Updated January 2020
To avail of Philhealth benefits as Individual Payor or Voluntary or Self-Employed (Informal Economy Category), you should register first as Philhealth member.
HOW TO REGISTER for PHILHEALTH MEMBERSHIP
or HOW TO UPDATE your Philhealth Membership:
1. Prepare your ID or any identification document and 600 pesos.
2. If you are married, prepare your marriage certificate (orig and xerox).
If you have children, prepare their birth certificates (orig and xerox).
3. Go to the nearest Philhealth branch with the above documents.
4. Fill up the PMRF form. (Philhealth Member Registration Form)
5. Submit your PMRF and documents.
6. Receive your MDR and Philhealth card.
7. Pay 600 pesos for the current quarter.
You can pay 1,200 pesos for 6 months
or 2,400 pesos for 1 year.
You ARE NOT ALLOWED to pay for the PAST QUARTER.
8. Keep your receipt (original and xerox copies).
Hospitals do not accept receipts that cannot be read due to damage.
HOW TO AVAIL of PHILHEALTH BENEFITS:
Present the following documents to the hospital or clinic BEFORE discharge:
1. Clear and recent copy of your Member Data Record (MDR)
2. Clear copy of your Philhealth premium payment receipts.
3. Philhealth Claim Form 1
(Fill up the form in CAPITAL LETTERS correctly and completely.
Check appropriate boxes.)
4. Clear copy of your Philhealth card or ID or any valid ID
(Some hospitals require this)
5. If you are a dependent, your name must be written in the MDR.
(If MDR is not yet updated, you can present your birth certificate or marriage certificate, but many hospitals require updated MDRs).
6. If the Philhealth member cannot be present to sign Claim Form 1 for the dependent patient, the member's spouse, child, parent, sibling or guardian can sign in behalf of the member.
(Some hospitals require marriage certificate or birth certificate)
REMEMBER, present your Philhealth documents BEFORE DISCHARGE.
Make sure your Philhealth benefit has been deducted from your Hospital Bill BEFORE Discharge.
YOU CAN NO LONGER file for refund from Philhealth. Philhealth NO longer allows Direct Filing by members at any Philhealth branch.
Only members confined OVERSEAS can file directly with Philhealth,
and only those with VALID reasons can file an appeal with Philhealth.
WHEN CAN YOU USE YOUR PHILHEALTH?
For NEW members only:
If you are a new member, and you have paid for the current quarter, you can start using it on the third month of the quarter you paid and in the next quarter.
Example: You paid the premiums for July-August-September quarter. You can use it starting September.
The rule is: BEFORE confinement or treatment, you must have paid at least 9 of the 12 months PRIOR to hospitalization or treatment.
Month of hospitalization is included in the counting of 12 months.
Premium payment on or after admission date is not accepted for current confinement. Dapat nakabayad BAGO ma-admit. Meron lang few exceptions (for certain few cases, like yong transition ng dependent na mag-21 years old na).
To avail of Philhealth benefits as Individual Payor or Voluntary or Self-Employed (Informal Economy Category), you should register first as Philhealth member.
HOW TO REGISTER for PHILHEALTH MEMBERSHIP
or HOW TO UPDATE your Philhealth Membership:
1. Prepare your ID or any identification document and 600 pesos.
2. If you are married, prepare your marriage certificate (orig and xerox).
If you have children, prepare their birth certificates (orig and xerox).
3. Go to the nearest Philhealth branch with the above documents.
4. Fill up the PMRF form. (Philhealth Member Registration Form)
5. Submit your PMRF and documents.
6. Receive your MDR and Philhealth card.
7. Pay 600 pesos for the current quarter.
You can pay 1,200 pesos for 6 months
or 2,400 pesos for 1 year.
You ARE NOT ALLOWED to pay for the PAST QUARTER.
8. Keep your receipt (original and xerox copies).
Hospitals do not accept receipts that cannot be read due to damage.
HOW TO AVAIL of PHILHEALTH BENEFITS:
Present the following documents to the hospital or clinic BEFORE discharge:
1. Clear and recent copy of your Member Data Record (MDR)
2. Clear copy of your Philhealth premium payment receipts.
Starting October 1, 2018, prior 9 monthly payments na ang required. Dapat meron kang nabayaran na 9 months sa loob ng past 12 months BEFORE hospitalization. Include current month sa pagbilang ng 12 months.
3. Philhealth Claim Form 1
(Fill up the form in CAPITAL LETTERS correctly and completely.
Check appropriate boxes.)
4. Clear copy of your Philhealth card or ID or any valid ID
(Some hospitals require this)
5. If you are a dependent, your name must be written in the MDR.
(If MDR is not yet updated, you can present your birth certificate or marriage certificate, but many hospitals require updated MDRs).
6. If the Philhealth member cannot be present to sign Claim Form 1 for the dependent patient, the member's spouse, child, parent, sibling or guardian can sign in behalf of the member.
(Some hospitals require marriage certificate or birth certificate)
REMEMBER, present your Philhealth documents BEFORE DISCHARGE.
Make sure your Philhealth benefit has been deducted from your Hospital Bill BEFORE Discharge.
YOU CAN NO LONGER file for refund from Philhealth. Philhealth NO longer allows Direct Filing by members at any Philhealth branch.
Only members confined OVERSEAS can file directly with Philhealth,
and only those with VALID reasons can file an appeal with Philhealth.
WHEN CAN YOU USE YOUR PHILHEALTH?
For NEW members only:
If you are a new member, and you have paid for the current quarter, you can start using it on the third month of the quarter you paid and in the next quarter.
Example: You paid the premiums for July-August-September quarter. You can use it starting September.
Para sa matagal nang member: dapat nabayaran mo ang premiums or contributions para sa 9 months within the 12 months BEFORE hospitalization.
The rule is: BEFORE confinement or treatment, you must have paid at least 9 of the 12 months PRIOR to hospitalization or treatment.
Month of hospitalization is included in the counting of 12 months.
Premium payment on or after admission date is not accepted for current confinement. Dapat nakabayad BAGO ma-admit. Meron lang few exceptions (for certain few cases, like yong transition ng dependent na mag-21 years old na).