If you are an EMPLOYED MEMBER of Philhealth,
submit these documents to the hospital or clinic BEFORE discharge:
1. Clear copy of your MDR or Member Data Record
(Get your MDR from Philhealth)
2. Philhealth Claim Form 1
(Signed by you and your Employer. Your employer or HR usually have this form.
If for maternity coverage, request 2 claim forms — one for you and one for your baby)
3. Certificate of Applicable Premium Payments with OR numbers
(Get this from your Employer)
Some hospitals require submission of documents 1 day before discharge.
Bring your Philhealth card or any valid ID, in case it’s needed.
If the patient is your dependent, update your MDR so that your dependent is written in your MDR as your dependent. If the patient is your spouse, bring your marriage certificate, and if it’s your child, bring your child’s birth certificate, in case it’s needed.
Direct filing by patient with Philhealth is no longer allowed by Philhealth.
But if you were admitted on a Friday or a Saturday and discharged the next day, which is a Sunday or Monday, and was not able to have your Claim Form 1 signed by your employer, ask the hospital to give you the accomplished claim forms so you can file for refund directly at the nearest Philhealth branch.