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How to Claim Philhealth Refunds

If your Philhealth benefits were not deducted from your hospital bill because you failed to submit required Philhealth documents before discharge then you can claim Philhealth refunds

Submit the required documents directly to a Philhealth branch or submit them through the hospital, depending on instructions or suggestions from hospital staff.

Submit documents within 60 calendar days (including Saturdays, Sundays and holidays) after discharge from the hospital.

These are the required documents:

1.  Member Data Record (MDR) — If you are a dependent, make sure you are listed in the MDR. If you’re not yet listed in the MDR, include your birth certificate (for children or parents) or marriage certificate (for spouses).

2.  Philhealth Claim Form 1 — Get this form from Philhealth, the hospital or your employer,  accomplish it and sign it.

3.  Philhealth Claim Form 2 — Get this from the hospital. It should be signed by the doctors who attended to you.

4.  Philhealth Claim Form 3 — Get this also from the hospital.  Claim Form 3 is required for the following cases:

– Treatment in a Level 1 hospital
– Case Type D
– Maternity Care Package
– Transferred Emergency Cases
–  less than 24 hours Confinement

5.  Official receipts of payments made to the hospital

6.  Operative record for surgical procedures performed
After processing, Philhealth will send your reimbursement or refund check, and your Benefit Payment Notice (BPN) to you, using the address you wrote in your Claim Form.

How to Apply For a Philhealth ID?

When you apply for a Philhealth Membership, you are given your own PhilHealth number along with an identification card. To Apply for Philhealth you need to bring a NSO certified birth certificate to verify your age.

Where is PhilHealth Branch in Quezon City Located?

From Quiapo you can ride a jeep with a sign Project 6 or Project 8. Then After you passed G. Araneta Ave. To your left is the Philhealth Branch.

 Here is the Address

PhilHealth NCR - Central Branch
#880 F.R. Estuar Building, Quezon Avenue, Quezon City
Tel no. 332-1550, 332-1551

Office Hours:

8:00am  - 5:00pm (Mondays to Friadays)