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Philhealth requirements for sponsored indigent Philhealth requirements for sponsored indigent

a. MDR 2017 a. MDR 2017


b. 4 PS ID b. 4 PS ID
c. Accomplished CF1 and 2 (duly signed by the member) c. Accomplished CF1 and 2 (duly signed by the member)

*Additional requirements for dependent patients(child,spouse) *Additional requirements for dependent patients(child,spouse)
1. Birth certificate/Baptismal certificate 1. Birth certificate/Baptismal certificate
2. Marriage contract w/ registry no. 2. Marriage contract w/ registry no.

Individually paying Individually paying


a. Proof of payment a. Proof of payment
b. Properly accomplish CF1 and 2(duly signed by the b. Properly accomplish CF1 and 2(duly signed by the member)
member)

*Additional requirements for dependent patients(child,spouse)


*Additional requirements for dependent patients(child,spouse) 1. Birth certificate/Baptismal certificate
1. Birth certificate/Baptismal certificate 2. Marriage contract w/ registry no.
2. Marriage contract w/ registry no.

Private employed/Govt. employed


Private employed/Govt. employed
a. Updated MDR
a. Updated MDR
b. Properly accomplished CF1 signed by the
b. Properly accomplished CF1 signed by the
member and employer or generated PBEF
member and employer or generated PBEF *Additional requirements for dependent patients(child,spouse)
*Additional requirements for dependent patients(child,spouse) 1. Birth certificate/Baptismal certificate
1. Birth certificate/Baptismal certificate 2. Marriage contract w/ registry no.
2. Marriage contract w/ registry no.
Lifetime Member
Lifetime Member
a. MDR
a. MDR
b. Lifetime Id (Senior Citizen Id Card)
b. Lifetime Id (Senior Citizen Id Card)
c. Accomplished CF1 c. Accomplished CF1
*Additional requirements for dependent patients(child,spouse)
*Additional requirements for dependent patients(child,spouse)
1. Birth certificate/Baptismal certificate
1. Birth certificate/Baptismal certificate
2. Marriage contract w/ registry no.
2. Marriage contract w/ registry no.

Philhealth requirements for sponsored indigent Philhealth requirements for sponsored indigent
a. MDR 2017 a. MDR 2017
b. 4 PS ID b. 4 PS ID
c. Accomplished CF1 and 2 (duly signed by the member) c. Accomplished CF1 and 2 (duly signed by the member)

*Additional requirements for dependent patients(child,spouse) *Additional requirements for dependent patients(child,spouse)
1. Birth certificate/Baptismal certificate 1. Birth certificate/Baptismal certificate
2. Marriage contract w/ registry no. 2. Marriage contract w/ registry no.
Individually paying Individually paying
a. Proof of payment a. Proof of payment
b. Properly accomplish CF1 and 2(duly signed by the member) b. Properly accomplish CF1 and 2(duly signed by the
member)
*Additional requirements for dependent patients(child,spouse)
1. Birth certificate/Baptismal certificate *Additional requirements for dependent patients(child,spouse)
2. Marriage contract w/ registry no. 1. Birth certificate/Baptismal certificate
Private employed/Govt. employed 2. Marriage contract w/ registry no.
a. Updated MDR Private employed/Govt. employed
b. Properly accomplished CF1 signed by the a. Updated MDR
member and employer or generated PBEF b. Properly accomplished CF1 signed by the
member and employer or generated PBEF
*Additional requirements for dependent patients(child,spouse)
1. Birth certificate/Baptismal certificate *Additional requirements for dependent patients(child,spouse)
2. Marriage contract w/ registry no. 1. Birth certificate/Baptismal certificate
Lifetime Member 2. Marriage contract w/ registry no.
a. MDR Lifetime Member
b. Lifetime Id (Senior Citizen Id Card) a. MDR
c. Accomplished CF1 b. Lifetime Id (Senior Citizen Id Card)
c. Accomplished CF1
*Additional requirements for dependent patients(child,spouse)
1. Birth certificate/Baptismal certificate *Additional requirements for dependent patients(child,spouse)
2. Marriage contract w/ registry no. 1. Birth certificate/Baptismal certificate
2. Marriage contract w/ registry no.

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