EMPLOYEES in the government and private sectors including kasambahays and family drivers, as well as self-earning individuals must have paid at least three months’ premium contributions within the immediate six-month period prior to the first day of confinement so they can avail themselves of their benefits from the Philippine Health Insurance Corporation (PhilHealth).
This new development is contained in PhilHealth Circular 32, s.2014 and now makes it possible for members to catch up on their premium contributions before the first day of hospitalization. The policy also applies to qualified dependents of members.
However, payments made on admission date, during the confinement period or after the member or dependent is discharged from the health care institution, will not be counted as qualifying contributions except in some conditions or circumstances identified by the corporation.
“We introduced this policy to allow our members more lead time to pay their premium contributions, to ensure entitlement to PhilHealth benefits, so that in times of sickness or hospitalization of the member or dependents there would be no problem availing of benefits" said Alexander A. Padilla, PhilHealth President and CEO.
The new policy took effect for all admissions starting January 1, 2015. (Faudia H. Subillaga)