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Business July 15, 2026

PhilHealth's tiered benefits earn top rating

PhilHealth's tiered benefits earn top rating

Labor groups in the public sector have expressed opposition to a proposal to introduce a tiered benefit system under the Philippine Health Insurance Corp. The proposal, which was recently floated, has been met with criticism from groups such as the Public Services Labor Independent Confederation and the National Public Workers Congress. They argue that the proposed system could undermine universal healthcare by creating unequal access to benefits. This, they claim, would be a step backwards for the country's social health insurance system.

The proposed tiered benefit system would provide direct contributors with benefit packages commensurate with the premiums they pay. However, labor groups argue that this would weaken the principles of solidarity, equity, and shared responsibility that underpin the country's healthcare system. They believe that health is a right, not a privilege determined by one's capacity to pay, and that a tiered system would favor those who can afford to pay regular premiums while placing others at a disadvantage.

The labor groups are urging the government to restore and protect the funds of the Philippine Health Insurance Corp. and to fulfill its obligation to subsidize indirect contributors, including the poor, senior citizens, persons with disabilities, and informal workers. They argue that the government should invest in a stronger publicly funded health system, rather than introducing a tiered benefit system that could exacerbate existing inequalities. By doing so, they believe that the government can ensure that all citizens have access to quality healthcare, regardless of their financial means.

The introduction of a tiered benefit system has sparked concerns that it could lead to a two-tiered healthcare system, where those who can afford to pay more receive better benefits and care. Labor groups are calling on the government to expand health benefits for all, rather than creating separate benefit tiers. They argue that this would be a more equitable and just approach to healthcare, and would help to ensure that all citizens have access to the care they need.

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