Question & AnswerQ&A (PHILHEALTH CIRCULAR NO. 47, S. 1999)
The purpose of PhilHealth Circular No. 47, s. 1999 is to inform about the implementation of the indigent program in the Province of Iloilo whereby qualified indigents and their dependents are enrolled in the National Health Insurance Program and are entitled to avail of Medicare benefits.
Qualified PhilHealth indigents are those who have successfully passed the means test conducted by PhilHealth in coordination with the Government of Iloilo.
Indigents from Ajuy, Igbaras, Badiangan, Lemery, Batad, Mina, Balasan, Passi City, Barotac Viejo, Pavia, Cabatuan, San Joaquin, Concepcion, San Miguel, Duenas, Sara, Guimbal, and Tubungan are entitled to Medicare benefits effective March 1, 1999.
Indigents from Alimodian, Banate, Carles, Estancia, and San Rafael are entitled to Medicare benefits starting April 1, 1999.
Accredited PhilHealth providers are automatically entitled and also responsible for rendering services to the indigent members under the National Health Insurance Program.
Indigent members are provided with PhilHealth Identification Cards which contain pertinent information such as the validity of coverage and the names of their legal dependents.
Claims should be filed at PhilHealth Central Office, 3rd Floor, JOCFER Building, Commonwealth Avenue, Quezon City.
PhilHealth Form Nos. 1, 2, and 3 shall be accomplished when filing claims for indigent members.
Entitlement is provided under Section 4(a.iv), Rule I; Section 23, Rule IV; Sections 44(d) and 49, Rule VIII of the Implementing Rules and Regulations of the National Health Insurance Act of 1995, and Section 2.1, Part II (Warranties of Accreditation) of the application for accreditation.
The Circular was signed and adopted by Enrique M. Zalamea, President and CEO of PhilHealth, on February 26, 1999.