Pricing & Cost ยท Practice Operations ยท Filipino Healthcare VAs
What Does a Filipino Healthcare VA Actually Cost? A Real 2026 Breakdown
By Gelo Jacosalem  ยท  September 30, 2026  ยท  3F Solutions

A Filipino healthcare virtual assistant from 3F Solutions costs $9.00 per hour full-time (40 hours a week) or $10.50 per hour part-time (25 hours a week minimum), all-in. There are no setup fees, no recruitment fees and no long-term contract. That is roughly $1,440 a month full-time and $1,050 a month part-time, billed for the hours actually worked.

Cost has two parts, though, and most pricing pages show only the first: the hourly rate, and the terms around it, meaning what you pay up front, when you are invoiced and what can add to the bill. This page covers both, including the parts many agencies leave out, so you can judge whether a Filipino healthcare virtual assistant from the Philippines, trained for your specialty fits your budget before you ever get on a call.

The Short Answer: What the Rates Are

PlanHoursRateApprox. monthly
Full-time40 hrs/week$9.00/hrabout $1,440
Part-time25 hrs/week minimum$10.50/hrabout $1,050
Flexible hoursBy agreementQuoted on the discovery callDepends on hours

Monthly figures assume a four-week month at the minimum weekly hours. You are invoiced for actual hours worked, so a month with an unworked public holiday costs less.

How Does the Rate Compare to Hiring In-House?

The honest comparison is not $9 against a wage. It is the rate against the fully loaded cost of an employee, which adds payroll taxes, benefits, equipment, recruiting, paid time off and the months a new hire needs to learn your specialty's workflows. A reasonable planning figure for an in-office administrative or billing hire is around $25 an hour loaded, and it varies a lot by city.

The same workIn-house hire (about $25/hr loaded)Dedicated Filipino healthcare VA
Full-time, 40 hrs/weekabout $4,000/monthabout $1,440/month
Part-time, 25 hrs/weekabout $2,500/monthabout $1,050/month
Benefits, payroll taxes, equipmentYour practice absorbs all of itNot on your books
Recruiting and setupJob-board or agency spendNone
Specialty ramp-upMonths, on your timeTrained for your specialty before day one
CommitmentSalaried headcountNo long-term contract, 30 days' written notice

For a small outpatient practice, that gap is the difference between help being out of reach and help being a line item. The in-house figures are an illustrative planning assumption, not a quote for your market, and a lower rate is not automatically better. The point is only that the comparison should be made on loaded cost. It also helps to remember that an offshore team in the Philippines does not change who directs the work: your assistant works for you alone, in your systems, on your priorities.

What Does the Rate Include?

The rate is not a bare labor-arbitrage number. For a Filipino healthcare virtual assistant from the Philippines, trained for your specialty, it covers:

  • Specialty training before day one, whether your practice is podiatry, wound care, family practice, mental health, dental, home health or an NP-led clinic.
  • HIPAA training and a signed Business Associate Agreement before the first working day.
  • A dedicated assistant who works only for your practice.
  • A Client Success Manager, the management layer: a supervised Day 1 start, a Day 3 check-in, a Day 30 review and one named point of escalation. See who actually manages your healthcare VA.
  • A replacement guarantee: the first replacement request in the first 30 days is at no cost.
  • The assistant's own computer, phone and internet connection.

What it does not include is your software. You provide access to your EHR, phone system and billing platform, and any license cost for those stays with your practice.

How Do You Pay? Post-Payment and Pre-Payment

There are two account types. Post-payment is the standard, and pre-payment is available on request. Neither is better in the abstract, and the choice is made on the Order Form before the assistant starts.

Post-payment (standard)Pre-payment (on request)
Up frontNothing. No invoice is sent at signing.Two weeks of service, paid before the assistant starts
InvoicingTwice a month, in arrears, for hours already workedTwice a month, for actual hours worked; the advance stays as a standing credit
ScheduleThe 16th for the 1st to the 15th, and the 1st for the 16th to month-endThe same 16th and 1st rhythm
Payment dueWithin 7 days of invoice dateWithin 7 days of invoice date

If your assistant starts part-way through a period, the first days may be billed together with the next regular period, so a first invoice can be larger than a normal half-month. You can pay by bank transfer in USD, CAD or GBP, or by card or online payment gateway through the Order Form.

What Can Add to the Bill?

A cost page that hides a fee is the fastest way to lose trust, so here is every situation that can change what you pay:

  • Minimum weekly hours. Part-time engagements start at 25 hours a week and full-time at 40. That is a commitment, not a fee, but it sets your floor. Flexible hours are available by agreement.
  • Public holidays. Your assistant is paid only for hours worked. If you ask for work on a public holiday, the standard rate applies, and any holiday bonus is entirely your choice.
  • Replacements. The first replacement request in the first 30 days is free. Later replacement requests carry a $49 per-candidate recruitment fee.
  • Late payment. If an invoice stays unpaid one week past its due date, we may temporarily suspend the assistant. To resume, you pay the balance plus a late fee of 3% of the outstanding invoice. That fee can be waived once as a first-occurrence courtesy, and suspension does not cancel your obligation to pay for hours already worked.
  • Card payments. Bank transfer is the default. Card and online-gateway payments are available and a processing surcharge may apply, so ask for the current terms when you request a quote.

What is not on the list: no setup fee, no recruitment or placement fee, no long-term contract and no software markup. Either side can end the engagement with 30 days' written notice by email.

What Is the Cost of Doing It Wrong?

Sticker price is rarely what makes or breaks a virtual assistant engagement. In our discovery calls the rate is almost never the sticking point. The questions are about who manages the assistant, what happens if it is not working out, and whether the person understands the specialty. Those are the costs that actually hurt: a hire who turns over in three months and takes your workflows with them, a general assistant who needs constant correction, or a billing mistake a specialty-trained assistant would have caught.

That is why the management layer is part of the rate rather than an add-on. See who actually manages your healthcare VA for how the first 30 days work, and what happens if your mental health VA quits for the replacement policy in practice. A cheaper arrangement that needs you as the manager is not cheaper. It just moves the cost onto your evenings. If you are still deciding whether you need help at all, start with what a healthcare virtual assistant is.

How Do You Get a Real Quote?

A real quote takes one conversation. Tell us your specialty, your EHR and the hours you need, and we match you with a top HVA candidate, then schedule a call. If you move ahead, the Order Form lists the assistant, hours, hourly rate, start date and your account type, and it arrives together with the HIPAA Business Associate Agreement, which is signed before the first working day.

Want your own number? Get Started: we'll match you with your top HVA candidate, then schedule a call to confirm your hours, your account type and your start date.

Get Started โ†’

Frequently Asked Questions

How much does a Filipino healthcare VA cost per hour?

$9.00 per hour full-time (40 hours a week) or $10.50 per hour part-time (25 hours a week minimum). There are no setup or recruitment fees and no long-term contract. Flexible hours are quoted on the discovery call.

Is there a minimum commitment or contract length?

There is no long-term contract, and either side can end the engagement with 30 days' written notice by email. There is a minimum weekly engagement of 25 hours for part-time and 40 for full-time, unless you agree flexible hours with us.

What is the difference between pre-payment and post-payment billing?

Post-payment is the standard: no advance, no invoice at signing, and twice-monthly invoices in arrears for hours already worked. Pre-payment is available on request: you pay two weeks of service before the assistant starts, and that advance stays as a standing credit. Both are invoiced on the 16th and the 1st and are due within 7 days.

Are there any hidden fees?

No. There is no setup fee, no recruitment fee and no software markup. Every situation that can add cost is listed on this page: a $49 per-candidate fee for replacement requests after the first free one in the first 30 days, a late payment fee of 3% after a suspension, standard rates for requested public-holiday work, and possible card-processing charges.

How does the cost compare to hiring in-house?

A dedicated assistant at $9.00 to $10.50 an hour compares with roughly $25 an hour loaded for an in-office hire once payroll taxes, benefits, equipment, recruiting and ramp-up are counted. For 40 hours a week that is about $1,440 a month against about $4,000, as an illustrative planning figure. Your local market will differ.

A note on the numbers: Rates and terms reflect 3F Solutions' published pricing and standard Order Form as of September 2026 and may change; the Order Form you sign governs. In-house figures use an illustrative loaded-cost assumption of about $25 an hour and a four-week month; your wages, benefits and overhead will differ. This article is general information, not financial, legal, tax or accounting advice. See our Terms of Service and HIPAA Policy.


3F Solutions places dedicated, HIPAA-trained Filipino Healthcare Virtual Assistants from the Philippines with independent US practices and providers, matched to your specialty and your tools, no contracts, no setup fees. New to the idea? Read what a healthcare virtual assistant is, or see our pricing overview โ†’