PhilHealth collects premiums, accredits providers, sets the benefits packages and provider payment mechanisms, processes claims, and reimburses providers for their services. PhilHealth is responsible for oversight and administration of public sector insurance schemes.
PhilHealth’s mandate is to provide health insurance coverage to all Filipinos. In partnership with Local Government Units (LGUs), PhilHealth has enrolled millions of families who otherwise have no access to health services.
Source: Philippine Go