PhilHealth clarifies accreditation process for healthcare professionals

The Philippine Health Insurance Corporation (PhilHealth) clarified on Monday that it does not collect accreditation fees from healthcare professionals applying for accreditation.

In a public advisory, the state insurer emphasized the requirements for accreditation as outlined in Circular No. 2023-0024. The circular states that all accredited healthcare professionals must be registered members of PhilHealth and are required to pay at least one month of premium contribution at the time of application. Those who are self-employed or not formally employed and have missed premium contributions will be referred to the Collection Section of Local Health Insurance Offices or PhilHealth Regional Offices for appropriate action.

Accredited healthcare professionals under PhilHealth include physicians, nurses, dentists, and midwives. Employed professionals are not required to submit proof of contributions since their employers handle these payments. The agency also clarified that while missed premium payments do not affect accreditation, they are still subject to existing payment guidelines.

PhilHealth reminded self-employed or non-formally employed healthcare professionals to pay their premium contributions regularly to avoid interest on missed payments. Those who opt to pay the maximum premium contribution are not required to submit proof of income, such as an income tax return. For those choosing not to pay the maximum rate, their monthly contributions will be computed based on the signed PhilHealth member registration form with a self-declaration of income.

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