Tag Archive: PSA Certificate Delivery


09 - 25

The arrival of a newborn is always an exciting moment for parents.  There is nothing more precious than welcoming a new member of the family into your home.

Philhealth makes having babies easier and more manageable through its care packages and benefits.  Knowing you are covered by these privileges as a Philhealth member allows you to free your mind from additional expenses in childbirth and post-natal medical care, so you can focus on the new bundle of joy in your arms!

Below are the most updated list of care packages available to Philhealth members who are pregnant or have just given birth to their babies:

Antenatal Care Package

Care package for women during pregnancy: P1,500

  • Pre-natal consultation on essential health services.
  • Hospital, birthing homes, lying-in clinics, maternity clinics, infirmary/dispensaries and check-up providers.

Expectant mother must undergo pre-natal check-ups of not less than four times where:

  • 3 check-ups are done within the first six months of pregnancy.
  • 1 check-up done during the last three months of pregnancy.

Maternity Care Package (MCP)

Care package for the entire duration of pregnancy until giving birth including:

  • Pre-natal consultation and essential health services
  • Normal delivery
  • Post-partum care including follow-up visits from the 3rd to the 7th day after giving birth.
    • Hospital – P6,500
    • Birthing Homes, Lying-in Clinics, Infirmary/Dispensaries, Maternity Clinics – P8,000

Normal Spontaneous Delivery (NSD) Package

Benefits for mothers on during and after childbirth including:

  • P5,000
    • Normal delivery
    • Post-partum care including follow-up visits from the 3rd to the 7th day after giving birth.
  • P6,500
    • Birthing homes
    • Lying-in clinics
    • Infirmary/Dispensaries and maternity Clinics

Newborn Care Package (NCP)

Care packages for newborn babies, including:

  • Essential newborn care
  • Newborn screening test (P1,750)
  • Newborn hearing screening test

Quick reminders to expectant moms:

  • Make sure that your Philhealth records are updated and that your membership status is active.
  • Prepare your documents such as Claim Form 1 and Philhealth ID long before your expected due date.
  • Before checking out of the hospital, double-check your bill to make sure that all Philhealth benefit claims have been deducted from the total amount of hospital bill.
  • Have yourself checked at Philhealth-accredited medical centers right on the first month of your pregnancy; return for regular check-ups as advised by your attending physician.
  • Bring your newborn child to Philhealth-accredited medical centers and hospitals for Essential Newborn Care, Newborn Screening Tests, and Newborn Hearing Screening Test.

If you have more questions regarding the maternity care packages of Philhealth, you may call their hotline at 02-441-7442.  They are available to take your call, 24/7.

Reference: www.philhealth.gov.ph

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09 - 21

Good news to minimum wage earners in the private sectors in Metro Manila!  Yesterday, the government announced that minimum wage earners are set to receive an additional Php 21.00 per day in their basic wage beginning October 5, 2017.  In the same manner, workers in the agriculture, retail/service establishments employing 15 workers or less, and manufacturing establishments regularly employing less than 10 workers are also set to receive a minimum wage rate of Php 475.00, from the previous basic wage rate of Php 444.00.

Below are detailed information on the new wage rates, who are covered of the adjustments, and exemptions from the wage order:

  1. RATES
  NEW BASIC WAGE COLA NEW MINIMUM WAGE RATES
NON-AGRICULTURE Php 502.00 Php 10.00 Php 512.00
AGRICULTURE (Plantation and Non-plantation) Php 465.00 Php 10.00 Php 475.00
RETAIL/SERVICE ESTABLISHMENTS EMPLOYING 15 WORKERS OR LESS Php 465.00 Php 10.00 Php 475.00
MANUFACTURING ESTABLISHMENTS REGULARLY EMPLOYING LESS THAN 10 WORKERS Php 465.00 Php 10.00 Php 475.00

2. COVERAGE

The following workers are covered by the rate adjustment:

All minimum wage earners in the private sector in the National Capital Region, regardless of their position, designation, or status of employment and irrespective of the method by which they are paid.

The following workers are NOT covered by the rate adjustment:

  • Kasambahay/Domestic Workers
  • Persons in the personal service of another
  • Workers of duly registered Barangay Micro Business Enterprises (BMBEs) with Certificates of Authority pursuant to Republic Act No. 10644.

3. EXEMPTIONS

The following are exempted from the applicability of the wage order:

  • Distressed Establishments
  • Retail/Service establishments regularly employing not more than 10 workers
  • Establishments adversely affected by calamities such as natural and human-induced disasters.

4. COMPLAINTS FOR NON-COMPLIANCE

If you are covered by the rate adjustment and your employer refuses to comply, you may file a complaint at the Regional Office of the Department of Labor and Employment in your area.

5. EFFECTIVE DATE

Take note that the New Wage Order NCR-21 is effective on October 5, 2017. You may download the order at www.nwpc.dole.gov.ph

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09 - 19

For three years now, the government has been hosting earthquake drills all over the country to spread awareness and encourage defensive responses in the event of an earthquake.  The drill is headed by the National Disaster Risk Reduction and Management Center (NDRRMC) and this year, it will be held at the Strike Gymnasium in Bacoor City, Cavite.  Although the activities are focused in Metro Manila and nearby areas, the entire country is encouraged to participate whether they are in their offices, homes, and even while on the road.

For most of us, our response during the earthquake drill (and during an earthquake!) should be to “duck, cover, and hold”.  But how about if you are driving a vehicle when an earthquake strikes?  How do you protect yourself from the damaging effects of this anticipated disaster while inside a moving car?

We are sharing the following article below to help drivers and commuters be aware of the safest, most defensive response when caught on the road by an earthquake.  Share this to all your friends and families whose jobs require them to be behind the wheel most of the time.

Step 1: Be aware of the intensity of the earthquake.

Drivers will not feel tremors as fast as people in buildings would.  A good indicator that an earthquake is happening is when you feel your vehicle wobble like it has a flat tire.  Pay attention to hanging streetlights and road signs too; any unusual swinging and shaking could mean a strong quake is happening.

Step 2: Pull to the side of the road.

Do not just stop in the middle of the street to avoid getting in other drivers’ way.  Do your best to pull to the side of the road, avoiding tall structures, poles, and lamp posts.  This means that even in the middle of the emergency, you have to remain calm and composed to make sure you and your car are secured and safe.

Step 3: Switch off your engine and put your handbrake on.

This gives you a bit of time to collect your belongings in case you’d need to flee from your car (which is most likely if the quake is at intensity 5 or higher).  Be prepared to exit and leave your vehicle.

Step 4: Proceed to the nearest open area you can find.

When it is safe to leave your car, head to an open area.  Avoid seeking refuge under flyovers, footbridges, and near lamp posts or hanging streetlights as these structures could give way anytime.

Step 5: Check for internet access to get the latest news on situations on the road, your destination, and nearby areas. 

After a strong quake, people are most likely to conjure up the worst scenarios through hearsays and well, superstitious beliefs.  These are the last things you need to hear as it will waste your time and may cause you to panic.  If you have your mobile phone with you, check for internet access and get the latest news from reliable sources.  Call your family at home, locate your children, and ensure everyone’s safety while you still have batteries on your phone.  Plan a meeting place that is accessible to your family and start moving.

We hope the NDRRMC and the MMDA would also conduct earthquake drills that are designed for motorists, private, and public vehicle drivers.  This will help save a lot of commuters’ lives when an earthquake strikes while they are in major thoroughfares such as EDSA, Commonwealth Avenue, NLEX, SLEX, and the like.

Most people take earthquake drills for granted; this is sad news.  We all know that earthquakes are unpredictable disasters, unlike typhoons and volcanic eruptions, and the only way you can get a fighting chance to survive is to be aware of what must be done while the ground is shaking and causing damages and panic all around you.  If your company is participating in the drill, take it as a chance to be familiar with your building’s entry and exit points, safe hiding places, and escape routes.  If you are at home during the drill, encourage all family members to join in as well.

If you are joining the earthquake drill on Thursday (and we hope you will!), you can share your stories with us right here at the Master Citizen blog page!

References:

www.ndrrmc.gov.ph

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09 - 12

Here is the continuation of yesterday’s feature article on Philhealth contributions and membership renewals.  In today’s blog, we will cover the answers to common questions from Philhealth members such as refunds for unused contributions, how to “reactivate” membership after failing to pay several months, and how to continue paying for your Philhealth membership after you have resigned from your employment.

Read on!

How do I maintain my eligibility?

The key to maintaining eligibility is paying your premiums on-time.  If there are gaps in premium contribution, eligibility will also be affected.  Here are several tips for each member category to ensure that you’ll always be able to use your benefits:

  1. Sponsored Members
  • If the member’s card is about to expire, the member must proactively inquire, whether the Sponsor will renew his/her membership.
  • If not, the member may opt to register as an Individually Paying Member.
  1. Individually Paying Member
  • Ensure that each calendar quarter has been paid.
  • If possible, pay your premiums yearly for your own convenience.
  1. Overseas Workers Program Member
  • Premiums must be remitted prior to your membership’s expiration.
  • If your contract abroad is already terminated, make sure that you shift member category from OWP to IPM (or other applicable categories) to be able to pay premiums again.
  1. Employed Members
  • For seasonal employment or if you’re going to take a leave without pay, just head to the nearest Philhealth Service Office to pay your contributions for the months that you will not be compensated. You may continue paying your premiums as an Individually Paying Member (IPM).
  • To pay your premiums as an IPM, visit any Philhealth office and present a copy of the RF-1 from your employer indicating that you are on leave without pay or a Certification from your employer indicating the same.
  • Once you get separated from employment, make sure you shift category to IPM.

If I missed paying the past quarters, can I still pay for this now to become eligible again?

This is an example of a retroactive payment.  Unfortunately, Philhealth does not accept retroactive payments to avoid abuse of benefits.  This policy has to be in place to avoid those instances when members only choose to pay when they get sick or need to avail of benefits (and conversely stop paying when they don’t need it), which will be unfair for those who pay their premium contributions regularly.

What is the tolerable delay for paying premiums for a member to still be able to use his/her benefits?

None.  Philhealth strictly follows its policies on premium payment and benefit availment.

 Can contributions be refunded by the member who was not able to use it?

No. Philhealth is a social insurance program, wherein members’ premiums are pooled into a single fund used to pay for the benefits of sick members.  Even if a member is not able to use benefits or does not get sick within a particular enrolment year, funds are kept in the pool.

If I stopped paying my premium for considerable amount of time, can I still use my benefits?  Do I need to pay the missed contributions to be able to avail of the benefits again?

No.  Only active members are eligible to avail of Philhealth benefits.  Member should have paid at least three months premium contributions within the immediate six month period prior to medical confinement.  However, payment of at least nine months within the last 12 months shall be asked of Individually Paying Members availing of the following procedures/packages:

  • Pregnancy-related cases
  • Dialysis (except those undergoing emergency dialysis service during confinement)
  • Chemotherapy
  • Cataract Extraction
  • Radiotherapy
  • Selected surgical procedures

Individually Paying Members and Employed Members will now be required to have at least nine (9) months contributions within twelve (12) months prior to the month of availment for all confinements including availment of outpatient benefits.

What if the member passes away?  Can the dependents still use their benefits?

In case the member dies, his/her membership privileges are also terminated.  However, dependents of Sponsored Members may still avail of the Philhealth benefits for the unexpired portion of the member’s contribution.

I used to be employed, but am now self-employed.  Can I still continue paying for my premiums?  How do I go about this?

In case you get separated from employment, you may continue your Philhealth membership by becoming an Individually Paying Member and paying the applicable premium.  Simply accomplish the Philhealth Member Registration Form (PMRF) and tick the box “For Updating” and the appropriate box of the membership category to which you are shifting.  Make sure you continuously and religiously pay your premiums so as to avoid suspension of benefits.

If you have further questions regarding your Philhealth membership, claims, and other benefits, you may call their hotline at 02-441-7442.  They are available to take your call 24/7!

If this blog helped you, share it with others so it would help them too.

Source: www.philhealth.gov.ph

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09 - 07

There are two types of Philhealth members, those whose contributions are regularly remitted by their employers, part of which is deducted from their salaries, and those who pay for their contributions voluntarily.  Of the two types, the latter often fall into the trap of foregoing monthly remittances to Philhealth and as a result, their claims for benefits and assistance are adversely affected.

We ran a research on how Pinoys can keep their contributions regular and consistent, and why we all need to make an effort to ensure that our Philhealth memberships are updated.

Read on!

Why must a member pay his contributions regularly?

Regularly contributing to Philhealth assures the member of hassle-free availment of hospitalization benefits when medical needs arise.  This will also ensure the member’s qualification/eligibility to register under the Lifetime Member Program upon reaching the age of 60 years old, provided he has paid at least 120 monthly premium contributions.

How much is the premium contribution rate?

The premium contribution that each member has to pay is detailed in the following table:

09 - 07 TABLE (2)

Are overtime pay, commissions, and allowances included in the computation of premium contributions of employees?

No they are not included.  The amount of monthly premium contribution of members shall be based on the employee’s salary or wage, which is the basic monthly compensation received for services rendered.

Where can the members remit their contributions?

  1. Philhealth has over 100 service offices all over the country wherein members can pay for their premiums.
  2. Philhealth has also accredited the following collecting agents:
  • More than 1,000 CIS Bayad Centers
  • Collecting Banks
  • MLhuillier Philippines Pawnshops
  • LBC Express outlets
  • Offices of the Philippine Postal Corporation
  • Selected Local Government Units
  1. For Overseas Workers Program Members, i-Remit branches, other partner agents, and foreign offices of Philippine Veterans Bank (UK, Abu Dhabi, and Qatar) also accept premium payments.

When is the deadline for paying my premium contributions?

The following table summarizes when premiums have to be in for each member category:

Membership Category Deadline for Paying Premium
Overseas Worker Before leaving the country or before the last contribution expires.
Employed Tenth day of the following month.
Sponsored Based on the agreement between the Sponsor and Philhealth
Individually Paying 1. Semi-annually/Annually – last day of the third month of the first quarter.

2. Quarterly – last day of the third month of a quarter.

3. Monthly – last day of the month.

What is the effectivity date of Philhealth coverage?

Philhealth benefit coverage starts upon payment of premium (no waiting period) and is valid for one year from the date of payment.

 What are the requirements for eligibility?  When is a member eligible to claim?

In order to become eligible to claim benefits, a member must pay premium contributions regularly.  If the member missed paying for a certain period, he/she and his/her dependents may not be able to use the benefits.  The table below summarizes the eligibility requirements:

Sponsored Members Date of hospitalization/availment must be within the effectivity period indicated in the member’s ID and MDR.
Individually Paying Members 1. There are certain confinement cases wherein three months’ worth of premium within the last six months (3/6) prior to confinement is acceptable.

2. For pregnancy-related cases, dialysis, chemotherapy, radiotherapy, and other selected surgical procedures, the member must have paid nine months worth of premium within the last 12 months (9/12) prior to confinement in order to become eligible.

Lifetime Members and Senior Citizens The member just has to show their Lifetime ID Card or Senior Citizen ID; no need to pay premiums anymore.
Employed Members Three months worth of premium within the last six months (3/6) prior to hospitalization.
Overseas Workers Date of hospitalization/availment must be within the coverage period specified in the member’s MDR.

Just remember the 3/6, 9/12, and effectivity period requirements and you’re good to go!

We will continue with more information on eligibility, contributions, and benefits availment tomorrow.  Meantime, if you have questions about Philhealth membership, send us a message and we will answer your questions to the best of our abilities (and as far as our research will take us!).  You are most welcome to share your knowledge on related topics as well.

Source: www.philhealth.gov.ph

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How to Get an I-DOLE OFW ID Card

09 - 06

Last July 2017, the Department of Labor and Employment launched a new ID system for OFWs called the I-DOLE.  This ID allows OFWs to do away with the long and tedious process of applying for the Overseas Employment Certificate (OEC) that they need to secure in order prove their legitimacy as Filipino workers.

Apart from it working as an OEC, the I-DOLE also covers the following card functionalities:

  1. I-DOLE card holders may claim their benefits from the following government agencies through the I-DOLE card:
    • SSS
    • HDMF or Pag-IBIG
    • Philhealth
  2. The DOLE also mentioned that they are working with the Department of Foreign Affairs (DFA) on the possibility of having the I-DOLE cardfunction as a passport for the OFWs.

How does an OFW apply for an I-DOLE card?

The DOLE stated that OFWs need not apply for the said card as their department will be issuing the IDs based on the inventory of all bona fide OFWs from the Philippine Overseas Employment Administration (POEA).  The IDs will be mailed to the OFW’s registered address.  If you have not received your I-DOLE yet, you may follow these steps in availing one from the nearest DOLE office in your area.

  1. Go to the main office of DOLE or to any DOLE office branch nearest to your place.
  2. Bring 2 or more valid IDs as proof of your identification. All government IDs are considered valid.
  3. Upon reaching the DOLE’s office, advise the guard or any person-in-charge that you wish to secure an I-DOLE card.
  4. You may be asked to present your OEC as proof that you are applying for an I-DOLE for the first time.
  5. Your information will be processed and verified against the database to check if you are listed as a qualified OFW based on POEA’s listing.
  6. When successfully verified, your ID will be printed and your name will be called when your card is ready.

I-DOLE card application will also be made available online soon to allow OFWs abroad to submit their applications so that their IDs would be ready when they come home for a vacation.

For more information on the I-DOLE card, send us an email and we will do our best to find the answers for you.

Source: www.dole.gov.ph

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09 - 05

Filipinos who wish to tour the beautiful city-state of Dubai now have the option to apply for their visas online.  The process is really simple and offers so much convenience especially to DIY (do-it-yourself) travelers, or those who opt not to hire the services of a travel agency.

If you are planning to visit Dubai soon, read and save this blog.  The following is a summary of the steps and processes when applying for a Dubai visa online via http://www.dubaivisa.net

Step 1: Know your visa type.

There are 7 kinds of visas offered online by http://www.emirates.com and it is important that you know the type of visa you would like to apply for:

  1. 30-day Tourist Visa

Visa validity is 58 days from the date of issue and the duration of stay is limited to 300 days from the date of entry.

  1. 96-hour Transit Visa

Visa validity is 30 days from the date of issue and the duration of stay is limited to 96 hours from the time of entry.

  1. 90-day Visit Visa

Visa validity is 58 days from the date of issue and the duration of stay is 90 days from the date of entry.

  1. Multi-entry long-term visa: 90 days

Visa validity is 58 days from the date of issue and the duration of stay is limited to 90 days from the date of first entry into the UAE.

  1. Multi-entry short-term visa: 30 days

Visa validity is 58 days from the date of issue and the duration of stay is limited to 30 days from the date of first entry into the UAE.

  1. 30-day GCC Resident Visa

GCC Residents Entry Permit can be used for entry within 60 days from the date the visa is issued.  The stay period is 30 days from date of entry, and the visa can be extended for a further 30 days.

  1. 30-day GCC Accompanied Visa

GCC Accompanied Entry Permit can be used for entry within 60 days from the date the visa is issued.  The stay period is 60 days from date of entry, and the visa can be extended once for a further 60 days.

Step 2: How to Apply

All clients who wish to use this facility to apply for their UAE visas need to follow the steps below:

  1. Visit www.emirates.com
  2. Retrieve your booking using the “Manage an existing booking” link.
  3. Click on the “Apply for UAE visa” link.
  4. You will be directed to the VFS Page.
  5. Read and agree to the “terms and conditions” and proceed.
  6. You will be asked to select the itinerary for which you require the visa for and the names of the passengers who require the visa. Other information needed are passport details, your current nationality, and current country of residence.
  7. On the next page you need to enter an email ID along with the relationship of the applicants. Please ensure that the email ID is correct and accessible because all correspondence with regards to the application will be sent to this email, including a copy of the visa.
  8. The applicant will receive an email with the hyperlink to the visa application form.
  9. Fill out the electronic form and submit together with scanned copies of required documents. If there are more than one client applying for a visa, uploading and submission of documents must be done one name at a time. Do not send all documents in one go under one name.
  10. After documents have been uploaded, you may now proceed with the online payment through VISA and MasterCard debit and credit card, whichever is applicable.
  11. After payment has been confirmed by the system, the applicant will receive an email advising that the payment went through successfully.

Step 3: After Submission

You have the option to track your application after you have submitted all documents and paid for your application.

  1. Visit www.emirates.com
  2. Retrieve your booking using the “Manage an existing booking” link.
  3. Click on the “Apply for UAE visa” link.
  4. You will be directed to the VFS Page where you have to enter your Emirates booking reference and your visa application number to know the current status of your application.

Easy and convenient, isn’t it?  Of course, you still have the option to have your travel agent do everything for you but keep in mind that they may also be using the same site to accomplish your application.  Save yourself some travel agent talent fees and try applying for a Dubai visa online!

Have a safe and happy trip!

Source: http://www.dubaivisa.net

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08 - 31

They say the greatest gift your father can give you is his name.  However for women, their father’s names get replaced with their husband’s when they marry.  They embrace the heritage that comes with their new last name and become associated with the husbands’ family tree.

Do women have the option to keep their father’s names after they get married?

The answer is yes.  In reality, marriage only requires a woman to change her civil status, not her name.

You can find the answer in Article 370 of the Civil Code, where a married woman’s options regarding using her husband’s last name are enumerated:

A married woman may use:

  1. Her maiden first name and surname and add her husband’s surname, or
  2. Her maiden first name and her husband’s surname or
  3. Her husband’s full name, but prefixing a word indicating that she is his wife, such as “Mrs.”

The law does not mandate women to change their last name to their husband’s after getting married.  She just has to be consistent with the choice she makes, whether to keep her maiden name, her husband’s last name, or as a Mrs. Husband’s First and Last Name.

Updating your civil status is a different matter and is something you have to accomplish a few weeks or months after your wedding.  Most women prefer to wait until they have a copy of their marriage certificate, which is released by the PSA (formerly NSO) three to six months after the wedding.  Nonetheless, it is an errand that every newly married lady must accomplish.

The government IDs and forms that you need to update with your married civil status are:

  1. BIR Records
    • Secure a BIR Form 2305 – If there’s one document that you need to update, it is your tax documents because then, you get to enjoy certain incentives that are available only to married citizens.
  2. Social Security System
    1. Go to the SSS website and download a copy of the Member’s Data Change Request.
    2. Fill out the downloaded document and submit this personally at any SSS office.
    3. You may also update your list of beneficiaries.
  3. Philhealth
  4. Pag-IBIG
    • Click on Update Registration Information using the Pag-IBIG Membership ID Number (MID Number).

Passports, Voter’s IDs, and Postal IDs may be updated at a later time as these do not require you to declare your civil status.  Just be consistent with the name that you use in all of your IDs to avoid confusion and ineligibility in your future claims from these government agencies.

Again remember, changing your name after getting married is an option, not a requirement.  Only your civil status has to be updated.

Sources and References:

http://pcw.gov.ph/law/republic-act-386www.gmanetwork.com

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08 - 29

My mom is a senior citizen enjoying all perks and privileges offered by our government to citizens her age.  She gets to beat long lines at grocery stores and rest rooms, watches movies for free at the mall at least once a week, and gets discounts when dining out.

As her designated carer, my major concern is her health.  Because of her age and deteriorating immune system, she now easily catches minor illnesses like cough and colds.  Lately, she has been complaining of a nagging pain in her right eye; sometimes, it would radiate to her right temple and then progress to a full-blown headache.  In times like these, we are thankful that our senior citizen mom is covered by Philhealth.  We are assured of assistance if only with her hospital bills.

If you are caring for a senior parent or grandparent, it is important that you are well-versed with the Philhealth’s medical assistance coverage for the elderly.  I have summarized the following information about senior citizens’ automatic membership with the Philhealth; this has helped me and my siblings understand and appreciate Philhealth’s efforts at providing much-needed assistance in our parents’ medical needs.

Read and share!

In what membership category will Philhealth enroll senior citizens with no coverage?

The Senior Citizen category shall be for a senior citizen who is:

  1. Not yet issued with a Philhealth Identification Number or PIN;
  2. A member in the formal or informal economy but has not qualifying contributions to be entitled to the Program benefits;
  3. Not an identified indigent under the National Household Targeting Systems for Poverty Reduction (NHTS-PR) or listahan of the Department of Social Welfare and Development (DSWD);
  4. Not currently a Sponsored Member;
  5. Not yet qualified as a Lifetime Member; and
  6. A qualified dependent of an NHIP member who has been declared in Philhealth’s membership database.

Can a Senior Citizen member declare dependents?

Yes, just like any other Philhealth Member.

What if the dependent of a Senior Citizen is a senior citizen as well?

Dependents of Senior Citizen members who are senior citizens themselves, e.g. legal spouses, can be enrolled as “Senior Citizen” members too.

What about senior citizens who are gainfully employed?  Will they continue to remit contributions?

Yes, senior citizens who are gainfully employed or remains to have a regular source of income shall continue to contribute to the NHIP.

Is the Senior Citizen category the same with the Lifetime Member Category?

No.  The LMP members need not pay contributions to be eligible to the benefits.  The Senior Citizen members have premium contributions which are paid from the proceeds of the Sin Tax Law.

What are the benefit entitlements of Senior Citizens?

Senior Citizen members will be entitled to benefits for inpatient hospital care, day/ambulatory services, Z-benefits and other special benefit packages.

Starting January 2015, Senior Citizen members along with the Lifetime Members and those registered as Kasambahays aged 60 years old and above shall also be entitled to the Primary Care Benefit Package: Tamang Servisyo sa Kalusugan ng Pamilya (Tsekap).

Will Senior Citizen Members be entitled to the No Balance Billing Policy of Philhealth?

Yes, along with Lifetime Members and those registered as Kasambahays aged 60 years old and above.

How will Senior Citizens avail of the benefits?

Senior Citizens only need to present their senior citizen card, MDR or any accepted proof of identity and age; provided the hospital has an HCI Portal installed.

A PBEF that says “YES” – the patient is entitled to the benefits shall serve as a basis for automatic deduction.

In case the hospital has no portal installed, the PBEF says ‘NO’, or the senior citizen was not able to enroll before discharge, then the following may be attached to the usual claims documents:

  1. duly accomplished Philhealth Member Registration Form (PMRF); and
  2. an acceptable proof of status as senior citizen including but not limited to the Senior Citizen’s Identification Card and Birth Certificate.

Source: http://www.philhealth.gov.ph

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08 - 23

Dual citizenship among natural-born Filipinos is made possible by RA 9225 or the Citizenship Retention and Re-acquisition Act of 2003.   Pinoys who have lost their Filipino citizenship by virtue of naturalization in a foreign country may now reacquire or retain their Philippine citizenship and enjoy the same benefits afforded to Filipinos in our country.

One such benefit is the social health insurance coverage provided by Philhealth.

Yes!  Pinoys with dual citizenship can now avail of Philhealth benefits.  This good news was shared through the Philhealth website last August 10, 2017.

Here’s how a Filipino with Dual Citizenship (FDC) can register his Philhealth membership:

  1. Submit a properly filled out Philhealth Member Registration Form (PMRF);
  2. Submit a copy of your Certificate of Re-acquisition/Retention of Philippine Citizenship (CRPC) or Identification Certificate (IC) issued by the Philippine Embassy or Philippine Consulate abroad, or by the Bureau of Immigration.

For FDCs declaring legal dependents, the same requirements above, including:

  1. Copy of the CRPC or IC to the PMRF for children below 21 years old who are not gainfully employed and unmarried.
  2. If declaring children above 21 years old but are suffering from disability, either physical or mental, or any disability acquired that renders them totally dependent on the member for support, the FDCs should attach a copy of the CRPC or IC and a Medical Certificate stating and describing the extent of disability.

For FDCs declaring their spouses as dependents:

A legitimate spouse who is similarly a Filipino with dual citizenship but is not a Philhealth member may be declared as dependent.  Here are the requirements:

  1. Copy of the marriage contract;
  2. CRPC or IC must be attached to the PMRF.
  3. Foreign spouses are not considered qualified legal dependents of FDCs.

For FDCs declaring their Filipino parents as dependents:

  1. Parents who are below 60 years and are suffering from disability, either physical or mental, or any disability acquired that renders them totally dependent on the member for support.
  2. Copy of the FDC’s birth certificate;
  3. Copy of the parents’ birth certificate;
  4. Medical Certificate stating the extent of the parents’ disability must be attached to the PMRF as support documents.

How much should an FDC remit as his monthly contribution?

The premium contribution of FDCs is pegged at Php 3,600.00 a year.  This shall be remitted to any Philhealth office or to any accredited local or overseas collecting agent.  Advance payment of premiums shall be allowed for a maximum period of two consecutive years only.

Where can FDC members and their dependents avail of Philhealth benefits?

The FDCs and their qualified dependents can avail themselves of Philhealth benefits in any accredited health care institution in the Philippines, or in health care facilities abroad, provided that they have paid their premium contributions or at least three (3) months within the six-month period prior to the first day of availment.

What benefits can FDC Philhealth members avail of and where?

FDCs and their qualified dependents can avail themselves of Philhealth benefits in any accredited health care institution  in the Philippines, or in health care facilities abroad, provided that they have paid their premium contributions of at least three (3) months within the six-month period prior to the first day of availment.

Aside from the in-patient benefits, they are also entitled to the following:

  1. Special benefit packages
  2. Z benefits subject to implementing guidelines on availment.
  3. Eligible to reimburse benefits for confinements abroad equivalent to the full Case Rate amount, payable in Philippine peso.

If you have further questions about FDCs’ Philhealth membership, you may call the Philhealth Action Center hotline at 02 441 7442 or through the Overseas Filipinos Program at ofp@philhealth.gov.ph.

Source: www.philhealth.gov.ph

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