PhilHealth: New Policy on Benefit Eligibility to Start in October

The Philippine Health Insurance Corporation (PhilHealth) reminds the public anew that the sufficient regularity of payment (SRP) will be required for all benefit availments starting October 1, 2018.

Previously set for implementation last January, PhilHealth postponed the execution of the directive to provide its members with ample time to update their premium contributions in order to ensure themselves and their dependents of uninterrupted social health insurance coverage.

The SRP rule is contained in PhilHealth Circular No. 2017-0021 which states that, “…to establish sufficient regularity of payment, members should have paid six (6) months contributions preceding the three (3) months qualifying contributions within the twelve (12)-month period prior to the first day of confinement…”

In effect, to be eligible to PhilHealth benefits, a member should have paid at least nine (9) months’ worth of premiums in the twelve (12) months preceding the confinements including the confinement month of the patient.

“We call on our members to see to it that their membership information and premium contributions are up to date in order to maintain an active PhilHealth membership. In doing so, they ensure themselves and their qualified dependents of social health insurance benefits for their medical needs,” said PhilHealth Acting President and CEO Dr. Roy B. Ferrer.

Further inquiries on this policy 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 and stakeholders are encouraged to follow PhilHealth on Twitter (@teamphilhealth) and Facebook (facebook.com/PhilHealth). END (JJ Rico)

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