Tag Archive: Philhealth Benefits


June 19 (1)

It is that time of the year when dengue mosquitoes seem to be more active in hunting their prey.  Young and old alike can fall victim to these pesky insects that carry the deadly dengue virus.  It is no secret why emergency rooms are never without a patient exhibiting the early signs of dengue fever.

Does PhilHealth cover dengue fever cases?

Yes.  That is why it is important that you keep your PhilHealth account updated because you never know when serious illnesses might attack.

PhilHealth’s coverage for dengue fever is based on the severity of the patient’s case.  There are simple cases of dengue and there are those that are listed as severe.  PhilHealth coverage will always be based on the attending physician’s final diagnosis.  Below is the list of case rates for dengue fever:

DESCRIPTION

CASE RATE PROFESSIONAL FEE

HEALTH CARE INSTITUTION FEE

Dengue without warning signs: Dengue fever (DF) Dengue hemorrhagic fever Grades 1 and 2; Dengue hemorrhagic fever without warning signs. 10,000.00 3,000.00 7,000.00
Dengue with warning signs; Dengue hemorrhagic fever with warning signs. 10,000.00 3,000.00 7,000.00
Severe Dengue; Severe Dengue Fever; Severe Dengue hemorrhagic fever. 16,000.00 4,800.00 11,200.00

To avoid inconvenience and delays in your claims, make sure that your PhilHealth contributions are updated every month.  You never know when diseases may strike and your only assurance of financial assistance during times of emergency is a flawless record with PhilHealth.

Keep your homes and yards dengue-free and make sure that your children are protected against mosquito bites while they are in school or at play.

If you have questions about PhilHealth, send us an email and we will do our best to find the answers for you.

Source: www.philhealth.gov.ph

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May 28

One of the leading causes of death in the Philippines remains to be uncontrolled hypertension leading to heart disease and stroke.  In 2017, it was reported that 25% of Pinoy adults have high blood pressure caused by either their lifestyle or inherited the condition from their parents and elders.  The climate and high fat, high sodium diet in the Philippines do very little to help Filipinos avoid the burden of hypertension.

The good news is that hypertension is a manageable disease and the patient is likely to keep its complications at bay with low-cost preventive measures like exercise and diet changes.  Regular visits to one’s physician and easy access to an emergency room can help arrest any adverse effects of an elevated blood pressure as well.

It is good to know that hypertension is covered by the PhilHealth and is available to all bona fide members and their dependents.  Below are some important things you need to remember when claiming your PhilHealth benefits for cases of hypertension:

  1. PhilHealth will cover up to Php 9,000.00 for hypertension cases, where:
  • 30% is for professional fees (Php 2,700.00);
  • 70% for room and board, drugs, supplies, ancillary tests, laboratory, and other procedures (Php 6,300.00).
  1. Benefits for hypertension cases are covered by the No Balance Billing (NBB) policy.
  • Hospitals should be able to provide the complete and quality service for hypertensive Philhealth member patients.
  • The member patient should no longer make out-of-pocket payments for his room, board, medicines, supplies, laboratory, X-ray procedures, and professional fees.
  1. Member patients can claim from PhilHealth only if they are admitted to the hospital (not outpatient cases or emergency room only).
  2. The benefits of hypertension cases are covered by the Single Period of Confinement (SPC) rule. This means that only one claim for hypertension benefits can be applied every 90 days.

A hypertensive person’s blood pressure can shoot up anytime.  It is best to always be armed with your PhilHealth benefits to help ease the burden of hospital expenses.  Of course, the best way to keep yourself from the hassles of hospital confinement and expenses is to exert extra efforts in making sure that you lead a healthy lifestyle:

  • Grab every opportunity to walk instead of riding your car, a cab, or even the elevator.
  • Drink plenty of water.
  • Avoid salty food and those that are high in cholesterol.
  • Get enough sleep.
  • Free your mind of negative thoughts.

Have a hypertensive-free summer, folks!

 

Source: www.philhealth.gov.ph

 

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May 15

Pinoys have yet to fully accept the values and benefits of being insured.  Whether it is a life or medical insurance, every working Filipino must be protected from the inevitable.  When unfortunate situations arise – a family member gets sick, a child meets an accident – it is best to be prepared.

If you are employed by the government or by a private firm, it is most likely that you are granted a medical insurance sponsored by your employer.  This is a good thing to have, especially if it is extended to your family.  However, this is only applicable while you are salaried by your employer.  The moment you quit your job (or it quits you!), you lose the privilege and will be left on your own to manage when you or someone in your family gets sick.

That is why it is important that you have yourself enlisted as a member of the PhilHealth, if you haven’t yet.  The PhilHealth voluntary membership is open to anyone who does not have a fixed employment, not a senior citizen, not an indigent member, or sponsored member of the PhilHealth.

Who are qualified to become voluntary PhilHealth members?

  1. OFWs – documented or undocumented Filipino workers abroad.
  2. Self-employed professionals – self-earning individuals such as entrepreneurs, lawyers, doctors, and freelancers whose income is generated from their profession or business.
  3. Informal sector workers – people working in the informal economy, including jeepney and tricycle drivers, street and market vendors, and small construction workers.
  4. Dual citizens – Filipinos who also hodl citizenship in another country.
  5. Naturalized Filipino citizens – foreigners who have become Filipino citizens through naturalization.
  6. Expats – foreign workers who live in the Philippines with valid working permits or Alien Certificate of Registration.

What documentary requirements do you need to prepare when applying?

You only need a duly accomplished PhilHealth Member Registration Form (PMRF) and submit this to the nearest Local Health Insurance Office or PhilHealth Express outlet.

You will then be issued a Member Data Record or MDR and an ID card after your application has been reviewed.  Your PhilHealth ID number will serve as your lifetime PhilHealth number and must be used as reference when you pay your contributions to the cashier.

Online application is also available!

  1. Go to the PhilHealth Electronic Registration System.
  2. Click on “Proceed”.
  3. Read the Terms and Conditions, tick the small box below, and click “Accept”.
  4. On the PhilHealth online registration form, enter the required information.
  5. Upload your document in jpeg, pdf, gif, or png format.  (optional)
  6. Enter the provided Captcha code, tick the small box below, and click “Submit Registration”.

Access your email for the instructions on how to complete the rest of your application.  Take note of your transaction number as this will serve as your reference number to your registration.

How much should be my contribution?

Members earning PHP 25,000 or below every month must pay a quarterly contribution of PHP 600 (or PHP 200 per month / PHP 2,400 per year).

Members earning over PHP 25,000 must pay PHP 900 for the quarter (or PHP 300 per month / PHP 3,600 per year).

It costs so little to become a bona fide PhilHealth member, but the assurance of knowing that you are covered by the PhilHealth when emergencies strike will far outweigh the price you think you are paying now.

Visit the nearest PhilHealth office now and have yourself signed up as a member.

Reference: http://www.philhealth.gov.ph

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May 03 - 1

In a previous article, we featured the guidelines on how you can be sure that you are eligible to claim your PhilHealth benefits after you have been confined and treated in a hospital.  There are cases, however, when even a qualified PhilHealth member is not able to fully enjoy his privileges in spite of showing sufficient proof that he or she must be afforded his PhilHealth benefits.  Sadly though, the causes of these issues are often due to the medical facility’s negligence and refusal to abide by the policies set by PhilHealth for its affiliated clinics and hospitals.

To help you maximize your PhilHealth benefits, here are four important tips you need to know when applying your privileges as a PhilHealth member:

  • PhilHealth does not refund benefits directly to members.

This means that the hospital or clinic must deduct the amount of PhilHealth’s participation in your treatment, from your total hospital bill.  The benefits may not be converted to cash that the hospital “pays” to the patient.

  • The PhilHealth benefit must be applied AFTER other tax deductions, including the Senior Citizen discount.

The Senior Citizen discount and Value-added Tax (VAT) are different from PhilHealth benefits.  If the patient is a Senior Citizen, the SC and VAT must first be deducted from his total hospital bill, before his PhilHealth benefits are applied.

This computation is applicable only if the No Balance Billing was not applied to the patient’s case.

  • 3 Must-have documents when claiming your PhilHealth benefits:
    • PhilHealth Claim Form 1 (CF1)
    • Member Data Record (MDR)
    • Contributions Record
  • PhilHealth members with complete documents must not be made to pay the hospital bill in full.

Some health institutions make the patient pay the full hospital bill with the promise of refunding them their PhilHealth benefits after they have received the funds from PhilHealth.

This is not how PhilHealth benefits are disbursed to members.

Should the hospital demand that you pay the bill in full, even after you have satisfied all requirements for the application of your PhilHealth benefits, report them right away to PhilHealth.  Most hospitals have PhilHealth helpdesks in its premises; you may also call the PhilHealth call center at 02-441-7442.

Reference: www.philhealth.gov.ph

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Mar 14 (1)

The Philippine Health Insurance Corporation is responsible for implementing universal health coverage for Filipinos.  Every Pinoy must be listed as a member of the PhilHealth and make regular contributions to secure his claims in the event that he gets sick or gets into a medical emergency.  In the same manner, PhilHealth, being a social insurance program, provides a means for the healthy to pay for the care and wellness of the sick and those who cannot readily afford medical procedures and assistance.

As soon as an individual reaches the age of 21, whether employed or still studying, he or she must already be enrolled and provided with a PhilHealth number.

How does one become a PhilHealth member?  Here are the steps, procedures, and requirements to get a PhilHealth number and begin making contributions to the agency.

Requirements for: UNEMPLOYED MEMBERS (Individually Paying Member)

Submit the following to the nearest PhilHealth office in your area.  Foreigners residing in the Philippines may also enroll in the PhilHealth under this membership category.

  1. Duly filled out PhilHealth Membership Form (PMRF).  You may download a copy of the form here: https://www.philhealth.gov.ph/downloads/membership/pmrf_revised.pdf
  2. Photocopy of PSA birth certificate or any valid government-issued ID.  Bring an original copy of your birth certificate for verification.
  3. Photocopy of supporting documents for your beneficiaries.
  4. Two latest 1×1 ID pictures.
  5. Photocopy of Alien Certificate of Registration (ACR) issued by the Bureau of Immigration (for foreigners only).

Your PhilHealth number will be issued to you on the same day.  Your PhilHealth membership is a lifetime membership and will not change even if you change membership status (in case you become employed or later on, as a Senior Citizen).

Requirements for: EMPLOYED MEMBERS

  1. Duly filled out PhilHealth Membership Form (PMRF), making sure you include your employed status.
  2. Photocopy of PSA birth certificate or any valid government-issued ID.  Bring an original copy of your birth certificate for verification.
  3. Photocopy of supporting documents for your beneficiaries.

Requirements for: OFWs

OFWs may register and pay their contributions once they are registered at the POEA.

  1. Duly accomplished PMRF
  2. Supporting documents of beneficiaries
  3. Any proof of being an active OFW

 

How to get your PhilHealth ID?

There are actually two types of PhilHealth IDs.

  • The paper ID that can be used when claiming inpatient or outpatient hospital benefits. This can be claimed without charge at any PhilHealth Local Health Insurance Office (LHIO).
  • The PhilHealth Insurance ID Card – a digitized ID card issued to members in the Formal Economy and Informal Sector.  This is issued on a voluntary basis at a cost of P90.00.  It is a duly recognized valid government-issued ID.

Both IDs may be applied for at any PhilHealth office.

The following perks are made available to holders of the digitized ID card:

  • 15% discount on generic drugs on Watson’s, Rose Pharmacy, South Star Drug, and The Generics Pharmacy.
  • 20% to 80% discount on flu vaccines on PQ Health Shield and GSK.
  • Free eye exam from Vivian Sarabia optical.
  • 20% discount on regular items in Vivian Sarabia Optical.
  • 10% discount on drug testing services at JNW Drug Testing sites.

Being a PhilHealth member and having any of the two types of IDs above are the most effective ways to claim your health assistance benefits at private and public hospitals.  Always update your contributions to ensure that you are able to claim your benefits in full, when and where you need to.

Reference: www.philhealth.gov.ph

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Feb 22

PhilHealth membership is not limited to regularly-employed Filipinos.  In fact, unemployed and self-employed individuals are strongly encouraged to faithfully make monthly contributions to secure their PhilHealth claims in times of emergencies.  Problem is, when a member fails to make a contribution for a month or two, they immediately think that they are no longer qualified to claim from PhilHealth.  Others opt to completely neglect paying their contributions because they think that missing one payment already means that all their other payments have been written off already.

To help everyone understand how the PhilHealth appropriates a member’s contribution, we are sharing the following checklists lifted from PhilHealth’s Facebook page.  These will help you determine if you are eligible for PhilHealth benefits in spite of irregular payments of your monthly contributions.

These checklists follow the 3/6 rule where the required number of monthly premium contributions is at least three (3) months within the immediate six (6) months (or 3/6!) prior to the first day of availment or hospital confinement.  The six-month period is inclusive of the confinement month.

a. If the admission date is: FEBRUARY 21, 2018 and the member’s contributions are as follows:

1

THE MEMBER IS ELIGIBLE.

b. If the admission date is: FEBRUARY 21, 2018 and the member’s contributions are as follows:

2

THE MEMBER IS NOT ELIGIBLE because the member only paid contributions for 2 months.

c. If the admission date is: FEBRUARY 21, 2018 and the member’s contributions are as follows:

3

THE MEMBER IS ELIGIBLE because he completed 3 months’ contributions within the immediate 6 months prior to confinement.

d. If the admission date is: FEBRUARY 21, 2018 and the member’s contributions are as follows:

4

THE MEMBER IS ELIGIBLE because he completed 3 months’ contributions within the immediate 6 months prior to confinement.

e. If the admission date is: FEBRUARY 21, 2018 and the member’s contributions are as follows:

5

THE MEMBER IS ELIGIBLE because he completed 3 months’ contributions within the immediate 6 months prior to confinement, EVEN IF THESE ARE NOT CONSECUTIVE MONTHS.

f. If the admission date is: FEBRUARY 21, 2018 and the member’s contributions are as follows:

5

THE MEMBER IS ELIGIBLE because he completed 3 months’ contributions within the immediate 6 months prior to confinement, EVEN IF THESE ARE NOT CONSECUTIVE MONTHS.

Nonetheless, PhilHealth still maintains that all members must remit their contributions faithfully and consistently.  This is the only way you can be assured of your eligibility to claim from PhilHealth.

Source: https://www.facebook.com/PhilHealth/

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Jan 23 - 1 (1)

On January 1, 2018, PhilHealth’s premium rates have been adjusted to 2.75% of the member’s monthly basic salary (MBS).

To help everyone appreciate how the adjustment impacts an employee’s contribution (and effectively, the salary deduction he should anticipate as a result of the rate increase), we are sharing the following table lifted from PhilHealth’s official Facebook page.

Monthly Basic Salary

(MBS)

Monthly Premium

(@2.75% of MBS)

Personal Share Employer Share
P8,999.99 P275.00

Based on P10,000 floor

P137.50 P137.50
P11,250.00 P309.375

Rounded off to the nearest hundredths =

P309.38

P154.69 P154.69
P25,410.00 P698.775

Round off to the nearest hundredths =

P698.78

P349.39 P349.39
P41,999.99 P1,100

Based on P40,000.00 ceiling

P550.00 P550.00

According to PhilHealth, if an excess of a centavo will occur when equally sharing the computed monthly premium, the excess centavo shall be deducted from the Employee’s share to get the monthly premium due.

Monthly Basic Salary (MBS) Monthly Premium (@2.75% of MBS) Premium per Share Personal Share Employer Share
P22,500.00 P618.75

(P618.76)

P309.375

Round off to the nearest hundredths =

P309.38

(P309.38)

P309.37*

P309.38

*Since P309.38 per share will result to a total of P618.76, the centavo is deducted from the Personal Share.

In accordance with RA 10361, the premium contributions of a Kasambahay shall be shouldered solely by the household employer.  However, if the Kasambahay  is receiving a monthly salary of P5,000 or above, the Kasambahay shall pay his or her proportionate share.  The same rule is followed for the Kasambahay’s SSS contribution.

If you have further questions about the premium rate adjustments of PhilHealth, feel free to call their 24/7 hotline at (02) 441-7442.

Source:

https://www.facebook.com/PhilHealth/

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10 - 16

What is the No Balance Billing?

No Balance Billing or NBB is a privilege given to qualified PhilHealth members.  If you are covered by the NBB policy, you no longer need to pay for your hospitalization at any government hospital and selected private medical centers nationwide.  It is the government that pays for the member’s hospital expenses without prejudice to the quality of service and attention given to the patient.

Who are covered by the NBB Policy?

  • Indigent members
  • Sponsored members
  • Kasambahay members
  • Lifetime members
  • Senior Citizens

What services and benefits are covered by the NBB Policy?

All services and benefits afforded to other PhilHealth members are likewise extended to those under the NBB policy, such as:

  • All case rates
  • Case Type Z benefits
  • TB-DOTS package
  • Outpatient Malaria Package
  • Animal Bite Treatment Package
  • Voluntary Surgical Contraception Package
  • Outpatient HIV/AIDS Treatment (OHAT) Package

Which packages can be availed through NBB at both private and public hospitals?

NBB is currently offered at the following medical facilities:

Type of Facility Government

Hospital

Private

Hospital

Benefits Covered by NBB
Hospital Yes No All applicable benefits covered by NBB for hospitals.
Malaria – outpatient case Yes No Outpatient Malaria Package
Animal Bite Treatment Centers Yes No Animal Bite Treatment Package
Treatment Hubs Yes No Outpatient HIV/AIDS Treatment Package
Hospitals that offer Z Benefits Package Yes Yes Z Benefits Packages
Ambulatory Surgical Clinics Yes Yes All applicable benefits covered by the NBB, such as:

·         Cataract extraction

·         Bilateral Tubal Ligation

·         Vasectomy

Freestanding Dialysis Clinics Yes Yes Dialysis Package
Peritoneal Dialysis Center Yes Yes Peritoneal Dialysis
TB-DOTS Centers Yes Yes TB-DOTS Package
Lying-in Clinics (Maternity Cases) Yes Yes ·         Maternity Care Package

·         Antenatal Care

·         Normal Spontaneous Delivery

·         Newborn Care Package

·         Family Planning Procedures

Facilities for Primary Care Benefits Yes Yes ·         Primary Care Benefits

·         Family Planning

·         Procedures

Infirmaries / Dispensaries Yes Yes Public Infirmaries:

All applicable benefits covered by the NBB, including vasectomy.

 

Private Infirmaries:

·         Maternity Care Package

·         Antenatal Care

·         Normal Spontaneous Delivery

·         Newborn Care Package.

Will NBB be applied to a patient who is admitted on a private bed?

NBB is applicable only to service beds or PhilHealth beds?  If no service bed is available the time of admission, NBB can still be applied as long as the hospital guarantees that there are no service beds available.

Does the NBB Policy cover doctors’ professional fees?

Yes, that’s why doctors are not supposed to bill patients under the NBB policy; however, if the patient is admitted to a private room, doctor’s fees will still apply.

What if the hospital could not provide the needed medicines, laboratory, and diagnostic tests and the patient is compelled to transfer to a different facility?

It is the government hospital’s obligation to ensure that they have ample stocks of medicines, especially for NBB patients.

In case they are not able to provide the needed laboratory or diagnostic tests, they shall be held responsible and will have to make sure that the NBB patient is given the needed medicines and tests at their expense.

For more information on the No Balance Billing Policy, you may call the PhilHealth hotline at 02-441-7442.  They are able to take your calls, 24×7.

Source: www.philhealth.gov.ph

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10 - 11

Tuberculosis (TB) is a disease caused by bacterial infection, usually affecting the lungs.  The bacteria is highly contagious and can be passed on to others through coughing and sneezing, even through the accidental spread of saliva when laughing, singing, and spitting.  In 2012, it was reported to be the 6th leading cause of death with about 200,000 to 600,000 Filipinos having the bacteria in its active state in their system.

In spite of these seemingly bad news about the said disease, TB can be cured through effective anti-tuberculosis drugs, made available through national and local government health centers.  These are likewise made more affordable even when bought from private hospitals and pharmacies through the Generic Law.

The Philippine Health Insurance Corporation or Philhealth offers the Tuberculosis – Directly Observed Treatment Short Course (TB-DOTS) Benefit Package, worth P4,000, for members diagnosed with the disease.

Below is a summary of the package’s inclusions and how a Philhealth member can avail of the program.

Package Inclusions:

  • Consultation
  • Diagnostic Exams
  • Information and advice on the patient’s health and treatment progress
  • Medicines

The TB-DOTS package is available to all PhilHealth members and their qualified dependents who are likewise suffering from TB and requiring medical attention.  All they need to do is visit the nearest PhilHealth accredited TB-DOTS center in their area; you may ask for information on center locations in your barangay hall.

TB, although highly communicable, can now be easily cured with the right kind of medications.  Regular visits to your doctor will also help you determine how your system is responding to treatment.  To ensure that you get the proper treatment, visit the nearest Philhealth-accredited medical center in your area.

Source: www.philhealth.gov.ph

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10 - 09

What are the benefits that OFWs can enjoy as bona fide PhilHealth members?  Are their dependents entitled to the same benefits as well?

Below are the latest case rates applicable to OFW members.  The amount stated in this summary is PhilHealth’s participation in the member’s hospital and medical expenses.  Any amount over the stated coverage will be shouldered by the member or by his Health Maintenance Organization (HMO).

1. Examples of Case Rates

ILLNESS AMOUNT OF BENEFIT
Pneumonia Moderate Risk (Pulmonya) P15,000
Pneumonia High Risk P32,000
Stroke – Infarction P28,000
Stroke – Hemorrhagic or Stroke with Bleeding P38,000
Hypertensive Emergency/Urgency P9,000
Dengue (Severe) P16,000
Acute Gastroenteritis (AGE) or Diarrhea with Dehydration P6,000
Asthma in Acute Exacerbation (Hika) P9,000
Newborn Care Package or Services for Newborn Babies P1,750
SURGERIES AMOUNT OF BENEFIT
Hemodialysis P4,000
Maternity Care Package (Normal delivery in lying-in clinics) P8,000
Normal Spontaneous Delivery Package (Normal delivery in a hospital) P6,500
Cesarean Section P19,000
Radiotherapy Linear Accelerator (Linac) P3,000
Cataract Package P16,000
Dilatation and Curettage (Raspa) P11,000
Cholecystectomy P31,000
Appendectomy P24,000

1.1 Z Benefits

These types of packages are for those stricken by diseases that need long and continuous medication.  These normally entail costs beyond one’s usual hospitalization budget.  Z Benefit packages have pre-conditions and selection criteria that need to be met in order to qualify for the benefits at selected government hospitals.

ILLNESS / SURGERY AMOUNT OF BENEFIT
Acute Lymphocytic Leukemia or ALL P210,000
Breast Cancer (Stage 0 to 3) P100,000
Prostate Cancer (Low to Intermediate Risk) P100,000
Kidney Transplant (Low Risk) P600,000
Coronary Artery Bypass Graft Surgery P550,000
Surgery of Tetralogy of Fallot in Children P320,000
Surgery for Ventricular Septal Defect in Children P250,000
Cervical Cancer Chemoradiation with Cobalt and Brachytherapy (Low Dose)

Linear Accelerator and Brachytherapy (High Dose)

P120,000

P175,000

External Lower Limb Prostheses P15,000

1.2 Outpatient Benefits under All Case Rates

SERVICES AMOUNT OF BENEFIT
Tuberculosis – Directly Observed Treatment Short-course administered at accredited TB-DOTS centers P4,000
Malaria treatment administered at accredited rural health units. P600
Outpatient HIV/AIDS Treatment P30,000
Treatment package for animal bites administered at accredited government animal bite centers. P3,000
Vasectomy and Tubal Ligation P4,000

Important Reminder: A member is allotted 45 days of hospitalization in one year and another 45 days to be divided among his qualified dependents.

What are the conditions before an OFW member or dependent may avail of PhilHealth benefits?

  1. Updated contributions as shown in the member’s MDR.
  2. Make sure you are seeking consultation or treatment at a PhilHealth-accredited hospital and by a PhilHealth-accredited doctor.
  3. You have not yet used up the 45-day hospitalization period (OFW or dependents).

How does an OFW member and his dependents avail of PhilHealth benefits?

  1. Before checking out of the hospital, submit the following documents at the Billing Section of the hospital:
  • Duly accomplished PhilHealth Claim Form 1. You may request for a form at the hospital, PhilHealth offices and branches, or download from the PhilHealth website at philhealth.gov.ph
  • Health Insurance ID Card and or Updated Member Data Record (photocopies).
  • Proof of contributions (photocopies).
  1. Medicines purchased outside of the hospital while member is confined may be reimbursed at the hospital if the patient has not yet used up the allocated benefit amount. Make sure that PhilHealth benefits have been deducted from the total hospital bill and professional fees before signing the Claim Form 2.

What if the OFW member is confined in a hospital abroad?  Can he still use his PhilHealth benefits?

 A member confined abroad may file for benefits claim in the Philippines by submitting the following documents to any PhilHealth office, within 180 days after he has been discharged from the hospital abroad:

  1. Copy of Medical Certificate where the following are clearly stated:
    • Final diagnosis
    • Confinement period
    • Services rendered
  2. Duly accomplished PhilHealth Claim Form 1
  3. Copy of Official Receipt or detailed Statement of Account
  4. Updated Member Data Record or proof of payment.

For further information on OFW’s PhilHealth membership, claims, and benefits, you may call the PhilHealth call center at 02-441-7442.  They are available to take your calls, 24/7.

Source: www.philhealth.gov.ph

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