Calculators & Checkers
PhilHealth Claim Eligibility Checker
Verify if your hospitalization case qualifies for manual claim reimbursement based on filing deadlines and payment statuses.
🧮 Calculation Formula & Rules
Claims are approved if: 1) filed within 60 calendar days of discharge, 2) member paid 3 months within 6 months prior, and 3) member has not exhausted the 45-day yearly hospitalization cap.
💡 Real-World Scenarios
A member discharging on September 1 has until October 31 to file a manual claim at a branch office.
❓ Frequently Asked Questions
Members receive 45 days of hospital room and board allowances per calendar year. This is separate from another 45 days allocated to dependents collectively.