Philhealth claims for hospitalizations after March 21, 2014 shall NO LONGER be accepted DIRECTLY FROM MEMBERS.
No more direct filing by members at a Philhealth branch.
Upon admission, ask your hospital their Philhealth requirements and submission deadline.
Submit your Philhealth papers while you are confined, at least 1 day before discharge.
The hospital will deduct Philhealth Case Rate benefits from your bill.
It will be the hospitals, clinics and other health care institutions that will file claims with Philhealth.
Exceptions from this policy are the following:
1. Philhealth claims for hospitalizations abroad
(File within 180 days after discharge.)
2. Special cases that were either denied or not filed
3. Special cases with appeals for refund adjustment
4. Special cases affected by fortuitous events like supertyphoons
Philhealth Circular No. 009, s. 2014
Philhealth Ciruclar No. 0006, s. 2014
Philhealth Circular No. 0034, s. 2013