OFWs may soon file claims online for hospital bills incurred abroad — Philhealth

MANILA, Philippines—The Philippine Health Insurance Corp. (Philhealth) is looking for ways to enable overseas Filipino workers (OFWs) to file their claims via the Internet for reimbursement of hospital bills incurred abroad.

In a statement issued on Tuesday, Dr. Eduardo Banzon, Philhealth president and chief executive officer, said this is one of the highly aggressive new strategies Philhealth is pursuing to deliver greater value to its members who work overseas.

“We want covered OFWs to receive immediate financial relief in the event they become ill and seek hospitalization in their host countries,” Banzon said.

“Our plan is to install by next year a system that will allow OFWs to simply submit online their individual claims for repayment,” Banzon said.

He also said Philhealth is considering the possibility of contracting primary care physicians abroad to care for covered OFWs.

“We hope to start doing this in selected foreign cities with large concentrations of OFWs,” Banzon said.

At present, covered OFWs hospitalized abroad may file claims for reimbursement only by submitting hard copies of the necessary paperwork inside six months to the Philhealth office nearest their Philippine residence.

The papers to be submitted are Philhealth Claim Form 1; a photocopy of the claimant’s latest Member Data Record, or contribution payment receipt; a medical certificate with complete diagnosis, period of confinement and services rendered; and a hospital statement of account and/or official receipts with itemized charges and other supporting documents in English.

The Philippine-based dependents of OFWs may readily avail of benefits via accredited local hospitals and outpatient service providers.

Philhealth helps pay for the room and board, medicines, laboratory exams, as well as operating room and professional fees for every hospital confinement of not less than 24 hours of the OFW’s spouse and other dependents.

Qualified dependents of OFWs who are active Philhealth members are entitled to a separate coverage of up to 45 days confinement per calendar year. The 45 days allowance is shared among all dependents.

Eligible dependents include the OFW’s legal spouse who is not a Philhealth member, or whose membership is inactive; the OFW’s children below 21 years of age, unmarried and unemployed; and the OFW’s parents who are 60 years old and above.

The spouses and children of male OFWs also receive ample medical subsidy in the form of prenatal, maternity and newborn care benefits.