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PhilHealth for foreigners

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Remember!

Foreigners living in the Philippines can get Philippines, also single with tourist visas.

The requirement is that you are "permanent tourist", in other words that you live here . This can be proved by lease contracts and stamp in your passport.

 

But when I signed up, I used only my passport and ID card from BI (ACR).

This had to be copied and submit with my application (PhilHealth Member Registration Form).

Then I paid for 6 months, 900 pesos.(150 per month now)

Everything took about 40 minutes.

 

Which PhilHealth branch did you go to? Was it one of the "express" branches or the main office downtown on the corner?

PhilHealth Regional Office, "Golden Peak"

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billy

i just signed up for phil health they are on the 3rd floor of robinson fuente. it takes about thirty  min. 1st go to basement and get a number next to handy man hardware to wait in line to be helped. go back upstairs to phil health. bring a couple of I D'S. i used my passport and drivers license. you will fill out a couple of forms,  then they will give you a paper to pay your insurance at robinson bank 150 pesos per month. i paid 3 months in advance. you go back to phil health and you then walk out of there with your I D card.

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Half Baked

i just signed up for phil health they are on the 3rd floor of robinson fuente. it takes about thirty  min. 1st go to basement and get a number next to handy man hardware to wait in line to be helped. go back upstairs to phil health. bring a couple of I D'S. i used my passport and drivers license. you will fill out a couple of forms,  then they will give you a paper to pay your insurance at robinson bank 150 pesos per month. i paid 3 months in advance. you go back to phil health and you then walk out of there with your I D card.

It takes affect immediately? Or do you have to wait x amount of days?

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Half Baked

PhilHealth Regional Office, "Golden Peak"

Once you paid, was it effective immediately?

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Majorsco

I read somewhere(I forget where) that claims not from injuries (ie medical conditions not from like accidents etc.) will not be allowable for 9 months after enrollment. I suppose it is to keep those that sign up after they get sick and only pay a month's premium to get care and quit after.

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HTM

It takes affect immediately? Or do you have to wait x amount of days?

6 months,

 

The following must first be met to avail of your PhilHealth benefits:

  • Payment of at least three (3) monthly premiums within six (6)

    months prior to the month of confinement.

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HTM

Benefit availment conditions Eligibility Requirements

  • Payment of at least three monthly premiums within the

    immediate six months prior to the month of confinement. For

    pregnancy-related cases, dialysis (except those undergoing emergency

    dialysis service during confinement), chemotherapy, radiotherapy and

    selected surgical procedures, payment of nine (9) monthly premium

    contributions within the last 12 months shall be required except for

    those enrolled under the KASAPI program.

  • Confinement in an accredited hospital for at least 24 hours (except

    when availing of outpatient care and special packages) due to an illness

    or injury requiring hospitalization.

  • Attending physicians must also be PhilHealth-accredited.
  • Availment is within the 45-day allowance for room and board.

Post availment reminders

After the automatic deduction or reimbursement of your

benefits, PhilHealth will send the Benefit Payment Notice or BPN to the

address indicated in the member’s claim form. The BPN is a report of

actual payments made by PhilHealth relative to member’s the

confinement/availment.

Should there be discrepancies between the amounts reflected in the BPN

and in the member’s final billing statement issued by the hospital, or

if the member has other concerns pertaining to benefit availment, he may

contact PhilHealth or the health care provider. The member must bring

the BPN as reference document.

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HTM

KASAPI program

PhilHealth KaSAPI (Kalusugang Sigurado at Abot-Kaya sa PhilHealth Insurance)

Summary

KaSAPI is a program developed to
provide social health insurance through partnerships with organized
groups (OG) for members in the informal sector. It specifically aims to
provide access to quality health care services to a wider membership
base and sustain membership of the OG members.

Program goals

The
National Health Insurance Program (NHIP) aims to provide health care
access to all segments of society. However, a study has shown that only
40 percent of the total population is covered. In a country wherein
significant portion of its labor force is in the informal sector, it is
deemed necessary to have systematic mechanism to include them in the
safety net loop. In 2005, PhilHealth launched its KaSAPI (Kalusugang
Sigurado at Abot-Kaya sa PhilHealth Insurance) initiative, a program to
enhance enrolment among informal economy employees.


Key program components

Under KaSAPI,
PhilHealth enters into strategic partnerships with institutions such as
cooperatives, NGOs and rural banks, many of which specifically serve
informal economy employees. The strategy thus portrays a good example of
good partnership between government and non-government sectors. The
KaSAPI program is supposed to be a triple-win for the three actors in
the program: (1) informal economy workers receive protection when they
fall ill, payment for them is more flexible (saving them time and
effort), they have lower premium and more benefits; (2) PhilHealth
benefits from increased, sustained coverage and improved financial
stability of the program for informal sector workers; and (3) the
partner institution is able to fulfill its social mission, gain
additional membership, and reduce risk. In 2009, PhilHealth KaSAPI
served 28,000 clients.

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billy

It takes affect immediately? Or do you have to wait x amount of days?

i signed up october 1- 12/31/2013 

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mexiwi

Just looking into the PhilHealth thing for my fiancee's family - her brothers and sister and her dad.

 

How do you pay the premiums, as we won't be in the Phils, can you pay it my direct debit from a Phils bank? or is that hoping for a bit much.

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Majorsco

 

 

Just looking into the PhilHealth thing for my fiancee's family - her brothers and sister and her dad.  
 

 

Are your fiancee's brothers and sisters adults?  If so, then they may not qualify to be covered on the same account, even if it is in her dad's name.  If you put it in her name, she can have her dad, but not her brothers and sisters.

http://www.philhealth.gov.ph/members/individually_paying/dependent.html

who are qualified dependents

The following also enjoy PhilHealth coverage without additional premiums

  • 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.

Important:

Qualified dependents must be declared by the principal member. Their names must be listed under the principal member's Member Data Record (MDR) to ensure hassle-free benefits availment

 

I can't speak to payments from a bank, however, it looks like its possible from info from the PhilHealth site below.  My wife and I have an account, and we just go to the PhilHealth office and pay there.

 

http://www.philhealth.gov.ph/partners/collecting/

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Bill H

All it takes is money, anyone can sign up under their own name.  Your wife's parents can have their own account and include their minor unmarried children on that account.  However, PhilHealth only covers hospitalizations, if you get sick and go to a clinic as an out patient there is no coverage.

 

How to pay?  You can wire them the funds and hope they use them to pay the premiums.  Not much else you can do.

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mexiwi

All it takes is money, anyone can sign up under their own name.  Your wife's parents can have their own account and include their minor unmarried children on that account.  However, PhilHealth only covers hospitalizations, if you get sick and go to a clinic as an out patient there is no coverage.

 

How to pay?  You can wire them the funds and hope they use them to pay the premiums.  Not much else you can do.

 

Yeah - thats what I was looking at.

 

Her siblings are all over 18, her Dad isn't 60 yet so the idea is individual accounts.

 

I will have to look at the costs. Like if I get one for her sister then it should cover her husband and the nieces.

 

I know it won't cover everything, but it will cover some, and get them in the door when they need to go to hospital.

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A_Simple_Man

 

 

get them in the door when they need to go to hospital.

 

get them in the door when they need to gET ADMITTED to hospital.

 

I say that because I have tried going to the hospital emergency room as an out patient and asking if Phil Health will pay any of it and the attending Physician specified you must first be admitted.

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ozboy

....after the first claim does premiums go up the following year? Im sure it does but how much more is basically the question..

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