PhilHealth

Check PhilHealth coverage

Check your records and ask an accredited facility about the applicable benefit.

A checklist to help you prepare

Check your records and ask an accredited facility about the applicable benefit.

About this guide

Checking off a task does not submit an application. The listed scope and special cases determine which documents you need.

Benefit informationCoverage depends on the benefit and treatment; no fixed reimbursement promised.

Processing timeDepends on verification and appointment availability.

Can start onlineStart on the official portal

Physical visitOnly if required for your case

Guide reviewed 2026-10-05. Save your checklist here; application and payment happen on the official service.

What you’ll need

✓

Identity documents

Prepare an accepted ID and supporting records for the transaction.

✓

Member record and treatment details

Use the current official checklist for your case.

Check your membership record

Confirm your PIN and dependant details before the facility evaluates coverage.

Official service

Ask the facility about coverage

The accredited facility checks eligibility and applicable benefit rules.

Official service

Review the billing statement

Ask which charges the benefit covers and which amount remains payable.

Official service

Coverage depends on the benefit and treatment; no fixed reimbursement promised.

Use your confirmed appointment office. The contact below is agency support, not a branch appointment.

Agency address & contact scope

Citystate Centre, 709 Shaw Boulevard, Pasig City

Agency contact; choose the local office or clinic for your transaction.

Contact references reviewed: 2026-10-05. Call availability has not been tested.