PhilHealth issues guidelines on new premium contribution

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Thursday, December 29, 2011

SELF-EMPLOYED individuals under PhilHealth’s individually-paying program as well as members under the overseas workers programs shall pay the minimum annual premium contribution of P2,400 effective July 1, 2012.
For members who pay their contributions within the first semester of 2012 and those who sign a policy contract within the six months next year and commit to pay their contributions for two consecutive years, the annual premium contribution shall be computed at P1,200, said PhilHealth president and chief executive officer Dr. Eduardo Banzon as per Circular 022-2011, which takes effect next month.
Self-employed professionals earning an average monthly income of more than P25,000 shall continue to pay their annual premium contribution of P3,600, added the Circular on the new premium contributions to the National Health Insurance Program (NHIP) in support of the attainment of the universal health care and millennium development goals.
Premium contributions from the formal sector employees and their employers, meanwhile, shall be computed at three percent of the basic monthly salary of the employee effective January 1, 2013 and shall be continually shared equally by its employer, “provided that the monthly salary base is at P7,000 and the minimum annual contribution of P2,520 and monthly salary ceiling is determined at P50,000.”
Banzon stressed the new benefit package aims to ensure that all Filipinos are taken care of and that members and their qualified dependents are given the option to avail of the ‘no balance billing’ in availing of health care services.
“All case rate packages may be availed of by all PhilHealth members provided they comply with the requirements for such availment,” he said, adding that “sponsored program and partial subsidy scheme members and their qualified dependents shall be entitled to the primary care or the then outpatient consultation and diagnostic benefit package and the regular NHIP benefits.”
As per the latest Circular, the premium contribution of all National Household Targeting System for Poverty Reduction (NHTS-PR)-identified poor families of the Department of Social Welfare and Development under the sponsored program shall be P2,400 per year effective January 1, 2012.

“The sponsored program identification card that will be issued to the intended NHTS-PR beneficiaries shall have a two-year validity period with the expectation that the national government would sustain its subsidy until 2013.”

Premium contributions under the partial subsidy scheme shall be increased to P2,400 per year effective July 1 next year. (But) for local government units/sponsors who enroll following the calendar year and pay their contribution within the first semester of 2012, the annual premium contribution shall be computed at P1,200.


“For LGUs/sponsors…who sign a memorandum of agreement and commit to pay their contribution for two consecutive years, the annual premium contribution shall be computed at P1,200.”

PhilHealth will also recognized until next year the applicable terms and conditions of the memorandum of agreement executed among and between the various LGUs and/or sponsors prior to 2012 to implement the sponsored program.

Published in the Sun.Star Bacolod newspaper on December 29, 2011.


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