What is PhilHealth law?

PhilHealth’s mandate is to provide health insurance coverage to all Filipinos. In 1997, it assumed Medicare functions for government workers from the Government Service Insurance System (GSIS) and a year later, for the private sector workers, which was previously administered by the Social Security System (SSS).

What is RA 7875 all about?

7875. An act instituting a national health insurance program for all filipinos and establishing the Philippine Health Insurance Corporation for the purpose.

Is PhilHealth required by law?

Both private and government employees must contribute to the Pag-IBIG Fund and PhilHealth. Membership is optional, however, for self-employed persons, Overseas Filipino Workers (OFWs), and Non-Working Spouses (NWSs). Membership is mandatory unless exempt under some of the Philippines’ Totalization Agreements.

When was PhilHealth signed into law?

The public’s clamor for a health insurance that is more comprehensive in terms of covered population and benefits led to the development of House Bill 14225 and Senate Bill 01738 which became The National Health Insurance Act of 1995 or Republic Act 7875, signed by President Fidel V. Ramos on February 14, 1995.

What is Republic 11223?

of Republic Act No. 11223, otherwise known as the Universal Health Care Act, hereinafter referred to as the Act. It is the policy of the State to protect and promote the right to health of all Filipinos and instill health consciousness among them.

How do PhilHealth works?

PhilHealth collects premiums, accredits providers, sets the benefits packages and provider payment mechanisms, processes claims, and reimburses providers for their services. PhilHealth is responsible for oversight and administration of public sector insurance schemes.

Can I back pay PhilHealth?

Retroactive payment of premium contributions may be allowed ONLY if members have been able to establish nine (9) consecutive months of premium contributions prior to the missed quarter. The said retroactive payment may be counted as qualifying contributions if paid prior to the first day of confinement.

How much is PhilHealth penalty?

For failure or refusal to remit (and/or report) contributions the employer shall be punished with a fine of not less than five thousand pesos (Php 5,000.00) but not more than ten thousand pesos (Php 10,000.00) multiplied by the total number of employees of the firm.

How many times can we use PhilHealth in a year?

PhilHealth members are entitled to a maximum of 45 days confinement per calendar year1. The qualified dependents of the member share another set of 45 days benefit per calendar year. However, the 45 days allowance shall be shared among them.

What is Philhealth under RA 7875?

(Article III, Section 5 of RA 7875 as amended) PhilHealth is a tax-exempt Government Corporation attached to the Department of Health for policy coordination and guidance. (Article IV, Section 15 of RA 7875 as amended ). It shall have the following powers and functions (Article IV, Section 16 of RA 7875 as amended by RA 10606):

What are the terms of the Health Care Act?

Definition of Terms .-For the purpose of this Act, the following terms shall be defined as follows: a) Beneficiary – Any person entitled to health care benefits under this Act. b) Benefit Package – Services that the Program offers to its members.

What is the PhilHealth identification card (PIN)?

The issuance of the PhilHealth Identification Card shall be accompanied by a clear explanation of the enrollee’s rights, privileges and obligations as a member. A member shall be assigned a permanent and unique PhilHealth Identification Number (PIN) contained in the PhilHealth Identification Card.