If in the Philippines, submit the following documents to any PhilHealth office:
If overseas, submit the following documents to any PhilHealth office:
Your PhilHealth Identification Number (PIN) is your PhilHealth number for life. Hence, if you are shifting to another membership category, you will be using the same PIN.
It's not actually renewal of membership but an updating of your premiums, which shall be equivalent to the length (in years) of your fresh contract. It will also ensure your continuous eligibility to PhilHealth benefits.
You can still continue paying for your PhilHealth coverage as an Individually Paying Member and not as an Overseas Worker Member.
Those with dual citizenship still have the option to continue paying for their PhilHealth coverage also as Individually Paying Members.
PhilHealth benefit coverage starts upon payment of premium (no waiting period) and is valid for one year from the date of payment.
You may ask your relatives in the Philippines to pay your premiums on your behalf to avoid any lapses or delays. They only need to present a valid ID & an authorization letter from you as the member and any document that would attest that you are still an active OFW.
OWWA contributions serve as a life insurance of the OFW abroad while PhilHealth premiums ensure the health benefits of the OFW and his/her dependents in case of illness or injury requiring hospitalization.
If a member is sponsored by an LGU and the membership is still active, the member shall pay for his/her PhilHealth membership as an OFW when the coverage of his/her sponsored membership expires.
If in case the member already paid his/her membership as an OFW while his/her sponsored membership is still active, the member is advised to go to any PhilHealth office to make necessary adjustments on his/her membership coverage.
OFW members are required to pay the one-year premium of Php1,200.00 for CY 2012. However, they may pay more than one year depending on the number of years provided in their contract.
OFWs are allowed to pay the applicable premium within one (1) month from the date of expiry. Payment within this period shall retroactively commence the coverage of membership from date of expiration.
In case the MDR is not available or not yet updated and someone among your qualified dependents gets sick, the following documents must be submitted:
Simply submit an authorization letter for us to issue the cheque under the name of your legal spouse, together with clear copies of your two valid IDs, two valid IDs of your wife, as well as of your Marriage Contract. A Special Power of Attorney (SPA) may also be issued to your wife.
Confinement due to sickness or for an operation is compensable with PhilHealth even if it is done abroad. You have 180 days or 6 months within which to file your claim for reimbursement at any PhilHealth office near your local residence.
The following documents must be submitted for your claim processing:
The insurance was part of your benefit as an employee of your employer abroad. You may file your claim reimbursement at any PhilHealth office in the Philippines as long as the documentary requirements are complete and properly submitted.
PhilHealth benefits can be availed of through outright/automatic deduction from hospital bills. Submit the following documents to the hospital:
All claims except those under investigation shall be processed and paid within 60 calendar days from receipt thereof.
If you were not given an official receipt for the payment you made for the hospital bill and professional fee, you may submit instead a copy of your Statement of Account. It must contain the breakdown of charges for room and board, medical supplies, laboratory procedures, operating room fee and professional fee.
It refers to a confinement or series of confinements for the same illness with intervals of not more than 90 days. In such cases, members are not entitled to another set of benefits/allowances until after 90 days. They can only avail themselves of the unused portion of the benefits and room and board allowance until the 45 days allowance is exhausted.
However, members can avail themselves of a new set of benefits if succeeding confinements are of different illnesses or conditions.
If the member is not readily available to sign the forms when reimbursing with PhilHealth, a married member may let his/her spouse sign in his/her behalf or his/her children as long as they are at least 18 years old or the parents in the absence of his/her spouse and children. Meanwhile a member who is single can let his/her parents sign in his/her behalf, or any authorized representative as long as the representative has an authorization letter from the member and a photocopy of his/her 2 valid IDs as well as 2 valid IDs of the member.
You may e-mail us at email@example.com or call at (+63)09175129149.
The following information are needed for proper verification of your claim:
Simply present a photocopy of your Member Data Record (MDR) or latest receipts and supporting documents (for dependents who are not listed in the MDR) to any of the 42 participating DOH hospitals in the Philippines.
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