Requirements for PhilHealth Claim

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When our baby, Pao-pao, got confined..we needed to prepare the requirement for Philhealth to be able to get a claim to lessen our expenses for the hospital. And it was really a great help for us…it maybe not the whole amount but it was a great less.

Here’s are some tips and list of requirements.

REQUIREMENTS:

    • CF1 FORM

You can get this from the hospital or download it at www.philhealth.gov.ph. Fill your information together with the patient’s information then give it to your employer to be filled-up.

    • CERTIFICATE OF CONTRIBUTION

This is a certificate of your contribution to PhilHealth from your employer. It should state at least 6 months of contribution. Stating your participating amount, date of payment and OR number.

    • MDR (Member Data Record)

This your record from Philhealth together with your beneficiaries. This is a proof that your are registered at Philhealth. You can get this at any Philhealth center near you.

    • PROOF OF RELATION

If the patient is not registered with your Philhealth (shown in your MDR), you need to provide this requirement.
If the patient is your spouse, you need a Marriage Certificate. And if the patient is your child, parent, or sibling, you need their Birth Certificate.

TIPS:

    • COMPLETE AND COMPILE AHEAD OF TIME

Prepare all the documents needed prior to confinement or as early as the day of confinement. It is easier to get the claim when it is included in your bill than reimbursing it after the confinement.

    • ASK YOUR DOCTOR

Ask you doctor, if he/she is accepting Philhealth. So that they will be informed that they have to deduct Philhealth from their charge.

    • KNOW YOUR BENEFITS

You should know the maximum allowance you can claim. Click HERE to see the benefit table.

    • SUBMIT REQUIREMENTS

Submit all the documents and requirements prior to the check-out at the hospital; so that if the hospital has an additional requirements or things to be changed, you will still have time to take care of it. And with this manner, your check-out will be processed easily.

4 COMMENTS

  1. Sir/ Madam,

    Good day,

    With regards to the certification of contribution , Please send me a sample copy of this certification.
    Thank you.

    Regards,
    Mr. Gopez

    • Hi Floro,

      I don’t have a copy for this. Our copy was submitted to the hospital as a requirement. This is a letter stating your contributions backed-up with a photocopy of the receipt paid to Philhealth by the company.

      I hope this will help you.

      Thank you

  2. Good day mam,

    Am a member of Philhealth for less than three years, But my contribution stop and continue depending upon on my job situation.
    For example, 10 months of job therefore ten months of contribution, then, when vacation occur my contribution will stop, and when job resume contribution also resume.
    In this year, i contribute for the months of January-March then July-September. therefore theres a gap of three months
    In my case now, can i still used my Philhealth if in case of emergency?

    Hoping for your positive response.
    Thank you mam.

    Regards,

    Florencio

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