Question & AnswerQ&A (PHIC OFFICE ORDER NO. 92)
The PhilHealth ID Card serves as the member's passport for the availment of Medicare benefits and bears proof of the member's program coverage for the year.
The Grace Period refers to the 30 calendar days after the expiration of membership validity for the LGU to remit their premium counterpart.
Non-delinquent LGUs and/or Donors have no outstanding balance or have paid at least 75% of the previous year's LGU premium counterpart, while Delinquent LGUs and/or Donors have more than 25% balance unpaid from the previous year.
The modes of remittance can be quarterly, semi-annual, or annual payment of the LGU premium counterpart contributions.
They must submit a Certificate of Budget Allocation and a notarized Promissory Note for the payment of at least one (1) quarter premium counterpart within 30 days after the release of IDs.
IDs should be released at least 15 days prior to expiration of the current coverage; LGUs/Donors must remit the premium counterpart before renewal, or submit a Certificate of Budget Allocation and a notarized Promissory Note if unable to remit before expiration.
PhilHealth will suspend the provision of Medicare benefits in the territorial jurisdiction of the delinquent LGU or Donor.
They must submit a Certificate of Budget Allocation and a notarized Promissory Note committing to pay at least one quarter premium counterpart within 30 days after release of IDs.
IDs are released upon submission of the legislator's approved proposal for PDAF allocation or a Special Allotment Release Order, with PhilHealth coordinating with the legislator's office and the Department of Budget and Management.
PhilHealth reserves the right to withhold the release of PhilHealth Capitation Funds if premium payments are not remitted as specified in Office Order No. 66, series of 2002.