PhilHealth expanded its services for members in the government sector in 1998 by assuming the complete range of Medicare services previously provided by the GSIS. As such, during this year the NHIP's membership framework was developed. The framework included the procedures for registration and updating of membership records of employees in the government sector.

Membership - Build-up of the database for members in the government service commenced upon PhilHealth's assumption of collection functions for government sector members on January 1,1998.

Membership Breakdown per Sector As of September 2007 Sector Members Beneficiaries % to Total Government Employed 1.53M 6.36M 10.4% Private Employed 6.56M 23.40M 38.9% Sponsored Program 3.02M 15.12M 25.1% Individually Paying 2.01M 9.15M 15.2% Non-Paying 0.32M 0.54M 0.9% Overseas Workers 1.51M 6.55M 10.9% Total 14.95M 61.12M 100%

The program covers the following:

• Employed Members - all those employed in the government and private sector.
• Individually Paying Members - self-employed, Overseas Filipino Workers, professionals in private practice (doctors, lawyers, dentists, etc.)
• Non Paying Members - the following are entitled to lifetime coverage:
  • Retirees and pensioners of the GSIS and SSS (including permanent total disability and survivorship pensioners of the SSS) prior to the effectivity of RA 7875 in March 4, 1995.
  • Members who have reached the age of retirement and have paid at least 120 monthly contributions. Optional Retirees (under RA 1616, PD 1146 or PD 1184) are not yet entitled to lifetime coverage until they reach the age of retirement (60 years old).
• Indigent Members - under the indigent component of the NHIP

The following also enjoy coverage through your membership without paying additional premium:

• Legitimate spouse, non-member
• Children (legitimate, illegitimate, adopted and step child) below 21 years old, unmarried and unemployed
  
  Note : Children 21 years or above but suffering from any congenital disability, either physical or mental, or any disability acquired that renders them totally dependent on the member for support are also given free coverage as dependents provided your membership remains active.

• Parents 60 years old and above, not qualified as Non Paying Members and wholly dependent on the member for support

What You Need to Submit to be a Member:

How do I declare my legal dependents?

DEPENDENTS REQUIREMENTS Spouse • Copy of Marriage Contract Children below 21 years of age a) Legitimate • Birth Certificate whether or not the age is at the borderline b) Illegitimate/Legitimated Any of the following: • Birth Certificate acknowledged by any of the parent-member • Notarized Affidavit of Support c) Legally-adopted Any of the following: • Legal adoption papers • Notarized Affidavit that child is legally adopted d) Step child Any of the following: • Birth Certificate • Baptismal Certificate • Affidavit of Support by his mother or his step-father in the absence of the mother or vice versa. e) 20 years of age (bordering the age of 21) Birth Certificate f) If 21 and above but suffering from congenital illness or disabilities Doctor's certification to the effect that the dependent child is disabled or suffering from congenital illness Parents a) 60 years old and above Any of the following: • Birth Certificate • Affidavit of Two (2) Disinterested Persons • Voter's Affidavit • Passport (page indicating data of holder) b) Step Parent/s 60 years old and above • Photocopy of Marriage Certificate/Contract between biological parent of the member child and the step parent; • Photocopy of Birth Certificate of Step Parent (in its absence, a Notarized Affidavit of Two Disninterested persons attesting to the date of Birth); • Photocopy of Birth Certificate of the member child indicating the name of his/her biological parent;AND • Photocopy of Death Certificate of Member's deceased biological parent. c) Adoptive Parent/s 60 years old and above • Photocopy of Court Decree/Resolution of Adoption OR photocopy of Birth Certificate of the child in which the adoption is annotated thereto;AND • Photocopy of Birth Certificate/s of Adoptive Parent/s (in its absence, a Notarized affidavit of two disinterested persons attesting to the date of birth).

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