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(NAR) VOL. 14 NOS. 3-4 / OCTOBER - DECEMBER 2003

[ PHIC PHILHEALTH CIRCULAR NO. 12, S. 2002, March 20, 2002 ]

DOCUMENTARY REQUIREMENTS FOR AVAILMENTS OF BENEFITS BY NON-PAYING MEMBERS (GSIS RETIREES AND SSS PENSIONER/RETIREES)



In line with PhilHealth Circular No. 33, s. 2001 the mass registration/enrollment and correspondingly issuance of PhilHealth ID to Non-Paying members starting February 14, 2002 henceforth, the following documentary requirements may be submitted to avail of Medicare benefits:

A. PhilHealth registered Non-Paying member with PhilHealth ID.

  • Present PhilHealth ID and Submit photocopy thereof to accredited service providers. Photocopy of PhilHealth ID should be stamped and signed as "Certified seen original PhilHealth ID" on the date seen by the provider.
  • For dependent patient, submit photocopy of member's PhilHealth ID and duly validated Member Data record for Non-Paying Members or M1c* (sample attached). In the absence of duly validated M1c, proof of dependency such as marriage contract/certificate for dependent spouse and birth certificate for dependent children shall be required.

B. Non-Paying member with no PhilHealth ID yet.

  • In the absence of PhilHealth ID, previous documentary requirements as provided for in PhilHealth Circular Nos. 021 and 028, s. 2000 shall remain in effect. This Circular shall be effective April 01, 2002 admission.

For your information and guidance.

Adopted: 20 March 2002

(SGD.) FRANCISCO T. DUQUE III, M.D., MSc.
President and CEO


* Text Available at Office of the National Administrative Register, U.P. Law Complex, Diliman, Quezon City
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