[3] In 2010, it claimed to have achieved "universal" coverage at 86% of the population, although the 2008 National Demographic Health Survey showed that only 38 percent of respondents were aware of at least one household member being enrolled in PhilHealth.
(6) "The 'Informal Economy' is composed of informal sectors, self-earning individuals, organized groups, Filipinos with dual citizenship, and natural-born citizens.
[10] Some key reform indicators to date include: On average, 90 out of every 100 claims are paid, 3 to 4 are denied, and 6 to 7 are returned to health care providers for more information.
[11] In 2013, fraudulent claims Juan Miguel of Regional 1 started fire with against the state-health insurer were estimated at 4 billion pesos.
A hospital in Davao City also noticed that a janitor, not a PhilHealth member, had been lying in bed to claim benefits as a PhilHealth-accredited patient.
[13] 2018, A lawmaker was shocked to find out that Philhealth interim president Celestina Dela Serna spent one year living at a hotel worth P3,800 per night instead of renting a condominium unit or apartment in Metro Manila.
Teves said Dela Serna told him and Alvarez that she stayed at Legend Villas, where rooms are worth at least P3,800 a night.
[14] A Change.org petition was made by a group of overseas Filipino workers (OFWs) to scrap the agency's directive to increase the mandatory contribution collection to 3%.
[15] The petition refers to PhilHealth Circular 2020-0014,[16] dated April 2, 2020, in which the current OFW salaries are affected especially in the ongoing pandemic.
[17] On July 24, 2020, anti-fraud legal officer Thorrsson Montes Keith resigned due to rampant corruption and anomalies within the agency.
Video footage inside the report included a PhilHealth Regional Vice President receiving a gift which turned out to be a girl wearing a bra and underwear dancing in front of the RVP, and employees shouting as one could expect a show from a nightclub.
[22] On August 26, 2021, the President and chief executive officer of PhilHealth, Ricardo Morales resigned from his post over anomalies in the agency.
[27] On August 2, 2024, the Senator Koko Pimentel public health advocates group filed certiorari and prohibition with restraining order to stop the transfer of P89.9 billion PhilHealth funds to the national budget.