sacredheartmedicalcenter@yahoo.com | 624 5606-12

A. FOR CURRENTLY EMPLOYED MEMBER:

– Original and properly accomplished Form 1
– Updated Member Data Record (MDR) from Phil health Office or HRD.
– RF-1 and ME-5 (3/6 months contributions

B. INDIVIDUALLY PAYING (VOLUNTARY, SELF-EMPLOYED:

Updated Member Data Record (MDR) from Phil health Office
MI-5 (Contributions Payment Return Form)

9/12 months for surgery and OB case
3/6 months for medical case

C. SSS/GSIS RETIREE (NON-PAYING MEMBER)

Updated Member Data Record (MDR) from Phil health Office

D. INDIGENT

Updated Member Data Record (MDR) from Phil health Office

E. OWWA

– Updated Member Data Record (MDR) from Phil health Office

– Valid ID of the person signed in form 1 and proof of relationship to the member (if a member is out of the country).

F.GOVERNMENT MEMBER

Updated Member Data Record (MDR) from Phil health Office

 DEPENDENTS A, B, C, D, E, F (In case not yet declared as dependent in MEMBER DATA RECORD)

SPOUSE– Copy of Marriage Contract with registry number

CHILD- Copy of Birth Certificate w/registry number

PARENT-Birth Certificate w/registry number of member and Senior Citizen ID of patient with birth date.

NOTE:

SUBMIT PHILHEALTH REQUIREMENTS AFTER 24 HRS. OF CONFINEMENT TO THE PHILHEALTH WINDOW IN THE BILLING SECTION TO FACILITATE PHILHEALTH CLAIMS.

Contact Us

(045) 624- 5606- 12
SacredHeartMedicalCenter@yahoo.com

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Our Location

McArthur Highway, Sto. Domingo, Angeles City, Philippines