Published: May 14, 2015 | Updated: January 6, 2020 | Posted by: Carlo Miguel Castañeda | Government Services
Hospitalization can cost upwards of PHP 25,000, and paying out of pocket is your only option if you don’t have insurance. PhilHealth, or the Phillippine Health Insurance Corporation, provides PhilHealth benefits to all employed members.
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As a member, you’re entitled to health and hospitalization subsidies for you or any dependents you have enrolled. As of 2014, hospitalized members need not directly file their claims.
Here’s how you can claim your PhilHealth benefits:
To be eligible to avail of your PhilHealth benefits when hospitalized, the following conditions must be met:
You’ll also need to submit the following documents before being discharged from the hospital for automatic deduction:
Ask the hospital regarding their PhilHealth submission rules. If you can’t submit the claim form personally, have an authorization letter and a valid ID ready for your representative.
As direct filing is no longer needed, submission of the documents to the hospital before the end of your stay means automatic deduction of your benefits from your total bill.
Once your benefits have been automatically deducted, PhilHealth will send a benefit payment notice to the address declared in your MDR. This details the actual payments made by PhilHealth relative to your claim or confinement.
Keeping your PhilHealth up to date is important, as it’ll be a great help if you or anyone declared as your dependent requires hospitalization.
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