PHILHEALTH BENEFITS

Question 1

The ___________ , formerly known as Medicare, is a health insurance program for SSS members and their dependents whereby the healthy subsidize the sick who may find themselves in need of financial assistance when they get hospitalized.

Answer 1

• National Health Insurance Program (NHIP)

Question 2

The ____________” or _______ is the mandated administrator of the Medicare program (now known as NHIP) under the National Health Insurance Act of 2013 (Republic Act ___ as amended by RA ___ and ___)

Answer 2

• Philippine Health Insurance Corporation or
• PhilHealth
• Republic Act 7875 as amended by RA 9241 and 10606)

Question 3

B. Coverage

Members in the _______ includes those with formal contracts and fixed terms of employment including workers in the government and private sector, whose premium contribution payments are equally shared by the employee and the employer.

Answer 3

• Formal Economy

Question 4

_________ includes members whose contributions are being paid for by another individual, government agencies, or private entities.

Answer 4

• Sponsored Members

Question 5

Members in the __________ includes a wide range of individuals and sectors ranging from the self-earning to migrant workers.

Answer 5

• Informal Economy

Question 6

_________ members who have reached the age of retirement under the law and have paid at least 120 monthly premium contributions.

Answer 6

• Lifetime Members -

Question 7

_______ 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.

Answer 7

• Indigent Members

Question 8

_______ those who are 60 years old and above and are not currently covered by any of the existing membership categories of PhilHealth.

Answer 8

• Senior Citizens