PhilHealth:Membership and premiums concerns

Membership and premiums concerns

1. How do I enroll with PhilHealth and renew my membership thereafter?

If in the Philippines, submit the following documents to any PhilHealth office:

• • Properly accomplished duplicate copies of the PhilHealth Member Registration Form (PMRF);
• • Supporting documents for legal dependents to be declared;
• • Any proof of being an active OFW and;
• • Pay the corresponding premium contribution to any PhilHealth office

If overseas, submit the following documents to any PhilHealth office:

• • Properly accomplished PhilHealth Premium Payment Slip (PPPS);
• • Duplicate copies of the PhilHealth Member Registration Form (PMRF) - for initial registration only;
• • Any of the following documents: Birth Certificate, Baptismal Certificate, POEA ECARD/SSS/Company ID, Passport, Any valid ID / document acceptable to the Corporation and;
• • Pay the corresponding premium contribution of P1,200.00 (for Year 2012) or its equivalent in the local currency of the host country to any accredited collecting agent

2. Are we going to use the same PhilHealth Identification Number (PIN) if we are shifting to another membership category?

3. Why do I have to renew my PhilHealth membership every time I leave the country and work as an OFW?

4. I am already an immigrant here in the US. Can I still continue my membership with PhilHealth?

5. How about those granted dual citizenship? Can they continue with their PhilHealth membership?

6. What is the effectivity date of PhilHealth coverage?

7. I am currently abroad and my coverage is about to expire. How do I continue paying for my PhilHealth in case that there are no available payment centers where I am?

8. Are the payments for OWWA Contributions and PhilHealth Premiums different?

9. I am a PhilHealth member sponsored by an LGU; is it still necessary for me to pay my PhilHealth membership as an OFW?

10. Where can I pay my Premium Contribution?

11. How much is the Premium Contribution?

12. What is the grace period of OWP membership renewal?

Benefits and availment concerns

1. In the absence of the MDR, is there a substitute document that my family back in the Philippines could use if someone gets sick?

2: What do I need to submit to have my reimbursement cheque named after my wife in the Philippines?

3. I am scheduled for confinement abroad for an operation; is this confinement covered by PhilHealth?

4. What are the documentary requirements?

5. While working abroad our employer provided us with a health insurance that will cover my expenses during hospitalization. In case of confinement can I still file for a reimbursement with PhilHealth?

6. How will I avail of PhilHealth benefits if I or my dependents are confined in the Philippines?

7. How long does it take to process a PhilHealth claim?

8. I have read in your website that one of the requirements for filing of claim for confinement abroad is a copy of receipt for the hospital bill and professional fee (PF) of the doctor. What other documents can I submit as a substitute for this if I have not been issued an official receipt?

9. What is a single period of confinement?

10. I am currently working abroad; who can sign in my behalf on PhilHealth Claim Forms?

11. How can I verify the status of my claim?

12. What are the cases that are not compensable with PhilHealth?

13. How are in-patient benefits computed?

14. How can I avail of the Out-Patient Benefit Package (OPB) for OFWs?
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.