How to Claim Philhealth Refunds
You can claim Philhealth refunds if your Philhealth benefits were not deducted from your hospital bill because you failed to submit required Philhealth documents before discharge.
Submit the required documents directly to a Philhealth branch or submit them through the hospital, depending on instructions or suggestions from hospital staff.
Submit documents within 60 calendar days (including Saturdays, Sundays and holidays) after discharge from the hospital.
These are the required documents:
1. Member Data Record (MDR) — If you are a dependent, make sure you are listed in the MDR. If you’re not yet listed in the MDR, include your birth certificate (for children or parents) or marriage certificate (for spouses).
2. Philhealth Claim Form 1 — Get this form from Philhealth, the hospital or your employer, accomplish it and sign it.
3. Philhealth Claim Form 2 — Get this from the hospital. It should be signed by the doctors who attended to you.
4. Philhealth Claim Form 3 — Get this also from the hospital. Claim Form 3 is required for the following cases:
– Treatment in a Level 1 hospital
– Case Type D
– Maternity Care Package
– Transferred Emergency Cases
– Confinement of less than 24 hours
5. Official receipts of payments made to the hospital
6. Operative record for surgical procedures performed
After processing, Philhealth will send your reimbursement or refund check, and your Benefit Payment Notice (BPN) to you, using the address you wrote in your Claim Form.
If you have concerns about your refunds or Philhealth payments, write to Philhealth and refer to your BPN number.
For Philhealth refunds for hospitalizations abroad:
Submit your documents within 180 days after discharge:
1. Philhealth Claim Form 1
2. MDR or supporting documents
3. Original Official Receipts, or detailed Statement of Account (in English language)
4. Medical certificate, including the final diagnosis, dates of confinement and services rendered (in English language)
Note: Refunds for overseas hospitalization are based on Level 3 hospital benefit rates.
If you like to take a look at the Claim Forms, click here: Claim Form 1 / Claim Form 2 / Claim Form 3
Related Articles:
Filing a Claim for Philhealth Reimbursement or Refund
Philhealth Benefits — Medical and Surgical Cases to be Paid on Case Rate Basis
Molino, Cavite
Photo Credit: glenmcbethlaw, CC-BY 2.0, via flickr
gud pm po..ask ko lng po bkit po ang tgal ng refund ko. naoperarahan po ako last sept 2011 pa hanggang ngaun po eh ala p ang refund ko s phealth..
Hi vic, sep 2011? That’s more than a year! Baka mali ang address na naisulat sa claim form. Or baka hindi na-submit ang claim. Or hindi nahanap ng postman ang house mo. Or naibalik ang claim documents sa hospital dahil merong defect at hindi nai-submit uli. You can visit your Philhealth branch and ask. Bring IDs and a copy of your hospital bill.
Hi, how to know if answered nyo na yung queries dito? d ko na kasi mahanapan ang post ko. Thanks!
Hi Louverie, click this http://www.healthphilippines.net/2012/05/philhealth-maternity-benefits-requirements-for-voluntary-members/#comment-11829
Hi,
Ask ko lang po mtagal pa rin ba ang reimbursement sa philhealth? I was advised by one of the employee na mgfollow up sa number na binigay nya after a month.. so it means nde pa rin ako makakakuha ng refund by then? I completed the requirements January 8 and submitted it to them so since mg1 month pa lang this feb 8 so meaning wla pang pag asa na makukuha ko na ung refund? thru mail lng ba tlga? wala bang option to pick up the checque if ever naprocess na?
Hi Deeh, yes, usually more than a month pa rin, pero less no. of months na kesa noon na 8 months to more than a year. Yes, you wait for your postman to deliver your check at the address you wrote in your claim.
gud morning,ask ko po kung pwede na ang scan na authorization letter galing sa husband q.?kukuha po kase aq ng refund.d po kc sya makapunta sa city para makapag pa fax.nasa disyerto po kc sya.tnx po
Hi ekha, depende sa hospital. Pero dapat puede. I-scan na rin niya ang passport and IDs niya (SSS ID, or drivers license or company ID or iqama). Bring your IDs too and marriage certificate (orig and xerox)
Good pm, mam ask ko po kung bakit ala pa rin yung refund ko last August 11, 2012 until now, then sabi kasi sa akin myron na by January 2013 ang problema nung pumunta ako ng first week ng january di pa nila pinadala yung record namin,di po ba agad naman pinapadala sa main bakit po ganun. 5 month na po ang nakalipas wala pa rin eh updated naman po ang contribution ko. thanks REMUS @EMAIL: remus.badol@yahoo.com
hi, nung unang naospital father ko naipadala sa amin ang refund. maliban sa nadiscount sa ospital after 4months may natanggap kming check from philhealth. naospital uli father ko we are expecting na may ipapadala uli. 7 months na ang nakakalipas pero wala pa din. may matatanggap pa po ba kmi?
Hi rom, within 90 days ba ang 2 times na naospital ang father mo? And the same illness ba? Kasi kung the same illness within 90 days, hindi na binabayaran ng Philhealth yong 2nd, except yong room at kung meron pang natira sa first set of benefits na na-allocate for the first. Kung hindi ganito ang case, wait for the benefit payment notice from Philhealth, baka matagal ang processing.
My boss asking if she is reimburse the medical expense and hospital expense of his husband (death) last Dec 01, 2012. is more than 60 days . what are the requirements
Hi ana, did your boss file a Philhealth claim? Or did she submit Philhealth-required documents to the hospital? If not, and she’s filing only now, she’s already late. Her filing will no longer be accepted because more than 60 days have passed. If she has filed, she waits for her benefit payment notice or check from Philhealth, or she presents the notice and hospital receipts to the hospital for her refund.
Hi inquire ko lang. I gave birth nung Jan24, normal delivery. I have d complete requirements MDR CF1. But nung mdischarge na ko sa lying-in, they told me na imbes na deduction is for 2months refund daw. Nagtataka lang ako kc dba dpat pag complete ang req, outright deduction yun? Bakit kaya sila for refund? Ty
hello..naconfine po yung anak ko nun pang sept.2012,bakit antagal po ng refund ko,san ko po pwede malaman f may bpn na ako,tnx
Hi leonimar, puede mong tanungin yong hospital kung saang Philhealth branch sila nag-submit, at magtanong ka doon. Baka this month mo pa matanggap yong BPN.
regarding po mam/sir s claim ng refund nawala po kc ung official receipt na inissue ng hospital s amin, pwede po b ang zerox copy hingi po kmi ulit s hospital pra mai-submit po s philhealth?..thanks po
Hi jonna, or jo, yes, puedeng humingi sa hospital, pero palagay ko hindi na original receipt, kasi merong no. yon, xerox lang, or mas mabuti certification of payment ang hingin ninyo plus xerox ng receipt.
gud day po mam/sir ask ko lang po kc nawala po ung official receipt nmn n binayaran s ospital pno po un pwede po b mag submit s philhealth ng photocopy lang ng recibo galing ospital..magfile po kc ako ng refund ung resibo po ang problema..
good day po ma’am/sir,
ask ko lang po kung ano po mangyayari pag di na file yung documents needed fore refund after 60 days? pwede pa po ba yun i file?
Hi madelyn, sorry, Philhealth will no longer accept your claim if you file 60 days or more after date of discharge. If the hospitalization occurred abroad, the allowance is 180 days. Ask others also to confirm if I’m correct.
Sir, first time ko mgtrbho abroad at ng umalis ako d nmn aq member ng philhealth sten..ngayon asa Dubai poh aq ng umuwe ako pinas kumuha aq ng OEC at ng OWWA, ask ko lng poh member n bah aq ng philhealth kpag ngbyad ng EOc at owwa kc yung husband ko kumuha may nklagay na philhealth at ksama yun sa byad..paano poh nmn mllaman id member n kme without id card at paano ang sistema nun, mggmit bah nmn yun if ever naospital kme..bale 1 year p lng kme nkkuwe ng pinas..thank you poh.
Hi gretchelle, if you’ve paid your OEC, that means you have paid 1 year of Philhealth membership (you paid probably 900 or 1200). Count 1 year from the date of your OEC receipt. Or check your OEC receipt if the Philhealth Validity Dates are written there. If you’re hospitalized within the one-year period, you’ll be covered. But if the validity dates are past, you’re no longer covered. So you need to pay for the next quarter or quarters.
Paano po documents kapag yung naka panagalan sa check nasa abroad? Pero yung asawa nandito? Ano po requirements kelangan para ma claim. Thanks po
Hi Jeff, do you mean the post office or postman does not want to give the check to the spouse? Ask the postman if the accept authorization letter or special power of attorney (SPA). Once you have the check, you can deposit it into the account of the payee. If the payee has no bank account, ask the issuing bank if they accept SPA.
gud day.i gave birth last jan 24 sabi ng hospital sakin 1 to 2 months lng refund darating na.. do i have to xpect more months for the refund?!
Hi Joanna, yes, in many cases, the refund takes several months. But I heard Philhealth has improved its processing system. I hope you get yours in just 2 to 3 months.
gud evening po,ask ko lang po panu ko po i encash or deposit yung reinbursment na nakuha namin sa phil health,ginamit ko po sa maternity ang philheath ng asawa ko,ang confinement date ko po ay octber 29, 2012, seaman po ang asawa ko at ngayon po ay onboard sya, kakarecieve ko lang po ng 2 re-inbursment check ko at nakapangalan po ito sa asawa ko,paano ko po kaya ito mai-encash or maidedeposit kung wala po kaming joint bank account,anu po ang maaari kong gawin kasi pag lumagpas daw po sa validity date ng check at di pa namin nakukuha or nai-encash ay mababalewala na daw po yun di na namin pwede makuha
Hi diane, your checks should be encashed within 6 months from the date on the checks. Go to the bank branch that issued the checks and ask if they accept Special Power of Attorney (SPA) for encashment. If they accept, ask them if they accept a general SPA or specific SPA (name of the bank in written, etc). Then ask your spouse to get a SPA from the Philippine consulate.
You can also ask Philhealth if they can reissue the check in your name if you give them an authorization letter from your husband.
Hi! i gave birth sept last yr. js hv rcvd the reimbursement cheque under my husband’s name, who is the philhealth member, and an OFW. galing ako ng bank for it to deposit sna, unfortunately hindi tinanggap dahil hindi daw cheque acct yung acct ng husband ko, kundi cash savings acct lamang. my question is, what other options do i hv? pwede ko ba ipa-encash, or ipa-transfer yung cheque under my name…(with my husband’s authorization)? thank u 4 taking time reading my concern. ur response is highly appreciated. God bless…
Hi janet, I hope this inquiry was the same one I answered in our other blog. You can try asking Philhealth if they can reissue the check under your name. They allow checks to be written in the name of the spouse, but it should have been requested before it was issued. So ask first, to make sure, and then ask your husband to send you an authorization letter plus copies of his IDs. Another option is to ask the bank branch that issued the check if they accept SPA. If yes, ask if the name of the banks needs to be mentioned in the SPA. SPAs abroad can be obtained from Philippine consulates. God bless too
hi gud am poe ask ko lng poe ung repond sa akin nanganak poe asawa ko nov. 8 2012 bkit poe hanggang nagaun wla p poe ung repond ko 90 days n poe xa nung feb 8 20113 sa ospital poe b babagsak ung check o dadalin poe sa amin
Hi mark, did you submit Philhealth papers to the hospital or Philhealth? You will receive by registered mail from your postman a benefit payment notice from Philhealth. Wait some more weeks or months. Sometimes it takes a long time.
hi naospital po ung dad ko at inoperahan last 0ct.30,2012.. pero hindi ko pa na file sa philhealth yung pag rerefund dahil sobrang busy ko po..tingin nyo po i aaccept pa nila yung mga papers galing hospital?
Hi Alex, sad to say, the rule is to file within 60 days after discharge. Look at your claim forms, the 60-day rule is there.
hi po.:)
mam bakit po ayaw bigay un refund ko regarding sa PF ng doctors nagbayad po ako ng 2400 para sa doctors .pero nung nakita ko un statement of account bayad po ng Philhealth .my resibo po ako galing sa doctors eh nagtaka nga po un doctors bakit daw doble sabi ng accounting d raw po kasama un PF NG DOCTORS .pero maliwanag po bayad ng philhealt ano po maganda ko gawin mam sir
Hi jayar, you said statement of account — are you referring to the benefit payment notice from Philhealth? If yes, then you can use that to get your refund. Keep a copy for yourself. Please write to the Philhealth President and at facebook.com/philhealth and to your congressman and senator, and to PNoy so that they will be reminded about this long-time Philhealth vs. hospital issue.
hi po
bkit po un hospital nagbbigay ng refund cgurado my hiwaga mam .kc cla nagkkuwenta kung magkano samantalang tama na minamali pa nila .ang dahilan nila mam 4 MILLION DAW PO ANG UTANG NG PHILHEALTH SA HOSPITAL NILA KAYA PATI KAMI DAPAT IDAMAY ..,, D AKO PAPAYAG NA D MAIBALIK UN BAYAD KO SA DOCTORS KC UN DOCTOR MISMO NAGTATAKA SAMANTALANG BAYAD NA SYA
My sister was confined in the hospital,but sad to say she passed away on the last week of July,2012. The hospital deducted only the doctor,s professional fee and room and board in the hospital bills. However, they required us to submit the original receipts of the drugs and medicine purchased outside and other requirements for reimbursement one week after discharged from the hospital.But until now we still haven’t received the BPN or the cheque from PhilHealth.Can we still get the refund for the medicine purchased? Thank you.
Hi rick, did you write your correct address in the claim form? You should already have received the BPN. But anyway, wait for this Feb or March. Or go to Philhealth and ask. You need the BPN so you’ll know how much Philhealth paid the hospital.
gud pm ask lng kung puede ba humingi ng bagong print out of notice para makuha ko aking refund sa hospital hindi ko kasi na tanggap ang notice sabi nang philhlth ofis dito sa amin last jan.2 pa nila mail ang notice kaso hindi ko natanggap hanggang ngayon pls help me
Hi reynaldo, you can ask your post office or postman, because Philhealth notices are sent via registered mail. They are recorded in a logbook. About reprint, I’m not sure; just please ask the branch.
yes poe nkapag submit poe kmi ng lahat ng hinihingi por nlang papers sabi raw poe 3 to 4 months lng poe 4th months n poe nka lipas pero wla p rin poe dumarting n khit ano maari poe bng s ospital po bumagsak ang refund ko asahan ko pwede poe bng i follow up mismo sa philhealt un
Hi mark, yes, you can make follow-ups at your branch. But some claims take more time to process.
tumawag po ako sa philhealth tinanong ko po ang aking refund meron na daw po sabi ko d pa kasi nadedeliver sa house namin.bingyan niya ako ng details ng checks at ref na nagawa na daw nila iverify ko daw sa malapit sa branch ng philhealth. pwede po ba ako mag authorize to claim my refund at magverify.thank you!
Hi Michelle, what I know is that Philhealth will deliver your check or benefit payment notice to you at the address you wrote in your claim via registered mail.
magandang araw po.Tanong ko lang po nadischarge ang nanay linnggo kaso meron pong inihabol na resibo di po kasi agad ibinigay ng nurse ibinalik ng wenesday pero di na po tinanggap .Resibo po yon ng gamot na binili habang nakaconfine ang aking nanay .
Hi Ruth, maybe because they already have filed their claims, or they don’t like to spend time and effort sorting out their papers. I suggest you wait for the benefit payment notice from Philhealth, and then ask for refund, if you see that Philhealth paid the hospital much more than what was deducted from your bill.
hi. rose po ulet. december 2012 po q ngpasa ng requiremnts ksma nga po ung xerox copy lng n receipt pno q po mllaman n nproces n po un bka kc lumampas ung s 60 days n
grace period. tnx
Hi rose, did the Philhealth front desk officer check your papers? If they accepted them, then your documents must have been complete. I think the claim forms signed by the hospital will support the receipt, even it is only xerox. Ask others too.
Pwede po ba mag authorized na magverify at kumuha ng checks?nag inquire na po ako na may refund na ako kaso po di naman po dineliver sa bahay iverify ko daw po sa Philhealth branch na malapit sa amin. thank you!
gud am sir puede bang akong humingi ng ibang print out of notice para makuha ko ang aking refund sa hospital kasi hindi ko pa natanggap ang notice hanggang ngayon baka kasi na mis send dahil sabi ng philth ofis namin dito last jan.2 2013 pa nila na e mail yong notice pero hanggang ngayon wala pa akong natanggap gagamitin sana namin yong refund pls help me tank u
Hi reynaldo, you can ask your postman or post office about your Philhealth benefit payment notice, since these are sent via registered mail. They are recorded in a logbook. I’m not sure if Philhealth is reprinting notices; please ask.
Hi. Just wanna ask if the dependent can avail claims/refund eventhough the patient who is the beneficiary has died. I read from a thread that Philhealth only covers hospitalization. Is this true? Pls. Help. Thanks.
Hi Ysabelle, yes, only hospitalization at an accredited hospital is covered. Certain outpatient surgeries are also covered. Was the dependent hospitalized? Did the Philhealth member submit Philhealth papers to the hospital? If the member paid the hospital, the member can file a claim even if the patient died.
hi. ask q lng po if mapprocess ung refund q kc ung pnpasa skn n receipt pra s anti rabies reimbursement ay xerox copy lng? s ritm po aq ngpvaccine. tnx
gudpm. wat if po ntpos n ung 60 days at hnd p pla npprocess ung refund q mkkuha p po ba un? pwd q b tnungn ung mlpt n branch qng on going process npo refund q?tnx.
hi im Aiza my son was confined last year December 10-12,2012 and Dec.28 pina file q sa sister q all the requirements for reimbursement claims they said 2 months processing. last march 2,2013 i follow-up my claims,but i was confused when the CSR said that our application for claims was denied bcoz of late filing kc daw the date of confinement na naka encode s knila is October 10-12, 2012. eh ang date nmn na nakalagay sa slip n binigay nyo is December..there was an error for encoding.so what should i do? do i have to wait for another month nmn for processing? eh suppose to be meron n. tnx
hi ako po si francis villanueva sbrang tagal na po kasi ng refund ko nag file po ako nung nov.15,212 pa po tas til now wla pdin po sbi po my dadating dw na sulat sken kc my kulang pa dw po ako kaso ano petsa na wla pdin sulat na dumadating bkit nman po gnun. hoping for your consideration.
bkit po gnun sobrang tagal npo ng refund ko nov.15 pa po ako ngfile
Hi, ask ko lang po bakit hanggang ngayon wala parin kaming refund na natanggap,my husband admit in the hospital last june 2012 but until now wala pa rin…we submitted all the requirements kasi ang hospital nag forward sa papers namin lahat ng req,is ok…bkit wala pa rin.thanks
Hi cel, ask the hospital which Philhealth branch they filed your claim so you can make a follow-up.
maliban po sa QC office ng philhealth,, saan pa po b pwede mag submit ng requirements para sa refund?. thanks
Here are other Philhealth branches: http://www.workingpinoy.com/2010/06/philhealth-branches-membership-reactivation/
Hello po,ask ko lng po kung kailangang original na reciept ang isubmit sa pg claim?and ung birthcrtificate at merrage contract na attachment,ok lng b un xerox ng original and not autenticated?dpa kc cya available.
Hi RyanM, Philhealth’s policy is to accept the original copies of receipts. If the documents are xerox copies but they’re certified true copies with stamp and signature, Philhealth might consider them. You can submit them if you’re rushing to beat the 60-day deadline, and see what advice they will give you.
Hello po,ask ko lng po kung kailangang original na reciept ang isubmit sa pg claim?and ung birthcrtificate at merrage contract na attachment,ok lng b un xerox ng original and not autenticated?dpa kc cya available.thankyou po..
hi good day! francis nag file po ako ng refund ko last nov.15 pa so sabi 6o days dw. pinalow up ko po ng jan sabi my kulang pa daw po ako yung result ng lab. ng anak ko antayin ko dw yung letter eh feb. npo wla pa din ynung letter. di followup uli ako sabi wait ko lng dw po tpos po bago matapos yng feb. followup po uli ako sabi nsa hospital dw yng letter pinuntahan ko po sa hospital pg punta wla nman po dun. tpos twag pouli ako sa inyo sabi andito dw sa post office sa imus tumawag po ako wla din po. ano po ba talaga ang totoo?
Hi francis, sorry, this blog is not connected with Philhealth. I just write about Philhealth. I think the people answering your query are not sure where Philhealth returned your papers; it could be that they returned them to the hospital, or they returned them to you via postal mail. So monitor two things: the postal mail and the hospital.
gud pm po ask ko lng po kng bkit hanggang ngayon di pa nmin nkukuha refund nmin ng file kmi nun july 2012 bkit po gnin ktagal san po kya kmi pwede mg follow-up about sa claim
Hi liza, that’s a long time. You can follow-up at the branch where you submitted your claim. You can ask the hospital where it filed, if it was the hospital which filed your claim.
Hi I had already a BPN Philhealth. Is that mean that I can clain a refund/ reimbursement for maternity benefits?
Hi Joanna, I’m puzzled at “You can now request a BPN”. Why does it say that when that notice should already be BPN. Anyway, yes, you can ask your refund from the hospital using that notice, your ID and your receipt. Keep a copy of your receipt.
i am an ofw in taiwan.i started working here on sept.1,2011 .i heard my philhealth was covered for only 1yr but im not sure.my child in the phils was hospitalized last march 6,2013.that means she was admitted while im no longer covered by philhealth.is that so?can i still file for reimbursement of my child’s hospital bill?please advice.thanku so much.
Hi mark, if you paid your OEC on Sep 1, 2011, your Philhealth’s validity ended on Sep 2, 2012. Usually, POEA charges for 1 year in advance. Check your OEC and check your validity dates.
Sad to say, I think you can no longer refund your child’s expenses. If you pay your Philhealth today as OFW, the validity dates will start today; it cannot be moved back to March 6.
One option that I thought was for you to take the voluntary route, because you can still pay Jan and Feb as voluntary, but you still lack 9 months. Voluntary members must have paid 9 of the 12 months BEFORE hospitalization. Ask others too
Good day hingi po ako ng advice kc tagal ko pong di naasikaso yung refund cheque yrs na ang lumipas paano po ba ma retrieve yung cheque para makuha ko ? Saan ko po i follow up more …maraming salamat po.
Hi jojo, go to Philhealth with your IDs and ask. Did you file the claim? Do you have your acknowledgement stub? Did you receive your BPN?
Good day!
The reimbursement check of my aunt has been received today. Since she is already in the province, I’m planning to mail it to her by next week.
The check was noted with “for payees account only”. My aunt has no account in Landbank. Can she encash the check, instead? Thanks and more power!
Hi marie, your aunt can deposit it in any of her bank accounts, even if it is not Landbank. If “for payees account only,” usually only the issuing branch will encash it, and not the other branches. For safety purposes, I suggest you deposit the check here in the Metro Manila branch of your aunt’s bank; you might pay 100 pesos for interbranch deposit fee, but I think it’s better than the check getting lost in the mail.
sir,madam,am now in military riyadh hospital still confine almost 2 weeks…and my my doc decide to extend me here atleast six weeks..just to complete my medication..becz they find out i have a epilipse…am working as a housekeeper more thn a 2 year and am asking what should i do to process my paper earlier?
Hi LoRn, here are the documents that you need to obtain. You need to file within 180 days from date of discharge.
1. PhilHealth Claim Form 1 (download and print)https://sites.google.com/site/informationphilippines/philhealth-forms/philhealth-claim-form-1
2. MDR from Philhealth
3. receipt of Philhealth premium payments (or your OEC with Philhealth payment)
4. original official receipt of payment to hospital or detailed statement of account (written in English)
5. medical certificate (written in English) indicating the final diagnosis, confinement period and services rendered
Are you an SSS member? If yes, you can also file a sickness claim.
I prayed for you a while ago; I hope you’ll get well soon.
gud pm poe sir/mam ask ko lng poe ulit bkit poe narecieve n poe ng hospital ung checke galing poe sa ospital sbi raw poe ng osptal mgahintay p rw poe ako ng 2 or 3 weeks para daw poe sa ospital ganun poe b bng ka tagal ung refund 5 months n poe mula ng mnganak ung asawa ko ganun poe b k tagal kpg public hospital tnxs poe
Hi mark, if that’s what the public hospital said, then that could be because of the system. Unlike persons who can encash the check immediately and give you your share, government organizations take time, as the check will go from one desk to the next desk to the bank and back to the next desk until it reaches the releasing desk.
hi po..just wanna know if makakakuha ba ko ng benefits from philhealth kung magbabayad ako for 1 yr…last yr di po ako nakapag bayad pero usually yearly ako magbayad at voluntary member ako..maggamit ko po ba yun kung manganganak ako this october? thank you
Hi , good day ask q lng po kng paano and saan q mai claim yung refund for the PRE NATAL CARE PAYMENT? Thanks.
Hi rachelle, you include prenatal care ORs in your maternity claim. It will be refunded to you by Philhealth through a check delivered by registered mail together with your benefit notice.
what if kung nawala na ung resibo sa hospital? pwede pa bang mag refund? ngayon lang kasi dumating yung Benefit Payment Letter, e nung 2009 pa nung nanganak ako. now lang dumating itong letter. paano po un? reply pls.
Hi nelsi, whew! unbelievable! nearly 4 years! I’m not sure. Usually hospitals require the receipts. If you have time, and if the trip to the hospital does not cost a lot, you try asking the hospital.
wat if kung nawala na ung resibo nun hospital, pede pang marefund ung binayad?? nung 2009 pa kc un nafile, ngayon lang dumating un benefit letter. paano po un?
Magandang hapon po!
Naospital po ang anak ko noong june 12,2012. Lahat po ay naisubmit namin ng tama kasama ang nga resibo na hiningi po ng ospital. Nakatanggap na din po kami ng notice for claim last nov.2012 ang sabi balikan daw namin dahil ang aming resibo ay i request pa po sa region, sumulat din po kami sa action center at ang tugon ay walang isinumite na resibo and ospital, ngayon ano po ang dpat gawin para makuha po namin ang aming refunds at ang natirang excess po ba ay makuha namin kasama ng mga nagastos namin? Higit sa lahat po bakit kami hinihingan ulit ng resibo eh nai submit po namin sa kanila dahil iyon ang kanilang hiningi na requirements. sana po ay masagutan ninyo ito sa email ko po. salamat po.
Hi Estelita, it sounds like your child was hospitalized in a government hospital because you’re talking about “region”. Sorry, I don’t know very much about the cash management of government hospitals, but I’ve read somewhere that the budget of some of these hospitals are controlled by local governments. And that even refunds go through them because they handle the money. I think it’s best if you ask the government hospital about your refunds again. About the excess — is the illness under case rate? You can refund only up to the amount you have actually spent. The excess will go to the hospital or local government.
hi! my mother undergone surgery at perpetual succour hospital in cebu in sept 2012..i supposed it was mastectomy, but philhealth rep said it was not so the case rate did not apply (22k)…so be it, we just paid the bills accordingly as presented. however, just this week i received the notice of payment from philhealth that the case was mastectomy and perpetual succour hospital was paid 22k.when asked for refund, billing incharge informed me that only the excess paid for other bills except the PF will be refunded, that is 60% of 22k = php 13.2k, we will be refunded 6k only since philhealth initial deduction was 7.2k, and that is OK. however there is no refund on the doctor’s PF. total PF billed was at 37,414.86, with initial philhealth deduction/benefit at only 7.772k, thus we paid, Php29,642.86. the philhealth notice informed us that PF is php 8.8k that is, 40% of the 22k case rate amount, therefore, we paid an excess of 8.8k – 7.772k = php 1,028.00 which i expect to be refunded to us, but which perpetual succour hospital declined to give. any suggestion/comment on this, coz i need to be enlightened why perpetual succour insisted on not refunding me on the excess PF i paid. thanks.
hi! my mother undergone surgery at perpetual succour hospital in cebu in sept 2012..i supposed it was mastectomy, but philhealth rep said it was not so the case rate did not apply (22k)…so be it, we just paid the bills accordingly as presented. however, just this week i received the notice of payment from philhealth that the case was mastectomy and perpetual succour hospital was paid 22k.when asked for refund, billing incharge informed me that only the excess paid for other bills except the PF will be refunded, that is 60% of 22k = php 13.2k, we will be refunded 6k only since philhealth initial deduction was 7.2k, and that is OK. however there is no refund on the doctor’s PF. total PF billed was at 37,414.86, with initial philhealth deduction/benefit at only 7.772k, thus we paid, Php29,642.86. the philhealth notice informed us that PF is php 8.8k that is, 40% of the 22k case rate amount, therefore, we paid an excess of 8.8k – 7.772k = php 1,028.00 which i expect to be refunded to us, but which perpetual succour hospital declined to give. hope to hear any suggestion/comment on why perpetual succour insisted on not refunding us the excess PF we paid. thanks.
hi! my mother undergo surgery at perpetual succour hospital in cebu in sept 2012..i supposed it was mastectomy, but philhealth rep said it was not so the case rate did not apply (22k)…so be it, we just paid the bills accordingly as presented. however, just this week i received the notice of payment from philhealth that the case was mastectomy and perpetual succour hospital was paid 22k.when asked for refund, billing incharge informed me that only the excess paid for other bills except the PF will be refunded, that is 60% of 22k = php 13.2k, we will be refunded 6k only since philhealth initial deduction was 7.2k, and that is OK. however there is no refund on the doctor’s PF. total PF billed was at 37,414.86, with initial philhealth deduction/benefit at only 7.772k, thus we paid, Php29,642.86. the philhealth notice informed us that PF is php 8.8k that is, 40% of the 22k case rate amount, therefore, we paid an excess of 8.8k – 7.772k = php 1,028.00 which i expect to be refunded to us, but which perpetual succour hospital declined to give. any suggestion on this. thanks.
hi! my mother undergo surgery at perpetual succour hospital in cebu in sept 2012..i supposed it was mastectomy, but philhealth rep said it was not so the case rate did not apply (22k)…so be it, we just paid the bills accordingly as presented. however, just this week i received the notice of payment from philhealth that the case was mastectomy and perpetual succour hospital was paid 22k.when asked for refund, billing incharge informed me that only the excess paid for other bills except the PF will be refunded, that is 60% of 22k = php 13.2k, we will be refunded 6k only since philhealth initial deduction was 7.2k, and that is OK. however there is no refund on the doctor’s PF. total PF billed was at 37,414.86, with initial philhealth deduction/benefit at only 7.772k, thus we paid, Php29,642.86. the philhealth notice informed us that PF is php 8.8k that is, 40% of the 22k case rate amount, therefore, we paid an excess of 8.8k – 7.772k = php 1,028.00 which i expect to be refunded to us, but which perpetual succour hospital declined to give. any suggestion on this? thanks.
Just want to know if I can refund my excess premium contributions (excess to 120 contributions SSS medicare + PhilHealth). I’m a retiree/60 yrs. old.
Thanks.
Hi Presentacion, sorry, but Philhealth does not refund premiums. It’s on page 24 of Philhealth FAQs.
Mam,
Just to verify if meron na kong checked of my reimbursement for my daughter last november/december when she was hospitalized at paranaque doctors hospital.My company is CYPRESS MANUFACTURING LIMITED.All i know is 2 to 3 months lang processing.Pwede ba kong makareceived sa mail ko kung ano ng update detailed sa reimbursement ko?Bakit po kaya wala pa until now.Sa imus philhealth branch ako nagpasa.thanks a lot.
Hi Cesar, sometimes processing takes more than 3 months. You will receive a benefit payment notice plus the check via registered mail. You can follow up at Imus Philhealth branch.
..good morning po..i will just ask for the extension of my bf’s check..he is outside the philippines and he don’t have an account in landbank..he will come back in the philippines on june, but the check can only be withdrawn until may 22..may i ask where can i go to ask for the check’s validity extension..and what are the necessary documents that i should bring?..thank you and more power..
Hi tonet, does your bf have an account in another bank? You can deposit the check there. If he doesn’t have any bank account, ask him to email you an authorization letter together with a scan of his passport and IDs, authorizing you to request Philhealth to replace his Philhealth check as it will be stale when he arrives from abroad in June 2013. But before you do this, go first to Philhealth and ask for a remedy — there might a better remedy.
good morning po..i will just ask for the extension of my bf’s check..he is outside the philippines and he don’t have an account in landbank..he will come back in the philippines on june, but the check can only be withdrawn until may 22..may i ask where can i go to ask for the check’s validity extension..and what are the necessary documents that i should bring?..thank you and more power..
Hi,
Just want to know if I can refund the excess of the 120 monthly premium contributions. (SSS Medicare + PhilHealth) I’m a retiree.
Thanks.
Hi Presentacion, sorry, members cannot refund any Philhealth premium they have paid. You can see this question on Page 24 of their Philhealth FAQs.
hi po, mag iinquire lang po sana aq nadischarged po kse aq sa ospital last jan.30, 2013 and savi po ng philhealth ofis n nkabase sa ospital mgfollow up po thru phone kso khit ilang beses po nmin tawagan ung binigay n number wala po sumasagot.itanong ko lang po sana kung by this month kaya posible madeliver ung reimbursement cheque ko ng philhealth.
hoping for your immediate response thanks and godbless.
Hi jayson, sad to say that Philhealth has improved its processing time only a little. Wait for your benefit payment notice (BPN) from Philhealth, delivered via registered mail to your address.
hi po, mag inquire lang po sana aq kung tlaga po b inaabot ng more than 2months yung pag reimburse sa philhealth. i was discharged sa hospital last jan.30, 2013, pero until now advise sa aquin ng philhealth dept sa hospital was to follow up sa number n binigay nila.pero ilang beses npo kme ngtry tumawag pero puro ring lang po.ask lang po sana kung by this time kya possible po kya na my BPN npo kya aq.
Hi jayson, yes, sad to say, processing is really still slow, based on the many complaints written here. For some, it might take 3 to 6 months
Hi Nors,
Tanung kulang kong pede ba akong magpa refund ng mga na cash out ko sa gamot ng anak ko during siya ay na confined sa Pasay General Hospital, kahit na yong Bill namin e pinasok ko sa Philhealth ko.
Thanks,
JOHNBONICS
Hi johnbonics, I suggest you wait for the benefit payment notice (BPN) from Philhealth, and if you see that Philhealth paid to the hospital more than what the hospital deducted (Philhealth deduction), you can ask the hospital for refund, showing your receipts and BPN.
can i deposit the reimbursement check to my payroll landbank account? and can i deposit it to any branch?
Hi Charo, sorry, I’m not sure, just ask Landbank. Some banks have restrictions for payroll accounts. As a related info, BDO does not accept cash or check deposit for payroll accounts.
Gud day!,why does it take 1 month to claim my refund?,but the check has been released on March 20, 2013?,the hospital told to get the official receipt from PhilHealth,does it take that long to get the official recEipt,i called the PhilHealth, the line is always bussy,iam a senoir citisen and i cannot go to PhilHealth everyday to follow up my refund. This is Mrs.Rosita P. Drilon
Hi Mrs Rosita, I’m puzzled about “get the official receipt from Philhealth”. Why OR from Philhealth? Did the hospital mean you need to get the benefit payment notice (BPN) from Philhealth? If yes, the BPN is delivered to your address via registered mail. So sad to say, you have to wait. Then show this BPN and your hospital bill payment OR to the hospital for your refund. Keep your own copy.
gud evening po!na dengue po kc last year month of july anak q 4 days po kmi sa hospital 27 of july nklbas na po kmi byad po lhat nmin ung bill aug.2 nag pasa po kmi ng requirements sa hospital para sa philhealth refund kasi po sila na naglakad after 6mo.may notice po na dumating sa bahay nmin bale po 1,800 ang refund nklagay dun feb.26 dnla nmin sa hospital binigay po namin sa naglakad ng philhealth namin ang sabi po sa amin baka madagdagan pa daw po ung 1,800 wait daw kmi ng 1week para sa release ng cheque pero umbot po ng kulang 2mo.nag txt po sa akin ung taga hospital na wala daw po kaming marerefund posible po bang wala talaga kaming marerefund?
Hi albert, the coverage for dengue I is 8k, so if the benefit payment notice from Philhealth showed that Philhealth paid the hospital only 1,800, it means that the final diagnosis was not dengue. Diagnostic tests such as platelet counts should support the dengue diagnosis. So if it was not dengue, and Philhealth paid the hospital only 1,800 then that’s the only amount that you can refund. But I could be wrong, so ask again the hospital.
ok thank you!
Hi! Naospital ang father ko this month lang ang case rate nya pneumonia 1 (15k), ang hospital bill less PHIC + less senior disc may balance pa na 1,8++ sabi ko baka pde ibawas sa PF ng doctor or sa mga gamot na binili namin (kasi lahat ng gamot binili namin) sabi ng Hospital hindi daw pwede, kaya may binayaran pa kami 5.8k sa PF ng doktor. Tama po ba yun pag case rate hindi na pwede irefund ang sobra ?
Hi vet, the pneumonia coverage which is 15k is allocated as 10,500 for hospital costs and 4,500 for PF. Was 10,500 deducted from your hospital bill? and was 4,500 deducted from PF? If not, wait for the benefit payment notice and then go back to the hospital and ask for your refund. Xerox your notice and your hospital statement and receipt.
Hi puedy mag tanong kailan makuha ko yung refund sa hospital yung asawa ko na discharge sa hospital last january 16, 2013 lahat na official receipt na nabili namin sa labas nang hospital ibinigay namin sa phelhealt incharge nang hospital kailan ko makukuha ang refund.
Hi Romil, wait for your benefit payment notice from Philhealth, delivered to you via registered mail. Then go to the hospital and ask for your refund. Processing may take 2 to 5 months or more.
as per advise na philheath incharge in hospital lahat nang nabili namin gamot sa labas na may official receipt ay mag refund daw ang philhealth
sana matangap ko ang refund nang mga gamot at saka sa city scan na binayaran ko sa labas nang hospital kasi yung city scan nila sa hospital ay nasira.
sana matangap ko ang refund.
Hi!i just want to know how can we be reimbursed for the fees we paid the hospital when my new borned baby was confined to the hospital and my wife has not listed her as her dependent yet. is there still a way for us to be reimbursed?we are also planning to have her undergo new born screening? can that be discounted through philhealth? thanks.
Hi Geremy, you can file if you’re still within the 60-day deadline after discharge, and if the hospital is Philhealth accredited. Collect the documents listed above. Include a certified copy of your baby’s birth certificate (you can use the one from the hospital if there’s no copy yet in your city hall’s civil registry). Only newborn screening performed within 3 days of birth is covered, and the coverage is only 550 pesos. Coverage for newborn hearing screening is only 200 pesos.
ask ko lng po kung my check na po ung reimbursemet ng dialysis ko for Jan…naibigay ko po kc siya last Feb 15 pa ung sa kasabay ko po kc dumating na last week pa bakit po sa akin wla pa…
Hi Roberto, were your documents complete? You can go to your post office and ask if you have a registered mail. I suggest you find a clinic that deducts immediately your Philhealth benefits. Someone told me that there’s a clinic along Quirino Ave in Manila that offers a Philhealth dialysis package; the patient goes there twice a week until the 45-day allowance is used up. So I guess there are other dialysis clinics that offer something like this: Here’s a list of Philhealth-accredited dialysis clinics in Metro Manila
Good day! I just want to ask how to check my Philhealth account, I mean if my employer really remits to Philhealth. Thank you.
Hi Kristine, sorry Philhealth does not yet have an online system for checking. You need to visit a Philhealth branch or desk office at a Robinsons mall. Bring your Philhealth no. and any valid ID.
Hi po,
Ask ko lang po kun ano po yung dapat na gagawin ko..may refund claim kasi ako with philhealth last novermber ko pa nasubmit. Then last January 2013 I called up customer service then they told me na may kulang yung docs na sinubmit ko.Something to do with xray..Actually I do have the x-ray results na, ang problema until now dko pa din natatanggap yung registered letter from philhealth kasi kelngan daw yun. Pang ilang times na ako ngpabalikbalik sa post office pro wala pa din doon ang letter. Pano ko po ba mareretrive yung letter ko.The post office is here in Paranaque. Wala din da talga sa kanila, I already gave them the Registry number.Di pa din daw talga nla nattanggap from Pasig.
Hi cyndi, dapat kasi isang claim filing lang, so you need to have the original filing and then re-file together with your x-rays. If Philhealth said they sent the mail at the Pasig post office, you can start to trace your registered mail at the Pasig post office.
Hello po. Gusto ko lang po sana malaman. Naospital mama ko just last week, tapos ng i-try nila mag ask ng philhealth refund… Doon nya nalaman na na skip nya ang payment sa first quarter pero nakabayad na xa sa second quarter. Nang mag inquire sila sa philhealth office hindi na daw pwede. matagal na xa member, honest mistake lang alaga…. 1st quarter lang walang payment which is nakalimutan daw talaga ng mama ko. May posibilidad pa po bang mag claim? thanks po ng marami.
Hi Lona, what illness is this? Surgery ba? Or ordinary illness? This month of May ba ang hospitalization? Kasi kung non-surgery, dapat nabayaran ang 3 months of the 6 months BEFORE month of hospitalization. Kung paid ang 2nd quarter at paid ang last quarter of 2012, dapat puede,kasi meron siyang paid na 3 months, kahit April or May ang hospitalization. Kung surgery, the requirement is payment of 9 of the past 12 months BEFORE month of hospitalization. Count and then file your claim.
ma’am ask lang po.. i was dscharged from d hospital last april 26 2013. and my bill was amounted to 15k+. cesarian po ako and my phlhealth cverge was amounted to 11,400. as per phlhealth ofcer assgned to d hospital i can no longer reimburse any receipts for medicines bcause our bill was m0re than 11,400. how true? thanks.
Hi joan, yes, the 19k coverage is allotted as 11400 for hospital (medicines, OR, room, lab) and 7600 for the doctors. 60% for hospital and 40 % for PF.
Ask ko lng po if pwede po i-claim yung refund sa ibang branch ng philhealth like d2 po sa Manila khit po sa iloilo branch pinasa ung mga claim forms.
Hi Catherine, your refund will be sent to you via registered mail to the address you wrote in your claim form. It could be a check or a benefit payment notice which you can present to the hospital for refund (for Case Rate cases).
gudpm!ask ko lng po kng may bgo policy ba para sa mga ofw ksi un ang sbi sa akin sa hospital,hnd ksi in honor ung philhealth ng husband ko complte nman ako sa requirements,nsa mdr din kmi.sept last year na ospital ung anak ko covered nman til sept 2013 ung bnayaran ko pro bkt ganun,until nw hnd ko pa na recvd ung refund.heres the name of the hospital STO NINO HOSPITAL located at burgos st camiling tarlac
Hi angie, you said the hospital did not honor your documents. So did you file your claim directly with Philhealth? Did you file within 60 days after discharge from the hospital? Sa OFWs, dapat yong date of hospitalization nasa loob ng validity dates sa receipt. At saka, dapat yong receipt nakalagay na OFW, kasi iba ang eligibility requirement para sa hindi OFWs. Baka kasi you paid as Voluntary, at kababayad mo lang noong naospital ang anak mo, so hindi tinanggap ng hospital.
Hi..i posted a query lasr wednesday, 8 May 2013. Just wondering if you received it. Thanks. Arlyn
Hi Arlyn, yes, you posted your questions here: http://www.healthphilippines.net/2012/03/how-to-file-a-philhealth-benefit-claim-for-reimbursement/
good morning, ask ko lng po sana kung ma rereimburse paba yong stale check? at my expiry date po ba?
Hi may, banks do not encash stale checks. I suggest you go to Philhealth asap and submit a letter to Philhealth asking for replacement of your check, explaining your reason why you did not encash it immediately. Attach a copy of your benefit payment notice. Keep also a copy of your check.
gud day poh..panu poh b mai claim ang refund ko if ever hndi mhanap ang address nmin..at ilng days poh b ang processing..kc ngfile ako las feb. at march 11 s hospital..anung month po n posible ang approval..tnx..
Hi ricky, processing time varies from case to case. Can be 2 to 5 months or more. Haven’t you received any mail at your address? I ask because you say they might not find your address. If you like, ask your post office (registered mail section) perhaps on the 3rd month.
Hi,
Magkano refund kapag amoebiasis ung case? meron kasi anak ko nun tpos ngfile kme ng refund worth 2500 sa ospital then 2000 sa doktor. Hindi namen nasama ung mga bill ng gamot na binili sa labas ng ospital. Nafile ko ung refund last May 3, 2013. Gaano katagal kaya un at magkano mrerefund namen?
Hi,
My son got amoebiasis and got discharged before we filed the philhealth. We got a total of 4500. 2500 for the hospital and 2000 for the doctor’s fee. I filed the refund last May 3, 2013 and forgot to include the bill of the medicines bought outside hospital.
How long we will wait for the refund and how much refund we will get from this?
Hi Ryan, amoebiasis is not under the Case Rate scheme, so hindi ko mabigay yong fixed na coverage. There will be deductions for medicines, PF, room and board and lab, depending on the severity of the disease and hospital category. Reimbursement will take 2 to 6 months, based on comments here.
hi po ask ko lng kung hihingi ng additional extension dahil nglapse na ung 60 days ang tagal po kc ibigay ung final receipt ng hmo.. paano po process? thanks
Hi! Would like to ask how will be the process for the 60 days extension for outpatient refund because the official receipt from hmo was delayed. As per hospital I should file for additional extension to Philhealth. Do you know the process? Kindly advise what will I do.. Thanks
Hi Pat, I don’t know if Philhealth is giving extension. I know that one of the top reasons for claim rejection is late filing. Call Philhealth or visit the nearest Philhealth and ask.
hindi po ba natin makukuha yong sobra sa hospital?
Hi, I already have a BPN for Philhealth, is that mean that I can claim a refund for my maternity benefits?
This is exactly what Philhealth told me.
“Your claim benefits is already PAID in favor to the hospital/ provider. You can now request a BPN.
What does it mean?
Thanks!
Naospital tatay ko last year sept.2012,january my dumating galing bpn galing philhealth nklgay dun binayaran ng philhealth sa hospital 28,000,pero ung bill ng tatay ko 8,400…wla ko binayaran dun kc coverd sya sa amount kc mild stroke..ung sobra ba sa binyaran ng philhealth sa hospital marerefeund kb un?
Hi rona, if you did not pay anything, you cannot refund the excess. If you paid something, xerox your payment receipt and BPN and ask for a refund of what you paid.