Philippine Health Insurance Corporation: Individually Paying Members

Frequently Asked Questions

Membership and premium concerns

1. I just missed a quarter's payment due to an unforeseen event. Is there a chance that I can still pay for the missed quarter?

2. Can I still refund my contribution if I mistakenly paid twice for the same period?

3. I heard that self-employed professionals pay a different amount of PhilHealth premium. How much is this PhilHealth premium and how do I know if I am under this category?

4. 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?

5. Can a foreign national enroll as an Individually Paying Member?

Benefits and availment concerns

1. I am a new member. 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. Are emergency cases covered?

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

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?