woth recent passport-sized photo and Work Experience Sheet (WES);
- Authenticated Certificate of eligibility/rating/license;
- Certificate of Eligibility issued by the CSC or CESB
- Valid Professional license or Certificate of Registration issued by the PRC/SC
- Valid licenses issued by authorized regulatory agencies
- Certificate of Performance Rating for the present position (for a period of one (1) year), if employed;
- Copies of Scholastic/Academic Records – Transcript of Records and Diploma or Certification from the DepEd and/or the CHED on the authenticity and equivalency on the subjects/courses taken;
- Copies of Certificate of Trainings attented;
- Sworn Declaration/Identification of Relatives;
- Certification of No Conflict of Interest;
- Non-disclosure Agreement.
If submitted online, the original/authenticated/certified true copies of the application papers and other documents deemed necessary (i.e. valid NBI clearance/Police Clearance, etc.), may be required by the HRD/HRU to be presented during the examination/interview of the applicants.
Application documents submitted in the following instances shall no longer be considered/accepted:
- Submitted beyond the publication/posting period;
- Documents not properly filled-out; and/or,
- Incomplete attachments.
These positions shall be processed using the provisions of the PhilHealth’s Merit Selection Plan pursuant to Corporate Order No. 2020-0020.
You may contact HRD at (02) 8441-7442 local 7521 or 7522 for queries on matters not covered by this advisory.
Downloadable forms can be found on the PhilHealth website www.philhealth.gov.ph
History
THE call to serve the rural indigents echoed since the early '60s when the Philippine Medical Association introduced the MARIA Project which prioritized aid to communities in need of medical assistance. The Project would then be considered a valuable precursor to the Medicare program, from which a medical care plan for the entire Philippines was created. On August 4, 1969, Republic Act 6111 or the Philippine Medical Care Act of 1969 was signed by President Ferdinand E. Marcos which was eventually implemented in August 1971.
The Philippine Medical Care Commission (PMCC) was tasked to oversee the implementation of the program which went for almost a quarter of a century.
In the 1990s, a vision for a better, more responsive government health care program was prompted by the passage of several bills that had significant implications on health financing. The public's clamor for a health insurance that is more comprehensive in terms of covered population and benefits led to the development of House Bill 14225 and Senate Bill 01738 which became The National Health Insurance Act of 1995 or Republic Act 7875, signed by President Fidel V. Ramos on February 14, 1995. The law paved the way for the creation of the Philippine Health Insurance Corporation (PhilHealth), mandated to provide social health insurance coverage to all Filipinos in 15 years' time.
PhilHealth assumed the responsibility of administering the former Medicare program for government and private sector employees from the Government Service Insurance System in October 1997, from the Social Security System in April 1998, and from the Overseas Workers Welfare Administration in March 2005.
PhilHealth has six major membership categories covering nearly the entire population. Those who count under the (1) "Formal" sector are workers employed by public and private companies and other institutions. (2) "Indigents" (also called "PhilHealth Ng Masa") are subsidized by national government through the National Household Targeting System for Poverty Reduction. (3) "Sponsored Members" are subsidized by their respective Local Governments (LGU). (4) "Lifetime" (non-paying) members are retirees and pensioners which have already paid premiums for 120 months of membership. (5) "Senior Citizen" (under RA 10645) allows all Filipino citizens 60 years old and above are eligible to have free PhilHealth coverage. (6) The "Informal Economy" is composed of Informal Sectors, Self-Earning Individuals, Organized Group, Filipino with Dual Citizenship, Natural-Born Citizen. Although treated separately, the Overseas Filipino Workers (OFW) program or Migrant Workers are a part of the Informal Economy. Migrant Workers are sub-categorized; whether if they are land-based or sea-based (for seafarers).
Since 1996, the benefits package and delivery system have improved. PhilHealth now has an Outpatient and Diagnostic Package limited to indigent beneficiaries. This addition creates nearly comprehensive coverage for indigents. In 2011, 23 Case Rates was introduced and in 2013, All Case Rates was fully implemented. All other beneficiaries have access to nearly all comprehensive services, excluding some outpatient care. PhilHealth has an accreditation program for private hospitals.
Source: Philippine Health Insurance Corporation