Question & AnswerQ&A (PHILHEALTH CIRCULAR NO.10, S. 2005)
Documents such as a machine validated MI-5, machine printed receipt, Government Official Receipt, bank/agent receipt, PhilHealth Bank Receipt, PhilHealth Agent's Receipt, bank passbook, or PhilHealth Official Receipt representing at least three monthly contributions within the immediate six months prior to the month of availment prove payment and eligibility.
An IPM must have at least three monthly contributions within the immediate six months prior to the month of availment.
This Circular amends PhilHealth Circular No. 25, S. 2001 regarding the eligibility of Individually Paying Members and their dependents to Medicare coverage, particularly focusing on payment proof requirements.
The Circular addresses the Auto Debit Arrangement (ADA) and the Over-the-Counter Collection System (OTCCS) to facilitate faster processing of payment transactions.
Yes, all other provisions consistent with this issuance remain in full force and effect.
It was adopted on April 19, 2005.
Submission is required to verify payment and establish eligibility for Medicare benefits under PhilHealth policies.
Yes, dependents of IPMs can avail Medicare benefits as clarified in the circular.
Yes, a bank passbook representing at least three monthly contributions within the immediate six months prior to the availment month is acceptable proof.