New PhilHealth Premium for Self-Employed Pros

The Circular is issued pursuant to Section 28 of Republic Act No. 7875 (1995), as amended by Republic Act No. 9241 (2004).
Section 28 of Republic Act No. 7875, as amended, requires NHIP members to contribute to the Fund under a reasonable, equitable, and progressive contribution schedule.
The premium contribution segmentation and program rules align with PhilHealth Board Resolution No. 886 and 887, s. 2006, dated February 23 and March 24, 2006, respectively.
The Circular implements segmentation of the Individually Paying Program according to registration, documentary requirements, premium contribution amounts, and venue.
The Circular directs compliance with the Omnibus Guidelines on Member Registration and Enrolment for documentary requirements and dependent documentation rules.

The Circular establishes the rules for how self-employed professionals/individuals contribute under the Individually Paying Program.
The Circular requires individually paying members and new enrollees to register and document their profession and income for correct premium classification.
The Circular applies to existing Individually Paying Members (IPMs) and new enrollees under the Individually Paying Program.
The Circular sets different premium amounts based on (a) whether the profession is in the List of Professionals/Other Professionals (Annex C) and (b) whether monthly family income is P25,000 and below.
The Circular prescribes where members must register based on profession classification for the professionals in Annex C.

Existing IPMs and new enrollees must register by accomplishing the PhilHealth Member Registration Form (PMRF) to reflect the member’s profession and income.
Professionals must attach a photocopy of their Professional Regulation Commission (PRC) ID to the PMRF.
Other professionals must attach a photocopy of their Business Permit to the PMRF.
When monthly family income in the last 12 months is P25,000 and below, members must attach a photocopy of their Income Tax Return (ITR) to the PMRF.
Members must use the PMRF check box to indicate updating purpose when additional dependents are declared for an IPM.

Existing IPMs do not need to submit documents for dependents if the required dependent documents have already been submitted to PhilHealth.
When an existing IPM has additional dependents, the IPM must accomplish and submit the PMRF for updating and attach documentary requirements for the declared dependents under the Omnibus Guidelines on Member Registration and Enrolment.
New enrollees must present and attach a photocopy of their Birth/Baptismal Certificate or any one of the valid IDs listed in Annex B.
New enrollees must attach the documentary requirements for dependents under the Omnibus Guidelines on Member Registration and Enrollment to the accomplished PMRF.

Premium contribution may be paid quarterly, semi-annually, or annually.
For the first year of policy implementation, members/new enrollees whose professions are included in the List of Professionals/Other Professionals (Annex C) must pay PHP 600 per quarter or PHP 2,400 per year.
For the first year of policy implementation, members/new enrollees whose professions are included in Annex C and whose monthly family income in the last 12 months is P25,000 and below must pay PHP 300 per quarter or PHP 1,200 per year.
For succeeding years, members whose professions are included in Annex C must pay PHP 900 per quarter or PHP 3,600 per year.
For succeeding years, members whose professions are included in Annex C and whose average monthly family income in the last 12 months is P25,000 and below must continue paying PHP 300 per quarter or PHP 1,200 per year.
For members/new enrollees whose profession is not included in Annex C, the premium contribution is PHP 300 per quarter or PHP 1,200 per year.

All existing IPMs and new enrollees whose professions are included under the List of Professionals/Other Professionals (Annex C) must register at the nearest Service Office.
The registration and documentation process is carried out through submission of the PMRF with profession and income-reflecting attachments, including PRC ID, Business Permit, and (when applicable) ITR.

For existing members, the policy on the new premium contribution for professionals takes effect after completion of payment for the current year membership period.
For inactive and new members, the policy takes effect immediately.
The new premium contribution of the Individually Paying Program for self-employed professionals takes effect on October 1, 2010, after the required 15-day period following publication.

No penalty, fine, or sanction for non-compliance with registration, documentation, venue, or premium payment requirements is prescribed in this Circular.