PhilHealth

Circulars

Circulars 2020

(Circular No. 2020-0024) Governing Policies on No Co-payment/No Balance Billing for PhilHealth Benefit Packages Manila Bulletin | Publication Date: 12-30-2020

Tamang Sagot for Circular No. 2020-0024 »

(Circular No. 2020-0023) Implementation of the PhilHealth Member Portal Manila Bulletin | Publication Date: 12-29-2020

Tamang Sagot for Circular No. 2020-0023 »

(Circular No. 2020-0022) Implementing Guidelines for the PhilHealth Konsultasyong Sulit at Tama (PhilHealth Konsulta) Package Manila Bulletin | Publication Date: 12-24-2020
Annex A - Registration to a PhilHealth Konsulta Provider
Annex B - PhilHealth MOP for Assisted Registration
Annex B.2 - Checklist of PhilHealth Konsulta Drugs
Annex C - PhilHealth Konsulta Registration Form
Annex D - PhilHealth Konsulta Benefit Table
Annex E - List of Preventive Health Services based on Lifestage Guarantees
Annex F - Benefit Availment
Annex G - eKAS and ePresS
Annex H - Approved Benefit Payment and Balance Billing Co-payment Schedule
Annex I - Submission of Report
Annex J - List of Minimum Personal Information for the First Patient Encounter

Tamang Sagot for Circular No. 2020-0022 »

(Circular No. 2020-0021) Accreditation of HCPs for Konsulta Package Manila Bulletin | Publication Date: 12-23-2020
Annex A - Minimum Requirements for Accreditation of PhilHealth Konsulta Providers
Annex B - Self-Assessment/ Accreditation Survey Tool for PhilHealth Konsulta Provider
Annex B1 - Health Human Resource Survey Toolfor PhilHealth Konsulta Provider
Annex B2 - Checklist of PhilHealth Konsulta Drugs and Its Preparation
Annex B3 - Checklist of PhilHealth Konsulta Laboratoriesand Diagnostic Services
Annex C - Procedures and Documentary Requirements for Accreditation of PhilHealth Konsulta Providers
Annex D1 - Certification of Service Delivery Suport (Laboratory and Diagnostic Services)
Annex D2 - Certification of Service Delivery Suport (Medicines)
Annex E - Non‐Disclosure Agreement

Tamang Sagot for Circular No. 2020-0021 »

(Circular No. 2020-0020) Governing Policies on PhilHealth Costing and Costing Methodology Manila Bulletin | Publication Date: 12-23-2020

(Circular No. 2020-0019) Implementation of PhilHealth Cloud Storage Service (PCSS) Manila Bulletin | Publication Date: 12-31-2020

Tamang Sagot for Circular No. 2020-0019 »

(Circular No. 2020-0018) Guidelines on the CoViD-19
Community Isolation Benefit Package (CCIBP) - Revision 1 Manila Bulletin | Publication Date: 07-18-2020
Annex A - Provider Data Record
Annex B - Performance Commitment
Annex C - Supplemental Provider Data Record
Annex D - Possible Scenarios in Terms of CIU Management and Ownership
Annex E - Mandatory and Other Health Services
Annex F - Clinical and Social Criteria
Annex G - Package Rate and Rules on Co-pay
Annex G1 - Expenditure and Utilization Report
Annex G2 - Case Investigation Form
Annex G3- List Of Admitted Patient
PhilHealth's guidelines for Community Isolation Benefit Package

Tamang Sagot for Circular No. 2020-0018 »

(Circular No. 2020-0017) Benefit package for SARS-CoV-2 testing using RT-PCR (Revision 1) Manila Bulletin | Publication Date: 06-25-2020
Annex A - Guidelines on the application for Accreditation of SARS-CoV-2 testing laboratories
Annex C - SARS-CoV-2 Claims Summary Form
Annex D - Waiver Form

(Circular No. 2020-0015) Clarification on the Definition of Unwarranted Claims Manila Bulletin | Publication Date: 05-08-2020

Tamang Sagot for Circular No. 2020-0015 »

(Circular No. 2020-0014) Premium Contribution and Collection of Payment of Overseas Filipino Members Manila Bulletin | Publication Date: 04-22-2020

Tamang Sagot for Circular No. 2020-0014 »

(Circular No. 2020-0013) Provisional Accreditation of Health Care Providers Manila Bulletin | Publication Date: 04-18-2020

Tamang Sagot for Circular No. 2020-0013 »

(Circular No. 2020-0012) Guidelines on the COVID-19 Community Isolation Benefit Package (CCIBP) Manila Bulletin | Publication Date: 04-14-2020

(Circular No. 2020-0011) Full financial risk protection for Filipino health workers and patients against coronavirus disease (COVID-19) Manila Bulletin | Publication Date: 04-14-2020
1. Guidelines in the submission of itemized billing for discharged patients managed as COVID-19
2. Process flow for the submission of itemized billing and expenditure and utilization Report.

(Circular No. 2020-0010) Benefit package for testing for SARS-CoV-2 Manila Bulletin | Publication Date: 04-14-2020

(Circular No. 2020-0009) Benefit packages for inpatient care of probable and confirmed COVID-19 developing severe illness/outcomes Manila Bulletin | Publication Date: 04-14-2020
1. Guidelines in the submission of itemized billing for discharged patients managed as COVID-19
2. Process flow for the submission of itemized billing and expenditure and utilization Report.

(Circular No. 2020-0008) Payment of Premium Contributions through the Online Payment Facility of the Electronic Premium Remittance System (EPRS) Manila Bulletin | Publication Date: 03-26-2020

Tamang Sagot for Circular No. 2020-0008 »

(Circular No. 2020-0007) Guidelines on the provisions of Special Privileges to those Affected by a Fortuitous Events (Revision 1) Manila Bulletin | Publication Date: 03-21-2020

(Circular No. 2020-0006) Premium Contributions of Accredited Health Care Professionals as Direct Contributors Manila Bulletin | Publication Date: 03-20-2020

Tamang Sagot for Circular No. 2020-0006 »

(Circular No. 2020-0005) Premium Contribution Schedule in the National Health Insurance Program (NHIP) Pursuant to R.A. 11223 Known as the Universal Health Care Act” (Revision 1) Manila Bulletin | Publication Date: 03-05-2020

Tamang Sagot for Circular No. 2020-0005 »

(Circular No. 2020-0004) Enhancement of packages related to Coronavirus Infection Manila Bulletin | Publication Date: 02-21-2020

Tamang Sagot for Circular No. 2020-0004 »

(Circular No. 2020-0003) Guidelines on the Denial or Withdrawal of Accreditation of Health Care Providers Manila Bulletin | Publication Date: 02-21-2020

(Circular No. 2020-0002) Governing Policies of PhilHealth Konsultasyong Sulit at Tama (PhilHealth Konsulta) Package: Expansion of the Primary Care Benefit to Cover all Filipino Manila Bulletin | Publication Date: 02-12-2020

Tamang Sagot for Circular No. 2020-0002 »

(Circular No. 2020-0001) The Revised PhilHealth Member Registration Form (PMRF) Manila Bulletin | Publication Date: 02-08-2020

Tamang Sagot for Circular No. 2020-0001 »

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