PhilHealth Membership: Complete Guide on How to Apply

What are the requirements for PhilHealth membership?

PhilHealth, also known as the Philippine Health Insurance Corporation (PHIC), is a government-owned and controlled corporation that provides health insurance coverage and benefits to Filipinos. It was created to help Filipinos mitigate the high cost of healthcare by providing access to affordable medical services.

PhilHealth membership is important because it provides financial assistance in times of medical emergencies. Members are entitled to a wide range of benefits such as hospitalization, outpatient services, and other medical services.

Being a PhilHealth member also ensures that you receive quality healthcare services at a lower cost. PhilHealth also offers health programs and initiatives that promote preventive healthcare and healthy living.

What are the steps in applying for a PhilHealth membership?

Here are the general steps for applying for PhilHealth membership in the Philippines:

Check if you are eligible to apply for PhilHealth membership. You can visit the PhilHealth website or any PhilHealth office for the list of eligible individuals.
Prepare the required documents. The documents may include a valid ID, birth certificate, marriage certificate (if applicable), and proof of income or employment.
Go to the nearest PhilHealth office or satellite office in your area. Bring the required documents and two copies of the accomplished PhilHealth Member Registration Form (PMRF).
Submit the requirements and accomplished PMRF to the PhilHealth officer. The officer will review your application and may ask for additional information or documents.
The PhilHealth member data registration (MDR) and ID issue are both free.
Once your application is approved, you will receive your PhilHealth number. You may also apply for an ID and membership card by filling out a separate form.
Activate your PhilHealth membership. You need to activate your PhilHealth membership by paying the initial premium contribution. You can pay the contribution at any PhilHealth office or through authorized payment centers.

Note: The steps may vary depending on your membership category or if you apply online. It is always best to check the PhilHealth website or visit the nearest PhilHealth office for the latest information and updates.

What are the requirements to apply for a PhilHealth membership?

The requirements for applying for PhilHealth membership may vary depending on the membership category you belong to. Here are the general requirements:

Two accomplished copies of PhilHealth Member Registration Form (PMRF). You can get the PMRF from the PhilHealth office or download it from the PhilHealth website.
One valid ID. Any of the following IDs are accepted: Postal ID, Driver’s License, Passport, PRC ID, SSS ID, Voter’s ID, or any government-issued ID.
Proof of income. This is required for employed or self-employed individuals. Proof of income may include a Certificate of Employment, Payslip, or Income Tax Return.
Birth certificate. This is required for individuals aged 18 and below.
Marriage certificate. This is required for married individuals who are changing their last name.
Other documents. Additional documents may be required for specific membership categories such as Senior Citizen ID for senior citizens or Certificate of Indigency for indigent members.

It is best to check the PhilHealth website or visit the nearest PhilHealth office for the complete and updated list of requirements.

Where can I get the PhilHealth membership application form?

You can get the PhilHealth membership application form, also known as the PhilHealth Member Registration Form (PMRF), from any PhilHealth office or download it from the PhilHealth website.

To download the PMRF from the PhilHealth website, follow these steps:

Go to the PhilHealth website at www.philhealth.gov.ph.
Click on “Downloadable Forms” on the homepage.
Look for the “PhilHealth Member Registration Form” and click on the download button.
Print two copies of the form.

You can also ask for assistance from any PhilHealth officer in filling out the form or in getting a copy of the form.

How do I fill out the PhilHealth membership application form?

To fill out the PhilHealth membership application form or PMRF, follow these steps:

Fill out the personal information section. This includes your full name, address, contact details, birth date, and civil status.
Choose your membership category. There are different membership categories such as employed, self-employed, overseas worker, senior citizen, and indigent. Choose the appropriate category that applies to you.
Indicate your dependents. If you have dependents such as a spouse or children, indicate their names, birth dates, and relationship to you.
Provide your occupation or source of income. This is required for employed or self-employed individuals.
Sign the form and indicate the date of application.
Prepare the supporting documents. Attach the required documents such as a valid ID and birth certificate.
Submit the accomplished PMRF and supporting documents to the PhilHealth office or satellite office.

It is important to double-check all the information you provided on the form to avoid errors or mistakes. If you have any questions or concerns, do not hesitate to ask for assistance from any PhilHealth officer.

What are the payment options for membership?

PhilHealth offers various payment options for its paying members. Here are the payment options:

PhilHealth office or accredited collecting agents: Members can pay their contributions directly to any PhilHealth office or accredited collecting agents such as Bayad Center, SM Bills Payment, or M Lhuillier.
Online payment: Members can also pay their contributions online through the PhilHealth Electronic Premium Remittance System (EPRS) or through the online banking facilities of PhilHealth partner banks such as BDO, BPI, Metrobank, and Landbank.
Overseas: For overseas Filipino workers (OFWs), PhilHealth has partnered with various agencies and financial institutions abroad for the payment of contributions.
Employer: Employed members have their contributions deducted from their salaries and paid by their employers.

It is important to pay your contributions regularly and on time to ensure continuous coverage and access to PhilHealth benefits.

How long does it take to process a PhilHealth membership application?

The processing time for a PhilHealth membership application may vary depending on the PhilHealth office or satellite office where you submitted your application. In some cases, it may take a few days to process your application, while in other cases, it may take up to two weeks.

To avoid delays in processing your application, make sure that you have completed all the requirements and provided accurate and complete information. You can also follow up on the status of your application by visiting the PhilHealth office or satellite office where you submitted your application or by contacting PhilHealth through their customer service hotlines or email.

Once your application is approved, you will receive your PhilHealth Identification Number (PIN) and membership card. Keep your membership card and PIN in a safe place and remember to bring them with you when availing of PhilHealth benefits.

How do I check my membership status

You can check your PhilHealth membership status by following these steps:

Go to the PhilHealth member inquiry website.
Enter your PhilHealth Identification Number (PIN) and password.
Type the verification number and click or tap the “login” button.
You will be directed to the page where you can view your PhilHealth membership status, including your membership category, enrollment date, and contributions.

If you encounter any problems or issues in checking your PhilHealth membership status online, you can also inquire at any PhilHealth office or satellite office near you. Bring a valid ID and your PhilHealth PIN or any proof of your PhilHealth membership such as your PhilHealth ID or membership card.