Policy
Patients Can Get Treated for Free at These 87 DOH Hospitals—Here’s What You Need to Know
Thanks to the nationwide implementation of the Zero Balance Billing policy.
Published on Jul 30, 2025
(SPOT.ph) Getting hospitalized in the Philippines
often comes with a sinking feeling—not just from illness but from the bill
waiting at discharge—but did you know you can walk out without paying a single
peso at Department of Health (DOH)-run hospitals? Yup, the zero balance billing
policy is finally in effect.
Under this scheme, patients staying in basic accommodations
at DOH hospitals won’t have to pay at discharge. This includes hospital room fees, medications, laboratory tests, and even professional fees of attending doctors.
“Itinuloy na po natin ang zero balance billing. Libre po,” President Ferdinand "Bongbong" Marcos Jr. said during his State of the Nation Address (SONA) on Monday. “Ibig sabihin, ang serbisyo sa basic accommodation sa
ating mga DOH na ospital wala nang babayaran ang pasyente dahil bayad na ang
bill ninyo.”
Among the 87 hospitals implementing the program in Metro
Manila are the Philippine Orthopedic Center, San Lazaro Hospital, and the National
Center for Mental Health. You can find the full list of hospitals at the end of this article.
How to get a zero balance billing at DOH hospitals
To avail, patients must clearly inform hospital staff that they want to access zero-balance billing and request basic or ward accommodation. Presenting a valid PhilHealth ID and a government-issued ID is required. Even those who aren’t enrolled yet may still be eligible since hospitals are instructed to assist with PhilHealth registration upon admission.
The most important thing is to be admitted to a basic room. Upgrading to a private room or requesting an elective service—whatever is not medically necessary—will require you to pay out of pocket. Take note that zero balance billing also doesn’t apply to government-owned and controlled specialty
hospitals like the Philippine Heart Center, National Kidney and Transplant
Institute, Philippine Lung Center, and the Philippine Children’s Medical
Center. Only DOH-managed facilities are covered for now.
“Basta 'wag lang kayo nasa private, kasi pag nagpunta ka sa
private may bayad yung doctor, may bayad yung room. Basta nasa basic
accommodation ka ng DOH, bayad na ang bill mo,” DOH Secretary Ted Herbosa explained in 24 Oras.

Click to Enlarge
Photo from Facebook/Philippine Information Agency.
To be clear, this isn’t an entirely new policy. PhilHealth introduced a version of it back in 2011 under the “No Balance Billing” rule, which was initially limited to indigent patients (e.g., those with no classified means of income). The 2019 Universal Health Care Act expanded the concept into a broader “no co-payment” policy for those in basic accommodations.
What’s different now is the national rollout: Since May 14, the DOH has been fully enforcing the rule across 87 of its directly managed hospitals, with the program highlighted in Marcos' SONA on July 28.
“Initially, we discussed piloting the program in one hospital per region, but Malacañang challenged us to dream bigger,” DOH Assistant Secretary Albert Domingo said.
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List of DOH hospitals in the Philippines
A quick disclaimer: While zero balance billing is meant to cover 100% of hospital costs for all patients in DOH hospitals, gaps in implementation—like medicine shortages, partial PhilHealth coverage, and poor patient communication—can still lead to out-of-pocket expenses. So be prepared for that in case it happens.
Here are the DOH hospitals that offer zero balance billing:
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Luzon
Metro Manila
Region I - Ilocos
Region II – Cagayan Valley
Region III – Central Luzon
Region IV-A – CALABARZON
Region IV-B – MIMAROPA
Region V – Bicol Region
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Visayas
Region VI – Western Visayas
Region VII – Central Visayas
Region VIII – Eastern Visayas
Negros Island Region
Mindanao
Region IX – Zamboanga Peninsula
Region X – Northern Mindanao
Region XI – Davao Region
Region XII – SOCCSKSARGEN
Region XIII – Caraga

Micah believes that writing is always political. Beyond the byline, you’ll find her bruising herself in a pole studio or napping with her beagle. Reach her at micah@spot.ph.
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