The Philippine Health Insurance Corporation (PhilHealth) continues to expand its services to meet the growing healthcare needs of Filipinos.
In a landmark move to promote oral health, PhilHealth has launched a ₱1000 Dental Package for qualified beneficiaries starting 2025.
This new benefit aims to provide accessible, preventive, and curative dental care for millions of Filipinos, especially those from low-income sectors.
This article will guide you through everything you need to know about this dental package—from eligibility criteria and covered services to claiming procedures and participating clinics.
What Is PhilHealth’s ₱1000 Dental Package?
The ₱1000 Dental Package is part of PhilHealth’s expanded primary care benefits under the Konsulta Program.
The initiative is designed to promote oral health and prevent serious dental conditions, especially among vulnerable groups such as senior citizens, indigent members, and persons with disabilities.
Under this program, eligible members can avail up to ₱1000 worth of dental services annually at accredited Konsulta providers or PhilHealth-partnered dental clinics.
Who Qualifies for the ₱1000 Dental Package?
To ensure fair and equitable access, PhilHealth has set clear eligibility guidelines for its dental benefit package.
Eligible Beneficiaries Include:
| Category | Eligibility Criteria |
|---|---|
| Indigent Members | Automatically enrolled through the DSWD’s National Household Targeting System |
| Senior Citizens | Aged 60 and above and registered as Lifetime or Sponsored PhilHealth members |
| Persons with Disabilities (PWDs) | Certified by the Department of Health (DOH) or local PWD offices |
| Informal Economy Members | With updated premium contributions |
| Children (0–17 years old) | Dependents of registered PhilHealth members |
Beneficiaries must also be registered under a Konsulta Provider and have a completed health profile in PhilHealth’s database.
What Dental Services Are Covered?
The ₱1000 can be used for a range of basic and preventive dental services, which are essential for maintaining oral hygiene and preventing long-term complications.
Covered Dental Services
- Oral examination and consultation
- Tooth cleaning (oral prophylaxis)
- Tooth extraction (simple cases)
- Temporary fillings
- Dental health education
- Fluoride application (especially for children)
Note: Advanced procedures such as braces, crowns, root canals, or dentures are not covered under this package.
How to Claim the Free ₱1000 Dental Benefit
Claiming your free dental services through PhilHealth is simple and streamlined. Here’s how you can do it:
Step-by-Step Guide
- Register with a Konsulta Provider:
- Visit the nearest PhilHealth-accredited Konsulta facility.
- Update or complete your health profile to become eligible for the program.
- Schedule a Dental Appointment:
- Request a dental referral or appointment from the Konsulta facility.
- Confirm if they have in-house dental services or affiliated dental partners.
- Avail of Dental Services:
- Present your PhilHealth ID or any valid government ID.
- Undergo the eligible procedures up to ₱1000 per calendar year.
- No Cash Out:
- The package is 100% subsidized, meaning no payment is required at the point of service if your benefit balance remains.
Where Can You Use the Dental Benefit?
PhilHealth has partnered with Konsulta-accredited facilities and private dental clinics across the country. These include:
- Rural Health Units (RHUs)
- Public hospitals with dental departments
- PhilHealth Konsulta Clinics
- Private dental practitioners listed on PhilHealth’s website
Always confirm if your chosen clinic is PhilHealth-accredited for dental services to avoid denied claims.
Why This Program Matters
Oral diseases remain one of the top ten most common illnesses among Filipinos, yet dental care is often neglected due to cost and access issues. The ₱1000 Dental Package is a proactive step by the government to:
- Promote preventive dental care
- Reduce future treatment costs
- Improve the overall quality of life of beneficiaries
According to the Department of Health, over 87% of Filipinos suffer from dental caries, and around 8 out of 10 children have cavities by age 5.
PhilHealth’s initiative aims to reduce these numbers by encouraging early and regular visits to the dentist.
PhilHealth’s ₱1000 Dental Package offers a valuable opportunity for millions of Filipinos to access free oral care services.
If you’re a qualified member, take advantage of this benefit to maintain your dental health, prevent complications, and save on treatment costs.
Visit your Konsulta provider today to update your records and book your appointment.
Frequently Asked Questions
1. Can I use the ₱1000 dental benefit multiple times within the year?
Yes. You can use the ₱1000 dental package across multiple visits as long as the total amount does not exceed the annual limit. For example, you may get a cleaning for ₱500 in one visit and a tooth extraction for ₱500 in another.
2. What happens if my dental expenses go over ₱1000?
Any amount beyond the ₱1000 annual coverage must be shouldered by the patient. Dentists are required to inform patients in advance if a procedure will exceed the PhilHealth benefit cap.
3. How do I know if my Konsulta provider offers dental services?
You can check the list of Konsulta-accredited providers on the official PhilHealth website or inquire directly at your local health center. Some providers may have in-house dentists, while others issue referrals to partnered clinics.