Philippine Health Insurance Corporation: Employed Members

Frequently Asked Questions

Membership and premium concerns

1. If I get separated from employment, how do I continue my PhilHealth membership?

2. I'm a newly-hired employee. How do I get a PhilHealth Identification Number (PIN)?

3. My spouse is also a PhilHealth member. Are we allowed to declare our only child so that we can both apply our separate coverage in the event she gets sick?

4. What if I have multiple jobs? Can I just be deducted with my PhilHealth only once?

5. How do I continue paying my PhilHealth premiums if I'm on leave without pay?

Benefits and availment concerns

1. I am a newly hired employee. When will I become eligible to avail of PhilHealth benefits?

2. In case my qualified dependent is not included in the Member Data Record (MDR) and he/she gets sick, what applicable document should I submit?

3. Will PhilHealth reimburse my hospitalization in a foreign country even if the hospital is not accredited by PhilHealth?

4. What is a single period of confinement?

5. What if I am not readily available to sign the PhilHealth Claim Form 1?

6. What if the hospital is not accredited? Will I still get paid?

7. Are emergency cases covered?

8. How will I know if I was deducted the correct amount of benefits?

9. How long does it take to process a PhilHealth claim?