PhilHealth Konsultasyong Sulit Tama (Konsulta) is a
comprehensive outpatient benefits as mandated by the
Universal Health Care Law.
UHC ensures that all Filipinos are guaranteed equitable access to quality and affordable health care goods and services, and protected against financial risks.
PhilHealth Konsulta aims to:
✔ Protect the health of every Filipinos against chronic illnesses
✔ Avoid complications through early detection
✔ To provide affordable drugs and medicines
Under the PhilHealth Konsulta, all Filipinos shall be registered with an accredited PhilHealth Konsulta Provider of their choice and be eligible to avail of the following:
✔ Consultation
✔ Health Risk Screening and Assessment
✔ Selected Laboratory and Diagnostic Test
✔ Selected Drugs and medicines
(Circular No. 2023-0013)
Implementing Guidelines for the PhilHealth Konsultasyong Sulit at Tama (PhilHealth Konsulta) Package (Revision 2)
Philippine Star | Publication Date: 08-08-2023
(Circular No. 2020-0008)
Implementation of a Primary Care Provider Network (PCPN) Contracting Arrangement through the Konsulta Package in Sandbox Sites/Networks (Revision 1)
Manila Bulletin | Publication Date: 04-28-2023
(Circular No. 2020-0022)
Implementing Guidelines for the PhilHealth Konsultasyong Sulit at Tama (PhilHealth Konsulta) Package
Manila Bulletin | Publication Date: 12-24-2020
Annex A - Registration to a PhilHealth Konsulta Provider
Annex B - PhilHealth MOP for Assisted Registration
Annex C - PhilHealth Konsulta Registration Form
Annex D - PhilHealth Konsulta Benefit Table
Annex E - List of Preventive Health Services based on Lifestage Guarantees
Annex F - Benefit Availment
Annex G - eKAS and ePresS
Annex H - Approved Benefit Payment and Balance Billing Co-payment Schedule
Annex I - Submission of Report
Annex J - List of Minimum Personal Information for the First Patient Encounter
(Circular No. 2020-0021)
Accreditation of HCPs for Konsulta Package
Manila Bulletin | Publication Date: 12-23-2020
Annex A - Minimum Requirements for Accreditation of PhilHealth Konsulta Providers
Annex B - Self-Assessment/ Accreditation Survey Tool for PhilHealth Konsulta Provider
Annex B1 - Health Human Resource Survey Toolfor PhilHealth Konsulta Provider
Annex B2 - Checklist of PhilHealth Konsulta Drugs and Its Preparation
Annex B3 - Checklist of PhilHealth Konsulta Laboratoriesand Diagnostic Services
Annex C - Procedures and Documentary Requirements for Accreditation of PhilHealth
Konsulta Providers
Annex D1 - Certification of Service Delivery Suport (Laboratory and Diagnostic Services)
Annex D2 - Certification of Service Delivery Suport (Medicines)
Annex E - Non‐Disclosure Agreement
(Advisory No. 2023-0025)
Extended Deadline for Submission of Konsulta Data Records
Manila Bulletin | Publication Date: 08-09-2023
(Advisory No. 2023-0009)
To: All Accredited Konsulta Providers
Konsulta SAP Adjustment Updates
Date Uploaded: 03-03-2023
(Advisory No. 2023-0025)
Konsulta Web Service Updates
Date Uploaded: 01-31-2023
ITRMC is now accredited with PhilHealth Konsulta
Kalinga ng Maynila Citywide PhilHealth Konsulta Registaration and Profiling
LAB for ALL - Baguio
LAB for ALL - Batangas
PhilHealth Angeles covers 400 Kapatad Konsulta members at Porace Aeta Community
PhilHealth Dasmariñas works to achieve Konsulta target via multi-sectoral app
PhilHealth Konsulta Float joins San Fernando City's Grand People's Parade
PhilHealth releases 500k Konsulta Check Payment to Bauang, La Union
PRO IVA, making headway on PhilHealth Konsulta