PhilHealth’s Konsulta Package helps patients access free primary care services.
If you’re a healthcare facility or clinic, you can apply to become an accredited Konsulta provider.
This means you’ll be able to serve more patients under PhilHealth coverage.
There’s a process and a few documents required, but it’s manageable if you know what to prepare.
Who Can Apply
Licensed and unlicensed health facilities may apply.
You must be able to offer basic primary care, including:
- Preventive care (e.g. health screenings)
- Consultations
- Laboratory or radiologic diagnostic tests
Your facility must also meet these standards:
- Clean, well-maintained environment
- Proper signage and safety measures
- Designated consultation and waiting areas
- Basic equipment like BP apparatus, stethoscope, weighing scales, thermometer, and diagnostics tools
What Services Must You Provide
To qualify for Konsulta accreditation, your facility should be ready to deliver:
- Preventive and promotive health services
- Basic medical consultations
- Health education for patients
- Screening and diagnostic procedures (e.g. CBC, urinalysis)
- Proper infection prevention and waste disposal
Required Documents
Prepare these before submitting your application:
- Provider Data Record (PDR)
- Signed Performance Commitment form
- Current facility license or proof of referred service tie-ups
- Proof of accreditation fee payment
- Signed Non-Disclosure Agreement (NDA) for patient data
- Self-assessment form (provided by PhilHealth)
- Photos or videos showing facility compliance
Provider Data Record (PDR) Download
This document is a mandatory requirement for all healthcare providers applying for PhilHealth accreditation, including those seeking to offer the Konsulta Package. It captures essential information about your facility, such as its name, address, contact details, services offered, and the head of the facility. The form also includes sections for specifying the type of transaction (e.g., initial application, renewal, update) and the PhilHealth benefit packages your facility intends to provide.
You can download the fillable PDF version of this form directly from the PhilHealth website here.
Make sure that all information is typed in uppercase letters, and all mandatory fields are completed accurately. Providing precise details will facilitate a smoother accreditation process.
Step-by-Step Accreditation Process
- Self-assess your readiness
Use PhilHealth’s tool to check if your facility meets Konsulta standards. - Gather required documents
Make sure all forms, licenses, and certifications are updated and signed. - Submit your application
Bring your complete documents to the Local Health Insurance Office (LHIO) in your area. - Pay the accreditation fee
You must present proof of payment when submitting your application. - Undergo survey if required
Non-licensed facilities must pass a pre-accreditation survey to proceed. - Wait for approval
You will be notified once your application is approved and your facility is officially accredited.
Why Accreditation Matters
Accreditation allows you to:
- Join the official PhilHealth Konsulta provider network
- Offer essential services with PhilHealth coverage
- Improve community access to primary care
- Strengthen your facility’s credibility and reach
This also helps PhilHealth expand affordable, accessible care across all regions.
Tips for a Smooth Application
- Double-check your documents before submission
- Organize and label your attachments clearly
- Take clear photos/videos of your facility setup
- Follow up with LHIO if you don’t receive updates after 2 weeks
Note: Refer to PhilHealth’s Annex A and Annex C for full guidelines.
Frequently Asked Questions
- How long does the process take?
It can take a few weeks, depending on how complete your documents are and if a survey is required. - Do I need a license to apply?
Not always. Non-licensed facilities may still apply but must pass a pre-accreditation survey. - What is the fee for accreditation?
A minimal fee applies. Check with your local LHIO for exact rates. - Can I refer services I don’t offer?
Yes, as long as you submit proof of service tie-ups and certifications.
Recent Updates
PhilHealth Brings Primary Care to Robinsons Manila
PhilHealth NCR North Branch is set to hold the Konsulta Expo at Robinsons Manila’s Midtown Atrium this Friday.
The half-day event will offer health services, including member registration, health screenings, and ID card issuance, catering to approximately 300 beneficiaries.
Medical teams from nearby health centers will conduct check-ups, lab tests, and vaccine administration to serve attendees’ healthcare needs.
This program highlights PhilHealth’s commitment to providing accessible health services in high-traffic areas and engaging members with its Konsulta Package benefits.
Residents are encouraged to take advantage of these free services to support their well-being. (Philippine Information Agency)
PhilHealth and CHED Join Forces for Student Healthcare
PhilHealth has partnered with CHED to make primary healthcare services accessible to indigent students in state universities and colleges.
The collaboration integrates PhilHealth coverage with CHED’s financial assistance programs, benefiting around 500,000 students from low-income households.
Through the Konsulta Package, students can access consultations, health screenings, lab tests, and medicines at accredited SUC health facilities.
PhilHealth and CHED aim to streamline healthcare delivery while empowering SUCs to meet accreditation standards for Konsulta services.
This partnership underscores their commitment to addressing healthcare gaps for underserved youth. (Philippine Star)
Video: 2025 Updated PhilHealth Benefits: A concise guide to get the most out of your PhilHealth benefits
PhilHealth introduces expanded benefit packages to provide broader healthcare coverage for Filipinos.
Members can now access enhanced inpatient and outpatient services, including emergency care and specialized treatments.
The updated packages aim to ease financial burdens and improve access to quality healthcare services.
PhilHealth continues to prioritize the well-being of its members with these comprehensive updates.
Stay informed and make the most of your membership by exploring these new offerings.
Conclusion
Getting accredited isn’t just about paperwork.
It’s about being part of a bigger effort to improve public health access—starting at the primary care level.
If you’re ready to serve more, now’s the time to make it official.