Philhealth Requirements Filing of Claims

Accomplished Original Philhealth Form

  • Philhealth Claim Form 1 - Member and Employer
  • Philhealth Claim Form 2 - Member and Attending Physician

Additional Attachment

  • Employed Member
    • Member Data Record (MDR) with declared Name of Dependents
    • Certificate of Philhealth Contribution (3 Months prior to admission)
  • Individual Paying Member
    • Member Data Record (MDR) with declared Name of Dependents
    • Photocopy of Philhealth Official receipt
    • 3 Months contribution prior to admission
  • Lifetime Member (Pensioner)
    • Member Data Record (MDR) with declared Name of Dependents
    • Photocopy of non-paying member ID
  • Sponsored/Indigent Member
    • Member Data Record (MDR) with declared Name of Dependents
    • Photocopy of Updated Indigent Card with validity period
  • OWWA/OFW Member
    • Member Data Record (MDR) with updated payment coverage and
      declared name of dependents




*Incomplete PHIC Requirements, no Deduction

 


Contact Information

Phone: (632) 525-9191 local 108

Fax: (632) 536-3678/ 524-3256
Email:info@spamcmanila.org