PhilHealth

Circulars

Circulars 2021

(Circular No. 2021-0025) Outpatient HIV/ AIDS Treatment (OHAT) Package (Revision 2) Manila Times | Publication Date: 12-22-2021
Annex A - Sample Template of Statement of Account
Annex B - Waiver and Consent for Release of Confidential Patient Health Information
Annex C - Non-Disclosure Agreement

Tamang Sagot for Circular No. 2021-0025 »

(Circular No. 2021-0024) Modification on the Minimum Length of Stay (LOS) in PhilHealth Accredited Community Isolation Units (CIU) Manila Times | Publication Date: 12-16-2021

Tamang Sagot for Circular No. 2021-0024 »

(Circular No. 2021-0023) Implementation of the Debit-Credit Payment Method Nationwide Malaya Business Insight | Publication Date: 12-08-2021

Q & A for Healthcare Providers »

(Circular No. 2021-0022) The Guiding Principles of the Z Benefits (Revision 1) Philippine Star | Publication Date: 12-08-2021

Tamang Sagot for Circular No. 2021-0022 »

(Circular No. 2021-0021) Benefit Packages for SARS-CoV-2 Testing Using RT-PCRTests (Plate-based and Cartridge-based) Philippine Star | Publication Date: 11-30-2021
Annexes
Tamang Sagot for Circular No. 2021-0021 »

(Circular No. 2021-0020) Clarification on the Coverage for COVID-19 Inpatient Benefit Package
Revision 1 Philippine Star | Publication Date: 10-31-2021
Annex A - Disease Severity Classification of Patients
Annex B - Case Definitions of Department of Health Case Definition of Suspect, Probable and Confirmed COVID-19 Cases

Tamang Sagot for Circular No. 2021-0020 »

(Circular No. 2021-0019) System Validated Statement of Premium Account (SPA) and PhilHealth Premium Payment Slip (PPPS) as PhilHealth Receipts for Premium Contribution Payment Transactions at PhilHealth Offices Malaya Business Insight | Publication Date: 10-29-2021
Annex A - PhilHealth Premium Payment Slip

Tamang Sagot for Circular No. 2021-0019 »

(Circular No. 2021-0018) Extension of Filing Period and Submission of Additional Requirement for SARS-CoV-2 Testing Benefit Packages Manila Times | Publication Date: 10-22-2021
Annex A - Table of Requirements and Applicable Period

Tamang Sagot for Circular No. 2021-0018 »

(Circular No. 2021-0016) Application of Debit-Credit Payment Method (DCPM) to facilitate the Settlement of Accounts Payable to Healthcare Facility (HCFs) During the State of Public Health Emergency due to the COVID-19 pandemic (Revision 2) Philippine Star | Publication Date: 08-28-2021

Tamang Sagot for Circular No. 2021-0016 »

(Circular No. 2021-0015) Electronic Collection Reporting System (ECRS) (Revision 2) Business Mirror | Publication Date: 09-08-2021
Annex A - Non Disclosure Agreement
Annex B - PhilHealth Online Access Form

Tamang Sagot for Circular No. 2021-0015 »

(Circular No. 2021-0014) COVID-19 Home Isolation Benefit Package (CHIBP) Business Mirror | Publication Date: 08-19-2021
Annex A - SAT for CHIBP
Annex B - Performance Commitment
Annex C - Certification of Service Delivery Suport - Referral
Annex D - Certification of Service Delivery Suport - Telemed
Annex E - Authorization Letter for Use of eClaims System
Annex F - COVID-19 Home Isolation Benefit Package Services
Annex G - Package Rate and Rules on Co-pay
Annex H - Assessment Checklist for COVID-19 Home Isolation Benefit Package
Annex I - Claims Requirement
Annex J - Certification of COVID-19 Home Isolation Kit Issuance
Annex K - Authorization and Consent to Participate in Telemedicine Consultation
Annex L - Monitoring Sheet

Tamang Sagot for Circular No. 2021-0014 »

(Circular No. 2021-0013) Temporary Suspension of Payment of Claims Manila Times | Publication Date: 08-20-2021

(Circular No. 2021-0012) Modification on the Payment Rules of Benefit Packages under All Case Rates (ACR) Policy including COVID-19 Benefit Packages Manila Times | Publication Date: 08-07-2021

Tamang Sagot for Circular No. 2021-0012 »

(Circular No. 2021-0011) PhilHealth Payment Recovery (PPR) Policy Philippine Star | Publication Date: 08-07-2021

Tamang Sagot for Circular No. 2021-0011 »

(Circular No. 2021-0010) Handling of Employer Requests to Compromise, Waive or Release, in Whole or in Part, Interests and/or Surcharges and Payment of Premium Arrears through Installment Arrangements The Manila Times | Publication Date: 07-29-2021

Tamang Sagot for Circular No. 2021-0010 »

(Circular No. 2021-0009) PhilHealth Coverage for Outpatient Hemodialysis Benefit Package to a Maximum of 144 sessions for CY 2021 Manila Bulletin | Publication Date: 07-02-2021

Tamang Sagot for Circular No. 2021-0009 »

(Circular No. 2021-0008) Clarification on the Coverage for COVID-19 Inpatient Benefit Package Pilipino Star Ngayon | Publication Date: 06-19-2021
Annex A - Disease severity classification of patients managed as COVID-19 and corresponding Intermediate Package

Tamang Sagot for Circular No. 2021-0008 »

(Circular No. 2021-0007) Implementing Guidelines on the Coverage of COVID-19 Vaccine Injury due to Serious Adverse Effects (SAEs) Following Immunization Resulting in Hospitalization, Permanent Disability, or Death under the COVId-19 National Vaccine Indemnity Fund (The COVID-19 Vaccine Injury Compensation Package) Business World | Publication Date: 06-18-2021
Annex A - Package Rates and Benefit Cap for the COVID-19 Vaccine Injury Package
Annex B - List of Conditions that may be claimed from COVID-19 Vaccine Injury Compensation Package
Annex C - Claims Filing, Motion for Reconsideration, and Appeals Process for the COVID-19 Vaccine Injury Package
Annex D - COVID-19 Vaccine Injury Claim Form
Annex E - List of Documentary Requirement when filing for a Claim for the COVID-19 Vaccine Injury Compensation Package
Annex F - COVID-19 Vaccine Injury Survey
Annex G - PhilHealth Member Registration Form
Annex H - Sample for Motion for Reconsideration or Appeal

Tamang Sagot for Circular No. 2021-0007 »

(Circular No. 2021-0006) Application of Debit-Credit Payment Method (DCPM) to facilitate the Settlement of Accounts Payable to Healthcare Facility (HCFs) During the State of Public Health Emergency due to the COVID-19 pandemic (Revision 1) Business World | Publication Date: 05-27-2021

Tamang Sagot for Circular No. 2021-0006 »

(Circular No. 2021-0005) Registration of New Corporate Entities and Reporting of Initial Employees through the Central Business Portal (CBP) Manila Bulletin | Publication Date: 07-01-2021

Tamang Sagot for Circular No. 2021-0005 »

(Circular No. 2021-0004) Application of Debit-Credit Payment Method (DCPM) to facilitate the Settlement of Accounts Payable to Healthcare Facility (HCFs) During the State of Public Health Emergency due to the COVID-19 pandemic The Daily Tribune | Publication Date: 04-10-2021

Tamang Sagot for Circular No. 2021-0004 »

(Circular No. 2021-0003) Benefit Package for SARS-CoV-2 Testing Using Cartridge-based PCR Business World | Publication Date: 05-26-2021
Annex A - Guidelines on the Application for Accreditation of SARS-CoV-2 Testing Laboratories
Annex B - Sub-groups of at-risk individuals for SARS-CoV-2 testing
Annex C - SARS-CoV-2 claims summary form and instructions for electronic submission
Annex D - Waiver for Directly Filed Claims for SARS-CoV-2 Testing Package
Annex E - Certificate of classification of at-risk individuals and actual charges for SARS-CoV-2 test

Tamang Sagot for Circular No. 2021-0003 »

(Circular No. 2021-0002) PhilHealth Coverage for Hemodialysis Sessions to a Maximum of 144 Sessions for CY 2020 The Daily Tribune | Publication Date: 04-13-2021

Tamang Sagot for Circular No. 2021-0002 »

(Circular No. 2021-0001) Benefit Package for SARS-CoV-2 Testing Using RT-PCR (Revision 2) Business World | Publication Date: 05-26-2021
Annex A - Guidelines on the Application for Accreditation of SARS-CoV-2 Testing Laboratories
Annex B - Sub-groups of at-risk individuals for SARS-CoV-2 testing
Annex C - SARS-CoV-2 claims summary form and instructions for electronic submission
Annex D - Waiver for Directly Filed Claims for SARS-CoV-2 Testing Package
Annex E - Certificate of classification of at-risk individuals and actual charges for SARS-CoV-2 test

Tamang Sagot for Circular No. 2021-0001 »

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