Become a PhilHealth Member

• How do I become a PhilHealth Member?

  Go to any Ventaja’s agent and accomplish the PhilHealth Member Registration Form (PMRF). Expect to receive the PhilHealth Identification Number (PIN) after 2 working days.

• Who can be my dependents

  The qualified dependents are the following:

  • - Legitimate spouse who is not a member
  • - Children below 21 years old
  • - Children above 21 but suffering from physical or mental disability.
  • - Parents who are 60 years old or above.
  • - Parents with permanent disability regardless of age.
• How do I enroll my dependents?

  Submit the PMRF with the copies of the following documents:

  • - Legal spouse - Marriage Contract / Certificate
  • - Stepchild/children - Marriage Contract / Certificate between the natural parent and the stepfather/mother and Birth Certificate/s of the dependent stepchild/children
  • - Disabled child/children 21 years old and above - Birth Certificate and Certification from attending physician stating dependent is disabled
  • - Adopted child/children - Court Decree of Adoption
  • - Parents - Birth Certificate of member and any proof attesting to the date of birth of the parents
• Who is eligible to become a PhilHealth member?

  All Filipinos regardless of age.

• I already paid for PhilHealth before. Do I need to apply again?

  If you were already a member and would like to renew, simply provide your PIN to Ventaja’s agent and pay.

• I do not remember my PIN. What do I do?

  Email the member’s complete name and birthdate to [email protected].

• How do I get my PhilHealth Card?

  You may pick up your card where you applied for membership. It may take 60 days to process.

• How much is the premium contribution?

  P2400 per year.

• When does my coverage expire?

  One year after payment.

• Can I buy PhilHealth for my relatives in the Philippines?

  Yes. Ask your relatives to complete the documentation and submit these to Ventaja’s agent.

• How do I get my Member Data Record (MDR)?

  If you paid your PhilHealth premium thru a Ventaja agent, you may email your request for MDR along with the member’s PIN, complete name and birthdate to [email protected]. PhilHealth processes MDRs by batch and may take up to one week.

Benefits

• When can I start using my PhilHealth?

  OFWs may start using PhilHealth once they receive their MDR. However, coverage starts when PhilHealth records the payment.

• How will my dependents in the Philippines avail of my PhilHealth?

  Just submit the accomplished PhilHealth Claim Form 1 and a photocopy of your updated MDR.

• Is confinement abroad covered by PhilHealth?

  Yes. The OFW has 180 days or 6 months upon discharge to file their reimbursement with PhilHealth.

• Will PhilHealth cover doctor’s consultations?

  Yes. Members and their dependents must register first at their chosen Philippine government hospital. Members may choose only one hospital for consultations.

• What do I need to bring for doctor’s consultations?

  Members and their dependents just need to bring their MDR.

• What are the cases that are not covered by PhilHealth?
  • - Fifth and subsequent normal obstetrical deliveries
  • - Non-prescription drugs & devices
  • - Alcohol abuse or dependency treatment
  • - Cosmetic Surgery
  • - Optometric Services
  • - Cost-ineffective procedures that shall be defined by PhilHealth

File for a Claim

• How do I get my reimbursement if confined in the Philippines?

  Hospitals should deduct the allotted case rate from the total bill. Many hospitals have PhilHealth reps present.

• How do I get my reimbursement if confined abroad

  Submit the following to PhilHealth within 180 days:

  • - PhilHealth Claim Form 1 accomplished and signed by the member or his authorized representatives
  • - Photocopy of MDR or latest receipt
  • - Medical certificate with complete diagnosis, period of confinement and services rendered (in English)
  • - Statement of Account and/or Official Receipts with itemized charges (in English)
• I am currently working abroad. Who can sign in my behalf on PhilHealth Claim Forms?

  - Any dependent 18 years old and above.
  - Authorized representative. Just show an authorization letter, as well as photocopies of 2 valid IDs of the authorized representative and the member.

File for a Claim

• How do I change the name appearing on my Member Data Record (MDR)?

  Just email the accomplished PMRF to [email protected] together with the scanned copy of any 2 of the following documents:

  • - Birth Certificate
  • - Marriage Contract/Certificate, (if married)
  • - Passport
  • - NBI Clearance
  • - PRC ID
  • - SSS/GSIS ID
  • - Postal ID
  • - Driver's License
  • - Alien Certificate of Registration or (ACR)
  • - Duly notarized Joint Affidavit of Two (2) Disinterested Persons attesting to the veracity of the name of the person requesting for amendment
• How do I change my date of birth?

  Just email the accomplished PMRF to [email protected] together with the scanned copy of any 2 of the documents mentioned above except for PRC ID and joint affidavit.

• How do I change the civil status appearing on my MDR?

  Just email the accomplished PMRF to [email protected] together with the scanned copy of the required document:

  • - From single to married - Marriage Certificate
  • - From married to widowed - Death Certificate of spouse
  • - For marriage annulled - Annulment Papers
• How do I add dependents?

  Just email the accomplished PMRF to [email protected] together with the scanned copies of the required documents:

  • - Legal spouse - Marriage Contract / Certificate
  • - Legitimate or illegitimate children - Birth Certificate
  • - Stepchild/children - Marriage Contract / Certificate between the natural parent and the stepfather/mother and Birth Certificate/s of the dependent stepchild/children
  • Disabled child/children 21 years old and above - Birth Certificate and Certification from attending physician stating dependent is disabled
  • Adopted child/children - Court Decree of Adoption
  • Parents - Birth Certificate of member and any proof attesting to the date of birth of the parents