PMRF PhilHealth Member Registration Form

pmrf philhealth

PhilHealth Member Registration Form “PMRF” is a document used by the Philippine Health Corporation “PhilHealth” to register individuals as members of the National Health Insurance Program.

The PMRF PhilHealth is a one-page document that requires personal and contact details, income, nationality, tax identification number, and signature.

The form also has instructions and reminders for filling out the form. The PMRF simplifies registration and updating procedures for new Membership Types such as Direct and Indirect Contributors.

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The Revised PMRF shall take effect fifteen (15) days after publication in any newspaper of general circulation.

PMRF PhilHealth Form Download

download pmrf philhealth form

Purpose Of PMRF

The main purpose of PMRF is to simplify registration and updating procedures. It is a requirement for those who want to avail of PhilHealth benefits and services.

Components Of PMRF

The PMRF contains several components that must be filled out by the applicant. These components are as follows:

  1. Personal Details – This section requires the applicant’s name, gender, date of birth, citizenship, civil status, and PhilSys ID number (optional).
  2. Address and Contact Details – This section requires the applicant’s current address and contact information.
  3. Employment Details – This section requires the applicant’s PhilHealth employment status, occupation, and employer information.
  4. Dependent Details – This section requires information about the applicant’s dependents, including their name, gender, and date of birth.
  5. Other Information – This section requires information about the applicant’s previous PhilHealth membership, if applicable.

Please ensure you fill out the PMRF completely and accurately to avoid any delays or issues in the processing of PhilHealth benefits and services.

Eligibility Criteria

Individuals who are eligible to apply for PhilHealth membership include Filipino citizens, foreign nationals, and overseas Filipino workers. Members must be at least 21 years old and not older than 60 years old.

Required Documents

To complete the PMRF, applicants must provide valid proof of identity for first-time registrants and supporting documents to establish the relationship between the member and dependents for updating or request for amendment. The supporting documents may include a marriage certificate, birth certificate, or any other relevant document. Check the detailed requirements.

Submission Guidelines

Once the PMRF is completed, it can be submitted to any PhilHealth office or accredited collecting agent.

The applicant must provide a valid ID and pay the required premium contribution. The member’s monthly salary determines the PhilHealth premium contribution, which is payable on a quarterly or annual basis.. Check this PhilHealth contribution Table to know how much you should pay.

Benefits and Coverage

PMRF PhilHealth covers a wide range of medical services, including hospitalization, outpatient care, and diagnostic procedures.

The coverage includes hospital room and board, professional fees, laboratory tests, and medications. PhilHealth also covers certain medical procedures, such as surgeries, dialysis, and chemotherapy.

The coverage is available to all members who have paid their premiums in full and have met the necessary eligibility requirements. Members can avail themselves of the coverage in accredited hospitals and clinics nationwide. The amount of coverage varies depending on the service type and the membership category.

Benefit Claims

To claim PhilHealth benefits, members must present their PhilHealth Identification Number (PIN) and a valid ID.

They must also submit a duly accomplished PhilHealth Claim Form 1 (CF1) or PhilHealth Claim Form 2 (CF2), depending on the type of service availed.

For hospitalization, members must submit a CF1, which should be filled out by the attending physician.

Submit the CF1 along with the hospital bill and other required documents. For outpatient care, members must submit a CF2, which the attending physician should fill out. Along with the CF2, submit the official receipt and other required documents.

PhilHealth benefits are subject to certain limitations and exclusions. Read the PhilHealth Benefit Packages and Guidelines for a detailed list of covered services and benefit limits.

Frequently Asked Questions

How Can I Register For PhilHealth Membership Using The PMRF?

To register for PhilHealth membership, You can use the PhilHealth Member Registration Form. The PMRF is a one-page form that captures your personal information. You can get it from the PMRF Form Download page.

Can The PMRF Form Be Submitted Online For PhilHealth Registration or Updates?

Yes, you can submit the PMRF form online for PhilHealth registration or updates. PhilHealth has an online portal where you can register and update your membership information. You can also use the online portal to check your PhilHealth contributions and benefits.

What Steps Are Involved In Obtaining a PMRF Form PhilHealth?

To obtain a PMRF form PhilHealth, you can visit any PhilHealth office or download it from the PhilHealth website mentioned above. Once you have the form, You need to fill it out completely and accurately. You should also attach the necessary documents, such as a copy of your ID, birth certificate, or marriage certificate, depending on your membership type.

How Do I Update My Details in PhilHealth Through The PMRF?

To update your details in PhilHealth, you need to fill out the PMRF form and indicate the changes you want to make. You should also attach the necessary documents to support your request. Once you have completed the form. You can submit it to any PhilHealth office or online through the PhilHealth portal.

What Documents Are Required For Completing the PMRF form PhilHealth?

The documents required for completing the PMRF form PhilHealth may vary depending on your membership type. Generally, you need to provide a copy of your ID, birth certificate, or marriage certificate,

Who Should I Contact For Assistance With The PMRF Or Other PhilHealth-Related Inquiries?

For assistance with the PMRF or other PhilHealth-related inquiries, you can contact the PhilHealth Customer Service Hotline at (+632) 441-7442 or email them at actioncenter@philhealth.gov.ph. You can also visit any PhilHealth office near you for assistance.