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Philhealth Requirements


Inpatients are encouraged to complete PhilHealth forms before discharge, as follows:

 

Employed Member:

1. Claim Signature Form (CSF)

2. Certificate of PhilHealth Contribution (for the last 3 months prior to admission)

Note: This 3-month requirement is until September 2018 only. New requirement will be announced on this page after September.

3. Members Data Form

 

Dependent (Children):

1. Claim Signature Form (CSF)

Note: Should be signed by the Member.

2. Certificate of PhilHealth Contribution (for the last 3 months prior to admission)

Note: This 3-month requirement is until September 2018 only. New requirement will be announced on this page after September.

3. Members Data Record

Note: If MDR does not yet record the names of the children, the MDR to be submitted should be updated.

 

Dependent (Spouse):

1. Claim Signature Form (CSF)

Note: Should be signed by the Member.

2. Certificate of PhilHealth Contribution (for the last 3 months prior to admission)

Note: This 3-month requirement is until September 2018 only. New requirement will be announced on this page after September.

3. Members Data Record

Note: If MDR does not yet record the name of the spouse, the MDR to be submitted should be updated.

 

 

For further questions or clarifications, you may call Philhealth:

  • PhilHealth Lucena: (042) 373-6704
  • PhilHealth Calamba: (049) 544-4551


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