...Is philhealth worth it?

Philippines
September 4, 2012 7:44pm CST
I recently applied for Philhealth for my insurance needs. Although I have offers from other companies, I thought it is better if I stick with Philhelath since it is widely-accepted when it comes to health and hospital services. However, I just learned that my contribution for this quarter has doubled. Of course, it is still cheaper compared to other insurance but I have a feeling that it is is unfair. if it was a commercial insurance, at least I would have been informed promptly of upping the charges. This is definitely gonna have a dent in my budget. What do you think – is time to ditch Philhealth or take another insurance? DO you have success or sorry stories about Philhealth?
1 person likes this
4 responses
@rog0322 (2829)
• Cagayan De Oro, Philippines
5 Sep 12
Hi, I do have a Philhealth number but I have stopped my premium when it was doubled. I don't know, maybe they are just trying to make some money out of it or their motive to help the common man is sincere. In other countries (here we go again), health insurance is free whether one is rich or poor.
1 person likes this
• Philippines
6 Sep 12
That’s what I am considering. I think I will need it but somehow with my current and past health record, I don’t think I will be able to use it. Of course, free healthcare is probably one of the best things to look for a country and comparing health standards.
• Philippines
6 Sep 12
@rog0322: "In other countries (here we go again), health insurance is free whether one is rich or poor." Whoa, really? I know there are better health insurances in other countries than ours, but I'm pretty sure those are usually from countries with higher taxes than ours as well. My Ninang who lives in Canada has completely free health benefits but those are products from the fact that she's a citizen and has worked for over 2 decades over there. Canada also deducts a minimum of 13% in taxes from the lowest tier and can go as high as 52% for the highest pay hierarchy. They DO have awesome health care, I just don't think it's necessarily free?
@rsa101 (37968)
• Philippines
5 Sep 12
Well if you are employed you are obliged to pay for this via salary deduction. You won't need to apply for yourself since your employer will take charge of it. If you are not that sickly, you won't feel the benefit of this insurance at all. But if you happen to be hospitalized then that is the time you will feel the benefit of this one. So I guess it would be handy that you have insurance like this one while you are working and healthy.
@rsa101 (37968)
• Philippines
6 Sep 12
Yes when you have dependent they are also benefited by your contribution with them. Well so far our medical health insurance only covers hospitalization and some medical procedure as well. But in as far as medicines are concerned we cannot use it. I just hope that in the future we can also use this when buying medicines or some kind of assistance especially when the meds we take are quite expensive.
@SIMPLYD (90722)
• Philippines
5 Sep 12
That is true RSA. For us employed, it is automatically deducted, though it is just minimal. And you are right, you won't be feeling its benefits when you are not hospitalized. I was able to benefit from it, when i was hospitalized and operated on, last May. Before my health card's share on the bill was deducted , Philhealth's share was deducted first. Thus, my health card's share was lessened.
1 person likes this
• Philippines
6 Sep 12
Ah.. I see. Well, I just hope that I feel my contributions without any major health complications. One’s health is wealth after all. I assume that if one had s dependents, it could also eb used for their medical expenses?
1 person likes this
@neildc (17239)
• Lapu-Lapu City, Philippines
5 Sep 12
i guess in any case, insurance like this philippine health insurance is not being felt, its importance i mean, when it's not used. although most people would say, better prepared than feel sorry and hope it won't be used but at least. i have been a member for almost ten years since i started working in the goverment. i have used the insurance with the operation of my son in manila last december 2010,. and lately, his two elder siblings caught dengue and were both confined for three days in the hospital. unfortunately, they both suffered dengue fever at the same time. although we spent about 4 to five thousand pesos for our daily expenses, medicines both before they were confined or those not available in the hospital pharmacy, food and transportation, we are fortunate that philhealth shouldered all the bills in the hospital. philhealth has its something called "case rates" where members will immediately know how much subsidy they can get from PhilHealth for certain medical conditions and surgical procedures in accredited institutional health care facilities. At the same time, using this mechanism will improve the turnaround time for claims processing as it is simpler and easier to administer. PhilHealth will be able to reimburse accredited providers faster. It also means less administrative cost to PhilHealth and to the accredited healthcare facilities. in our case, dengue fever stage 1 and 2 are at 8,000 pesos maximum. since we didn't reached the said amount, philhealth will only pay the said hospital that amount while we, the member/patient, discharged from the hospital without paying cash. well, even if we did not reached the maximum, say we're only billed at 4 or 5 thousand, i cannot imagine how difficult for me to look for 10 thousand pesos for the two kids?
• Philippines
6 Sep 12
Your post explained a lot and I thank you for it. I don’t exactly know the scheme of things but the over-all picture. At least, I know now what to expect from my contributions and how I can use them in certain situations.
@kongno (431)
• Philippines
10 Sep 12
i don;t know if i'm just weird or what, but what i understand about being a member of philhealth is ignoring your own health and let the professional handle it, how can a member benefit from philhealth if he/she is healthy, of course non of the member want to confine in a hospital just to have the benefit or use of their membership, this is the very reason why i don't want to be a member of philhealth, for me it's like hoping for something bad to happen to our health first and then thhadaa!!! finally i can use my membership...