The Philippine Health Insurance Corporation (PhilHealth) paid over PHP200bn in medical claims from January to September 2025.
Data released by PhilHealth showed that PHP217.93bn worth of medical claims have been paid to accredited health facilities during this period. This is 94.18% higher compared to the PHP112.23bn recorded during the same period last year.
In 2024, the state-run health insurer paid PHP58.94bn for private facilities and PHP53.29bn for government facilities. For 2025, PhilHealth settled PHP127.79bn for private facilities and PHP90.14bn for public health facilities.
In its social media post, PhilHealth said it will continue to improve its management of funds in a bid to ensure that members are provided the benefits they are entitled to. "PhilHealth continues to strengthen the proper management of health service payments to ensure that every peso goes to the appropriate benefits of each member."
PhilHealth was established to provide health insurance coverage and ensure affordable, acceptable, available, and accessible health care services for all citizens of the Philippines.
In a related development the Philippines lawmakers have approved next year’s PHP113bn allocation for PhilHealth with an expectation that this will lead to improved benefits coverage and enhanced zero billing for patients.
Representative Mikaela Angela Suansing told media persons, “First, we expect wider PhilHealth coverage and higher benefits package; second is the lowering of premiums for direct contributors and third, we expect them to fully pay their financial obligations to hospitals.”