Members of state-owned Philippine Health Insurance Corp. (PhilHealth) still pay out of pocket for medical services despite a law on universal healthcare, according to state think tank Philippine Institute for Development Studies (PIDS). READ:
The elderly, women, rural and poor Filipinos are more likely to spend more, with the national health insurance program coverage limited to 40% of total hospital costs, PIDS said in a December 2022 study.
PIDS computed the “support value” — the percentage of hospital care costs shouldered by PhilHealth — using PhilHealth data from 2018 to 2021, along with data sets from the Department of Health, Philippine Statistics Authority and Washington-based Institute for Health Metrics and Evaluation. The study found that Filipinos in rural areas were likely to spend more because of the uneven distribution of primary care facilities and accredited hospitals that “do not cover the cost of all services.”Out-of-pocket costs are an important indicator of an effective healthcare system, PIDS said in a November 2016 report.
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