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Claiming PhilHealth Deductions from the Hospital – Part Two

This is part two of my journey as a first time claimant for PhilHealth benefits. My son was discharged from the hospital last night and I successfully claimed my Philhealth benefits via outright deductions from my hospital bill.


How to process your final hospital bill and claim Philhealth deductions:

1. Read part one for the requirements.

2. Add to the requirements, the CF2 form which is the claiming form for your doctor’s professional fees. I told the doctor I will claim my Philhealth benefits and after a few minutes, the CF2 form was given to me by the nurse. Note that I did not print the form nor had it with me. Your hospital should have this form ready for your doctor to fill up and sign.

In the form the doctor would state the amount of professional fees, the amount you paid, and the Philhealth deductions. I do not have a clear understanding of this but the billing department says Philhealth will send me a check to reimburse the payment I have made.

The CF2 given to me states the PF amounting to Php 7,000 with Php 2,000 deductions, and Php 5,000 as the total payment I have made. However, I gave Php 10,000 to my son’s doctor. I feel something is wrong with this and would check back with the hospital customer’s service when I come back. What do you think?

3. Now with all the forms in tow, proceed to the billing section and just wait. The final summary of charges will now contain the amount of Philhealth deductions. My deduction amounted to Php 10,000 +/- and I am very happy! Except for the blurry CF2 and professional fee.

4. Pay the remaining balance at the hospital’s cashier. Now you can look for the hospital exit signs and finally go home! :)

With outright deductions there is no need to submit receipts, etc to Philhealth and it was very easy. I was imagining a chaotic claiming process but I was wrong. For the first time, I feel that the government has helped me. Thank you.

What is your personal experience in claiming PhilHealth benefits? Share them here!

  • Lian Lamigo

    When my mom was confined for her gallstones (this was when I was still with EKI), I didnt have a hard time. I just complied with the requirements (most of which I got from our HR Dept), and voila! Deductions were made at the billing section. I think we saved around P14000. As for the PF, my mom had it free of course since she was treated by a relative.

    For my recent surgery however, Philhealth did not accept one of the required docs since it was signed by the Assistant HR Manager when it should have been the VP for HR. So I had to come back another day within 5 days after discharge to submit the requirements. Thankfully, my OB and anesthesiologist already deducted Philhealth from their PF so my only problem was the reimbursement on room & other hospital fees. I was told it would take about 3 months to process refund. I submitted the documents to MDH and was advised to follow up after a week. I did and was informed my documents were already forwarded to Philhealth Quirino Ave. So what’s left for me to do was follow up with them. I was given a phone number that rang eternally with no one answering the phone. So after a month and a half I decided to come to their office to follow it up personally. Seeing that my number was around 600+ and they were still servicing customers in the #400s at 3PM, I decided to just go home. I forgot all about it. After a few weeks, I had the nicest surprise, Philhealth mailed my check to me. :)

    Anyway, I saved around P30T on that one. :)

  • http://www.mommylace.com/ Lace Llanora

    Thanks for sharing Lian!

    Those are big amounts, good for you and your mom :)
    But of course, who wants to get sick yet when we do, it’s good we can rely
    on PhilHealth.

    I am envious on how you managed the professional fees, I cannot understand
    what happened with mine.
    I wanted to ask the pediatrician but I was unable for Ashton’s post check up
    so I will just forget about it.

    Lace

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