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Wednesday, September 10, 2008

PhilHealth premiums-a must for doctors

All Health Professionals applying for PhilHealth accreditation must pay the regular premium contributions as PhilHealth members do. This requirement enables them to avail of medicare benefits aside from entitlement to professional fees.

Effective September 10, 2008, all health care professionals applying for accreditation are required to submit proof of regular payment either as voluntary or employed member as provided for by the Implementing Rules and Regulations of the National Health Insurance Act under its specific accreditation requirements and conditions for Health Care Professionals (HCPs). A Health Care Professional may either refer to as physician, dentist, nurse, midwife, pharmacist and other health practitioners.

With this, doctors and other health care professionals who are Individually Paying Program (IPP) members shall pay in full the equivalent three (3) years premium contributions upon initial or renewal of accreditation. The same shall also be required to Non-Paying or Lifetime members whose membership shall cease as such when applying for accreditation. However, health care professionals applying for re-accreditation shall pay in full the applicable amount of premiums based on the validity of accreditation being applied for.

In the case of HCPs under employed sector, a photocopy of Quarterly Remittance Report (RF-1) where his/her name is indicated must be submited.

However, HCPs who have no income for a particular month/s due to non-rendition of service, such as those who are on leave without pay or with extended leave but have active employment status, including members engaged in seasonal employment, shall continue to pay premiums to ensure continuous entitlement of benefits.

Non-compliance of all requirements and conditions of accreditation shall be a ground for denial and/ or non-reinstatement of their accreditation and shall be penalized for Breach of Warranties of Accreditation. (Circular No 17, series of 2008)

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