At your enrolled YAKAP clinic, all four of these are free — no co-pay, no out-of-pocket payment:

• KONSULTA — Primary care consultations. Unlimited visits with the clinic's physician for check-ups, common illnesses (flu, cough, hypertension follow-up), and chronic disease management.
• GAMOT — 75 essential medicines across 7 categories: anti-infectious (21), anti-hypertensive / cardiology (18), anti-asthma / COPD (8), anti-diabetics (3), anti-dyslipidemia (4), anti-thrombotics (2), and nervous system / supportive therapy (19). Up to ₱20,000 per beneficiary per year in covered medicines. The specific medicine names per category should be confirmed at your clinic — verify with philhealth.gov.ph for the official current list.
• LABORATORYO — 13 outpatient lab tests. Standard primary-care lab work like CBC, urinalysis, fasting blood sugar, lipid profile, and similar. Exact panel may vary slightly per facility — verify with philhealth.gov.ph.
• SCREEN — 6 cancer screening tests: mammogram, breast ultrasound, low-dose chest CT scan, alpha fetoprotein (blood test), liver ultrasound, and colonoscopy.

Of the 75 medicines, 21 are "guaranteed in stock" medicines (the original Konsulta list) that all accredited clinics must always carry. The other 54 are dispensed when available.

Sa enrolled YAKAP clinic mo, lahat ng apat na ito ay libre — walang co-pay, walang dagdag bayad:

• KONSULTA — Mga primary care konsulta. Unlimited visits sa clinic physician para sa check-ups, mga karaniwang sakit (trangkaso, ubo, hypertension follow-up), at chronic disease management.
• GAMOT — 75 essential medicines sa 7 kategorya: anti-infectious (21), anti-hypertensive / cardiology (18), anti-asthma / COPD (8), anti-diabetics (3), anti-dyslipidemia (4), anti-thrombotics (2), at nervous system / supportive therapy (19). Hanggang ₱20,000 kada beneficiary kada taon ang sakop na gamot. Ang specific na pangalan ng gamot per kategorya ay dapat kumpirmahin sa clinic mo — i-verify sa philhealth.gov.ph para sa opisyal na current list.
• LABORATORYO — 13 outpatient lab tests. Standard primary-care lab tests gaya ng CBC, urinalysis, fasting blood sugar, lipid profile, at iba pa. Pwedeng bahagyang mag-iba per facility — i-verify sa philhealth.gov.ph.
• SCREEN — 6 cancer screening tests: mammogram, breast ultrasound, low-dose chest CT scan, alpha fetoprotein (blood test), liver ultrasound, at colonoscopy.

Sa 75 medicines, 21 ay "guaranteed in stock" (ang orihinal na Konsulta list) na lahat ng accredited clinics ay laging may stock. Ang ibang 54 ay binibigay kapag available.

YAKAP is the upgraded version of the Konsulta benefit that ran from 2019 to mid-2025. Here's what's different:

• Medicines: 21 → 75. The Konsulta program covered only 21 essential drugs. YAKAP expanded this to 75 across 7 therapeutic categories.
• Annual medicine cap: New ₱20,000 ceiling per beneficiary, so chronic patients (hypertension, diabetes) can now reliably get their maintenance meds free.
• Cancer screenings: Added 6 tests. Mammogram, breast UTZ, low-dose chest CT, AFP blood test, liver UTZ, and colonoscopy were not part of Konsulta.
• Lab tests: Expanded coverage. Konsulta covered fewer basic tests; YAKAP covers 13 outpatient lab tests.
• Enrollment: eGov Super App. You can now enroll digitally on your phone instead of only walking into a clinic.
• Same capitation model for clinics. Clinics still get paid by PhilHealth per enrolled patient (not per visit), so there's still no charge per consult.

If you were enrolled in Konsulta before July 2025, you do not automatically migrate to YAKAP — you need to re-enroll through the eGov app or your clinic to activate the new benefits.

Ang YAKAP ay ang upgraded version ng Konsulta benefit na tumakbo mula 2019 hanggang kalagitnaan ng 2025. Heto ang mga pagbabago:

• Mga gamot: 21 → 75. Ang Konsulta program ay nag-cover lang ng 21 essential drugs. Pinalawak ito ng YAKAP sa 75 sa 7 therapeutic categories.
• Annual medicine cap: Bagong ₱20,000 ceiling kada beneficiary, kaya ang mga chronic patients (hypertension, diabetes) ay maaasahan nang makakuha ng libreng maintenance meds nila.
• Cancer screenings: Idinagdag ang 6 na tests. Hindi bahagi ng Konsulta ang mammogram, breast UTZ, low-dose chest CT, AFP blood test, liver UTZ, at colonoscopy.
• Lab tests: Mas malawak na coverage. Mas kaunti ang basic tests ng Konsulta; sa YAKAP ay 13 outpatient lab tests.
• Enrollment: eGov Super App. Pwede ka na ngayong mag-enroll digitally sa telepono mo imbes na pumunta lang sa clinic.
• Pareho ang capitation model para sa clinics. Binabayaran pa rin ng PhilHealth ang clinics per enrolled patient (hindi per visit), kaya walang bayad sa bawat konsulta.

Kung naka-enroll ka sa Konsulta bago ang Hulyo 2025, hindi ka automatic na lilipat sa YAKAP — kailangan mong mag-re-enroll sa eGov app o sa clinic para ma-activate ang mga bagong benepisyo.

Once enrolled, here's what a typical visit looks like:

1. Bring your YAKAP QR code or YES slip + a valid government ID — National ID, UMID, driver's license, or passport.
2. Check in at the front desk. Staff scan your QR / verify your PIN in PhilHealth's system to confirm you're an active member of that clinic.
3. See the doctor. Standard consult: vitals, history, exam, prescription. If they want to order any of the 13 covered lab tests or 6 cancer screenings, those are free as well.
4. Collect your medicines at the clinic pharmacy. If your prescription is one of the 75 covered drugs and the clinic has stock, you walk out with it free. Some clinics use digital prescriptions with QR codes so you can also claim from PhilHealth's partner pharmacies.
5. Track your ₱20,000 annual medicine credit. Each dispensing is logged against your cap. When you approach the limit, the clinic will notify you.

If a covered medicine is out of stock, ask the clinic to log it (so PhilHealth can track stock-outs) and ask when restocking is expected. Don't pay out-of-pocket for a covered drug at a different pharmacy assuming you'll be reimbursed — that's not how YAKAP works.

To switch clinics: You can change your enrolled YAKAP facility through the eGov app. Switching is allowed but rules and frequency can change — confirm the current waiting period and process at philhealth.gov.ph/yakap before initiating a switch.

Pagka-enroll, heto ang karaniwang flow ng visit:

1. Dalhin ang YAKAP QR code o YES slip + valid government ID — National ID, UMID, driver's license, o passport.
2. Mag-check in sa front desk. I-scan ng staff ang QR mo / i-verify ang PIN sa PhilHealth system para kumpirmahin na active ka sa clinic na iyon.
3. Magpa-konsulta sa doctor. Standard konsulta: vitals, history, exam, prescription. Kung gusto nilang mag-order ng kahit alin sa 13 covered lab tests o 6 cancer screenings, libre din ang mga ito.
4. Kunin ang gamot sa clinic pharmacy. Kung kasama ang prescription mo sa 75 covered drugs at may stock ang clinic, libre mo itong makukuha. May ilang clinics na gumagamit ng digital prescriptions na may QR codes para makapag-claim ka rin sa mga partner pharmacy ng PhilHealth.
5. Bantayan ang ₱20,000 annual medicine credit mo. Bawat dispensing ay nai-log sa cap mo. Kapag malapit ka na sa limit, sasabihan ka ng clinic.

Kung walang stock ang isang covered na gamot, hilingin sa clinic na i-log ito (para masubaybayan ng PhilHealth ang stock-outs) at tanungin kung kailan ang restock. Huwag magbayad out-of-pocket para sa covered drug sa ibang pharmacy na umaasa kang ma-reimburse — hindi ganoon ang YAKAP.

Para magpalit ng clinic: Pwede mong baguhin ang enrolled YAKAP facility mo sa eGov app. Pinapayagan ang paglipat pero pwedeng magbago ang rules at frequency — kumpirmahin ang kasalukuyang waiting period at proseso sa philhealth.gov.ph/yakap bago magpalit.

YAKAP covers all PhilHealth members and their qualified dependents, including:

• Employed members (private and government)
• Self-employed and professionals
• Voluntary members
• Overseas Filipino Workers (OFWs)
• Kasambahay (household workers)
• Indigent members + 4Ps beneficiaries
• Senior citizens (60+)
• Persons with disability (PWDs)
• Solo parents
• Lifetime members
• Infants and children below 21

Dependents (spouse, children under 21, parents 60+) are enrolled separately — each person needs their own YAKAP enrollment, even if they're using the principal member's PhilHealth coverage. A toddler can be enrolled at the same clinic as the parent, but their account is distinct.

Your PhilHealth contributions do not need to be perfectly current to use YAKAP, but having an active membership in PhilHealth's system is required. If you're a voluntary member who hasn't paid in months, settle your contributions first to avoid enrollment hiccups.

Sakop ng YAKAP ang lahat ng PhilHealth members at kanilang mga qualified dependents, kabilang ang:

• Mga empleyadong miyembro (private at gobyerno)
• Mga self-employed at propesyonal
• Mga voluntary members
• Mga Overseas Filipino Workers (OFWs)
• Mga Kasambahay
• Mga indigent member + 4Ps beneficiaries
• Senior citizens (60+)
• Persons with disability (PWDs)
• Mga solo parents
• Mga lifetime members
• Mga sanggol at bata na wala pang 21 taong gulang

Ang mga dependents (asawa, anak na wala pang 21, magulang na 60+) ay hiwalay na ine-enroll — bawat isa ay kailangan ng sarili niyang YAKAP enrollment, kahit gumagamit sila ng PhilHealth coverage ng principal member. Pwedeng i-enroll ang bata sa parehong clinic ng magulang, pero hiwalay ang account nila.

Hindi naman kailangan na perfectly updated ang PhilHealth contributions mo para gamitin ang YAKAP, pero kailangan na active ka sa PhilHealth system. Kung voluntary member ka na hindi nakapagbayad ng ilang buwan, i-settle muna ang contributions para iwasan ang enrollment problems.