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Philippines · PhilHealth claim
PhilHealth reimbursement requirements — fill in the claim letter, print it, file within 60 days
Unlike PhilHealth PDFs and guides, you fill the claim letter in right here, see your 60-day filing deadline and print it — free, no sign-up.
Last day to file: type the date of discharge
Claim denied? Count the motion for reconsideration
File the motion by: type the date
15 days from receipt — PhilHealth Circular No. 03, s. 2008. Check with PhilHealth that this period still applies; follow the period in your notice.
Rule: PhilHealth Circular No. 20, s. 2014 — 60 days, 180 abroad. Check your own case.
Calculated by the rule of PhilHealth Circular No. 20, s. 2014: 60 calendar days after discharge, 180 if abroad, counting from the day after discharge. Check your own case — calamity extensions and package rules differ.
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- 1Fill in. Type into the PhilHealth claim checklist and cover letter right here on the page — no sign-up, nothing to install.
- 2Print or download. Print it in one click, or download the Word file to keep and edit.
- 3Send. File it at the PhilHealth office with CF1, CF2, CF3/CF4 and the receipts; keep the stamped receiving copy.
- 4Deadline. Within 60 calendar days after discharge (180 days if confined abroad) — the calculator above counts it for you.
Deadlines
The rules, with the source
| What | Deadline | Source |
|---|---|---|
| Claim filed directly by the member | 60 calendar days after the date of discharge | PhilHealth Circular No. 20, s. 2014, Part III, item 7 |
| Confinement abroad | 180 days after the date of discharge | PhilHealth Circular No. 20, s. 2014, Part III, item 9 |
| Emergency in a non-accredited hospital | 60 days after the date of discharge | PhilHealth Circular No. 20, s. 2014, Part III, item 8 |
| Claims filed by the hospital | 60 calendar days — the hospital’s duty | e.g. PhilHealth Circular No. 2026-0008, item 7 |
| Motion for reconsideration of a denied claim | 15 days after you receive the denial — check that this still applies | PhilHealth Circular No. 03, s. 2008 (status not confirmed) |
Count calendar days starting the day after discharge. Areas hit by a calamity may get longer periods by a separate PhilHealth circular. Direct filing is allowed only in some cases — for some newer packages only for confinement abroad.
Checklist
Direct filing: the documents
- PhilHealth Claim Form 1 (CF1)Member data; the hospital helps you fill it. Use the latest version.
- Claim Form 2 (CF2)Filled in by the hospital: diagnosis with ICD-10 / RVS codes and charges.
- CF3 or CF4 — clinical recordBy the hospital and doctor; a photocopy of the chart or a clinical abstract is accepted instead of CF3 (Circ. 20 s.2014).
- Claim Signature Form (CSF)If the hospital or the PhilHealth office asks for it.
- Waiver for directly filed claimsFrom the hospital: you paid in full and no PhilHealth deduction was made.
- Statement of Account and official receiptsItemized SOA; original receipts for the bill, doctors’ fees, medicines and tests bought outside.
- Confinement abroadForeign bill and receipts, medical certificate or abstract, English translation, passport pages — confirm the list with PhilHealth.
- Authorization letter and IDsOnly if someone files for you. Keep a stamped receiving copy of everything.
Step by step
Five steps
1
Ask before you pay
Ask the billing office to deduct PhilHealth from the bill. Most claims are filed by the hospital.
2
Check if you may file directly
Abroad, emergency in a non-accredited hospital, weekend or holiday confinement without the employer’s certification, and a few other cases.
3
Count 60 days
Type the discharge date above. File well before the last day.
4
Complete the documents
CF1 by you; CF2, CF3/CF4 and the waiver by the hospital; SOA and original receipts.
5
File and keep the receiving copy
The date stamp proves you filed on time. If denied, file the motion for reconsideration.
Free templates
Open as a page or as Word
- PhilHealth claim checklist and cover letter Your deadline, who files, every document with who prepares it, why claims are denied, and a cover letter to the PhilHealth office.
- PhilHealth motion for reconsideration Letter-motion for a denied claim: the claim and the denial, grounds with annexes, filed within 15 days of receipt (check the rule).
Templates written for this page; fields in [BRACKETS] are for you to fill in. Licence CC BY 4.0 · © Layers (layers.md).
What people do next
Claim denied?
Open the motion for reconsideration template, attach proof for every ground, and file it within 15 days of receipt (confirm the period).
Balance left after PhilHealth?
Send the rest to your HMO or employer health plan with the SOA and receipts.
What Layers does with it
Honest status: Works today is live now; Coming is not yet.
02
The Word file
The same template as .docx — print it, sign it, file it. Opens in Word, Google Docs and LibreOffice.
- Works today Download as .docx
03
Deadline on this page
Type the date and see the last day and how many days are left.
- Works today Calculator on this page
- Coming Reminders before the last day
04
Share with family or a lawyer
One folder for the papers: share it, comment instead of long message threads.
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Questions
How many days do I have to file a PhilHealth claim?
60 calendar days after the date of discharge; 180 days if you were confined abroad (PhilHealth Circular No. 20, s. 2014). A claim filed late is denied, and PhilHealth has said late filing is the main reason for denied claims.
What are the PhilHealth reimbursement requirements?
Claim Form 1, Claim Form 2, CF3 or CF4 (or a clinical abstract), the hospital’s waiver for directly filed claims, the itemized statement of account, and original official receipts — plus extra papers for surgery, confinement abroad or a representative. See the checklist above and confirm with your PhilHealth office.
How do I claim a PhilHealth reimbursement myself?
Only in some cases: confinement abroad, an emergency in a hospital not accredited by PhilHealth, an employed member confined over a weekend or holiday who could not get the employer’s certification, and other cases PhilHealth lists. Otherwise the hospital files the claim and deducts PhilHealth from your bill.
How much is the PhilHealth reimbursement?
A directly filed claim is paid at the case rate for your condition or procedure, not the whole bill.
My PhilHealth claim was denied. What can I do?
You may file a motion for reconsideration with the PhilHealth office that denied it. The template above lists the usual grounds. A 15-day period from receipt is commonly cited (Circular No. 03, s. 2008) — confirm with PhilHealth and follow any period written in your notice.
Is this an official PhilHealth form?
No. CF1, CF2, CSF and CF4 are PhilHealth’s forms — download the latest from philhealth.gov.ph. These pages are a checklist, a deadline calculator and letters to go with the forms. Layers is not affiliated with PhilHealth.
Other insurance claims
Keep the papers in one place
Letters, receipts and notices in one folder you can share with family or a lawyer. The templates and the editor are free; Layers is free for up to 20 people.
For information only, based on PhilHealth circulars as of October 2026. Check your own case with your hospital or PhilHealth office. Layers is not affiliated with PhilHealth.