PhilHealth
Group 8
The Philippine Health Insurance Corporation or widely known as
PhilHealth is a Government Owned and Controlled Corporation
(GOCC) created through the National Health Insurance (NHI) Act of
1995 or Republic Act 7875. It is the administrator of the National
Health Insurance Program (NHIP) which was established to provide
health insurance coverage for all Filipinos and ensure affordable,
acceptable, available and accessible health care services for all
citizens of the Philippines.
It is the administrator of the National Health
Insurance Program (NHIP) which was established to
provide health insurance coverage for all Filipinos
and ensure affordable, acceptable, available and
accessible health care services for all citizens of the
Philippines.
Membership Program
Formal
Economy
Informal
Economy
Lifetime
Members
Indigent
Members
Sponsored
Members
Senior
Citizens
Formal Economy
Formal Economy
Formal Economy
Formal Economy
Formal Economy
Formal Economy
Formal Economy
Workers in the government and private sectors
who have established employee-employer
relations are qualified under this program
Informal Economy
Workers not covered by formal contracts
and whose premium contributions are
self-paid or subsidized
Lifetime Members
Those who have reached
the age of retirement, and
have made 120 monthly
contributions
Indigent Members
Persons who have no visible means
ofincome, or whose income is
insufficient for family substinence, as
identified by the DSWD
based on specific criteria
Sponsored Members
Members whose premium contributions
are paid for by another individual,
government agency or private entity
Senior Citizens
Filipino citizens who are residents of the
Philippines, aged sixty (60) years or above
and are not currently covered by any
membership category of PhilHealth
REGISTRATION
PROCEDURE
Cristine Joy J. Benitez
CONTENTS
Requirements
Additional Requirements for Lifetime
Members and OFW
3 Ways on How to Register
PhilHealth Member Portal
PhilHealth Member Data Report
REQUIREMENTS
Duly accomplished PhilHealth Member Registration Form
(PMRF).
Active email address.
Valid ID.
Supporting documents (e.g., PSA birth certificate or
Marriage Cert. ) that will prove the applicant’s relationship
with his/her declared dependents.
Other forms
OTHER DOCUMENTS FOR EMPLOYER
REGISTRATION
OTHER DOCUMENTS FOR EMPLOYER
REGISTRATION
VALID ID’S PRIMARY
VALID ID’S
SECONDARY
REQUIREMENTS (LIFETIME MEMBER)
Duly accomplished PMRF
Copy of their Senior Citizen ID (or any valid ID that shows
their date of birth)
2 pcs 1×1 photo
Any document like their service record or certification
from their employers showing their total PhilHealth
contribution over the years.
REQUIREMENTS (LAND-BASED OFWS )
Duly accomplished PMRF
Copy of their valid ID and supporting documents
Their latest job order contract/employment contract/OEC
REQUIREMENTS (SEA-BASED OFWS )
Duly accomplished PMRF
Copy of their valid ID and supporting documents
an Employee-Members (ER2) report.
3 WAYS TO REGISTER IN
PHILHEALTH
1
2
Online/ E-mail
Services
P-link
3
Dropbox
System/
Frontline
Services
1. ONLINE/ E-MAIL SERVICES
Visit www.philhealth.gov.ph, download & print PMRF.
Completely fill out the PMRF.
Send the scan copy of the filled-out PMRF together with
other required documents via email account of PhilHealth
office in your area. (sflhiomembership.online@gmail.com)
2. P-LINK
Fill out PMRF to be given by the hospital clerk or facility
where you are admitted.
Submit it back to the clerk with a copy of valid ID, birth
certificate, & other supporting documents to the hospital
clerk for processing.
3. DROPBOX SYSTEM/ FRONTLINE SERVICES
Submit the completely filled out PMRF, copy of valid ID
birth certificate, & other supporting documents to our
frontline services / drop box for processing.
For authorized representative, submit the authorization
letter & copy of valid ID
A. FOR LOCAL EMPLOYEES
Fill out two copies of the PMRF and submit them to HR.
Once your application is processed, PhilHealth will issue
your Member Data Record (MDR) and PhilHealth ID through
your employer.
OR
Submit the duly accomplished PMRF and E2 Form with a
copy of your valid ID and supporting documents like a birth
certificate
proving
your
relationship
with
your
dependent/s.
B. FOR EMPLOYERS
Visit any PhilHealth office and submit the requirements for
employee/kasambahay registration.
After processing, PhilHealth will issue your PhilHealth
Employer Number (PEN) and Certificate of Registration
(which should be displayed in your office, if you’re a
business employer).
Also, receive the MDRs and PhilHealth numbers of your
registered employees or kasambahays.
C. FOR SPONSORED MEMBERS
If your family is listed as NHTS (National Household Targeting System
for Poverty Reduction), get a certification from the city or municipal
DSWD office that you’re an NHTS family.
Submit this document and present a valid ID to the nearest PhilHealth
office.
If your family is not listed as NHTS, go to the barangay office and
inquire about PhilHealth enrollment under the Sponsored Program.
PHILHEALTH MEMBER PORTAL ACCOUNT
View your account and check membership details like
your address, member category, etc.
Check your premium contribution to ensure all the
payments made by your employer or yourself are
reflected in your account.
Download and print your Member Data Record (MDR)
Pay your monthly contributions (if you’re a self-paying
member).
PHILHEALTH MEMBER DATA
RECORD (MDR)
The MDR contains your basic information, your employer
if you’re employed and the dependent or beneficiaries
that are under your name.
This will prove that you are a member of PhilHealth.
This is also one major requirement when processing for
Philhealth during hospitalization.
HOW TO GET PHILHEALTH MDR ONLINE
HOW TO GET PHILHEALTH MDR ONLINE
HOW TO GET PHILHEALTH MDR ONLINE
HOW TO GET PHILHEALTH MDR ONLINE
HOW TO GET PHILHEALTH MDR ONLINE
HOW TO GET PHILHEALTH MDR ONLINE
HOW TO GET PHILHEALTH MDR ONLINE VIA
WALK-IN APPLICATION
Get a PhilHealth Request Form and fill it out with your
name, PhilHealth number, birth date, and address.
Check the “Member Data Record (MDR)” box.
Submit your accomplished form and present your valid ID
to the PhilHealth officer. Your MDR will be printed and
issued in just a few minutes.
HOW TO GET PHILHEALTH MDR IF YOU’RE AN
OFW ABROAD
OFWs can conveniently request a copy of their MDR by
emailing
their
complete
name
and
birthdate
to
ofp@philhealth.gov.ph.
PHILHEALTH MEMBER REGISTRATION
FORM (PMRF)
EMPLOYER DATA RECORD(ER1)
EMPLOYER'S REPORT OF EMPLOYEES
AND MONTHLY REMITTANCE RETURN
(ER2)
PMRF
PHILHEALTH MEMBER REGISTRATION FORM
PMRF
PMRF
PMRF
Qualified Dependents
Legitimate spouse who is not a member;
Child or children - legitimate, legitimated, acknowledged and illegitimate (as appearing in birth
certificate) adopted or stepchild or stepchildren below 21 years of age, unmarried and
unemployed.
Children who are twenty-one (21) years old or above but suffering from congenital disability,
either physical or mental, or any disability acquired that renders them totally dependent on the
member for support, as determined by the Corporation;
Foster child as defined in Republic Act 10165 otherwise known as the Foster Care Act of 2012;
Parents who are sixty (60) years old or above, not otherwise an enrolled member, whose monthly
income is below an amount to be determined by PhilHealth in accordance with the guiding
principles set forth in the NHI Act of 2013; and,
Parents with permanent disability regardless of age as determined by PhilHealth, that renders
them totally dependent on the member for subsistence.
Qualified dependents shall be entitled to a separate coverage of up to 45 days per calendar year.
However, the 45 days allowance shall be shared among them.
PMRF
PMRF
PMRF
PMRF
ER1
Employer Data Record
The ER2 or Employer's Report of
Employees and Monthly Remittance
Return is a form used by employers
to report the employees and their
corresponding contributions to the
Philippine Health Insurance
Corporation (PhilHealth)
PREMIUM
TO BE
PAID
DIRECT
CONTRIBUTORS
FORMAL MEMBERS
Workers with formal contracts and fixed terms of employment
including workers in the government and private sector, whose
premium contribution payments are equally shared by the employee
and the employer.
INFORMAL MEMBERS
Workers who are not covered by formal contracts or agreements
and whose premium contributions are self-paid or subsidized by
another individual through a defined criteria set by the
Corporation.
Note:
For the Formal Sector, the premium will be shared by the employee and the
employer. This will be automatically deducted from the monthly salary.
INDIRECT
CONTRIBUTORS
The national government will pay their PhilHealth
contribution.
Indigent Members
Senior Citizens (SC)
Persons with Disabilities (PWDs)
Note: Philhealth automatically covers all qualified
dependents of an active member.
BENEFITS
NACIS, PRINCESS AVERIE M.
PAGUD, NADINE ERIKA
PhilHealth RANGE OF BENEFITS
Inpatient Benefits- Benefits for sickness or
ailments that need confinement of not less than
24 hours.
Outpatient Benefits- Day surgeries and
treatment procedures done in accredited
hospitals and free-standing clinics that don’t
require confinement
Primary Care Benefits -Primary preventive services,
diagnostic examinations, and drugs and medicines,
initially available to Indigent/Sponsored members,
Organized Groups, and land-based migrant
workermembers and dependents. Recently expanded
to the DepEd personnel. Availed through Rural Health
Units (RHUs) and Out Patient Department (OPD) of
government hospitals.
Z Benefits Benefits designed for illnesses that are
lifethreatening and requires prolonged
hospitalization, extremely expensive therapies or
other treatments that can deplete family’s financial
resources, unless covered by special health insurance
policies.
MDG Benefits and other Special Benefit Packages
Benefits in line with 3 Millennium Development Goals
of reducing child mortality, improving maternal
health and combating HIV and other infectious
diseases
How can one avail of PhilHealth benefits?
Must be an active PhilHealth member with
updated payment
Must be attended by an accredited doctor and
service must be provided by a PhilHealth
accredited Health Care Institution (HCI)
THANK YOU!