PhilHealth YAKAP: Primary Care, GAMOT and Screening
Philippine Health Insurance Corporation · benefits
Quick answer
YAKAP, the Yaman ng Kalusugan Program, is PhilHealth's expanded primary care programme. Circular 2026-0007 states it integrates primary care services, the PhilHealth GAMOT outpatient medicines benefit and select cancer screening tests. Members select a YAKAP Clinic through the Member Portal.
Last verified
Where these figures come from
About these figures: the numbers below come from PhilHealth's official published sources: PhilHealth | YAKAP, Yaman ng Kalusugan Program (https://www.philhealth.gov.ph/yakap/, retrieved 2026-09-01); PhilHealth | Circular No. 2026-0007, Clinical and Pharmaceutical Standards for PhilHealth YAKAP (https://www.philhealth.gov.ph/circulars/2026/PC2026-0007.pdf, retrieved 2026-09-01); PhilHealth | Advisory No. 2026-0042, Reimbursement Claims Abroad and Premium Contributions (https://www.philhealth.gov.ph/advisories/2026/PA2026-0042.pdf, retrieved 2026-09-01). Agencies change fees and rates without notice, so confirm with PhilHealth before you rely on them. Last verified: 2026-09-01.
YAKAP is PhilHealth’s answer to a specific problem: people who only meet the health system when they are already being admitted. The programme is built around a clinic you choose in advance.
What PhilHealth says it is
| PhilHealth’s own framing | |
|---|---|
| Name | Yaman ng Kalusugan Program |
| Purpose | A government programme to help Filipinos look after their health and avoid illness |
| What YAKAP Clinics do | Watch over members’ health so that good health is maintained, illness is detected early, and medicines are given so a condition does not worsen and hospitalisation is avoided |
| Who is included | Everyone: member or dependent, young or old |
The three things it integrates
Circular No. 2026-0007 is explicit that PhilHealth expands its primary care through YAKAP, which integrates:
| # | Component |
|---|---|
| 1 | Primary care services |
| 2 | PhilHealth GAMOT, Guaranteed and Accessible Medications for Outpatient Treatment |
| 3 | Select cancer screening tests |
The circular’s stated purpose is to establish clinical and pharmaceutical standards so that primary and outpatient care under YAKAP are of good quality and lead to better health outcomes, promoting consistent care, improved disease management and timely referral across the health system.
What the circular does
| Objective | Detail |
|---|---|
| A | Provide a reference framework for reviewing and revising benefit payment designs |
| B | Establish accreditation requirements |
| C | Guide other YAKAP-related issuances |
| Repealing clause | Amends Section V.C.4.f and Annex B of Circular 2025-0013, and Annex A.i of the same, being the Nationwide Implementation of PhilHealth GAMOT |
Choosing your clinic
| Step | Where |
|---|---|
| 1 | Log in to the PhilHealth Member Portal |
| 2 | Address: memberinquiry.philhealth.gov.ph/member |
| 3 | Select your YAKAP Clinic, one of the portal’s four published member functions |
The other three are accessing your records, contributions and MDR; online payment of premium contributions; and viewing or printing the MDR. The member portal guide covers all four.
What it costs
PhilHealth publishes no separate YAKAP fee or premium on the pages read for this guide. What you pay is the ordinary contribution.
| Monthly income | Monthly premium | Annually |
|---|---|---|
| ₱10,000.00 and below | ₱500.00 | ₱6,000.00 |
| ₱20,000.00 | ₱1,000.00 | ₱12,000.00 |
| ₱30,000.00 | ₱1,500.00 | ₱18,000.00 |
| ₱50,000.00 | ₱2,500.00 | ₱30,000.00 |
| ₱100,000.00 and above | ₱5,000.00 | ₱60,000.00 |
Rate 5.0%, effective January 2025, floor ₱10,000.00, ceiling ₱100,000.00. The contribution table has the full ladder.
For OFWs
| Rule | Detail |
|---|---|
| When | When they are in the Philippines |
| What | Other PhilHealth benefits and services including YAKAP and the Z benefits from contracted providers |
| Abroad instead | Reimbursement of overseas confinement at the applicable All Case Rate |
| Filing window abroad | 180 days from the date of discharge |
| Who | OFWs and dependents, wherever they are abroad |
Where this leaves Konsulta
Worth stating carefully, because the two are often searched together.
| Observation | Status on 1 September 2026 |
|---|---|
| PhilHealth’s member-facing primary care programme | YAKAP, with its own section at philhealth.gov.ph/yakap |
| The Member Portal’s wording | “Select your YAKAP Clinic” |
| Circular 2026-0007, on primary care standards | Does not mention Konsulta |
| Konsulta on philhealth.gov.ph | Appears on the Downloads page as provider-accreditation material only |
| A page stating Konsulta is discontinued | None found |
This guide does not claim Konsulta has been abolished. The Konsulta guide sets out what PhilHealth still publishes under that name.
What PhilHealth publishes alongside
| Resource | What it is |
|---|---|
| YAKAP frequently asked questions | Published on the YAKAP section |
| A members’ guide | “Mga Dapat Mong Malaman sa PhilHealth YAKAP” |
| Issuances for providers | A separate published set |
| Becoming a YAKAP Clinic Provider | A published route |
| Becoming a PhilHealth GAMOT Provider | A published route |
| An official YAKAP Facebook page | Linked from the section |
What this page does not cover
PhilHealth does not publish, on the pages read for this guide, the specific benefit amounts under YAKAP, the list of accredited YAKAP Clinics, which cancer screening tests are included, the medicines on the GAMOT list, a registration deadline, or what happens if you do not select a clinic. None of those are stated here.
Related
The Konsulta guide covers the programme YAKAP sits beside. The member portal guide covers selecting a clinic, and the case rates guide how PhilHealth pays facilities.
Frequently asked questions
- What is PhilHealth YAKAP?
- The Yaman ng Kalusugan Program. PhilHealth describes it as a government programme intended to help Filipinos look after their health and avoid illness, with YAKAP Clinics watching over members' health so illness is detected early and medicines are given before a condition worsens and hospitalisation becomes necessary.
- Who is included?
- PhilHealth states that everyone, member or dependent, young or old, is included in the programme.
- What does YAKAP actually cover?
- PhilHealth Circular No. 2026-0007 states that PhilHealth expands its primary care through YAKAP, which integrates primary care services, the PhilHealth Guaranteed and Accessible Medications for Outpatient Treatment benefit known as PhilHealth GAMOT, and select cancer screening tests.
- How do I register or pick a clinic?
- Through the PhilHealth Member Portal at memberinquiry.philhealth.gov.ph/member. Selecting your YAKAP Clinic is one of the portal's published functions, alongside accessing your records, contributions and MDR and paying premiums online.
- What does it cost?
- PhilHealth does not publish a separate fee or premium for YAKAP on the pages read for this guide. What it does publish is the ordinary premium: 5.0% of monthly income between a ₱10,000.00 floor and a ₱100,000.00 ceiling, so ₱500.00 to ₱5,000.00 a month.
- Can OFWs use YAKAP?
- Yes, when they are in the Philippines. PhilHealth states that when OFWs are in the Philippines they may avail of other PhilHealth benefits and services including the Yaman ng Kalusugan Program and the Z benefits from contracted providers.
- What is PhilHealth GAMOT?
- Guaranteed and Accessible Medications for Outpatient Treatment. Circular 2026-0007 names it as one of the three things YAKAP integrates, and its repealing clause amends Section V.C.4.f and Annex A.i of PhilHealth Circular 2025-0013, the Nationwide Implementation of PhilHealth GAMOT.
- Where does this leave Konsulta?
- PhilHealth's member-facing primary care programme on its site and in its 2026 circulars is YAKAP, and Circular 2026-0007 does not mention Konsulta. Konsulta still appears on PhilHealth's Downloads page as provider-accreditation material. No PhilHealth page read for this guide states that Konsulta has been discontinued, and this guide does not claim it has.