As a Philhealth member , you need to know all these things to maximize its use and enjoy the benefits your Philhealth has to offer to you and your beneficiaries.
- Rich helping the poor.
- Young ones help the elderly.
- Healthy ones help the sick.
Go to any Philhealth office near you and submit the correctly filled-up Philhealth Member Registration Form (PMRF). No need to submit any supporting documents unless it is needed for verification.
- Philhealth Identification Number (PIN)
- Member's name.
- Members signature.
- Membership validity date for sponsored/indigent members.
- Legal spouse that is not a member of Philhealth.
- Children 20 years old and below, single and jobless (including step children, adopted, illegitimate and legitimated/recognized children.
- Parents 60 years old and above and not a Philhealth member.
- Foster Child who went through DSWD Process according to Foster Care Act of 2012 or RA10165
- Children or parents with with permanent disabilities.
Below are the list of contributions scheduled by Philhealth for specific members.
You can pay your Philhealth contributions at any Philhealth office or any accredited collecting agents nationwide.
What are the benefits?
Every member must know the benefits they can get by being a Philhealth member.
Members and qualified dependents has benefits for medical expenses for every sickness or operation. Members and legal dependents can get equal benefits.
Every year, there is allocated 45 days hospitalization allowance for the member and 45 days to be divided to all qualified dependents. Hospitalization days in excess of 45 days will not be covered by Philhealth.
This benefit can be used by the member and qualified dependents provided that:
The member has updated contributions (except Lifetime and Senior Citizen Members) or valid Philhealth coverage( for Sponsored, Indigent, and OFWs).
- Go to a Philhealth-accredited hospitals or clinics.
- The allocated 45 in a year is not yet consumed for the member and qualified dependents except for the other Philhealth benefits such as hemodialysis.
In Philhealth's NO BALANCE BILLING, there will be no additional payments for hospitalization in public and selected private hospitals.
Good news! For sponsored, household workers and indigent members and dependents, if they are confined in a public hospitals and other facilities such as dialysis centers, lying in clinic, or ambulatory surgical clinics, there will be no fees to pay.
Under the NO BALANCE BILLING, Philhealth will shoulder all expenses for the doctor and hospitalization in any Philhealth accredited hospitals.
Reminder: If confined in a private hospital, the member should pay the cost that exceeds in the aforementioned case rates. There will also be an additional cost if they will choose rooms/wards and/or doctor in government hospitals.
Below are the list of the outpatient benefits available at any Philhealth-accredited hospitals/clinics.
Benefits provided for sickness that needs long term hospitalization.
Below are the benefits included in Z Benefits.
HOW TO AVAIL THE PHILHEALTH BENEFITS?
To use Philhealth benefits:
Look for My Philhealth Portal in the hospital and show any valid government ID.
- Submit the properly filled-up Philhealth Claim Form 1 together with the supporting documents that may be required in the hospital, when needed.
OFWs or their qualified dependents confined overseas can also avail of the Philhealth benefits through direct filing.
You just need to submit the following in any Philhealth office near you within 180 days after being discharged to avail of the benefits:
- Copy of Medical Certificate stating the final diagnosis, confinement period and services rendered.
- Properly filled-up Philhealth Claim Form 1
- Copy of the official receipt or detailed statement of Account
- Updated Members Data Record or any alternative documents to prove identity/photocopy of latest proof of payment.