Philhealth Benefits Requirements
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Why do we need Philhealth
- Helpful to health care expenses
- We need insurance
- It’s mandatory to employees (private, government, OFW, household)
- Health is wealth
- It’s frickin affordable
How to claim Philhealth benefits and what are the requirements? Philhealth is one of the major health insurance providers in the Philippines and it serves sufficient and affordable social health insurance coverage to all Filipinos. Whilst it is government owned and controlled corporation, it’s the most affordable health insurance service in the country. Working as wing of the Department of Health, it is very important to be a member of Philhealth unless of course you’re not working and don’t want to be insured and don’t want any help with your medicare needs. Every employee, private or government employed, household helper, sea-based OFW automatically becomes a member of philhealth according to Republic Act 7875 or National Health Insurance Act of 1995, as amended by RA 9241.
Philhealth is continuously improving its inquiry system. Oh I wish there would be an online inquiry that could serve anytime. It’s gonna be cool to have text inquiry too just like of that of the SSS. Anyway, back to my main topic, what are the requirements in claiming for Philhealth benefits when you’re hospitalized or confined in the hospital? The answers are listed below. Read on.
Membership Category and Documents Needed
Employed Member
- Philhealth Claim Form 1
- Updated MDR (Member Data Record)
Individual Paying Member
- Philhealth Claim Form 1
- Premium payment receipts
- Updated MDR
Overseas Worker / OFW
- Philhealth Claim Form 1
- Premium payment receipts and/or
- Updated MDR
Sponsored Member
- Philhealth Claim Form 1
- Valid Philhealth ID (Identification Card,) and/or
- Updated MDR
Lifetime Retirees
- Philhealth Claim Form 1
- Philhealth Lifetime Member ID (Identification Card)
- Updated MDR
Steps on Availment of Philhealth Benefits
The following are the usual instructions and procedures on how to avail Philhealth benefits upon confinement or hospitalization. If you’re a member of Philhealth or a qualified dependent of a member, you can file for hospital bills deduction or reimburse some amount from your bills according to health coverage. Before you do, take note that the following conditions must be met:
- Have paid at least 3 months of premium contributions within the immediate 6 months before confinement. (9 months of premiums within the last 12 months -for pregnancy cases, dialysis, chemotherapy, radiotherapy and other selected surgical procedures)
- Be confined in an accredited hospital by Philhealth for at least 24 hours due to sickness requiring hospitalization. Also don’t forget that your attending doctor must also be Philhealth-accredited.
- Your availment is covered in the 45 days allowance for room and board under your Philhealth benefits.
2 Ways to Make Use of your Philhealth Benefits
By Automatic deduction
First, submit to the billing section of the hospital the requirements mentioned from the documents needed above. (I listed them earlier as each member has different doc requirements)
Talk to your attending doctor regarding the remaining fee for their service over the professional fee benefit you’ll get availing your Philhealth.
Then once your documents are completed and fees are finalized, the billing section will compute all hospital bills and deduct your Philhealth benefits.
If the member or beneficiary was confined abroad, the following documents must be submitted within 180 days after discharge from hospital:
- Philhealth claim form 1
- MDR or supporting documents
- Original official receipts
- Medical certificate written in English (with final diagnosis, confinement period and services rendered)
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By Reimbursement or Direct Filling
This is when members and qualified dependents choose to make use their Philhealth benefits after they were confined or discharged from the hospital. You are required to submit the listed documents mentioned earlier within 60 days after you are discharged together with the following docs.
- Philhealth Claim Form 2 (this is to be filled up by the hospital and your doctor)
- OR / Official Receipts
- Operative record for surgical procedures done
Finally, Philhealth will send you (to your address) a BPN (benefit payment notice)
That’s a wrap. Hope this post was helpful. Before I forget, all Philhealth forms are available to download for free from the company’s official website. The most demand Philhealth contribution table is also displayed there. I just hope the website loads faster than today coz I know lots of people prefer online inquiry than going to any Philhealth branch offices nationwide.
- an important form in registering as member of Philhealth.
**Disclaimer: I'm not affiliated with Philhealth. The details from this page are based from its brochure I've got from the hospital. I'm just here to share this and share other's experiences as well
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nais ko po sanang malaman kung may ma re repond ako sinagot ko po kasi muna ang bill sa hospital ng ma operahan ako sa apendics.
may philhealth card n ako,pano ko ba magagamit un?at magkano ang premium ko kung individual ako nagbabayd ng philhealth ko nagyon/?
@Rowena hello. As of now, Philhealth doesn't entertain online MDR requests. It is still done at any Philhealth office. Thank you.
@Lope hi. Yes you can claim benefits by direct filing. Follow the steps and submit the requirements listed above (under Direct Filing) Thank you.
@Emily hi. As of now, Individually paying members pay P100 premiums per month. You can pay either quarterly, semi-annually and annually to Philhealth or any Philhealth affiliated banks and payment centers.
I was once an employee of a private school way back 2006-2007 and a member of Philhealth for that covered year. Can i still avail the benefits of my Philhealth even if im not actively contributing my premium nowadays?
Gaano po ba katagal bago matanggap ng member yung BPN. Naconfine po kc yung mother ko November 2010. As of today, di pa po nakukuha yung reimbursement. Binalikan po namin yung ospital, naipasa naman na daw lahat ng kailangan.
@Anna Lee hello! You must have continuous contributions to avail the benefits. So you must be active again. I suggest even if you're not employed, be an individual paying member and pay your premiums. You can pay in advance for convenience anyway. :)
@Michelle hi! I suggest you make a follow up to Philhealth office and ask about your claim. That's the only solution I can think of right now :) Happy Holidays!
good day...can i still pay for the past 3 months for quarterly application this december to cover 4th quarter of 2012?
good day...can i still pay the quarterly premium this december to cover last quarter of the year?
you can pay the 4th quarter premiums up to the last working day of December. Which was yesterday I think
Bakit po tumaas ang bayad sa hemodialysis treatment sa bawat session?
Pwede ba kumuha ng phil health kahit college student ka pa lang? Requirement kasi sa subject namin (OJT/Practicum)
You can apply as an individually-paying member. Go to Philhealth, fill out the membership registration form and attach the doc requirements like birth certificate and IDs. Then they will issue your PIN (Philhealth Identification Number) keep this coz this will be used once you're employed in the future..then pay your premiums which is P100/month for a starter like you.
paano po ang gagawin ko? gusto ko i member ang mga grandchildren ko whos living with me since birth..
Go to any Philhealth office and register them as new members.
gud pm.. ako po ay naoperahan s rizal medical center lastjan.6..inayus q po ung philhealth ko.bli dependent aq ng husbnd ko, ofw sya. sbe s philhealth s rmc, ung marerepond qlng ung billings q s hosp.dhil package dw.psok aq s cholesectomy,, nde dw aq insigent.. so wala n dw ako mrerepond, eh ako halos bumili ng gamit s at gamot s operasyon....bt po ganun.
i am new member of philhealth for almost a month, probably i need to go an operation, i want to know if i can use it in accredited hospital? thanks
pwede ko po bang ma download ngayon yung mdr form
beneficiary ko po ba ang mother ko isa po akong OFW kong sakaling kailangan niya ang name ko as a member of philhealth what we need?
kong ang anak ba na lalaki ang member just self employed automaticaly ba na beneficiary ang mother ?
ask ko lang po kasi nanganak po ako sa hindi accredited ng philhealth na clinic nung august 1, 2011. bago po ako nanganak siguro mga 7 months na po ung tyan ko saka ko lang nalaman na hindi pala cla accredited, ng manganak ako nag file po ang asawa ko ng claim form kaso po nadenied ng philhealth. may magagawa pa ba kami para may ma claim kami...
pwede po bang kumuha ng i.d even dpa ulit aq employed now? nu po reqs. at mgkanu?
naospital misis ko. diarreah sakit nya, n confine cya 2.5days. hindi daw accredited ng philhealth ang sakit ng misis ko. kumpleto naman hulog ng company ko s philhealth. at kumpleto requirements ko.
Around how much % reduction in hospital costs can be achieved using PHILHEALTH?
Paano ig ang isang member ay nakabayad nga kanyang Philhealth contributions from January to June den later naawol sya tapos nagbalik sya bayad sa philhealth from October to december den january and february pagkatapos nagmaternity leave sya sa february. makavail pa rin ba sya ng Philihealth benefits?
hello Philhealth!
I am a Philhealth member and here's my predicament...
my daughter recently was admitted to St. Agnes hospital due to Dengue stage 3 as final diagnosis of the doctor, but the said hospital only deducted 8k to our total bill instead of 16k which I have read and saw with your case rate for Dengue cases.
How do I address this? Can I file a formal claim or re-imbursement with Philhealth?
I believe that the hospital purposely made the deductions of 8k only, thinking we are not aware of the package. They are also very unfriendly with such incidents and issues being brought up to them.
I hope you can check on them, that is a very improper practice on their part.
St. Agnes hospital - Roosevelt St. Quezon City
The final bill is always discussed prior to payment especially the Philhealth discounts and the value that's gonna be off in the total amount of hospital bill. The best thing to do about your case is go to the Philhealth office and discuss this matter. There are some ceilings and lines as to the maximum coverage of benefits to every member which is based on his/her income, sickness and more. A Philhealth official can best discuss this with you. Hope your case will be solved :) Good luck.
na-admit ako sa hospital at lahat po ng hospital bill ay binayaran ng insurance ng company namin. may mare re-inburse pa po ba ako?
nung pumasok aqu sa penshoppe 10 years ago pina fill up nila aqu ng philhealth...then nung nkapasok aqu sakanila kinakaltasan aqu ng philhealth...papaano ko malalaman kung nkapasok ba ako sa philhealt o hindi...baka po my mairecomend ka na pede makontak or mahingaan ng info
My mom was confined from Feb 3 to 6, 2012. The only benefit deducted from my philhealth was the room accomodation. She is now confine again. Cna she still avail the benefit? She is also my dependent.
@Jetter You can ask for MDR from your Philhealth office. Then check your premiums if they have been posted.
@Rosalinda Yes, just fill out the forms in the hospital and submit them together with the requirements
i lost my philhralth no. and i want to pay premiums again since i stop paying for two yrs . i am also an sss pensioner with more than 120 contributions to medicare will i still pay the philhealth premium thanks
If you are an old age pensioner, you can ask your son or daughter to list you as dependent so you can have Philhealth benefits and you can stop paying anymore.
Good evening !I would like to ask how do i get my maid a philhealth id?
a) can i just register her as individual paying member but i will be the one to pay her monthly contributions
b) or do i have to register her as employed pls. let me know forms to fill up.Thanks jehanhildegard@yahoo.com
paano po kung di ko na file yung mama ko pati mga kapatid ko po sa philhealth ko magagamit ko pa po ba yung philhealth ko just in case na may magkasakit sa kanila plz reply po sa number ko 639283447826.
paano ko po malalaman kung ilang hulog napo ako?saan ko po titignan?
Pano po pag ang member naconfine tapos namatay? Kc Ganun po nangyari sa tatay ko tapos na trace namin na may mga nabayaran pa po sya sa philhealth
pano po ba ako makakkuha ng form ng philhealth through internet yung dun na po ako mag fill up ng information kasi po madyo malayo kung ppersonal p
ma aavail ku pdin ba ang philhealth benefits khit na 1yr na ko d nka pag hulog pero 3years aq may hulog?
@Jehan Good Day. Register her as employed. Philhealth recently allow online registration for its members. Just visit their website and apply online and submit the requirements. Thank you.
@Dysie You must make an update about your beneficiaries and submit thir required documents like NSO authenticated birth certificate plus your Philhealth number, and valid IDs. Thank you for dropping by.
@Genie hi. You can ask for your list of premiums from the Philhealth office. I hope the company would launch online inquiry soon.
@If he’s a member of SSS or GSIS, your father could receive burial benefits if he is entitled.
@Melanie hello there. Yes, you can download some forms in the Philhealth website. Just make sure your computer has Adobe PDF reader installed.
@Kaycee hi. It is a requirement that you have at least 6 months latest contributions before you can be entitled to receive benefits. If you stopped, you can’t use it anymore. Insurance kasi ito.
im pregnant now. nagstop ang contribution ko nung n separate ako sa employer ko nung june 2011 . pwede ko p bang hulugan ang july 2011 hanggang ngaun? at qualified p b ako para magamit ko ang benifits ko kung this june 2012 ako manganganak ?
Pwede ko ba add yung father ko as beneficiary ko?
pede q poh ba mhulugan ung kakulangan qng contribution as of 2011 para mgam8 q poh ngaun s maternity q...last poh n naemployed aq March 2011 after nun nagkawork aq December 2011 na poh..ngaun september poh aq manganganak...
@Kaycee correction to my comment, as of July 2011, Philhealth announced that availment of benefits for confinement now require to have at least 9 months contributions within 12 months prior to the month of availment
@Meekel hi. You can no longer pay your late contributions retroactively. You can only pay January to March 2012 right now. “As per PhilHealth Circular No. 06, series of 2001, retroactive payments are not allowed except when a member can show proof of sufficient regularity of premium contributions or payment of nine (9) consecutive months or three consecutive quarters within the last 12 months prior to the missed quarter. If you meet this condition, you shall be given a grace period of one month immediately after the missed quarter to pay retroactively including the current calendar quarter.
For newly enrolled members (with less than 12 months reckoned from date of enrollment), retroactive payment for the missed quarter including the current calendar quarter shall also be allowed within the month immediately following the missed period.
This privilege is granted only once every 12 months.”
@Manuel hello there. Yes you can add your parents as beneficiary is they are non-Philhealth members or inactive Philhealth members provided they are 60 years old and above. Include them in your membership profile or just update it so they can avail of their benefits conveniently and easily. Thank you.
@Ann hello. Please see my comment to Meekel above. Thank you for dropping by.
hello voluntary member po ako since year 2007 regular mag pay ng premium..unfortunately i forgot to pay this quarter jan to mar 2012..pde pa po ba cia bayaran next week?kasi schedule po ng husband ko na mag pa opera ng kamay nia this june..if ever po na di n pwede hulugan yun jan to march ma aavail po ba namin yung philhealth..last year po di po ako sa office nkapagbayad kundi sa bayad center sa bangko po..thanks pls reply asap.
Hello, tanong ko lng po ofw ang husband ko nanganak po ako last oct. 25,2011 CS po, pwede pa po ba namin maclaim yung ginastos nmin, di kasi sagot ng insurance namin ang maternity. At kung pwede pa ano ho requirements na dapat nmin dalhin paguwi ng pinas this month.
@Ciela if you are paying quarterly like me, you can still pay Jan-March this first week of April. It’s Holy Week so I suggest you pay now.
@Hilda You can try direct filing or reimbursement by submitting these requirements to Philhealth office or through the accredited hospital within 60 days after your discharge:
-PhilHealth Claim Form 2 (to be filled up by the hospital and attending physicians)
-Official receipts or hospital and doctor's waiver
-Operative record for surgical procedures performed
Hello po san po ako makakakuha ng claim form dito po kmi sa middle east? thanks po
thanks po neeed ko ppo ba i bring un receipts kasi last year po sa bayad center ako nagpay..tas nung nagpunta ako sa ofis nio cb di pa daw naipopost yun nga lng daw po problem pag sa bayad cenetr nagpay matagal ang posting..
tanong lang po. nag direct filling po ako para sa reimbursement ko sa phlth office Quezon ave. if ever hindi ko po ma recieve ang BPN, maaaring hndi ko na po b makukuha ang reimbursement ko. May due date po b itong BPN? salamt.
qualified parin po ba ako magclaim d ko po kasi nabayaran ang first quarter ..nagresign n po kasi ako from work last dec ngayong april po na admit ang tatay ko..thanks
@Hilda hello there. What claim form do you need?
@Ciela hi. It’s a pleasure. Yes, it’s advisable to bring the receipts and have them photocopied. Submit the photocopy to Philhealth and update your payment so they will post them. You can pay your current quarter premiums then the same day para wag kana balik balik.
@RD hi. You need your BPN to know and report the actual payments made by Philhealth from your confinement/availment. Philhealth is responsible to send your BPN and you are responsible to give them your correct address and make a follow up in case it’s not received. Without the BPN means they no amount yet to be deducted relative to your benefits.
@Ann to become eligible to receive benefits, you must have paid at least 3 months of premiums within 6 months prior to the month of confinement of your dad. Since you were separated from work, you need to update your PMRF and change from employed to individual paying member and pay the first quarter. Sadly, it’s late for paying January to March since it’s April now. Just go to Philhealth and try if they might consider but I think March 31 is the deadline for the first quarter.
hello,
im a philhealth member and also my husband.. Is it possible na magamit namin ung same philhealth benefits namin sa panganganak ko? kelangan ba nmin pareho mg submit ng form (CF1). thank you
my son will be scheduled to have an eye surgery (Strabismus surgery).. nakalagay kc sa website ng philhealth na exclusive ang optometric services.. considered ba na optometric services and eye surgery?
one of my twin is having a congenital heart deseases and she needs to undergo heart surgery and i am a member of phil health does this case accredited to philhealth?tanx
for instance,the heart surgery cost 250,000 php how much does the phil health reduce to our billings?pls reply
good day po.. ask ko lng po kelangan po b 60yr old n ang papa ko bgo nya mgmit ang philhealth ko..thank you very much..
Hello, i just need to confirm that if u already used the automatic deduction benefit you can't use the reimbursement/direct filling, only either of the two?
gud day po, ask ko lang po about reimbursement sa nagastos nmn sa gamot habang nakaconfine anak ko sa hospital. Beneficiary po kc ng husband kong OFW anak ko. Naconfine po anak namin last November,2011, ipinasa ko po ung mga zerox ng resibo ng mga nabili kong gamot sa labas ng hospital, pero up to now po wala pa kaming nareceive na reimbursement cheque from Philihealth.d po ba 60 days after nagrerefund na po kayo. Eha ngaun po eh naconfine ulit anak nmn, medyo malaki nagastos nmn sa mga gamot sa labas ng hospital, im afraid na di na naman kami makakuha ng refund.
@Jaycee I’m not sure about this but I think it’s not possible to use 2 people’s benefits for one patient as it states that “Philhealth does not allow multiple declaration and application of its entitlements of both spouses. We advise you to decide who among you will declare and provide for the Philhealth coverage of your child as a dependent.”
@Sai Yes optometric services are exclusive from the coverage except Cataract surgeries. You can ask your doctor anytime if the surgery could avail of Philhealth benefits.
@Ramelo see this list of coverage http://www.philhealth.gov.ph/members/employed/cove
@Mhae yes it is required to list your parents as dependents if they are 60 and above. If they are below 60, they can register as individual paying member and have Philhealth benefits.
@Alexa hello. Yes, you can’t use 2 at the same time
@Mylin I suggest you go to Philhealth office to expedite your claims and tell them it’s been so long na wala parin feedback. Good luck.
paano po kung ang agency ko ay kinakaltasan na ko sa philhealth kahit hindi pko ko official member may kaylangan po ba akong hingin na katunayan sa agency na kinakaltasan aq (bukod sa payslip) bago ko mg apply?
I am a seafarer,I continue paying my philhealth last may 2011 then I stop this february 2012, since I already disembarked from the ship.I am pregnant now,the schedule of my delivery is on September 17,2012,and I want to avail the philhealth benefits for my delivery,how many months do I need to pay to avail?thank u
nag work po ako for almost 5yrs kaso ng resign ako ng feb.2011,seanse hindi ko na po nahulugan ung mga nxt month hindi daw po ako acredited na makakuha ng maternity ko,ask ko lng po pwede ko po bang magamit ang philhealth ng father ko as maternity??
Naospital po ang tatay ko noong Feb.10-13.2012. For reimbursement na lang daw po ung phlhealth ko dahil kulang ako sa requirements. 3 days after na madischarged nakumpleto ko ang mga requirements. Tapos pinapirma ako sa waiver na for Direct Filing... Hnd ko po alam ang ibigsabihin nun kaya hindi ko inintinde.. hnd rin naiforward ng ospital hanggang sa naglapse na ngayon.. mahahabol ko po b yun? kz po kung ako pala magfifile nun sana hnd n tinanggap ng ospital. Pde ko b kasuhan ung ospital dahil hnd nila ipinile? thanks po
Member po ako since year 2007 nagbabayad ako regularly how can i use my philhealth para sa anak ko she needs to undergo heart surgery eh wala naman sa list of case rates ang heart surgery?
hi ask lang po, pwede po ba ung ganitong case: Sponsored member natapos na yung validity at nag enroll ng IPM then nung may renewal for sponsorship, pwede po ba mag change balik ang membership as sponsored member.. thanks
ofw po ako, since every 2 year ako nakakauwi, my philhealth last renewed on november 2010.pwede ko po ba i-renew at saan po? currently, nasa uae po ako.
@Mona they can’t pass the payment to Philhealth unless you have already your Philhealth number. Become a member asap.
@Joy You must have paid at least 3 months of premiums within 6 months prior to the month of confinement. You must pay continuously.
@Sherlyn You can’t use your daddy’s Philhealth. You can however become a beneficiary of your husband.
@Flor Direct filing means you will be the one to file in availing your benefits to Philhealth thus the hospital had no obligation to file for you anymore. You cannot complain them sadly since you agreed that it was to be done by direct filing.
@Ramelo yes heart surgery is not listed from the list of cases. You can ask Philhealth office about the other alternatives. I honestly don’t know if there’s any. Thank you and God bless.
@Pats yes, update your member’s record and choose the one that is applicable in your current status – this time sponsored member. Use the PMRF (Philhealth Member Registration Form) to shift from one membership to another. What is important is your premiums are paid continuously.
@Eve Since you are abroad and you want to renew your Philhealth, you can ask your relatives in the Philippines to pay your premiums on your behalf and submit the documents showing proofs that you are still an OFW like (photocopy of visa, valid OEC (Overseas Employment Certificate), employment contract, valid IDs) plus authorization letter authorizing your relative to renew on your behalf and pay your premiums.
Will I be able to use my philhealth for my maternity/labor eventhough i stopped my contribution to philhealth for about a month (Feb - March) till now ?
Would I not be included in the exception for the exclusion of retroactive payment if I am a newly voluntary member? I worked as an employee until 2009 and some months of 2010 so my contribution stopped after that. I was not able to visit the Philhealth office last March to file my change in membership and pay for the first quarter premium..
@Maan why did you stop? Sayang naman. Philhealth requires us to have at least 3 months of contributions from the latest 6 months period prior to the confinement period. That time allowance is the most important of all.
@Peach As per PhilHealth Circular No. 06, series of 2001, retroactive payments are not allowed except when a member can show proof of sufficient regularity of premium contributions or payment of 9 consecutive months or 3 consecutive quarters within the last 12 months prior to the missed quarter. If you meet this condition, you shall be given a grace period of one month immediately after the missed quarter to pay retroactively including the current calendar quarter.
nagpamember po ako this january 2012, magagamit ko po ba ang card ko this coming september for maternity/labor?
panu po e activate ung philhealth ko para magamit ko sa pagpagnak.7 months pregnant po me now.b4 ngwork po me but now d n po nhulugan.mkapag avail pa po b ako at paanu po?thanks
im expecting to give birth this coming july 2012 with Ceasarian operation on my 3rd baby... kaya lang po yong hospital na pag aanakan ko ay di accredited ng philhealth.. possible po ba na ako na lang ang mag ayos at mag file ng maternity benefits sa philhealth. salamat po... God bless
@Elysha yes you can use it as long as your contributions are continuous and without lapse
@Nicey please read the article above dear and you must have at least 3 months of contributions from the continuous latest 6 months prior to your due date or hospitalization.
@Beng it is a requirement that the hospital is accredited by Philhealth. Yes, you can file your availment of benefits personally after you gave birth. Just follow the listed requirements in direct filing listed in the article above. Make sure your hospital is accredited, too. God bless.. :)
I am thinking to go home back in my old country as Balikbayan coz I am now 60 yrs.old & widow--I want to join the Philhealth memberships--which requirements are needed ?How much should I pay?Thank u very much!!
ive been working for almost 5yrs in defferent companys,i dnot knw if they paid my philhealth,and nw im not woking anymorre cus im pregnant.where do get info to my philhealth card so that i can use it.i dnt knw where to go and whre to ask to?thank you and gobless
gud day,, tanong koh lang kung may makukuha pa ko maternity benefit? nanganak aq last oct 2012,naless naman un bill koh,, cs kc aq. svi nila after 6 months may makukuha daw aq from philhealth totoo ka yon.. til now kc 6 months n lumipas wala p ku narereceiv eh..
sir twentyfive, very impressive po kayo, and dami nyong alam sa philhealth at bukas palad nyong sinasagot yung mga queries ng readers nyo. comment lang po ako kay dun sa inquiry ni mam ann which was posted 3 months ago.
ann 3 weeks ago
"qualified parin po ba ako magclaim d ko po kasi nabayaran ang first quarter ..nagresign n po kasi ako from work last dec ngayong april po na admit ang tatay ko..thanks""
if ever po na ang isang employed ay nseparate sa employer at hindi po sya nakabayad ng isang quarter, meron pong grace period na 3 months(1 quarter) para mabayaran ang unpaid quarter retroactively.
so kung last remittance ng emploer ay december,(then nseparate sya)
tapos 1st quarter ay ala syang contribution
pwede pa rin nyang bayaran yung 1st quarter together with the 2nd quarter as an self employed member
@sir ramelo macocover pa rin po ng Philhealth ang operation ng anak nyo under Fee-for-Service system. Room rates, OR fee, Professionjal fee, drugs and medicines, x-ray and other labs. If ever po na may magagastos kayo during confinement(e.g. mga prescribed na gamot na hindi available sa ospital) kumuha lang po kayo ng official receipt ng gamot at iattach nyo po sa claim form para mareimbursed sa inyo. Yung amount po ng deduction ay depende sa operation, at specialty training ng surgeon at level ng hospital. Just make sure po na accredited ang hospital at ang doctor sa philhealth.
@Martha you can register as Individually Paying Member. Just submit your PMRF (Philhealth Member Registration Form. I have posted the link in the article. You can download it and fill it out with your details and pass the form to Philhealth personally together with birth certificate and valid IDs, your supporting docs for your qualified dependents (if any) and money to pay your premiums. You may choose to pay P300 monthly (P1200/year) if your monthly income is below P25000 otherwise you pay P600 per quarter (P2400/year) if earning above P25000
@Budsneypes the best thing to do in your case is to go to Philhealth office where your company might be remitting.. You must know your Philhealth Number because it is important for life. If you don’t know it, you must know it now. Go to Philhealth and ask them if you’re even registered and have been paying. Bring valid IDs. They will be kind to assist you. God bless..
@Cristy did you file for availment? If you did, then you must expect something. Contact Philhealth and ask about your availment. Thanks for dropping by.
@Nutritivo I love my readers so I share things I know when I can. I used to work in the government that’s why I know a bit about stuff. Philhealth is so important in life and I’m happy to remind everyone it must be maintained.
Thank you about discussing about the grace period if an employee missed a quarter. Yes, Philhealth allow that if they proved that the member was paying continuously in the previous 9 months. Since Ann seemed like a new member, I didn’t assume she was paying continuously as she told me she stopped.
Thanks so much for assisting our fellow Kabayans here. It means a lot. You are so kind and I’m so happy you share things here too. Please keep on sharing because we’re happy about it. :) Thanks Nutritivo. God bless you so much.
magkano ba un benefit pag ceasarian section? tnx poh....
Thanks for all the Infos---should I consider my son as my dependent--I will go home alone for good--receive a small widows pension monthly--my son will stay with his family here in Europe & no decision to live on the Phils.someday if he retires--could u please help me in my situation.God bless u--
Ano po an requirements sa OFW na babalik ng Libya galing sa kanyang pagbakasyon d2 sa Phils? dati siyang member sa Philhealth kaya lang ng naging OFW siya ng almost 6 years di na sya nakakapagremit ng contribution niya.
@twentyfive No problem. Natuwa lang po ako ng nakita ko yung page na to and your dedication to answer their queries. Limited lang naman po ang knowledge ko sa Philhealth pero masaya po ako ng tumulong sa inyo. Thanks po sa acknowledgment.
@cristy Pasok po sa case rate package ang Ceasarian Section. 19,000 po ang package. Dapat po sa Level 2 to 4 hospitals ito gagawin at kailngan accredited ang hospital and at least 1 doctor na mag-aattend sayo.
Note: ang elective CS or yung by request ng patient ay hindi po reimbursible pati yung mga repaeat CS na walang indication
@sonia m kailngan nyo pong iupdate/activate yung membership nyo maam bilang OFW.Requirements
*Fully accomplished PMRF(Philhealth Membership form)
*Birth Certificate of member
At Proof po na kayo ay isang OFW(any of the ff):
working visa/re-entry permit, overseas employment certificate,job employment contract,company ID, or last 2 months na cash remittance receipt prior sa renewal ng membership
Yung premium po ay currently 1200/year pero next year po 2400/year na
You are so kind and helpful. I wish you all the best in life. God bless someone so generous as you. :) Thank you so much for your help with our fellow Filipinos here. I am welcoming you anytime to share anything in this page.
I was gonna pay my Philhealth today but it was a non-working Holiday here in Pampanga. hehe
ho.. just wanna ask if June 2012 ang due ko, ano yung 9 months na dapat bayad ko na para ma'avail ung benefits?
hi .. just wanna ask if gumahin aljohn virtudazo is already member of philhealth..... I'm just going to confirm that my name is already registered..
thank you..
i just wanna ask matagal na po akong memeber ng philhealth ngayon i stop paying my philhealth since noong nagstop n akong nagwork. and now i am pregnant due ko sa june 2012 pero this year naactivate ko na ang philhealth i already pay from january to june 2012 sa banko. still magagamit ko pa rin ba ang philhealth benefits ko sa panganganak ko this june 2012, as what you have said kailangan na it should be a 9 months contribution.paano po ang case ko sa ngayon?pls give me an answer or advise for this. thank you and more power to all.
hi po! just wanna ask nung january lng po ako naging member individual philhealth 2 times na po ako quarterly P300.00 nakahulog...pwede ko na po ba gamitin to sa panganganak dis august...need advise pls.
thank you very much!
hi.... ask ko lng po naoperhan po ung anak ko nong jan.13 2012 hanggng ngaun ala p po dumarating na BNP
k o po malalaman na meron po kme marerepund tnx po....:D
@Diane @Jane @Milyn for pregnancy cases they require 9 months of paid premiums within the last 12 months of the year of your due date
@Gumahin Please confirm it via the Philhealth office. That is so private, Sir.
@Maricel if they didn’t send the BPN much longer, you must make a follow up from the Philhealth office you filed it. Thank you and God bless.
gano po katagal matanggap ang reimbursement check?
pagnarelease na ang cheque ilang days bago maipadala sakin?
ofw po ako at ang brother ko,na confine ang mother ko nun may 8, nasa occ mindoro po sya, tinanong ng sister inlaw ko kung pd gamitin alin man sa amin ng brother ko, ang sabi kaylangan daw ang personal appearance ng philhealth member dahil may mga kaylangan pirmahan,nagpadala na po ako ng copy employment contract,passport,owwa oec at philhealth id.
Hi.ask ko lng po..pwede b magamit ung philhealth kahit 2 months hnd nakapaghulog. nasa hospital kasi brother ko and needs series of tests..last contributions nya s philhealth is last march of this year.pwede kaya nya magamit un or kung hnd is it possible n hulugan namin ung remaining months n hnd xa nakapghulog para lng magamit nya ngaun?
thanks for the reply..
hi.. isa po akong ofw at uuwi ako by august para manganak sa pinas.. and i have read na payments of reciept ang one of requirements,but agency kasi ang ngbayad directly nun so i dont have copies so pwd ba akong kumuha ng copy dun mismo sa philhealth? thanks..
pwde po bang gumawa ng mas mabilis at madaling proseso ang philhealth sa pagbabayad ng hospital bill..napakatagal kasi ng reimbursement e...dapat automatic na yun katulad ng ibang healthcard..minsan kasi sakit sa ulo pa yung reimbursement
retired employee ako n made more than 130 contributions or premiums to then SSS medicare. Asked philhealth ofc if im eligible to become a non paying member a
retired employee po k and made more than 130 contributions or premiums to then sss medicare. i want tno know if im eligible to become a non paying member coz i asked ur sattelite ofc in our place n they told me im not eligible and still has to pay premiums. Hope u can enlighten me on this matter. tnx
hello again, ano po ba ang dapat gawin para makuha na ang bpn ng anak ko,last august pa po sya naconfined sa hospital, untill now wala pa po yung BPN nya,ang asawa ko po ang member ng philhealth ofw po sya,,salamat po!
blessed day!ask k lang po kung pwede ko gamitin ung maternity benefits ko this month (May 2011).6 months pa lang po ako member..kung skali po ba pwede kong bayaran ung 3 months para maavail k ung benefits?thank you
@hilariona @choco pasensya na po wala ako gaanong idea about cheque release, ang alam ko lang po medyo matagal talaga ngayon ang pagprocess at pagrelease dahil sa dami ng nagfi-file
@ellebana pwede po alinman sa inyo basta po pasok pa rin sa validity ng payment nyo yung confinement ng mother nyo. kung wala po kayo sa pinas pwede po makipagtransact ang relatives nyo kaso in order of priorities po
-legitimate spouse
-children 18 years old and above
-parents
-brothers and sisters
tapos kailangan po may proof na nasa ibang bansa kayo, OEC, or employment contract pwede na po
@angel ok na po ang MDR kasi nakaindicate po sa MDR ng OFW ang validity ng kanyang payments make sure lang po na bayad kayo atleast hanggang september para sure
gusto ko po imember ang kapatid ko na 33 years old binata po sya pwede po ba na ang mga pamangkin ko ang maging beneficiary nya?thanks po!
Hi guys. I’m sorry for late reply, I’ve been to Ilocos for a holiday..
@Chris your brother can avail of benefits if he paid his missed months and if he proved that he’s been paying continuously for the previous 9 months.
@Angel you can request for your MDR to see the list of your contributions from Philhealth no problem
@Rey you can become a Lifetime Member since you are a retired employee. You must file your application to Philhelath to avail of benefits. The usual requirements are PMRF, latest 1x1 photo, and SSS latest contributions (as you mentioned you’ve been a SSS member), your birth certificate, and valid ID
@Nutritivo thank you very much for answering some queries here. God bless your kind heart. :)
tanong ko lang private employed ako since feb 2010 kaso ngresign ako nung january 2011 so wala ako work kaya hindi ko nahuhulugan yung philhealth ko then september nabuntis ako 1month na tyan ko nun kaso nakapaghulog ako october 2011 til jun 2012 maaavail ko ba yung maternity benifits ko saka ok lang ba na hindi ko na update yung members category ko from employed private to individual ??? saka ano mga need ko to process yung benifits ??
pwede ba malaman kung ano philhealth number ko through phone lang po.?
tanong kolng po pwede p po bang mag pamember ang retired n AFP SOLDIERS?ano po b ang requirements?
pwede p po bang magpamember ang retired n PAF soldier?ano ang mga requirement?
query ko po 23 Jan 2008 admitted nnay ko due to hypertension at deretso po ICU inilbas ng 31 po.bkit po kaya walang dumating sa akin na benefit payment notice/ refund..malaki ho ang napagbyaran ko private hospital at bili gamot s lbas...thank you
kailangan ba ang personal na pagfile ng bill sa opisina ng philhealth,,,hanggang ngayon wala pa yung bpn ng anak ko at kailangan ba ang birthcertificate ng beneficiary kasi wala silang request nun sa amin,,,salamat po!
lahat ng hospitalbill binayaran ng insurance ng company namin my maririinburst pa pi ba aq sa philhealth
@Yara yes you are qualified to claim benefits if you have at least contributed 9 months from the present period. Better update your status from employed to individual paying member so you wont have any problems in processing your application.
@Alex Try calling their hotline. I don’t think it’s possible though.
@Cathy Yes retired AFP, PNP and BFP can become a member by becoming a Philhealth Lifetime Member. You need to submit accomplished PMRF (I attached the link in the article In case you want to download it) and latest 1X1 ID picture, your NSO authenticated birth certificate, or valid IDs plus your
-Statement of Services issued by previous employer indicating not less than 120 months of service excluding leave of absences without pay;
-Certification/Letter of Approval of Retirement from the GSIS indicating not less than 120 months of service;
-General, Bureau or Special Order indicating the effectivity date of retirement.
@yara kung may ang due mo, unfortunately hindi nyo po magagamit ang PHIC dahil hindi nyo po nameet ang 9 mos consecutive contribution, in 12 mos prior to confinement, kasi po kung bibilang tayo ng 12 mos pabalik, ang premium contributions nyo po ay, april'12, march'12, feb'12,jan'12,dec'11,nov'11 at oct'11 so lumalabas lang po na 7 months yung. Pero dun po sa newborn care package papasok si baby nyo kasi 3/6 lang po required dun. Suggest ko na rin po na magupdate na po kayo ng membership, fill up lang po kayo ng PMRF at indicate nyo naVoluntary member na kayo
@alex unfortuantely po hindi natin pwede malaman ang PIN nyo through phone for confidentiality and protection of members
@cathy ang alam ko po ay qualified lifetime members ang uniformed personnel retirees, update ko na lang po kapag nakita ko ang requirements
@liezlpunta na lang po kayo kung saan pinakamalapit na Service office dun sa hospital at magrequest po kayo ng BPN
@maribelle gallo34 maam kung automatic/hospital deduction po ang nagyari sa inyo, hindi nyo na po kailngan magfile personally, pero kung full payment po kayo sa hospital pero ay eligible naman po kayo sa benefits, dun lang po nagddirect filing sa PHIC office. yung BPN po ay minsan nagtatagal talaga, 60 days po kasi dapat mafile un from date of discharge, yung iba po kasing hosp iniipon muna nila yung mga file bago sila magsubmit(by bulk sa office) kaya po nagtatagal lalo ang proseso, kailngan po ang birth certificate kung idedeclare nyo po sila as dependent
@rosmandy aquino kung sinagot na po ng insurance company nyo ang buong bill, wala na po kayo marereimburse from philhealth dahil hindi naman po kayo gumastos :)
puwede po ba na ang mga pamangkin ko na nasa poder ko idagdag sa beneficiary ng asawa ko ?thanks again!
hello!
i'm a ofw po and gusto ko po sanang mag enroll. nakita ko po iyong online application nila, inilagay ko pong beneficiary ang parents and they senior citizen na po. Hiningi po nila na birth certificate nila pero di ko pa po nauupload. so, hindi pa rin po ba valid na naenroll ko sila as my beneficiary? hindi pa rin po ako nakakabayad, pwede daw pong magbayad sa mga remittance center dito sa abu dhabi.thanks
hello po..!!!ask ko lang po pd po ba magamit ang philhealth sa panganganak ko,kung naun month palng po aq mging member...sa november po aq manganganak..o ped po hulugan ko na ung months na kulang ko..?tnx po have a gud day
thank u po..pwede pa po makapagrefund kahit mtgal na
hi,can we search online for the masterlist of our employee's philhealth number? we have already reported their names to philhealth office. how about their mdr? thanks a lot... gud day
sa outright deductions my marerefund pa ba? at wat un mga requirements?
what are the problems encounterd in philhealth regarding membership,eligibility and benefit availment process? what are the action and recommendation that will take?
Rowena Canares 5 months ago
can i get a mdr via omn;ine process?