The Philippine Health Insurance Corporation (PhilHealth) will implement the new premium rate starting on January 2014 which will reach P2,400 for individually paying members (IPM’s) with a monthly income of P25,000 and below.
The announcement was made through PhilHealth Presidend and Chief Executive Officer Alexander Padilla who stated that IPM’s with an income of more than P25,000 shall continue to pay P3,600 in annual premium.
Individually Paying Members (IPMs) pertain to self-employed and voluntary members, they can choose three payment schemes; P600 per quater, P1,200 semi-annually and P2,400 per annum.
PhilHealth clarified that, “Individually paying members and their dependents 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),” PhilHealth Pres. Padilla stated.
Based upon previous records, PhilHealth attempted to raise the P1,200 contribution to P2,400 last July 2012 to increase the “financial risk protection” of its members and their dependents. The move received strong resistance from various labor groups, prompting PhilHealt to defer it and set the annual premium rate of P1,800 for 2013 as part of the PhilHealth Premium Rate Increase transition.
The National Agency, PhilHealth is expecting total benefit payments of at least P62.98 billion this year, an increase of 34% from the P47 billion during the year 2012.
For the year 2013, PhilHealth made some achievements as they introduced catastrophic packages for coronary artery bypass at P550,000; surgery of fallot for P320,000; surgery septal defect for P250,000, cervical cancer chemo-radiation with cobalt and brachytherapy (low dose) for P120,000 and cervical cancer with linear accelerator and brachytherapy (high dose) for P175,000.