PhilHealth Konsulta Package 2026: What It Covers

Quick Answer: The Konsulta package is PhilHealth's primary care benefit: a free annual checkup, lab tests, six named cancer screenings, and free medicines from an accredited GAMOT pharmacy — all through a Konsulta/YAKAP Clinic you register with. Medicines are capped at ₱20,000 per beneficiary per year, plus a separate ₱20,000 for each qualified dependent. As of late 2025, PhilHealth has been rebranding Konsulta as YAKAP (Yaman ng Kalusugan Program), but the package itself — what's actually covered — is what this guide walks through.

About this guide: Sourced from PhilHealth Circular 2025-0017 (18 October 2025), Circular 2024-0013 (15 May 2024, the original Konsulta enhancement), Circular 2025-0013 and 2025-0014 (both 30 July 2025, covering GAMOT and outpatient cancer screening), Circular 2026-0002 (9 January 2026), and PhilHealth's official YAKAP FAQ PDF. Last checked: August 2026.

Table of Contents

• What is the Konsulta package?
• Konsulta is now called YAKAP
• The free check-up and lab tests
• Free cancer screening: the six covered tests
• How the cancer screening referral works
• Free medicines through GAMOT pharmacies
• The ₱20,000 medicine cap, explained
• What it costs you at a private clinic
• How to register for Konsulta/YAKAP
• Frequently Asked Questions
• Conclusion

What is the Konsulta package?

Konsulta is PhilHealth's primary care benefit package — the outpatient, preventive-care side of your coverage, distinct from the hospitalization benefits that kick in when you're admitted. It bundles four things into one benefit: a check-up, a set of laboratory tests, cancer screening, and free medicines, all delivered through a network of accredited primary care providers now called YAKAP Clinics.

The package traces back to Circular 2024-0013 (15 May 2024), which enhanced the original Konsulta benefit, and has been expanded steadily since through a string of 2025 and 2026 circulars covering oral health, medicine access, and cancer screening. If your only exposure to PhilHealth has been the case-rate deduction at hospital admission, Konsulta/YAKAP is worth registering for separately — it's free preventive care you're likely already entitled to.

Konsulta is now called YAKAP

In 2026, you'll see this benefit referred to as both Konsulta and YAKAP, and that's not an error — they're the same program. YAKAP stands for Yaman ng Kalusugan Program, launched 25 July 2025 under President Marcos Jr. PhilHealth's own FAQ, published 31 July 2025, describes YAKAP as "ang mas pinalawak at pinagbuting Konsulta" — the expanded and improved Konsulta.

PhilHealth Advisory 2025-0061 (29 October 2025) confirms the agency is "actively transitioning from the Konsulta to the PhilHealth YAKAP brand," with a deadline for clinics to update their signage by 1 April 2026. So if you're at a clinic still displaying a Konsulta sign in mid-2026, that's a facility that hasn't repainted yet, not a different program. For the full story on the rebrand itself — the launch, the scale, the deadline — see our YAKAP benefits guide.

The free check-up and lab tests

Every YAKAP/Konsulta registrant is entitled to a free consultation with their assigned primary care doctor at their registered clinic. Alongside the check-up, the package covers a defined set of laboratory tests, listed in the circular's Annex A.

We're not going to reproduce the full lab-test list here since it runs beyond what the source material lays out cleanly for a general audience — the practical takeaway is that once you're registered and attend your first encounter, your YAKAP Clinic doctor determines which of the covered tests apply to your visit, and you don't pay for them out of pocket. This is meaningfully different from walking into a diagnostic lab and paying per test, which is the default for anyone not routed through a registered primary care provider.

Free cancer screening: the six covered tests

One of the more significant additions to the package is free cancer screening, introduced through Circular 2025-0014 (30 July 2025). Six specific screening tests are covered: mammogram, breast ultrasound, low-dose chest CT, alpha-fetoprotein testing, liver ultrasound, and colonoscopy.

These are screening tools for breast, lung, liver, and colorectal cancer — the kind of testing that's often skipped because of cost, even though early detection materially changes outcomes. The catch is access: you don't walk into a screening facility and ask for one of these tests directly. It has to be triggered through your YAKAP Clinic doctor, which is covered in the next section. Cost is not a separate concern here — screening is free once properly referred, with the professional or reading fee bundled into what PhilHealth pays the facility directly.

How the cancer screening referral works

Access to free cancer screening runs through your own registered YAKAP Clinic doctor. If your doctor determines you're a candidate for one of the six covered screenings, they refer you to a screening facility, and the test — including the reading or professional fee — is covered.

Walking into a screening facility without a referral is not allowed under the current rules. There is one narrow exception: a first-time user who was initially referred by a private doctor outside the YAKAP network can use that referral, but must then be referred back into a registered YAKAP Clinic to continue receiving the benefit going forward. In practice, this means the fastest path to free cancer screening is registering with a YAKAP Clinic first, rather than trying to access screening as a standalone service.

Free medicines through GAMOT pharmacies

The medicine benefit runs through accredited GAMOT pharmacies — a network introduced nationwide under Circular 2025-0013 (30 July 2025) and expanded further under Circular 2026-0002 (9 January 2026). The covered medicine list, in the circular's Annex C, spans 75 molecules.

To use this benefit, you present your prescription — written by your YAKAP Clinic doctor — at a GAMOT-accredited pharmacy rather than paying for it out of pocket or at a regular retail pharmacy. Maintenance medications can be prescribed for up to three months at a time, but PhilHealth dispenses only one month's supply per pharmacy visit, meaning you'll need to return monthly even for a three-month prescription. This is a dispensing-control measure, not a coverage limit — the full three months is still covered, just released incrementally.

The ₱20,000 medicine cap, explained

Medicine coverage under Konsulta/YAKAP is capped at ₱20,000 per beneficiary per year. If you have registered dependents, each one gets their own separate ₱20,000 cap — the limit is per person, not shared across a household.

This cap covers the 75 molecules in the GAMOT formulary, dispensed through accredited pharmacies as described above. Once a beneficiary's ₱20,000 for the year is used up, further medicines under this specific benefit would need to be paid for out of pocket or through another coverage path — the cap doesn't roll over or combine with a dependent's unused balance. If you're managing a chronic condition with ongoing maintenance medication, it's worth tracking your usage against this cap over the course of the year rather than assuming it resets per visit.

What it costs you at a private clinic

At an accredited YAKAP Clinic that is itself a public or government facility, the entire package — check-up, labs, screening, medicines — is free. The picture is slightly different at a private YAKAP Clinic: PhilHealth's own materials allow a private facility to charge up to ₱900 per patient for the entire year, not per visit.

That ₱900 ceiling is a maximum, not a fixed fee — a private clinic may charge less. It's worth asking your chosen clinic directly what they charge before your first registered visit, since this is the one place in the package where cost isn't uniformly zero across all providers. If keeping cost at exactly zero matters to you, a public YAKAP Clinic is the more predictable choice.

How to register for Konsulta/YAKAP

Registration requires an existing PhilHealth PIN — see our guide to PhilHealth ID requirements if you don't have one yet. Once you have a PIN, you can register for Konsulta/YAKAP through the eGovPH app, the Member Portal, any PhilHealth office, or directly at a YAKAP Clinic itself.

Registering at a YAKAP Clinic in person has a practical advantage: many clinics can process your registration and your first patient encounter in the same visit, so you leave already covered rather than needing a separate trip. Whichever channel you use, the benefit doesn't activate meaningfully until you've attended that first encounter and been formally assigned to a clinic — simply having a PIN isn't the same as being an active Konsulta/YAKAP registrant.

Frequently Asked Questions

What does the PhilHealth Konsulta package cover?

A free check-up with your assigned primary care doctor, a set of laboratory tests, six specific cancer screening tests (mammogram, breast ultrasound, low-dose chest CT, alpha-fetoprotein, liver ultrasound, colonoscopy), and free medicines from an accredited GAMOT pharmacy, capped at ₱20,000 per beneficiary per year.

Is Konsulta the same as YAKAP?

Yes. YAKAP (Yaman ng Kalusugan Program) is PhilHealth's own description of "the expanded and improved Konsulta," launched 25 July 2025. It's not a separate benefit — it's the current brand name for the same primary care package, with clinics required to update signage by 1 April 2026.

How much medicine coverage do I get under Konsulta?

Up to ₱20,000 per beneficiary per year through accredited GAMOT pharmacies, covering 75 listed molecules. Each registered dependent has their own separate ₱20,000 cap. Maintenance drugs can be prescribed for up to three months but are dispensed one month at a time per pharmacy visit.

Can I get a mammogram or colonoscopy for free under PhilHealth?

Yes, if you're referred by your own registered YAKAP Clinic doctor. Mammogram, breast ultrasound, low-dose chest CT, alpha-fetoprotein testing, liver ultrasound, and colonoscopy are all covered, with the professional fee bundled in. You generally cannot walk into a screening facility for these tests without that referral.

Is Konsulta free at private clinics?

Mostly, with one limit: a private YAKAP Clinic may charge up to ₱900 per patient for the whole year, not per visit. Public YAKAP Clinics do not charge this fee. Ask your chosen clinic directly what applies before registering.

Do I need to register separately for Konsulta if I already have PhilHealth?

Yes. Having a PhilHealth PIN covers your hospitalization and case-rate benefits, but Konsulta/YAKAP requires a separate registration and an assigned clinic. You can register through eGovPH, the Member Portal, a PhilHealth office, or directly at a YAKAP Clinic.

What's the difference between Konsulta and PhilHealth's outpatient benefits?

Konsulta/YAKAP is PhilHealth's primary care package tied to a specific registered clinic and doctor. Broader outpatient benefits cover other services outside that primary care relationship. The two can overlap depending on the service.

Conclusion

Konsulta — now branded YAKAP — is one of the more underused parts of PhilHealth coverage: a free check-up, lab tests, six cancer screenings, and up to ₱20,000 a year in medicines, all through a clinic you register with once. The rebrand hasn't changed what's covered, only the name on the signage, with a 1 April 2026 deadline for clinics to catch up. If you haven't registered yet, you'll need your PIN first — see PhilHealth ID requirements — and then you can enroll directly at a YAKAP Clinic near you.

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