Amendment to PhilHealth Claim Forms

PhilHealth Circular No. 03, s. 2011 issues amendments in line with PhilHealth Circular No. 25, s. 2010, known as the Nine (9) Months Contribution as a Requirement for Benefit Availment.

Item number four (4) of the Employer’s Certification (Annex A) under Claim Form I, Part II is amended.
The amended certification requires certification that all monthly premium contributions for and on behalf of the member while employed in the company have been deducted/collected and remitted to PhilHealth.
The amended certification expressly includes the applicable nine (9) monthly premium contributions within the past twelve (12) months period prior to the first day of this confinement.
The amended certification further certifies that the information supplied by the member and/or the member’s representative on Part I is consistent with available records.

The certification of employer portion (Annex B) under the Implementing Guidelines on the Proper Accomplishment of Revised PhilHealth Claim I is amended.
The amended employer certification requires the employer of the authorized representative to affix a signature certifying that all monthly premium contributions for and on behalf of the member while employed in the employer’s company have been deducted/collected and remitted to PhilHealth.
The amended employer certification expressly includes the applicable nine (9) monthly premium contributions within the past twelve (12) month period prior to the first day of confinement.
The amended employer certification further requires certification that the information supplied by the member or the member’s representative is consistent with the employer’s available records.

The amendments under PhilHealth Circular No. 03, s. 2011 apply to all claims with admission dates starting July 1, 2011.
Provisions in prior issuances that are not inconsistent with PhilHealth Circular No. 03, s. 2011 remain in full force and effect.