Title
PHIC CE1 Issuance Guidelines
Law
Phic Philhealth Circular No. 03, S. 2005
Decision Date
Jan 24, 2005
The issuance of the Certificate of Eligibility (PHIC Form CE1) is streamlined to provide hospitalization benefits to indigent PhilHealth members and their dependents under specific conditions, while preventing misuse by non-members and ensuring timely renewal of membership.
A

Conditions for Issuance of PHIC Form CE1

  • Issued only under specific circumstances:
    • Loss of PhilHealth ID Card.
    • Non-availability of the PhilHealth ID Card or photocopied documentary requirements.
  • No issuance allowed if membership coverage has expired, despite previous practice.

Membership Renewal and Procedural Guidelines

  • Local Government Units (LGUs) must submit lists of members requiring renewal to PhilHealth Regional Office at least one month before membership expiration.
  • This facilitates timely encoding, ID generation, and distribution.
  • Lost PhilHealth ID Cards are to be replaced and distributed without delay.

Authorization and Certification

  • All PHIC Form CE1 issuances must be certified by authorized PhilHealth personnel from Regional or Service Offices.
  • Certification is based on the updated Masterlist of Members and Dependents to prevent unauthorized issuances.

Rationale Behind the Circular

  • Issuance was controlled to address increasing instances of PHIC Form CE1 being issued to non-members of the Sponsored (Indigent) Program.
  • Ensures proper regulation of beneficiary identification and prevents misuse.

Effectivity and Supersession

  • Circular became effective 15 days after publication in widely circulated newspapers.
  • This Circular supersedes PhilHealth Circular No. 20, series of 2001 concerning PHIC Form CE1 issuance.

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