Republic of tire Philippines f
PHILIPPINE HEALTH INSURANCE C<!>RPORATION
Citystate Centre Bui lding, 709 Shaw Boulevard, Pasig City
Call Center 44 1 7442 : Trunkline 441-7444
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PHILHEALTH CIRCULAR
No. 0 0 :1=! , s-2013
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TO ALL MEMBERS UNDER THE EMPLOYED SECTOR PROGRAM,
PHILHEALTH OFFICES AND TO ALL OTHERS CONCERNED
SUBJECT: CY 2014 PHILHEALTH PREMIUM CONTRIBUTION FOR THE
EMPI:OYEDSECTOR
I. LEGAL BASIS AND OBJECTIVE
Section 16 of R.A 7875 empowers the Corporation to formulate and implement guidelines on
contribution and benefits. As such, Phill-Iealth Board Resolution No. 1571, s-2011 sanctioned the
increase of premium contribution in vario us PhilHealth membership categories. H owever, 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 d1e implementation of the full increases in
premium contributions across all membership sectors for CY2013. 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
Th e salary brackets for the E mployed Sector shall b e 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 s tart at Php 8,000.00
4. Salary bracket ceiling shall be pegged at Php 35,000.00
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Total
Salary Salary Employee Employer
Salary Range Monthly
Bracket B ase Share Share
Premium
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 - 12,999.99 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 _.1_8,000.DD-=-.J. 8,99.9. 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
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