Proof of Contributions for PhilHealth Benefits

The circular governs what documents and PhilHealth remittance forms qualify as proof of contributions for availing Medicare benefits.
The circular ties acceptable proof to the member’s membership category and to the completeness of PhilHealth Form 1.
The circular provides document combinations and conditions for cases where a required certification field is not properly accomplished.

For currently employed members, duly accomplished PhilHealth Form 1 is sufficient as proof of contributions.
If item no. 22 (certification of contribution) in PhilHealth Form 1 is not properly accomplished, the member must submit copy of Employee Remittance List (RF-1).
The RF-1 must be duly validated using Contribution Payment Return Form (M-5) and/or receipt/s.

For self-employed and voluntary members of the SSS enrolled under PhilHealth bank receipts prior to July 1, 1999, proof of contributions may be any or a combination of the following.
Acceptable proof includes duly validated Contribution Payment Return Form (M-5 or M1-5).
Acceptable proof also includes machine-printed receipt/s.
Acceptable proof also includes receipt/s of PhilHealth-accredited banks.
Acceptable proof also includes official receipt/s of the Republic of the Philippines for over-the-counter payments.
The circular permits these proofs to be used any or a combination of the listed items for the specified enrollment timeframe.

The listed forms may be used together with other proofs of contributions enumerated under PhilHealth Circulars 46, 46a and 46b if a contribution condition is satisfied.
The contribution condition requires the three (3) monthly contributions within the six (6) month period prior to confinement.

Other provisions of PhilHealth Circulars 46, 46a and 46b that are consistent with PhilHealth Circular No. 71, s. 1999 remain in full force and effect.