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Philhealth Benefits Requirements


Why do we need Philhealth

  • Helpful to health care expenses
  • We need insurance
  • It’s mandatory to employees (private, government, OFW, household)
  • Health is wealth
  • It’s frickin affordable

How to claim Philhealth benefits and what are the requirements? Philhealth is one of the major health insurance providers in the Philippines and it serves sufficient and affordable social health insurance coverage to all Filipinos. Whilst it is government owned and controlled corporation, it’s the most affordable health insurance service in the country. Working as wing of the Department of Health, it is very important to be a member of Philhealth unless of course you’re not working and don’t want to be insured and don’t want any help with your medicare needs. Every employee, private or government employed, household helper, sea-based OFW automatically becomes a member of philhealth according to Republic Act 7875 or National Health Insurance Act of 1995, as amended by RA 9241.

Philhealth is continuously improving its inquiry system. Oh I wish there would be an online inquiry that could serve anytime. It’s gonna be cool to have text inquiry too just like of that of the SSS. Anyway, back to my main topic, what are the requirements in claiming for Philhealth benefits when you’re hospitalized or confined in the hospital? The answers are listed below. Read on.

Philhealth Membership Category and Documents Needed

Employed Member

  • Philhealth Claim Form 1
  • Updated MDR (Member Data Record)

Individual Paying Member

  • Philhealth Claim Form 1
  • Premium payment receipts
  • Updated MDR

Overseas Worker / OFW

  • Philhealth Claim Form 1
  • Premium payment receipts and/or
  • Updated MDR

Sponsored Member

Scroll to Continue
  • Philhealth Claim Form 1
  • Valid Philhealth ID (Identification Card,) and/or
  • Updated MDR

Lifetime Retirees

  • Philhealth Claim Form 1
  • Philhealth Lifetime Member ID (Identification Card)
  • Updated MDR

Steps on Availment of Philhealth Benefits

The following are the usual instructions and procedures on how to avail Philhealth benefits upon confinement or hospitalization. If you’re a member of Philhealth or a qualified dependent of a member, you can file for hospital bills deduction or reimburse some amount from your bills according to health coverage. Before you do, take note that the following conditions must be met:

  • Have paid at least 3 months of premium contributions within the immediate 6 months before confinement. (9 months of premiums within the last 12 months -for pregnancy cases, dialysis, chemotherapy, radiotherapy and other selected surgical procedures)
  • Be confined in an accredited hospital by Philhealth for at least 24 hours due to sickness requiring hospitalization. Also don’t forget that your attending doctor must also be Philhealth-accredited.
  • Your availment is covered in the 45 days allowance for room and board under your Philhealth benefits.

2 Ways to Make Use of your Philhealth Benefits

Philhealth Benefits By Automatic deduction

First, submit to the billing section of the hospital the requirements mentioned from the documents needed above. (I listed them earlier as each member has different doc requirements)

Talk to your attending doctor regarding the remaining fee for their service over the professional fee benefit you’ll get availing your Philhealth.

Then once your documents are completed and fees are finalized, the billing section will compute all hospital bills and deduct your Philhealth benefits.

If the member or beneficiary was confined abroad, the following documents must be submitted within 180 days after discharge from hospital:

  • Philhealth claim form 1
  • MDR or supporting documents
  • Original official receipts
  • Medical certificate written in English (with final diagnosis, confinement period and services rendered)

Philhealth Benefits By Reimbursement or Direct Filling

This is when members and qualified dependents choose to make use their Philhealth benefits after they were confined or discharged from the hospital. You are required to submit the listed documents mentioned earlier within 60 days after you are discharged together with the following docs.

  • Philhealth Claim Form 2 (this is to be filled up by the hospital and your doctor)
  • OR / Official Receipts
  • Operative record for surgical procedures done

Finally, Philhealth will send you (to your address) a BPN (benefit payment notice)

That’s a wrap. Hope this post was helpful. Before I forget, all Philhealth forms are available to download for free from the company’s official website. The most demand Philhealth contribution table is also displayed there. I just hope the website loads faster than today coz I know lots of people prefer online inquiry than going to any Philhealth branch offices nationwide.

- an important form in registering as member of Philhealth.

**Disclaimer: I'm not affiliated with Philhealth. The details from this page are based from its brochure I've got from the hospital. I'm just here to share this and share other's experiences as well

Post your messages in English please

LIEZEL M PAUYO on March 13, 2019:

please help me to Search my Philhealth Account

Marbie on June 14, 2018:

How to have phil health ?

Can i know what is the requirements?

ESMOY on September 01, 2017:

Good day,just wanna ask lang.i was hospitalized 3 weeks ago for pneumonia and have already reimbursed my hospital expnses. And now i was again admitted with the same ailment. Can i reimburse again my hospital bills now?thank u.and more power..

htenaj on February 08, 2016:

hi po..last april 2015 po ako nagresign sa work ko..ilan months po kylangan ko bayaran pra mkabenefit sa philhealth anak ko??tnx

jay villegas on June 08, 2015:

can i use my philhealth to my mother that is not having an age of 60 she is at 50 years old only

kris on February 19, 2015:

is itpossible to pay my philhealth from this month backward

agnesver on January 13, 2015:

Hi im hushband is undergoing hemodialysis why is it they always ask me recent receipt from employer as additional attachment for cf1 & mdr..even if i told them that cf1 & mdr are the only req.for employed ...with their stirct policy of no cf1 no dialysis/or pay cash isnt it they need to ask me cf1 immediately if they view their portal and see NO.. .how can i explain to them better ?

Dennis on January 04, 2015:

I am contributing to PhilHealth since 2008 but I never use it because I was never hospitalized and I have no dependents. What will happen to my unused contributions since 2008?

Carol P Deneault from Dallas, Texas on November 12, 2014:

Hi am A philhealth member since 2011 but I stop paying it since 2013 when I left Philippines... Can I give or transfer my membership to a family member?

Lerose on November 03, 2014:

good day! our employer has deducted excess contribution, can the following be possible..

1) Ask for refund for excess payment made

2) Apply the excess payment made to next months payment


malou on August 19, 2014:

gud pm,i am 6 months regnant now and last june 16 i change my emloyer,where can i get my RF1 record?to my previos employer for almost 8 years or to my present employer?i am 8 active member of philhealth....tnx...pls reply

mona liza ola casan on June 01, 2014:

hello po..

by the way i was a philhealth member for several years however, it was stopped when i transferred to LGU school. If magbabayad ako as voluntary from april to june 2014, makakavail ba ang father ko ng benefits who is recently hospitalized?

Hope to hear you soon.

Thanks and god bless!

riger on May 24, 2014:

OFW po ako naconfine Mrs ko sa UDMC for 10 days for cellulitis nag bill sya ng 70k just want to knw how much ba dapat ang discount using may philhealt kc 6k lng binawas nila sa bill kc wala nman daw major operation. but then d nman nla npagalinh mrs ko. nagtatanung lang po

rochell sarmiento on May 15, 2014:

hello gud pm, ask ko lang po nag stop po akong magbayad ng philhealth ko nung nag end po ako sa dati kung work last feb 2013. 8 months na po akong buntis, kung babayaran ko po lahat yung 1year na nag stop po ako ngayong May 2014, magagamit ko pa rin po ba ngayong malapit na akong manganak this june 2014?

nehneh on May 13, 2014:

hi po good day. nag bayad po ako ng 1200 nun sa pinas sabi 1year payment ng philhealth ko ung. sa O.EC ko po ung ksi OFW ako.. tapos nawala ko po ung receipt n binigay nila. need ko pong ipa opera ung cyst ko asap. may chance pa po bang malaman if member p ako ng philhealth pag ala ung receipt or mag apply na lng ulit ako. thank you

hannah on April 14, 2014:

Good pm po! Nka registet poh aq sa phic last january. Hindi poh ako nka byad 1 yr. Magagamit ko ba agad2x ang benefits ko agad2x ds week kung mgbayad ako in advance

Katie on March 28, 2014:

Good afternoon po, ask ko lng po sana if ano po kaya ang dapat kong gawin...1yr po aq ngwork at naghulog s PHILHEALTH April 2012-2013 tapos nstop po dhil ngresign nko...1yr n po aq walang hulog...if ipagpapatuloy ko po b paghuhulog ko ano po dapat ko gawin? mppkinabangan ko prin po b ung hulog 1taon kong hulog...kasal narin po ako ngyon at kasalukuyang buntis ang due ko po ay November 8, 2014 makakahabol p po kaya ako sa maternity benefits f i continue my contribution? or kahit ung pang s new born lng maavail ko po kya? medyo naguguluhan po ako, sana my way po pra mkahabol ako s maternity benefits...salamat po, nabasa ko rin po ung buong thread pero gus2 parin po personal n mgtanong. thank you po s patuloy na pagsagot s mga katanungan namin, great help po tlg. more blessings po s inyo :)

mikay on March 26, 2014:

22 years old po ako at sa isang private company nagtrabaho,,yung parents ko hindi pa 60 above,,sinu pwedi maging beneficiary ko?? yung 2 kung kapatid na 19 years old at 17 pwede bah??

Edgardo Renion on March 21, 2014:

ang huling bayad ko po ay nung decembeer 5 2011. Pwede ko ba i-update hanggang ngayon? magkano po?

chelle on March 09, 2014:

magagamit po b ang philhealth kht walang id kc wala p dn bnbngay pero nasa'akn ung resibo n nagbayad po aq at member po ako

Gemmaaferolino on March 06, 2014:

Hello? Po gd noon Kung bagohan aku member sa philhealth to too ba na ang Tagal daw pg mgbayad din pumila pa para Lang makabayad plz riply me, thanks

michael on March 04, 2014:

panu po kapag namatay na po ung naghuhulog anu po dapat gawin..

djsandking on March 02, 2014:

gud day sir..

nag start mag dialisys erpat ko last january bale ang prob eh yung phealth eh magagamet pa sa april nagamet po kc sa hos bill tas kinancel at sa april pa magagamet ulet may way po ba na magamet namen ulet yung benefits ng ph kahet wala pa yung date na pwede ulet maresume which is april..

Mon Baral on March 01, 2014:

Thanks for the info.

angie on February 28, 2014:

Mag aaply palang po ako ng philhealth im 6 months pregnant before po ba ako mangank pwd ko po ba mgamit un.thanks

medie hortilano on February 27, 2014:

gudeve..ask q lng poh qng october poh aq manganganak mggmit q poh b philhealth q f mgbyad aq from jan- dec....pwd q pa poh bng isama pgbayad ang jan feb f for one year ang ipay q poh...tnx poh...

winnie on February 25, 2014:

Ask ko LNG po kakapanganak ko LNG po last June 2013 nagmit ko na ung nhyun 1month rule Kong bunt is puede ko pa po bang gamitin

ule. Thanks

Oma Cha on February 23, 2014:

May I ask if pwede ng magpa-member ang isang kamag anak ko at the age of 17-still studying. wlang work mama nya and papa nya, para just in case na ma-hospitalized sya ay makaka-avail sya ng philhealth benefits........thank you in advance for your soonest reply......

kielle on February 16, 2014:

good day! i just want to ask if a 65 yrs old single lady can still avail to secure a philhealth as a member? She doesnt have any insurance nor have sss...thank you...

eugene on February 16, 2014:

whatare the requirements in adding of dependents to my philhealth beneficiary.? i want to add my wife and my mother who is already a senior citizen.

anabelle on February 13, 2014:

hi po...pwede ho ba akong maging member ng philhealth kahit wala akong work...what are the requirements to be presented...thank you and god bless

toneth olan on February 07, 2014:

hi I just wanna ask po from nov.2011 upto nov. 2013 complete naman po yung contribution ko,,, now pong wala akong work hindi nahulugan yung dec. 2013 ko and jan. 2014... can I still use by philhealth if need maconfine ng anak ko? granted po ba yun?

lamberto basco on February 03, 2014:

member po ako dati ng philhealth as ofw then. d ako nakapag hulog for almost 2yrs. coz di naman ako nakaalis..then na local employed ako last october and na activate ulit ang philhealth ko. through my local employer. and infact two months na ako na may kaltas sa phil health. the problem is naaksidente ako and was confined in the hospital which is accredited by philhealth. syempre asa ako na may philhealth ako walang problema..but then when we are claiming for philhealth benefits ,,the billing section told us that I am not covered by philhealth benefits from which i am a contributor since i am an ofw then became a local employed.....Whyyyyyyy??????dahil ba di diretso ang hulog ko...pano ang naging hulog ko for how many years na di ko naman ngagamit...besides activated naman ulit ang hulog ko for two months...please explain...///???

criz on February 01, 2014:

student po ako gus2 q sana mgkaron ng philhealth..un po bng 100 per month pra s individully paying mga hnggang kelan po tsaka san mgbabayad if ever n mkamember aq..tnx

estee on January 16, 2014:

pwede na ba ang marriage contract ng parents ko para maging benificiaries ko sila

maria on January 13, 2014:

Hi, ask ko lang po ano po ba ung minimum and maximum na cover ng Philhealth sa kidney transplant, may kidney failure po kaso ang sister ko and she's doing the dialysis for about 2 years na

apple on January 01, 2014:

good day tanung ko lang po kasi itong last quarter (oct-dec2013) individual paying member hindi ko nahulugan ung philhealth pwede ko po ba hulugan ngyn january 2014? o uulit ako ulit sa umpisa ng pag huhulog? mga 3years ko na hinuhulugan ng walang palya ngyn lang ako d na ka bayad kc namatay father ko. thank you po

val on December 26, 2013:

first timer po kami, ask ko lang po kung makaka avail agad ang asawa ko ng benefits kung babayad na kami this last quarter, then another quarter for next year po...? para 6 months din po ang labas.

O di kaya babayaran na namin ang buong taon.. makaka avail po ba asawa ko for the benefits. thanks n God bless

martha on December 22, 2013:

ask ko lang po madam if pwede ko pa bang ma cover bayaran ang 1st & 3rd quater ko its becoz i forget due to buzy masyado sa mga bata in skul hope to hear from your immediate repy madam!!! thank you and more power to you!!!

Izay on December 18, 2013:

Good day. Magtatanong lang po sana. Last week of November dumating ang BPN notice galing philhealth para sa refund namin nung naconfine sa hospital yung asawa ko. Nag inquire ako sa philhealth office dito sa amin and sabi sa hospital daw kukuhanin ang refund. Dinala ko po yung letter sa Hospital na pinagdalhan sa asawa ko, sabi hintayin namin text nila para dun sa refund. Ilang linggo na kaming naghihintay wala pa din advise kung kailan namin pwedeng makuha ang refund. Binalikan ko dun at tinanong ang lage sagot sa akin wala daw ang taong naka assign sa Philhealth claims at sumunod na balik ko wala daw ang supervisor na mag i-issue nang tseke. Kagulo eh, di ko alam kung reasonable ba sila sa puntong iyan, pakiramdam ko, refund mo na nga, pahihirapan ka pa. Tanong ko po, gaano ba katagal ang pagprocesso nang hospital (validation and all the other stuff) bago nila mabigay ang refund? Gusto ko pong malaman para alam ko kung hanggang saan ko hihintayin ang text or advise nang hospital.

vheb on December 16, 2013:

good day po, nagopen po kame ng account ng philhealth friend ko then nung naprocess na nalaman nlang nmen na may account na sya at ndi ito active...paano po masisigurado na kanyang account yun at kung pd bang iclose un at mgopen nlng ng bago?

Merg on December 01, 2013:

Hi po pwede po ba mag karoon ng dalawang account sa Philhealth?

the one is iba po apelyedo ko kasi married ako and now gusto ko po sana mag kuha ng philhealth n apelyedo ko po when i was single gamitin ko pwede po ba?paid ko na kasi this whole year yung philhealth ko gusto ka sana magkuha ng new.

allan on November 26, 2013:

hi, na confine po anak ko sa pinas habang nandito ako sa riyadh. Gustong i refund ng asawa ko yung ofw philhealth ko kaso wala akong philhealth id at wala ring copy ng mdr yung asawa ko. Pano ba makakakuha nun? thanks

egbert on November 19, 2013:

Hello po... automatic ba maging dependent ang spouse ko kung siya ay unemployed na?

Maricar Navarro on October 30, 2013:

hello po .. my mom used my philhealth last april for her operation .. I'm going to give birth this december via cesarean section can I used it??

Adora on October 29, 2013:

Hi, ask ko lang po kase nag start ako magbayad ng PHilhealth ko July 2013 hanggang december 2013 ang sabi po sa akin nuong mag inquire ako hindi daw po ako umabot sa mga benefits na needs ko. Manganganak npo kase ako next month november 2013 at yung pinsan ko sa january 2014 manganganak, nabayaran lang po nya yung october to december 2013 hindi na rin po sya umabot sa benefits ng maternity?

liez on October 27, 2013:

good day.

ask ko lng po,,nagresign po ako s work, for 1 month hindi ako nakabayad then ngayon my work na ako. anong mangyayari s contribution ko dati, mawawala po ba yun?

earl on October 23, 2013:

pede ba ako magfile as individual payer, kahit na member na ako as employed. Just want to make sure that my philhealth benefit is continous in case mag resign ako. salamat and God bless.

mark on October 17, 2013:

helo po! ask lng po kc seaman po ako,last na uwe ko po Jan. 2013, kso paalis na sna ako this aug. 2013 kso need ko surgery,makaka-avail pa po ba ako ng reimbursement?salamat po

joy on October 15, 2013:

good day po! nakabayad pa po ako last year kaso nag stop ako like 9 months na at nag bayad uli 4th quarter 2013 ngayun po mag papa schedule po sana ako ng operasyon cysts po sa breast ko...magagamit ko na po bah philhealt ko kung sakali?thnx po

Laarni on October 12, 2013:

Good day po! nagstop po ako maghulog sa philhealth ko last october 2012...pwede pa rin ba ako magbayad for 1 year na hindi ako nakapaghulog?thanks po..

glady lei on September 30, 2013:

i undergo an apendectomy procedure last august 7, 2013. i worked for one year and phil helath is deducted on my salary.. i resigned on my work May 2013.. i supposed to use my phil health but unfortunately it was'nt updated... Phil health staff told me to get certificate of contribution in my company... And my former boss send the said document just now.. my contribution is only for one year. From May 2012 to May 2013. And i am confined last august 7, 2013. Because of my condition i decided not to go to my work because its far from my place i just wait for my former boss to send it through email. it is October now can i still avail any discount... Thank you

William on September 22, 2013:

pwede po bang mag claim ng philhealth ang kakaresign lang na empleyado. completo pa naman ang hulog nya

Riza Nabua on September 02, 2013:

Hi, Can I still avail the maternity benefits even the birthing center is not accredited ? If I will file it ? thanks.. Pregnant @4 months

cherizh on August 31, 2013:

hello, just wanna ask if its combine case. Ive been revived and into ICU for 7 days because of asthma attack and high risk pneumonia. and the nearest hospital is a private hospital and they only deducted Php 9,000 for the Php 60,000 bill. is that the right deduction? that happened last July 10, 2013 and I still not receive the BPN or any proof of billing. What should I do?

Edz on August 26, 2013:

Hi po,tanong ko Lang po, employed po ako dati then resigned na ko for almost 1yr. May benefits pa po ba akong makukuha kahit 1yr ko na hindi nhulugan? Thanks po.

Han on August 26, 2013:

Good day,

Ask ko lang po, yung tatay po kase ng kaibigan ko ay nagtrabaho sa government for 30 yrs. Nagkasakit po sya ngayon kaya sya nahinto na sa pagtatrabaho, kumbaga disability po ang dahilan. Eh' simula po noon di na nya naicontinue hulugan yung philhealth nya, magagamit pa rin pa po ba nya ngayon yun?

leen on August 14, 2013:

I'm a cancer patient and an active member of Philhealth. Presently I'am undergoing chemotherapy. Can I use my Philhealth to lessen my expenses?

marie2013 on July 25, 2013:

Good morning po!.

Im an OFW, and pregnant my due date is on Nov. The last payment of my Philhealth was Jan 2011. I want to know if I can apply for MATERNITY BENEFIT and please tell me what are the requirements needed to apply..

Looking forward for your reply.

Thanks and godbless

marlon on July 23, 2013:

Hi po..pregnant po yung GF ko.December po sya nabuntis.nagbayad po kami ng Philhealth nya individual for 12 months. Jan. to Dec. 2013. Pwede nya na po bang magamit yun?last week of Aug. or First week of Sept. po ang due nya..pls answer..thanks po

almira11 on June 13, 2013:

pwede po ba mkarefund khit di accredited ng philhealt yung lyin kung saan ako nanganak?

kareenjoya on June 04, 2013:

good morning =D

ask ko lang po ofw po kasi yung live in partner ko pwede po bang ako nalang ang magbayad ng contribution nya sa philhealth hindi daw po kasi nahuhulugan tsaka para maideclare po na ofw..ano pong kelangan kong gawin tsaka ano pong mga kailangan??? thank you po... =D

MAE MYRA on May 15, 2013:

maka avail po vha sa maternity kung ang due date ko is july 2013, but i am not voluntary i am employed. . ngstart ako ng contribute was on november 2012

gian072812 on May 04, 2013:

20 yrs old po aq, 3rd yr nursing student am I allowed to apply for philhealth? wala kcng philhealth ang parents ko and im planning na gawin clang beneficiaries pg nag 60 na cla.. at my age of 20 pwede nb kong mag apply? thanks! :)

kikay0718 on May 01, 2013:

my father in law is now 62 years old but an active member of philhealth... he was hospitalized a couple of days ago... when we were about to file our philhealth claims, the hospital staff said that my father in law cannot avail of the benefit bacause he has insuficcient contributions... since he is a senior citizen, we resort to using his son's philhealth instead but the hospital staff refused to accept because according to them, my father in law is an active member, therefore, he cant be a beneficiary even if he's already a senior citizen. is it true?

chyser on April 16, 2013:

hi ask ko lng po kung pwede bha ako kumuha ng philhealth id ,nwala kasi yung akin, at ngayun kelangan ko sa work ko,o anu po ang dapat gawin/

einskak on April 15, 2013:

good day..mayron ba paaran na ma etransfer ang philhealth check name sa aking uncle sa a kin natangap ko.last january namatay na..kasi ako ang nag alaga sa kanya..wala naman cya dependent..pumunta ako philhealth office.binigyan ako ng requirements..may roon ako isa problema yong waiver.kasi isa lang ang cousin ko hindi mag sign ng waiver kasi galet cya sa uncle ko.. mayroon ba tayo paaran para hindi ma forfeited ang check?

andy on April 12, 2013:

good day po ano po ba ang major documents to be submitted sa hospital once na confine po ang one of the beneficiaries ko po? kailangan po ba ng birth certificate?

Joyce on April 04, 2013:

Hi. I am a member of philheath as individual payer or self-employed. I live here in Dubai for 7 years and my sister in the philippines the one paying for my premium. I found out that my parents as senior citizen are not my dependents, so I asked her to update my dependents. I sent her authorization letter, Id's, passport and visa copy. She also brought my birth certificate as well hers too. But unfortunately, they told her that I need to come personally to update my dependents because im self-employed. Im under husband's visa and I do not work here. I cannot just come and spend money for ticket just to update it. What should I do? Thanks....

yevjeney on March 19, 2013:

naging empleyado po ako ng isang private company.kinakaltasan yong sweldo namin ng mandatory government remittances(SSS,PHIC & HDMF).nang icheck ko po ang contributions ko wala ni isang buwan na hulog, from january 2011-september 2012.nagresign ako at last day ko september 16, 2012.pwede ko bang mahabol yong nadeduct ng kompanya sa akin o amin?(marami mo kami)ano po ang dapat naming gawin?

jerry on March 19, 2013:

hi po. ask ko lang po f pd papo gamitin philhealth ng tito kac na diagnose ung asawa nila na may cancer. kaso ung philhealth na stop ung paghuhulog nong nag retired cla last january 2011. pano po ulit magagamit ung philhealth and macocover ba asawa nila??..

jenny on March 05, 2013:

pwede na po ba magamit ulit yung philhealth kung nagamit ito 2mos ago for 5 days confinement?

clarince reyes on February 26, 2013:

hi! nag apply po ako thru online sa philhealth. college student plang po ako.. so ung nilagay ko pong member category is INDIVIDUALLY PAYING MEMBER. Tama po ba na ung nilagay ko sa member type is OTHERS. kc wla p nmn ako trabaho or business kaya nde ko po pinili ung SELF-EMPLOYED NON-PROFESSIONAL. tama po b na OTHERS ung pinili ko kc nga po student plng ako. hope for your reply. thanks!!

arlyn on February 24, 2013:

pede pb q kumuha ng philhealth no. gagamitin q un g name q nung dalaga nag apply kc aq as single.. my dati nakong number sa philhealth kaso nachange status naq at married naq dun..pede pb q mag pa new member gamit ang name at last name q nung dalaga?thank you

Rowie26 on February 15, 2013:

I am undergoing cataract operation on my RIGHT EYE. How much will Philhealth reimburse me for the procedure? If I undergo a subsequent cataract surgery for my LEFT EYE, what are the guidelines of Philhealth for me to be able to claim for this second surgery? Is there a time period required between the two surgeries so that I can claim for both surgeries? Thank you.

xianne on February 05, 2013:

Hi, I'm an OFW since April 2012. I have paid Philhealth Medicare in POEA which amounted to P900 related to my OEC for my two year contract. May I ask when is my next contribution due? Can I also let my relatives in the Philippines do the payment on my behalf? Thanks on February 02, 2013:

individually paying member po ako and i paid the annual premium this october 25, 2012. puede ko na po ba ma-avail ung benefits for surgery? i was diagnosed with hyperthyroidism and thyroidectomy po ang procedure,

chona on February 02, 2013:

good day,im ofw my son was confined in primary hospital diagnose of nephretis and upper tract risparatory ds,i felt so disappionted coz im expecting of small amount of payment coz im ofw the total bill is 15k,then my mother paid 65oo,,,how much the total percent the ofw can avail from philhealth,the we paid cash for ultrasaound,,,and some medecine thanks a lot sir,,,,waiting for your reply on January 30, 2013:

My brother his a Phil health member the beneficiary in her Phil health is my Dad. My question now Can I add again my father as beneficiary in my Phil Health?

niekkie on January 29, 2013:

hello po... ask ko lng poh sana kung anong kailangan dalhin kapag magbabayad ng philhealth kung ung member e nsa abroad??? salamat poh more power

dhenjhen 428 on January 29, 2013:

i was confined in non-accredited hospital..can i still use philhealth?

Erwin on January 29, 2013:


I resigned from my previous employment in March 2012. I suppose that that was my last PhilHealth contribution too.

Now I need to undergo a major operation. The doctor said I can't avail of my PhilHealth anymore because it's already more than 6 months since my last contribution. I would be needing at least P50,000 if I don't use PhilHealth.

What do you suggest I do to avail of PhilHealth benefits?

twentyfive (author) on January 27, 2013:

@Enelra Philhealth is a health insurance and insurance doesn’t allow retroactive payments. You can only pay the present and the following months allowed

@Armon please read the requirements in the article above. Thank you and God bless.

@Jsp I think you can as long as you are still active at that time of availing

@Hubbie just request the payment receipts of those unrecorded contributions and submit them to Philhealth so you can apply

@Nori I have no idea, just ask the hospital and the doctor there at your hospital. I’m sorry because I really don’t know po

Noridreamer on January 26, 2013:

Good morning, magpapaopera po ako nang appendicitis magkano kaya ang mababayaran ng PhilHealth sa hospital na hindi accredited dahil dito sa Iligan City or Cagayan de Oro City walang accredtied hospital. Sa ngayon nag iipon pa ako nang pera dahil hindi pa naman acute pero sumasakit na ng konti at diagnosed by doc already na mayroon akong appendix na nagsweswell at nakikita na sa ultrasound.

hubhie on January 25, 2013:

Hi po..ask q lng po kc employed aq mula april to sept. 2012,,tpos nung ngend contract po aq ngvolunrary member aq from oct. 2012 up to present..

kso d po lumabas s contribution q ung hulog q when i was employed..

ano po b pwede qng gawin??

mkakaavail po b aq ng maternity benefits??due date q po is May 2013..

Thank u po and more power!!

jsp on January 24, 2013:


If my due date is 1st week of sept this year and i pay my contribution from jan-sept, can i avail the benefits of philhealth member? Thanks and God Bless

armon lingat on January 23, 2013:

Hi, ask ko lang , I was employed sa isang company before. August 2012 ang last payment ko sa Philhealth. Kelan ko pwede magamit philhealth ko kasi kailangan ng father ko for his cataract extraction? And anu requirements para maging dependent ko siya (senior citizen)? Hope to hear from you soon. Thanks

enelra enelra on January 22, 2013:

hi! nagwork po ako ng March 2011 to October 2012 yung employer ko po hanggang May 2012 lang ang hinulog. Naconfirm ko po na hindi nga nila hinulog. Pwede ko po bang bayaran nalang yung June to December 2012 ng voluntary contribution? then magagamit ko ba sya for my maternity benefits? 2months preggy po ako ngayon

twentyfive (author) on January 21, 2013:

One of the requirements is You must have paid at least 3 months of premium contributions within the immediate 6 months before confinement

kingkos on January 18, 2013:

i am a philhealth member,.i missed my semi annual last year,.from july to december,.now i plan to pay again for my semi annual which is from january to june,.will i be able to use the benefits on feb. for i am scheduled for hospitalization,.

Ruby on January 17, 2013:

Can I get philhealth, even if I am a college student only?

ladysmile on January 16, 2013:

I have already paid a yearly IPM contribution of PhP1,800 for January 2013-December 2013 last week, 2 days ago found out I was pregnant (1month) due to September, hopefully. Can I possibly avail the maternity benefits on September? Say for counting September would be 8months to go, and it is said that I have to pay at least 9 mos to avail the benefit.. A little confuse....

twentyfive (author) on January 14, 2013:

You may pay in advance but on the date of childbirth, you are required to have paid at least 9 months in the year to qualify for pregnancy claims

len on January 14, 2013:

Hello, kakamember as individually paying member ng Philhealth. Pwede ko bang byaran yung whole 2012 ko to avail maternity package?Due ko kase is April 2013.

analizajm on January 12, 2013:

hi! i undergo chemotheraphy last june-oct 2012. I shouldered the chemo meds ( paclitaxel & carboplatin) and submitted it to the phic for reinbursements.Are the meds are compensable? Thanks a lot!

analiza on January 10, 2013:

hi! i undergo chemotheraphy last june-oct 2012. I shouldered the chemo meds ( paclitaxel & carboplatin) and submitted it to the phic for reinbursements.Are the meds are compensable? Thanks a lot!

mryroz28 on January 09, 2013:

Good Day... OfW po ako na umuwi na s pinas last october 2012 then ung visa ko cancelled na, ask ko po kng pde ko pa ma reimburse ung hospitalization ko sa panganganak ko if na nganak ako ng nov 2012. Ung OWWA ceritificate ko expiration is Feb 2013, and im paying my phil health po dahil OFW nga ako. Thank u po. on January 08, 2013:

hello po ask ko lang po kung ano bagong benefits ang mkukuha pag me breast cancer ka?sabi kc nila meron daw bago ngayon from philhealth benefits...

melody on January 07, 2013:

how can i reimburse my dialysis treatment that was done in a dialysis center. what are the requirements?

twentyfive (author) on January 06, 2013:

According to Philhealth each member is entitled to a maximum of 45 days for room and board allowance per year and a 90-day interval is required for availing of benefits for confinement so you must consider the interval before you claim for benefit again

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