Guidelines on the Issuance of the I-PhilHealthy Card and Its Entitlements
PhilHealth Circular No. 016-11 outlines the guidelines for the issuance of the I-PhilHealthy Card, aimed at enhancing access to the National Health Insurance Program (NHIP) as part of the Aquino Health Agenda for Universal Health Care. The card, available for a fee of Fifty Pesos (P50.00), provides members and their dependents with various discounts on medications, medical supplies, and services from participating merchants. Members can obtain the card through PhilHealth's Private Enrollment Partners, which include retail and payment centers. Cardholders are entitled to both the benefits of the NHIP and the privileges associated with the card, promoting affordable healthcare options for Filipinos. The circular took effect upon publication in a newspaper of general circulation.
October 7, 2011
PHILHEALTH CIRCULAR NO. 016-11
| TO | : | PhilHealth Accredited Health Care Providers, PhilHealth Regional/Branch/Service Offices and All Others Concerned |
| SUBJECT | : | Guidelines on the Issuance of the I-PhilHealthy Card and Its Entitlements |
I. Rationale
Partnership with the private sector has been one of the strategies of PhilHealth to attain its mandate of enrolling all Filipinos to the National Health Insurance Program (NHIP). This strategy is in response to the Aquino Health Agenda on Universal Health Care otherwise known as Kalusugan Pangkalahatan. The enrollees/members of the NHIP are provided convenience and more options on the venues for enrollment and payment of premium contributions to NHIP tapping private sector. The members, including its qualified dependents, may opt to avail of the I-PhilHealthy Card being issued by PhilHealth's Private Enrollment Partners (PEPs).
II. Features of the I-PhilHealthy Card
The I-PhilHealthy Card serves as a privilege and discount card to enrollees and members of the National Health Insurance Program (NHIP) who opt to avail of the card, at cost, through PhilHealth's PEPs.
a. The member's I-PhilHealthy Card shall contain the PhilHealth Identification Number (PIN), Full Name, Date of Birth and Sex. The member shall affix his/her signature at the back portion of the I-PhilHealth Card. DcTAIH
b. The cost of the card per member is Fifty Pesos (P50.00). The card's cost for the first two (2) qualified dependents of the member shall be at Four Pesos (P4.00) each. The card's cost for each additional qualified dependent/s, shall be at Fourteen Pesos (P14.00).
c. Interested enrollees and members of the NHIP shall proceed to the nearest PhilHealth PEP centers in participating branches of SM Retail, Inc. and Bayad Center to avail of the I-PhilHealthy Card. Companies, organized groups or communities who are interested to conduct on-site enrollment or batch printing of their employees' I-PhilHealthy Cards may submit a letter of request to the Chairman of the PPP Committee.
d. New enrollees of the NHIP shall be required to properly accomplish and submit the PhilHealth Member Registration Form (PMRF) with the attached documentary requirements to the said PhilHealth PEP center.
e. Existing members of the NHIP shall present their PhilHealth Identification Card (PIC) or Member Data Record (MDR) for the generation of the I-PhilHealthy Card.
f. The enrollees and members of NHIP shall pay the appropriate cost of the I-PhilHealthy Cards requested. The PhilHealth PEP center shall advise the enrollee on the schedule of release of his/her I-PhilHealthy Card.
III. Availment of I-PhilHealthy Entitlements
All I-PhilHealthy Card holders, upon presentation of the card, may avail of the various privileges and discounts when purchasing drugs, medicine and medical supplies, and services from any of the participating merchants as listed in Annex A. aITDAE
IV. Availment of NHIP Benefits
All I-PhilHealthy Card holders shall be entitled to NHIP benefits, subject to existing policies and procedures on benefit entitlement.
V. Effectivity
This Circular shall take effect upon publication in a newspaper of general circulation.
(SGD.) DR. REY B. AQUINOPresident and Chief Executive Officer
ANNEX A
List of Participating Merchants and Entitlements
|
Partners
|
|
Privileges
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Place of Availment
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| 1. | WATSON'S PERSONAL | • | 15% discount unbranded Generic | All Watson's branches nationwide | ||
| CARE STORES (Phils.), | medicines, both over-the-counter | |||||
| Inc. | and prescription medicines | |||||
| • | 10% discount on compliance | |||||
| packs | ||||||
| • | 5% discount on medical devices | |||||
| • | 10% discount on selected | |||||
| Watsons personal care products | ||||||
| 2. | GLAXO SMITHKLEINE | • | P300.00 Flu vaccine (includes | Watson's Personal Care Stores | ||
| (GSK) | administration) | |||||
| 3. | QUALIFIRST HEALTH, | • | 50% to 60% discount on quality | Watson's Personal Care Stores | ||
| Inc. | branded generic drugs/medicines | Rose Pharmacy | ||||
| South Drugstore | ||||||
| 4. | ROSE PHARMACY, INC. | • | 15% discount for unbranded | All Branches | ||
| generic medicines for Over-the- | ||||||
| Counter and prescription | ||||||
| medicines | ||||||
| • | 5% discount for medical | |||||
| supplies and devices | ||||||
| 5. | SOUTH STAR | • | 15% discount for unbranded | All Branches | ||
| DRUGSTORE | generic medicine products | |||||
| • | 5% discount for medical | |||||
| supplies and devices | ||||||
| 6. | FRESENIUS/FMC RENAL | • | Reduced price of P4,000 from | 18 outlets in Luzon and Visayas | ||
| CARE CORP. | P6,700 for hemodialysis | |||||
| 7. | PQ HEALTHSHIELD | • | 20% discount on vaccines | • | Healthway Medical Branches: | |
| Alabang Town Center | ||||||
| SM City North EDSA | ||||||
| Festival Mall | ||||||
| Robinson's Place Manila | ||||||
| Market! Market! | ||||||
| Shangri-la Mall | ||||||
| Greenbelt 5 | ||||||
| • | Hi-Precision Diagnostics | |||||
| Branches | ||||||
| Las Piñas City | ||||||
| Makati City | ||||||
| Manila City | ||||||
| Muntinlupa City | ||||||
| Quezon City | ||||||
| Parañaque | ||||||
| Pasig City | ||||||
| Pampanga | ||||||
| Cebu | ||||||
| • | Aventus Medical Branches | |||||
| Quezon City | ||||||
| Makati City | ||||||
| Manila City | ||||||
| Muntinlupa City | ||||||
| Laguna | ||||||
| Cebu | ||||||
| • | Sta. Lucia Health Care | |||||
| 8. | VIVIAN SARABIA | • | Free eye exam and 20% discount | SM City North EDSA | ||
| OPTICAL | for lenses and frames | SM Cubao | ||||
| SM Megamall | ||||||
| Mall of Asia | ||||||
| 9. | IDEAL VISION CENTER | • | Free eye exam and 20% discount | SM Malls in NCR (18 branches) | ||
| CLINIC | for lenses and frames | Angeles City | ||||
| Bacolod City | ||||||
| Bacoor | ||||||
| Baguio City | ||||||
| Baliwag | ||||||
| Batangas City | ||||||
| Cagayan De Oro City | ||||||
| Calamba | ||||||
| Cavite City | ||||||
| Cebu City | ||||||
| Dasmariñas City | ||||||
| Davao City | ||||||
| Iloilo City | ||||||
| Lipa City | ||||||
| Lucena City | ||||||
| Marilao | ||||||
| Naga City | ||||||
| East Rosales, Pang. | ||||||
| San Fernando City | ||||||
| San Pablo City | ||||||
| Santa Rosa | ||||||
| Tagbilaran City | ||||||
| Tarlac City | ||||||
| Alabang Town Center | ||||||
| Ever Branches | ||||||
| Eastwood Cyber Fashion Mall | ||||||
| Farmers' Plaza | ||||||
| Festival Mall | ||||||
| Harisson Plaza | ||||||
| Shoppesville Arcade | ||||||
| Sta. Lucia Grand Mall | ||||||
| Tutuban Center Mall 2 | ||||||
| Waltermart Branches | ||||||
| Welcome Plaza | ||||||
| Abreeza Mall | ||||||
| Baguio Center Mall | ||||||
| Jenra Mall | ||||||
| Megacenter | ||||||
| Nerpo Mall | ||||||
| 10. | JNW DRUG TESTING, | • | 10% discount on drug testing | |||
| INC. | services |