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64% of RP Population Now Covered by PhilHealth - February 2, 2006

SIXTY four percent of the country’s population now enjoy health insurance coverage under the Philippine Health Insurance Corporation (PhilHealth).

In a pre-11th Anniversary media briefing held in Quezon City recently, Lorna O. Fajardo, Officer-in-charge of the Office of the PhilHealth President and CEO said that at the close of 2005, PhilHealth registered a total active membership base of 12.5 million members, or about 54 million beneficiaries nationwide.

"This represents about 64 percent of the entire RP population of 85 million, bringing us closer to our goal of universal coverage," Fajardo said. She said that vigorous efforts at marketing the National Health Insurance Program (NHIP) to the five major sectors being served by PhilHealth, coupled by the national and local governments’ support for the program, were the primary factors for this unprecedented membership record. The five sectors include the employed, the individually paying, the non-paying, the sponsored and the overseas Filipino workers.

Fajardo added that the turnover of the Medicare program for OFWs from the Overseas Workers Welfare Administration (OWWA) also contributed significantly to the increase in membership base. "Through our Overseas Workers Program, we were able to enlist more than 700,000 members by year-end," she said.

Of the estimated 54.5M beneficiaries, 41 percent comes from the private employed sector while about 24 percent comes from the sponsored sector. The government employed sector accounts for 15 percent while the individually paying sector accounts for 14 percent. The OFW sector accounts for 4.9 percent of the membership pie while the non-paying sector accounts for .6 percent of the entire membership distribution.

To date, PhilHealth has the biggest membership base among all other government social security agencies. It is open to self-employed individuals, to retirees and pensioners, to OFWs, as well as to indigent families whose coverage are sponsored by local government units, private companies and individuals. On the other hand, coverage is mandatory for government and private sector employees, including household employees.

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