PhilHealth

Circulars

Circulars 2014

(Circular No. 33, s-2014) Implementing Guidelines for the Mandatory PhilHealth Coverage of Senior Citizens pursuant to Republic Act No. 10645 Philippine Daily Inquirer and Philippine Star | Publication Date: 12-23-2014
Tamang Sagot »

(Circular No. 32, s-2014) Clarification in the application of qualifying contributions to ensure entitlement to PhilHealth benefits Philippine Star | Publication Date: 12-23-2014
Tamang Sagot »

(Circular No. 31, s-2014) Health Care Provider Performance Assessment System (HCP PAS) Manila Bulletin | Publication Date: 12-23-2014
Tamang Sagot »

(Circular No. 30, s-2014) Pilot-testing of the PhilHealth Information and Claims System (PHICS) in Selected Health Care Institutions (HCI) under the jurisdiction of PhilHealth Regional Office 2 (PRO 2) Philippine Daily Inquirer | Publication Date: 12-22-2014
Tamang Sagot »

(Circular No. 29, s-2014) New Bayad Center Print-out Validation Philippine Star | Publication Date: 12-19-2014
Tamang Sagot »

(Circular No. 28, s-2014) Suspension of Reimbursement for LASIK (Laser-Assisted in situ Keratomileusis) Philippine Daily Inquirer | Publication Date: 12-03-2014
Tamang Sagot »

(Circular No. 27, s-2014) ACR POLICY NO. 5 – Policy Revision on Procedures and Medical Conditions Allowed in Different Types of Health Care Institutions and Addendum to Procedure Case Rate Philippine Star | Publication Date: 11-17-2014
ANNEXES of PhilHealth Circular No. 020, s. 2014
• Annex 1: Waiver Form • Annex 2: Guidelines on the Proper Accomplishment of Waiver Form for Directly Filed Claims
Tamang Sagot »

(Circular No. 26, s-2014) Guidelines on the Use of Health Care Institution (HCI) Portal for PCB1 or Tsekap Providers Philippine Daily Inquirer | Publication Date: 11-17-2014
Tamang Sagot »

(Circular No. 25, s-2014) Revised PhilHealth Category of Health Care Institutions (HCIs) and Compensable Benefits in Primary Care Facilities (PCF) (1st Revision) Philippine Daily Inquirer | Publication Date: 11-03-2014
Tamang Sagot »

(Circular No. 24, s-2014) Implementation of the Interim Reimbursement Mechanism (IRM) for Health care Institutions in Areas Directly Affected by "Super Typhoon Yolanda" (Revision 1) Philippine Star | Publication Date: 11-03-2014
Tamang Sagot »

(Circular No. 23, s-2014) Coverage of Parents Below 60 years old with Permanent Disability Manila Bulletin | Publication Date: 11-01-2014
Tamang Sagot »

(Circular No. 22, s-2014) Social Health Insurance Coverage and Benefits for Women About to Give Birth Philippine Daily Inquirer | Publication Date: 11-01-2014
Tamang Sagot »

(Circular No. 21, s-2014) Guidelines for Eclaims System Simulation Philippine Star | Publication Date: 10-07-2014
Tamang Sagot »

(Circular No. 20, s-2014) ACR Policy No. 4 - Directly Filed Claims for All Case Rates and
Return to Sender Manila Bulletin | Publication Date: 08-13-2014
ANNEXES:
• Annex 1: Waiver Form • Annex 2: Guidelines on the Proper Accomplishment of Waiver Form for Directly Filed Claims
Tamang Sagot »

(Circular No. 19, s-2014) Coverage of Foster Child as Qualified Dependent Manila Bulletin | Publication Date: 09-16-2014
Tamang Sagot »

(Circular No. 18, s-2014) "PD First" Z Benefits: The Z Benefits for end-stage Renal Disease requiring Peritoneal Dialysis Philippine Star | Publication Date: 08-08-2014
Tamang Sagot »

(Circular No. 17, s-2014) Implementing Guidelines for the Primary Care Benefit 2 (PCB2) Package
(Out-Patient Medicines for Hypertension, Diabetes, and Dyslipidemia) at Selected Innovation Sites Philippine Star | Publication Date: 08-02-2014
Tamang Sagot »

(Circular No. 16, s-2014) Additional Guidelines on the Availment of "PRevEnTS" (Primary Care Revitalized and Enhanced Through Skills and Services) Package Philippine Star | Publication Date: 07-23-2014 | Effectivity Date: 07-23-2014

Tamang Sagot »

(Circular No. 15, s-2014) Primary Care Benefit 1 (PCB1) Now Called "TSeKaP Package
Guidelines for CY2014 Philippine Star | Publication Date: 07-23-2014 | Effectivity Date: 07-23-2014

Tamang Sagot »

(Circular No. 14, s-2014) Revised Guidelines for the PhilHealth Outpatient Anti-Tuberculosis Directly Observed Treatment Short-Course (DOTS) Benefit Package Manila Bulletin | Publication Date: 06-24-2014 | Effectivity Date: 07-09-2014
ANNEXES:
• Annex 1: Definition of Terms • Annex 2: ICD 10 Codes for TB Cases • Annex 3: Instructions How To Accomplish Claim Form 2 (CF2) For TB DOTS Package • Annex 4: Sample Claim Form 2
Tamang Sagot »

(Circular No. 13, s-2014) Approval of the Revised LBC Acknowledgement Receipt (AR) as Proof of Payment for PhilHealth Premiums and the Resumption of Collection of PhilHealth Premium Payments by LBC Express, Inc. as a Collecting Partner of CIS-Bayad Center Inc. Philippine Star | Publication Date: 05-21-2014 | Effectivity Date: 05-12-2014

Tamang Sagot »

(Circular No. 12, s-2014) Z Benefit Rates for Selected Orthopedic Implants Philippine Daily Inquirer | Publication Date: 05-21-2014

Tamang Sagot »

(Circular No. 11, s-2014) Release of Payments for Out-Patient Benefit Packages in Public Health Care Institutions Under the Jurisdiction of DOH-ARMM Manila Bulletin | Publication Date: 04-03-2014 | Effectivity Date: 04-18-2014

Tamang Sagot »

(Circular No. 10, s-2014) The New Accreditation Process for Health Care Professionals and Guidelines for Credentialing and Privileging of Professionals Philippine Star | Publication Date: 03-27-2014 | Effectivity Date: 04-11-2014
ANNEX:
• Annex A: Requirements for Health Care Professional Accreditation • Annex B: Performance Commitment for Health Care Professionals • Annex C: Health Care Professional Provider Data Record
Tamang Sagot »

(Circular No. 09, s-2014) ACR Policy No. 3 --- Additional List of Medical Conditions for Hospitals, New Rates for Selected Case Rates in Primary Care Facilities-Infirmaries/Dispensaries, and Clarification of Existing Rules on All Case Rates Philippine Star | Publication Date: 03-05-2014
ANNEX:
• Annex 1: List Of Medical Case Rates for Primary Care Facilities - Infirmaries/Dispensaries
(Revised Annex 5 of PC 35 s.2013)
Tamang Sagot »

(Circular No. 07, s-2014) Guidelines for the OKs ang Bakuna ko Laban sa Pulmonya: a Program on Pneumococcal Vaccine for PhilHealth Members and Dependents Aged 50 years old and Above Philippine Daily Inquirer | Publication Date: 03-01-2014 | Effectivity Date: 02-07-2014

Tamang Sagot »

(Circular No. 06, s-2014) Supplement to PhilHealth Circular 34, s.2013: Guidelines on the Provision of Special Privileges to Those Affected by a Fortuitous Event Including Specific Provisions for Those Affected by Typhoon Yolanda Philippine Daily Inquirer | Publication Date: 02-05-2014

Tamang Sagot »

(Circular No. 05, s-2014) Issuance and Voluntary Availment of the PhilHealth Health Insurance Cards (HIC) by the Members of the Formal Economy Philippine Star | Publication Date: 02-04-2014 | Effectivity Date: 02-19-2014

Tamang Sagot »

(Circular No. 04, s-2014) Implementation of the Interim Reimbursement Mechanism (IRM) for Health Care Institutions in Areas Directly Affected by ‘Super Typhoon Yolanda’ Philippine Star | Publication Date: 02-04-2014

Tamang Sagot »

(Circular No. 03, s-2014) Strengthening the Implementation of the No Balance Biling Policy Manila Bulletin | Publication Date: 01-30-2014

Tamang Sagot »

(Circular No. 02, s-2014) Enhanced Health Care Institution Portal
(formerly known as Institutional Health Care Provider Portal) Philippine Daily Inquirer | Publication Date: 01-28-2014

Tamang Sagot »

(Circular No. 01, s-2014) New Payment Schedule for Premium Contributions Philippine Daily Inquirer | Publication Date: 01-20-2014 | Effectivity Date: 02-04-2014

Tamang Sagot »

Circular Archives