primary care benefit 1 - Philippine Health Insurance Corporation

health profile. They can also avail of other services listed in PCB1, as advised by their PCB
Physician.
The Organized Group and OWP members may enlist at their preferred PCB provider
annually. Similar to the SP members, they must also allow health profiling. They can avail
the services, as needed and as advised by their PCB Physician.
7. How will SP members know to which RHU/health center they are assigned for the PCB1
package?
SP members may ask their Barangay Health Worker or Community health Team for their
PCB 1 Provider. They may also inquire at the nearest RHU, Health Center or Local Health
Insurance Office.
In addition, the staff members of the PCB 1 provider shall contact and inform the
entitled members assigned to the facility regarding their eligibility to the PCB1 package.
9. How will PhilHealth know that the member is already enlisted to a facility?
Once the member signs the masterlist, it signals that he is enlisted to a specific PCB1
provider facility. The PCB provider shall then submit a soft and hard copy of the masterlist of
enlisted members to the LHIO.
10. What if the PCB 1 entitled members moved to another province in the middle of the year?
PCB 1‐entitled members who move to another province in the middle of the year may
change PCB providers. However, they must inform the nearest LHIO in their new residence
about such transfer. They must submit a certification signed by the barangay chairperson of
their new place of residence to be able to continue their entitlement to PCB 1 services.
11. What documents should the members bring with them when availing of the PCB 1
package?
SP members only need to bring their PhilHealth ID cards or MDR when they avail the
PCB1 package. Availment should be within the effectivity period shown on the ID card or
MDR.
12. How often can a member or his qualified dependent avail of the PCB1 package within a
year?
The member and his/her dependents may avail of any of the services as often as
recommended by the health care professional.
13. Will members availing the PCB1 package need to pay any amount for any of the services
included in the package?
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