MEMBERS of the Philippine Health Insurance Corporation (PhilHealth) now have a chance to update their premium contributions payments to become eligible for benefits availment in PhilHealth-accredited health care institutions nationwide.
Through Advisory No. 2018-0011 released last February 2, 2018, PhilHealth deferred the implementation of the sufficient regularity of payment rule to admissions starting October 1, 2018, thereby presenting its members with an opportunity to establish continuous payment of premiums required to avail themselves of PhilHealth benefits. The sufficient regularity of payment rule is contained in PhilHealth Circular 2017-0021 which was published on October 27, 2017.
As such, availment of benefits until September 30 this year, will only require members to pay three (3) months of contributions within the immediate six (6) months prior to the first day of confinement. The 3-over-6 rule includes the month of confinement.
Members who were admitted from January 1, 2018 onwards but who were unable to avail themselves of benefits due to lacking sufficient regularity of payment may file claims directly with PhilHealth.
Further inquiries on this new development may be referred to PhilHealth’s 24/7 Corporate Action Center Hotline, (02) 441-7442. E-mails may also be sent to actioncenter@philhealth.gov.ph for clarifications, comments, and suggestions. For more updates, members are encouraged to follow PhilHealth on Twitter (@teamphilhealth) and Facebook (facebook.com/PhilHealth). (END) (By Jan Joseph C. Rico)
(Reference: Dr. Israel Francis A. Pargas, Head Executive Assistant and Concurrent OIC-Vice President for Corporate Affairs Group, Cel No. 0917-8089399)
