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PMRF Republic of the Philippines PHILIPPINE HEALTH INSURANCE CORPORATION PHILHEALTH MEMBER REGISTRATION FORM Citystate Centre Building 709 Shaw Boulevard Pasig City Healthline 441-7444 www. 3. Always use your PIN in all transactions with PhilHealth. PURPOSE Please carefully read instructions at the back before accomplishing this form. 1. 5 Lifetime Member Retiree / Pensioner With 120 months contribution and has reached retirement age Date/Effectivity of Retirement mm dd yyyy Filipino with...
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What is a Philippines Health Insurance Form?

Everyone knows that good health is a very important part of our well-being. It is impossible to stay healthy without money as modern healthcare service is expensive. That is why it is recommended to have health insurance. It is a type of insurance that guarantees you medical care if such necessity occurs. To receive this insurance you need to file a special Philippines Health Insurance Form available on our site. Fill it out online and save your time.

What is the Philippines Health Insurance Form for?

You may use this form to request your health insurance in the Philippines. That’s the main purpose of this application. It is only one page and is not difficult to complete.

When is the Philippines Health Insurance Form Due?

The due date of the insurance form depends on the type of health insurance you want to get. There are many categories, and you may check them out on the official site of the Philippines Health Insurance Corporation.

Is the Philippines Health Insurance Form Accompanied by Other Documents?

There is a set of documents that you must attach to your form. They are the following:

  • Passport;

  • Driver’s license;

  • Postal and voter’s ID;

  • Police and FBI clearance;

  • Social Security System Card;

  • Marriage certificate;

  • Birth certificate of a child;

  • Barangay certificate;

  • Senior citizen’s card;

  • Government Service Insurance System e-Card;

  • Seaman’s ID, etc.

The full list of documents is published in the instructions to the form.

Where do I Send the Philippines Health Insurance Form?

You must complete the form, prepare all attachments and send it all to the Philippines Health Insurance Corporation.

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