PhilHealth Requirements

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Pwede nating icheck sa Philhealth Section o sa Admitting Section kung tayo ay Eligible gumamit ng Philhealth. Para macheck ibigay lamang ang detalyeng kailangan:

  • Buong pangalan ng member, address, birthday, at contact number.
  • Kung dependent naman tayo ng member ( asawa o anak below 21 years old) buong pangalan ng DEPENDENT at birthday.
  • Kung tayo ay “Eligible – YES” wala nang ibang documents ang hihingin sa atin.
  • Kung tayo ay “Eligible – No” ang mga sumusunod ay kailangan nating maiprovide.

MGA DOKUMENTONG KAILANGAN

  • CSF (fully accomplished Philhealth CSF Form)
  • MDR (Member Data Record)
  • Proof of 9 months premium contribution within the last 12 months prior to the 1st day of confinement
  • Proof of 9 months premium contribution within the last 12 month prior to the 1st day of confinement or payments amounting to P 2,400.00
  • CE-1 (Certificate of Eligibility issued by Philhealth)
  • Philhealth Lifetime Member ID Card / Kung hindi pa nakaregister as Philhealth Member maaring pumunta sa pinakamalapit na Philhealth Office para mai-register (PMRF with OSCA ID)
  • Proof of premium contribution for the whole year (P2,400.00) that indicates “Women about to give Birth”

Iba pang detalye:

Kung sakaling hindi nakalista sa MDR and qualified dependent, magsubmit lamang ng proof of relationship sa Philhealth Officer ng ospital:

  • Legal na ASAWA – Marriage Contract
  • ANAK na 20 anyos pababa (walang asawa at walang trabaho) –Birth Certificate
  • ANAK na 21 anyos pataas na may angking kapansanan (mental/pisikal) – Birth Certificate at Medical Certificate
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