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Section 16 of R.A 7875 empowers the Corporation to formulate and implement guidelines on contribution and benefits. As such, PhilHealth Board Resolution No. 1571, s-2011 sanctioned the increase of premium contribution in various PhilHealth membership categories. However, due to public clamor against such increases brought about by simultaneous implementation of increases on fees, tolls, taxes and rates on social security contributions authorized by the government, PhilHealth Board Resolution No. 1677, s-2012, partially deferred the implementation of the full increases in premium contributions across all membership sectors for CY 2013. By virtue thereof and through the authority of PhilHealth Board Resolution No. 1842 s-2013, this Circular is hereby issued to prescribe new premium contribution effective January 2014.

With this new schedule, PhilHealth members shall be entitled to in-patient hospital care including all case rate packages and catastrophic illnesses in the Case Type Z Benefit Package, out-patient coverage and other special benefit packages under the National Health Insurance Program (NHIP).

II. COVERAGE

This Circular shall apply to the Employed Sector membership of the NHIP.

III. IMPLEMENTING GUIDELINES

The salary brackets for the Employed Sector shall be adjusted starting January 2014 with the following considerations:

1. The premium rate shall be at 2.5%
2. Salary bracket shall still be used
3. Salary bracket floor shall start at Php 8,000.00
4. Salary bracket ceiling shall be pegged at Php35,000.00

Salary Bracket	Salary Range	Salary Base	Total Monthly Premium	Employee Share	Employer Share
1	8,999.99 and below	8,000.00	200.00	100.00	100.00
2	9,000.00 – 9,999.99	9,000.00	225.00	112.50	112.50
3	10,000.00 – 10,999.99	10,000.00	250.00	125.00	125.00
4	11,000.00 – 11,999.99	11,000.00	275.00	137.50	137.50
5	12,000.00 – 12,999.00	12,000.00	300.00	150.00	150.00
6	13,000.00 – 13,999.99	13,000.00	325.00	162.50	162.50
7	14,000.00 – 14,999.99	14,000.00	350.00	175.00	175.00
8	15,000.00 – 15,999.99	15,000.00	375.00	187.50	187.50
9	16,000.00 – 16,999.99	16,000.00	400.00	200.00	200.00
10	17,000.00 – 17,999.99	17,000.00	425.00	212.50	212.50
11	18,000.00 – 18,999.99	18,000.00	450.00	225.00	225.00
12	19,000.00 – 19,999.99	19,000.00	475.00	237.50	237.50
13	20,000.00 – 20,999.99	20,000.00	500.00	250.00	250.00
14	21,000.00 – 21,999.99	21,000.00	525.00	262.50	262.50
15	22,000.00 – 22,999.99	22,000.00	550.00	275.00	275.00
16	23,000.00 – 23,999.99	23,000.00	575.00	287.50	287.50
17	24,000.00 – 24,999.99	24,000.00	600.00	300.00	300.00
18	25,000.00 – 25,999.99	25,000.00	625.00	312.50	312.50
19	26,000.00 – 26,999.99	26,000.00	650.00	325.00	325.00
20	27,000.00 – 27,999.99	27,000.00	675.00	337.50	337.50
21	28,000.00 – 28,999.99	28,000.00	700.00	350.00	350.00
22	29,000.00 – 29,999.99	29,000.00	725.00	362.50	362.50
23	30,000.00 – 30,999.99	30,000.00	750.00	375.00	375.00
24	31,000.00 – 31,999.99	31,000.00	775.00	387.50	387.50
25	32,000.00 – 32,999.99	32,000.00	800.00	400.00	400.00
26	33,000.00 – 33,999.99	33,000.00	825.00	412.50	412.50
27	34,000.00 – 34,999.99	34,000.00	850.00	425.00	425.00
28	35,000.00 – and up	35,000.00	875.00	437.50	437.50

 

IV. EFFECTIVITY

This Circular shall be effective fifteen (15) days after completion of its publication in a newspaper of general circulation.

(SGD) ALEXANDER A. PADILLA
President and CEO