Key Definitions
- AFP Finance Center: Manages pension payments.
- AFP Pension and Gratuity Management Center (PGMC): Handles pension and separation benefits.
- Authority to Deduct (ATD) PhilHealth Premium: Consent form signed by pensioners to authorize PhilHealth premium deduction.
- Certificate of Qualified AFP Pensioner: Certification issued by AFP Finance Center confirming eligibility for pension premium deduction.
- Pension: Monthly retirement benefits from which PhilHealth premiums are deducted.
- Pensioner (AFP): Retired military personnel or their legal beneficiaries receiving pension, including optional retirees and CDD retirees.
Enrollment and Registration
- AFP pensioners must complete the PhilHealth Member Registration Form.
- Attach photocopies of valid documents for dependents and pensioner ID.
- Submit Authority to Deduct (ATD) form to authorize premium deductions from pensions.
Submission of Documents
- Documents can be submitted at PhilHealth Regional Offices, Service Offices, Branches, and AFP Camps including AFP PGMC at Camp Aguinaldo.
- Forms are available at PhilHealth offices, AFP camps, and downloadable from official websites.
Premium Contributions
- AFP Finance Center deducts premiums from pensions based on signed ATDs.
- Optional retirees receiving lump sum pensions must prepay contributions for periods without pension payments.
- AFP remits collected premiums to PhilHealth by the 10th day of the following month.
Benefit Availment
- Benefits are subject to PhilHealth Circular No. 24, s-2003 regarding NHIP entitlement.
- Required documents for benefit claims:
- PhilHealth Claim Form 1 (duly accomplished)
- Certificate of Premium Payment or Certificate of Qualified AFP Pensioner
- Member Data Record (MDR)
- Record updating and other requirements governed by PhilHealth Circular No. 26, s-2006.
Claims Processing
- Claims processing follows PhilHealth Circular No. 26, s-2006, covering documentary requirements and procedures for local and overseas confinement.
- Provides guidelines for automatic deductions and direct filing of claims.
Effectivity
- Circular becomes effective 15 days after publication in a newspaper of general circulation.
- The circular is deposited with the National Administrative Register at the University of the Philippines Law Centre.
- Adopted on March 6, 2012, signed by Dr. Eduardo P. Banzon, PhilHealth President and CEO.