Thursday, 24th April 2014

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IN line with the implementation of Universal Health Care or government’s Kalusugan Pangkalahatan program, PhilHealth will increase the annual contribution of its members.

This aims to support the attainment of universal health care by eventually having all Filipinos assigned and taken care of by Primary Care Provider, and members and their qualified dependents be given the option to avail of no balance billing health care services. PhilHealth thrust is to implement enhancements on National Health Insurance program benefit packages consistent to the millennium Development Goals (MDG) health targets in 2015.

For Sponsored programs, the premium contribution of all National Household Targeting System for Poverty Reduction (NHTS-PR) identified poor families by the Department of Social Welfare and Development shall pay P2,400 per year and beneficiaries will enjoy a two-year validity period of availment of benefits.

On the other hand, LGU sponsored-enrollees will be having a partial subsidy from the members themselves starting July 1, 2012. For the following year, the LGU sponsored or renewed members when paid within the 2012 first semester, the annual premium contribution shall computed at P1,200 a year per enrollee including those LGU/Sponsors that will sign a Memorandum of Agreement (MOA) and commit to pay for the (2) year contribution. Notably, any applicable terms and conditions stipulated in the previous MOA prior to this will be respected.

For Individually Paying and Overseas Workers program, the minimum annual premium contributions shall be P2,400 to take effect on July 1, 2012. Members who pay their annual premium contribution within the 2012 1st semester shall be computed at an annual premium of P1,200 including those who will sign a policy contract to pay for two (2) consecutive years of premium contribution. For self-employed professional earning an average income of P25,000, they will continue to pay the annual premium of P3,600.

For the employed sector, premium contribution from formal sector employees and their employers shall be computed at three percent of the basic salary of the employee and shall be continually shared equally by its employer provided that the monthly salary base is determine at P7,000 with the minimum annual contribution of P2,520 while the monthly ceiling is determined at P50,000, effective January 2013.

The subject Philhealth premium contribution increase has been approved through PhilHealth Board Resolution No 1571 series of 2011. PhilHealth issued Circular No 22 s 2011 and was published on December 16, 2011. (Larry Tabsing)

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