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