PHILHEALTH

• Where can a PhilHealth Member get the form to be accomplished? 

 The patient will be given the CF1 form to be accomplished by the PhilHealth Member and Employer.
A list of required documents that need to be submitted upon discharge will also be given.

Note: CF2 forms are given to the nurses’ station to be filled out by the Attending Physician.

What are the Important Requirements for PhilHealth Benefits?

• CF1 – Claim Form 1: Accomplished and originally signed by member and employer.
• CF2 – Claim Form 2: Accomplished and originally signed by Attending Physician, Surgeon, Anaesthesiologist and patient or next of kin if patient is unable to sign.

What is the additional requirement for an Employed Member?

• Copy of updated Member Data Record (MDR) or PhilHealth ID
• For Dependent: Copy of updated MDR with list of dependents

What are the additional requirements for an Individual Paying Member or Voluntary Member?

• Copy of updated Member Data Record (MDR) or PhilHealth ID
• Clear copy of MI-5 or PhilHealth Official Receipt (latest, should be 9-12 months prior to admission)
• For Dependent: Copy of updated MDR with list of dependents

What is the additional requirement for a Non-Paying Member or Lifetime Member?

• Copy of Non-Paying Member or Lifetime Member ID (front and back)
• For Dependent: Copy of updated MDR with list of dependents

What is the additional requirement for an Indigent Member?

• Copy of valid Family Health Card or PhilHealth Para Sa Masa ID (front and back) with validity period
• For Dependent: Copy of updated MDR with list of dependents

What is the additional requirement for an Overseas Worker?

• Copy of updated MDR with Payment Information
• For Dependent: Copy of updated MDR with list of dependents

What should the Member do upon Discharge?

• Submit all completed PhilHealth documents and required documents upon discharge at the PhilHealth section (Ground Floor, Main Lobby).

PhilHealth Case Rate Packages

• PHIC recently released a list of diagnosis and procedures with fixed amount coverage. If the patient’s diagnosis is any of the following, please ensure that the patient’s Attending Physician is PHIC-accredited and the required test results are attached to your claim form.

1. You may download the Medical Case Rates here from the PhilHealth.gov.ph website. (3MB file)
2. You may download the Procedure Case Rates here from the PhilHealth.gov.ph website. (2.5MB file)

*Please note that files are large and may take time to download depending on your internet connection speed. You will need an Adobe Acrobat Reader to read the file. 

List may change without prior notice from PhilHealth. For any questions/clarifications, you may contact NDCH’s PhilHealth Office at (074) 619-8530 to 34 / (074) 424-3361 to 63 local 115.