Head Office Address

Citystate Centre, 709 Shaw Blvd.,

1603 Pasig City, Philippines

Regional Offices

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.

Corporate Activities

Training Programs
Through our Training Institute, we offer quality skills training programs for
the continuing education of our health care providers. We also share the
Philippine experience in social health insurance through our basic courses
for our international clientele.

Job Vacancies
Check our recent job vacancies and take a chance at working with the
country's largest purchaser of health care services.

Invitation To Bid
For corporate entities that desire to do business with us, we have posted the
procurement requirements for both our head office and regional offices.

News
Get to know more about developments in the NHIP through our news bulletins,
advisories and other issuances.

Vision, Mission, Core Values

Vision
Adequate and Affordable Social Health Insurance Coverage for ALL Filipinos.
Mission
To ensure adequate financial access of every Filipino to quality health care
services through the effective and efficient administration of the National
Health Insurance Program.
Core Values
People and Partnership
The alliance we have made are the wheels of our program. Our members are at
the core of our operations and it is our duty to serve the public.
Harmony
Team PhilHealth moves as one, otherwise, we could not have reached nor
surpassed our goals.
Innovation
We support new and bright ideas to improve our operations, and apply the
Balanced Scorecards into how we carry out our tasks.
Leadership
The entire PhilHealth organization leads and drives the health system reforms
in the country.
Honor, Accountability and Transparency
We are the custodians of public coffers and we owe it to the people to keep
the program afloat for future generations.
Excellence and Lifetime Learning
We do not just meet targets; we surpass them because we are movers and
shapers. We are the few who make things happen but we continue to learn new
things.

Health for All

We aim for universal coverage. Right now, we cover eight out of every ten
Filipinos, and we aspire to sustain this coverage in the long-term.

Business Profile
Nature Of Organization

Government Owned and Controlled Corporation (GOCC)

Type Of Industry

Health Care Financing

Affiliations

International Social Security Association

ASEAN Social Security Association

Philippine Social Security Association

Funding Sources

National and Local Government Units (for the annual premium of enrolled
sponsored members)
Contribution of members into the Program
Key Program Partners

Institutional and Professional Health Care Providers

National Government Agencies

Local Government Units

Collecting Banks and Agents

Private Organizations

Board Of Directors

Board Chair
Hon. Enrique T. Ona, M.D.
Board Members
Hon. Francisco T. Duque III,
M.D., MSc
CSC Chairman

Hon. Jesse M. Robredo

DILG Secretary

Hon. Corazon J. Soliman

DSWD Secretary

Hon. Rosalinda D. Baldoz

DOLE Secretary

Hon. Juan M. Flavier, M.D.

Health Care Providers Sector

Hon. Alexander A. Ayco, M.D.

Labor Sector

Hon. Dr. Eduardo P. Banzon

Employers Sector

Hon. Francisco Vicente F. Lopez,

M.D.
Self Employed Sector

Hon. Emilio S. De Quiros, Jr.

SSS President & CEO

Hon. Robert G. Vergara

GSIS President & General Manager

Hon. FlorenciaDorotan
NAPC-Representative

Hon. Jane M.N. Sta. Ana

Filipino Overseas Workers

Atty. Genesis M. Adarlo

Corporate Secretary

Executive Officers

NAME

FUNCTIONAL
ACTUAL OFFICE
DESIGNATION

BANZON,
EDUARDO P.

President & Office of the

Chief
President and
Executive
Chief Executive
Officer
Officer

PADILLA,
ALEXANDER A.

Executive
VicePresident
And Chief
Operating

Office of the
Chief Operating
Officer

REMARKS

Concurrent Operations Sector

Officer

ADARLO,
GENESIS M.

Corporate
Secretary

Office of the
Corporate
Secretary

ASUNCION,
EDGAR JULIO
S.

Senior
VicePresident

Legal Sector

BELTRAN,
ERNESTO V.

Senior
VicePresident

Actuarial
Services & Risk
Management
Sector

Designated as Project Management Head for UMID

ESGUERRA,
OCTAVINO Q.

Senior
VicePresident

Management
Services Sector

Supervise the Task Force on Corporate Center

MARCELO,
ALVIN B.

Chief
Office of the
Information Chief
Officer
Information
Officer

MERCADO,
MELINDA C.

Chief Audit Internal Audit

Executive
Group

VALILA, VAL
S.

Senior
VicePresident

Fund Management
Sector

BASA, RUBEN
JOHN A.

Vice
President

Office of the
First Vice
President for
NCR and
Southern Luzon

Supervises OSDO and HRD

DE LEON,
DANIEL F.

Regional
VicePresident/
OIC-Area
VicePresident

Office of the
First Vice
President for
Northern and
Central Luzon

Concurrent Regional Vice-President of PRO 1

RULLODA,
GREGORIO C.

Vice
President

Corporate
Affairs Group

Supervise the PTI

LIM, GERMAIN
G.

Vice
President

Arbitration
Office

SANTIAGO,
NERISSA R.

Vice
President
(Actuary)

Office of the
Actuary

DOMINGO,
SHIRLEY B.

Vice
President

PhilHealth
Regional Office
NCR

BALOG,
RODOLFO M.

Vice
President

PhilHealth
Regional Office
III

BACAREZA,
WALTER R.

OIC, Vice
President

Member
Management
Group

SAN ANDRES,
ANN MARIE C.

Senior
Manager

Comptrollership
Department

VILLEGAS, JAY Senior

R.
Manager

Operations
Audit
Department

Concurrent Special Programs Department Senior Manager /

Supervises the Population Segments

GEDUSPAN,
MARILYN C.

Senior
Manager

Corporate
Planning
Department

DIAZ, GILDA
SALVACION A.

Senior
Manager

International &
Local
Cooperation
Department

VARLEZ, MARIA Senior

SOPHIA B.
Manager

Public Affairs
Department

YAEZ,
ENERITO O.

Senior
Manager

Protest and
Appeals Review
Department

ALMANON,
HENRY V.

Senior
Manager

Human Resource
Department

YAP, CHONA S. Senior

Manager

Training
Institute

BANGALAN,
EVELYN C.

Senior
Manager

Physical
Resources and
Infrastructire
Department

CORVITE,
CYNTHIA D.

Senior
Manager

Task Force II
Audit

CAAVERAL,
ALEX B.

Senior
Manager

Financial Audit
Department

PINEDA,
Senior
ALFREDO II B. Manager

Internal Legal
Department

Heads the Risk Management Department

SORIA,
OIC, Vice
FRANCISCO JR. President
Z.

Health
Insurance
Product
Development
Team

SUGAY, NARISA Senior

PORTIA J.
Manager

Team Head of
MDG Benefits

PARGAS,
ISRAEL
FRANCIS A.

Team Head of
In-patient
Benefits

Senior
Manager

RACELIS,
Senior
EVANGELINE F. Manager

Treasury
Department

CARDONA, LEO
DOUGLAS JR.
V.

Senior
Manager

Fact-Finding,
Investigation
and Enforcement
Department

PABLO,
VICTORIA D.

Senior
Manager

Office of the
SVP for Fund
Management

LAGRADA,
LEIZEL

Senior
Manager

Office of the
Chairman

PORTUGAL,
LETICIA P.

Branch
Manager

PhilHealth
Regional Office
NCR North

TULIAO,
LOLITA V.

Branch
Manager

PhilHealth
Regional Office
NCR Central

Product Team Head for Primary Care Benefit

FERNANDEZ,
ELIZABETH S.

Branch
Manager

PhilHealth
Regional Office
NCR South

VER, ELVIRA
C.

Regional
Vice
President

PhilHealth
Regional Office
CAR

ABADU, OSCAR
JR. B.

Regional
Vice
President

PhilHealth
Regional Office
II

TORRES,
ARSENIA B.

Branch
Manager

PhilHealth
Regional Office
III-Branch A

REYES,
ROBERTO T.

Branch
Manager

PhilHealth
Regional Office
III- Branch B

MANDURIAO,
ALBERTO C.

Regional
Vice
President

PhilHealth
Regional Office
IV-A

PEREZ, PAOLO
JOHANN C.

Regional
Vice
President

PhilHealth
Regional Office
IV-B

IIGO,
ORLANDO JR.
D.

Regional
Vice
President

PhilHealth
Regional Office
V

MAS, DENNIS
S.

Regional
Vice
President

PhilHealth
Regional Office
VI

CHAVEZ,
WILLIAM O.

Regional
Vice
President/
OIC - Area
Vice
President

PhilHealth
Regional Office
VII

ALBERTO,
ROMEO D.

Regional
Vice
President

PhilHealth
Regional Office
IX

ALONTO,
MASIDING JR.
M.

Regional
Vice
President

PhilHealth
Regional Office
X

ADRE, DENNIS
B.

Regional
Vice
President

PhilHealth
Regional Office
XI

ARISTOZA,
RAMON JR. F.

Regional
Vice
President/
OIC - Area
Vice
President

PhilHealth
Regional Office
XII

Concurrent Area Vice President, Office of the First Vice

President For The Mindanao

SYCHUA,
JOHNNY Y.

Regional
Vice
President

PhilHealth
Regional Office
CARAGA

PhilHealth Regional Office CARAGA

MACABATO,
Regional
KHALIQUZZAMAN Vice
M.
President

PhilHealth
Regional Office
ARMM

IBAY, JERRY
F.

PhilHealth
Regional Office
VIII

OIC,
Regional
Vice
President

Concurrent Area Vice President, Office of the First Vice

President For Visayas

Designated as Officer-In-Charge

BAUTISTA,
OIC, Senior Organization
CLEMENTINE A. Manager
and Systems
Development
Office

Designated as Officer-In-Charge

DE LEON,
DARWIN G.

OIC, Senior Prosecution

Manager
Department

Designated as Officer-In-Charge

SO, ROBERT
LOUIE P.

OIC, Senior Product Team

Manager
Head for
Special
Benefits

NAVARRO,
DEXTER

OIC-Senior
Manager

UNTALAN,
LEMUEL T.

OIC, Senior Marketing and

Manager
Collection
Department

Designated as Officer-In-Charge/ Policy Support, Databas

and ID-Population Segment

DEL ROSARIO,
RODOLFO JR.
B.

OIC, Senior Information

Manager
Technology
Management
Department

Designated as Officer-in-Charge

VERGARA,
JOSEPH O.

OIC-Senior
Manager

Designated as OIC-Head

Population
Segment Head
for Employed
Sector

Task Force on
Corporate
Center and
Offices (TFCCO)

Concurrent OIC-SM, Improved Collection Efficiency

DUTIES and RESPONSIBILITIES

On membership:

of a PHILHEALTH MEMBER

Have in possession at all times

As a PhilHealth member, there are

certain things you must do to

yourPhilHealth Number

enjoy your benefits to the fullest:

or Identification Card.

Card

Update your Member Data Record (MDR)

for any change in
personal information such as change
in civil status or addition
of a new dependent.
Request for a replacement in case of
loss of PhilHealth Number
Card or Identification Card.

that

regularly pay

you

promptly

your

and

contributions

list
of
facilities

anyPhilHealth office wherein you can

avail of benefits.
Submit a properly and completely
filled-up PhilHealth Claim

and Overseas Workers Program

Member Data Record (MDR)

of PhilHealth benefits.

of benefits.
For Employed:
For newly hired employees, check if
your name is reported by
your employer to PhilHealth
the Er2 Form (Report of

in

monthly
are
and

an

premium payments.
Ensure that you have sufficient
qualifying contributions to avail
ofPhilHealth benefits anytime.

appropriate
deducted

and

Ask
for
a
Statement of

providers

final
of
copy

benefits
bills
of

and
your

Account/Billing Statement from the

hospital
upon discharge.

by your employer to PhilHealth.

Report to PhilHealth at once
employer who does not remit

to avail

Clarify
with
(hospital/doctor), the

upon
settlement
charges.

Employee - Members).

deducted
from
your
salary
promptly remitted and reported

and

necessary documents to the hospital

including a copy of your

suspension

Ensure
that
your
PhilHealth contributions

stated in the said form are true and

factual.
Ensure
that
you
properly
completely submit all the

(for Individually Paying Members

Members) to avoid

Secure
an
updated
PhilHealth-accredited
from

Form 1 to the hospital

and ensure
that all the information you

On Contribution:
Ensure

On Benefit Availment:

Ask for an Official Receipt (OR) and

Waiver
from the
payments

hospital

made in full.

and

doctor

for

Ensure that
your
claim, if
you
opt for direct filing, is filed at

Report at once to PhilHealth any

hospital that fails, without valid

PhilHealth
days from

reason, to accommodate a PhilHealth

member who wishes to

within
the date

sixty
of

(60)

discharge for local confinements,

and within one hundred

avail of benefits.

eighty (180) days for confinements

abroad.

Report at once to PhilHealth

fraudulent transaction that you

any

What else you must do:

know about.
Observe and comply with PhilHealth
rules and regulations as

Be aware of amendments and updates

on PhilHealth policies
and benefits schedule.

there
are
offenses
in
its
Implementing Rules and Regulations

Seek
clarification
from
any
PhilHealth office on any unclear

that a member may be held liable

for.

policy or guideline.
Email us: info@philhealth.gov.ph
Download your forms: www.philhealth.gov.ph

CORPORATE PARTNERS:
Healthcare Providers
We forge partnerships with only the best in the industry to fulfil our mandate
of providing all Filipinos with accessible, available, acceptable and
affordable health care services that will lead to better health outcomes and
improved quality of life.
Employers
We partner with employers in the government and private sectors to ensure that
all their employees are provided with social health insurance coverage as
mandated by law.
Public - Private Partners
In support of the National Government's call to push government projects
through strategic partnerships with the private sector, we have entered into
valuable linkages with multi-sectoral partners to initially help increase
membership coverage. In this section, we list our major partners under the PPP
initiative, accessible through the new PhilHealth discount card.

Collecting Partners
We have tapped the services and networks of bank and non-bank institutions to
make premium remittance more convenient for our members and employers. This
section provides a complete list of these partners and their branch locations,
and also includes basic information for collecting agencies that might be
interested to partner with us in premium remittance.
Online Services
Electronic Claims Submission
Get Started
Accredited institutional providers
may now verify the eligibility
status of members and dependents.

Electronic Registration
Register
This facility enables individuals to
register online

Electronic Group Enrollment System

Login
Facilitates registration, billing
and query of Organized Groups.

Electronic Payment Facilities

View list
Different facilities for employers
transacting with banks.

IHCP Portal
Login | How to Register
Check membership status of Sponsored
Members under the NHTS-PR during
benefits availment.

Electronic Premium Reporting System

Login
Enables employers to post payments
of their employees on real time.

Remittance-By-Air
How to Use
A payment facility through SMS for
individually paying members.

PhilHealth GIS
Get Started
A facility for viewing the locations
of health facilities and
visualization of various corporate
data using maps

 2012 Philippine Health Insurance Corporation | Citystate Centre, 709 Shaw

Boulevard 1603 Pasig City | Call Center
(+632) 441-7442