Please be informed that the qualified PhilHealth indigent members and their dependents officially enrolled in the National Health Insurance Program (NHIP) are eligible to avail of Medicare benefits.

As accredited PhilHealth providers, you are automatically entitled to participate in the Indigent Sector Component of NHIP. As such, it is also your responsibility to render services to each of these new PhilHealth members. Each of these members is provided with PhilHealth Identification Cards which contain all pertinent information such as the effectivity and validity of coverage as well as the names of their legal dependents (defined similarly under Program I).

All claims for the payment of services pertaining to these new members and their dependents should be filed at PhilHealth Central Office, 3rd Floor, JOCFER Building, Commonwealth Avenue, Quezon City or at PhilHealth's Regional Health Insurance Office in your area. The benefit package for the indigent members is attached for your claims.

The entitlement to medicare privileges of PhilHealth's indigent members are provided for under Section 4 (a.iv), Rule I; Section 23, Rule IV; and Sections 44(d) and 49, Rule VIII of the Implementing Rules and Regulations of the National Health Insurance Act of 1995 as well as in Section 2.1, Part II (Warranties of Accreditation) of your application for accreditation.

For your information, guidance and strict compliance.

Adopted: 7 April 1999

(SGD.) ENRIQUE M. ZALAMEA
President and CEO