The Philippine Health Insurance Corporation (PhilHealth) is the government agency responsible for ensuring that Filipinos have access to affordable healthcare. One of the essential documents for availing PhilHealth benefits is Claim Form 1 (CF-1), which must be properly filled out and submitted along with other required documents.
In this guide, we will walk you through the important reminders, how to fill out the form, and the submission process to help you maximize your PhilHealth benefits.
What is Claim Form 1 (CF-1)?
Claim Form 1 is an essential document for both members and their dependents when availing of PhilHealth benefits for hospital confinements or medical services. This form must be submitted within the prescribed filing period to ensure the processing of claims.
- For local availment: Must be filed within 60 days from the date of discharge.
- For availment abroad: Must be filed within 180 days from the date of discharge.
Healthcare institutions (HCIs) are responsible for assisting patients in filling out this form correctly. Incomplete or incorrect information may lead to delays or rejection of claims.
CLICK HERE TO DOWNLOAD CLAIM FORM 1 (CF1)
Step-by-Step Guide to Filling Out CF-1
PART I - MEMBER INFORMATION
This section is for the PhilHealth member who is applying for the benefit. You need to provide:
✅ PhilHealth Identification Number (PIN)
✅ Full Name (Last Name, First Name, Middle Name, Name Extension)
✅ Date of Birth
✅ Mailing Address (Include Barangay, City, Province, and ZIP Code)
✅ Contact Information (Landline, Mobile, Email)
✅ Indicate whether the patient is the PhilHealth member or a dependent.
PART II - PATIENT INFORMATION (If the patient is a dependent)
If the patient is a dependent (e.g., child, spouse, or parent of the member), fill in:
✅ PhilHealth Identification Number (PIN) of the Dependent
✅ Full Name of the Dependent
✅ Date of Birth
✅ Relationship to the Member (Check the appropriate box)
PART III - MEMBER CERTIFICATION
The PhilHealth member or authorized representative must sign this section, certifying that all information provided is true and accurate.
🔹 If the member is unable to sign, a right thumbmark must be placed, and an HCI representative must assist.
🔹 If a representative signs on behalf of the member, they must indicate their relationship to the member and the reason for signing.
PART IV - EMPLOYER’S CERTIFICATION (For Employed Members Only)
For employed members, the employer must:
✅ Provide the PhilHealth Employer Number (PEN)
✅ Indicate the business name and contact number
✅ Certify that the required PhilHealth contributions have been paid
✅ Sign the form and provide the date of certification
Important Reminders When Filing CF-1
✔️ Use capital letters and check the appropriate boxes.
✔️ Ensure all required fields are complete. Incomplete forms will not be processed.
✔️ False or incorrect information may result in criminal, civil, or administrative liabilities.
✔️ For employed members, ensure that your employer certifies your contributions.
✔️ For overseas availments, file your claim within 180 days of discharge.
Where to Submit CF-1?
You can submit your completed CF-1 and other required documents to:
📍 PhilHealth Offices – Local Health Insurance Offices (LHIO)
📍 Hospitals and Accredited Healthcare Facilities
📍 PhilHealth Website (www.philhealth.gov.ph)
For inquiries, you may contact PhilHealth:
📞 Call Center: (02) 441-7442
📞 Trunkline: (02) 441-7444
📧 Email: actioncenter@philhealth.gov.ph
Final Thoughts
Understanding and correctly filling out PhilHealth Claim Form 1 is crucial in ensuring that your medical benefits are processed smoothly. Whether you are a member or a dependent, following this guide will help you avoid delays and maximize your PhilHealth coverage.
For more information, visit www.philhealth.gov.ph or reach out to their customer service. Stay insured, stay protected! 💙🏥