Advisory ID# 6
MMG ADVISORY as of 01/30/2018

Temporary Use of Unamended PhilHealth Claims Form 1 and Claim Signature Form

PhilHealth Circular 21, s.2017 entitled Application of Sufficient Regularity of Payment of Premium Contributions to the Required Qualifying Contributions for Eligibility to PhilHealth Benefits, defines “sufficient regularity” as the premium payment of “...six (6) months of contributions preceding the three (3) months qualifying contributions within the twelve (12) month period prior to the first day of confinement...”

Relative to this, to ensure continuous access to PhilHealth benefits, Health Care Institutions may still use the current PhilHealth Claim Signature Form and PhilHealth Claim Form 1, until the said forms’ parts for “Employer’s Certification” have been officially amended to read as follows:

“This is to certify that all monthly premium contributions for and in behalf of the member, while employed in this company, including the applicable three (3) monthly premium contributions within the past six (6) months prior to the first day of this confinement, have been deducted / collected and remitted to PhilHealth with sufficient regularity (when applicable), and that the information supplied by the member or his / her representative on Part I are consistent with our available records.” 

Further, employers who affix their signatures on the unamended PhilHealth Claim Signature Form and Claim Form I are deemed to have certified their compliance to the sufficient regularity rule.

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