benefit availment conditions

Eligibility Requirements

The following must first be met to avail of your PhilHealth benefits:

• Must be admitted in an accredited hospital and attended to by accredited physicians.
• Confinement of at least 24 hours (except when availing of outpatient care and special packages) due to an illness or disease requiring hospitalization.
• Availment is within the 45 days allowance for room and board.

Post availment reminders

After the automatic deduction or reimbursement of your benefits, PhilHealth will send you (to the address you have indicated in your claim form) a benefit payment notice or BPN. The BPN is a report of actual payments made by PhilHealth relative to your confinement/availment.

Should there be discrepancies or if you have other concerns pertaining to your benefit availments, you may contact PhilHealth or your health care providers and bring the BPN as reference document.