Escolar Documentos
Profissional Documentos
Cultura Documentos
controlled
Republic
amended
lead the
BAYANIHA
N
The healthy
subsidizes the
sick
The young
subsidizes the old
The rich
subsidizes the
poor
Health Care
Problems
- No access to
medical and
health services
- Inequities in
health care
- Poor Health
Outcomes
PHILHEALTH
1995
Improved
Health Status of
Filipinos
Certificate
Marriage Contract
Baptismal Certificate
Barangay Certification
Any valid ID (as per PC 50, s. 2012)
DEPENDENT
Spouse (not a
member)
for Muslim spouse
Children below 21
yrs old
Mentally or
physically disabled
children who are 21
yrs old and above
Adopted children
below 21 yrs old
Foster Children
below 21 yrs old
Stepchildren below
DOCUMENT
Marriage Certificate/Contract
Affidavit of Marriage issued by
Office of the Muslim Affairs
Birth /Baptismal Certificate
Birth /Baptismal Certificate and
Medical Certificate issued by the
attending physician within the past
6 months
Court
Decree/Resolution
of
Adoption or Birth Certificate with
annotation
Foster Family Care License and
Foster Placement Authority
Marriage Certificate between
PhilHealth ID Card
SINGAPORE
PhilHealth Accredited Bank with Electronic Payment System facility (E-Pay)
Eligibility Rule
Payment of at least 3 months within 6
months prior to the first day of confinement
Confinement falls within validity
FIRST
CASE
RATE
(100% of
case rate
amount)
SECOND
CASE
RATE
(50% of
case rate
amount)
TOTAL
REIMBURSE
MENT
REFERRAL PACKAGE
Referring hospital shall be paid Php 4,000
Reimbursement of the full case rate shall be paid to
referral hospital
Allowed if transfer is to a higher facility
Limited to conditions in Annex 8 & duly
accomplished referral form is required
For series of referral, only the FIRST and LAST
facility will be reimbursed
CONFINEMENTS ABROAD
RESUSCITATION PACKAGE
Confinement of less than 24 hours & patient dies
Fixed rate of Php 4,000
Streptococcal tonsillitis
Acute tonsillitis
Varicella (chickenpox)
Acute bronchitis
Rubella
Bronchitis
Viral exanthem
Dyspepsia
Coronavirus infection
Constipation
Viral infection
Epidermal cyst
Schistosomiasis
Urolithiasis
Hypoglycemia
Moderate/severe dehydration
Superficial injuries
FROM
TO
2,800
5,460
2,800
6,650
2,800
5,390
2,800
5,950
8,000
30,000/yr
3,000
600
4,000
1,750
210,000
100,000
RATE
103,400.00
169,400.00
73,180.00
61,500.00
69,000.00
71,000.00
48,740.00
50,740.00
HOSPITAL
S
PRI
V
OUTPATIENT PROVIDERS
GOV PCF
T
DC
16
12
DS
12
28
DN
10
12
CV
DO
TOT
AL
39
64
ASC
2
1
1
69
12
11
38
11
10
10
123
54
REQUIREMENTS
FOR INQUIRIES
Office Address: Valgosons Bldg.
Bolton Ext., Poblacion, Davao City
Telefax number (082) 295-2133
Healthline: 09229242159
www.facebook.com/philhealthregion11
info.pro11@philhealth.gov.ph
publicaffairs.philhealthxi@gmail.com