Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION

Ci(plale Ctnlrr, B1:gy. Omnbo, 709 Sbmv Blvd., Parig City
H calthlinc 441 -7444 www.philhcalth.gov.ph

PHILHEALTH CIRCULAR
No._-"VSD~-- s. 2012
Jt1 SUBJECT: Updated Documentary Requirements for Member
Registration, Amendment and Benefit Ayailment

Pursuant to PhilHealth Circular No. 29 series of 2010, all members of the National Heal th Insurance
Program (NHIP) registering or amending their member informatio n shall use the Phill-I ealth
Member Registration F o rm (PMRF) attaching therein the appropriate documentary requirements for
submission to the nearest PhilHealth Office. For amendments, the m ember may also use th e
Member Data R ecord (MDR) o n w hich to write legibly the ch anges in member info1mation a nd
s u bmit together wi th the appropriate supporting documents to the nearest PhiH Ieal th Oftlce for
updating.

T he followin g are the d ocumentary requirements for member registration, declaration of

dependents, benefits availment including the necessary requisites for amendment to be attach ed to
the PMRF, MDR or PhilHealth Claim Form 1:

PURPOSE REQUIREMENTS
1. Member Registration/Enrollment
Any of the following:
A. Birth Certificate; OR
B. Any valid IDs/ documents listed in Annex A
For Orphans:
A. Affidavit of Guardianship, if guardian is relative; OR
B. Certificate of Foundling from Civil Regisi:ry, wirh DS\VD
Certification, if sponso red by an institutio n. -
2. For Declaration of Dependents
2. 1 Spouse Any of the following:
A. Marriage Certificate/ Contract; OR
B. Any valid JDs/ documents in Annex A (2d or 2e) ,
w hichever is applicable
c. For Muslims, Affidavit of Marriage issuetl by the Office of
Muslim A ffairs thar passed through the Shari' a Court must
be regis tered /authenticated in the N SO.
D. For Indigenous Peoples, Certificate ofTribal Membership
issued by or Barangay Captai n AND Certificate o f
Co nfirmation o n the Authenticity of the Marriage issued b y
the Regional NCTP .

2.2 Children Any of the following:

2.2.1 Legitimate or A. Birch Certificate; OR
illegitimate below 21 B. Any valid IDs/ documents in Annex A(1.2) AND in A(2)
yrs. old
2.2.2 Adopted, below 21 A. Court Decree/ Resolu tion of Adoption; AND
yrs. o ld
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 PURPOSE
2.2.3 Step child/ reo below 21
yrs. old
2.2.4 Mentally or physically
disabled, 21 yrs. O ld
and above
:2.3 Parents
2.3.1 60 yrs. old and above
2.3.2 Stepparents 60 yrs.
old and a bove
2.3.3 Ado ptjve parents, 60
yrs. o ld an d above
3. For Amendment
3.1 Name and Date of Birth of
Member and/or d ependenr/s
3.2 Civil Status
REQUIREMENTS
B. Any of the following:
1. Birth Certificate of adopted c hild; OR
2. Any two (2) valid IDs/documents in Annex A:
a. One from 1.2 AND
b. O ne from 2
A. Marriage Certificate between natural p:uem and
stepmother/stepfather, AND
B. Any of the following:
1. Birth Certificate of adopted child; OR
2. Any two (2) valid TDs/ documents in Annex A:
a. O ne from 1.2 AND
b. One from 2
A. Medical Certificate from attending physician stating a nd
describing extent of disability; AND
B. Any of the following:
1. Birth Certificate o f adopted child; OR
2. ~y two (2) valid ID s/documents in Annex A:.
a. One from 1.:2 AND
b. O ne from 2
Any of the fo llowing:
A . Birth Certificate of both regis trant and parent; OR
B. Any valid documents listed in Annex A (2) of BOTH
regis trant a nd p arent
ALL of the following:
A. Marriage Certificate/Contract between bio logical parent
and stepparent; AND
B. Birth Certificate of steppare nt or Annex A (1.1); AND
C. Birth Certificate o f member or ANY document listed in
Annex A (2) proving relation shi p of m ember and
biological parent
A. Court Decree/Resolutio n of Adoptio n o f membe r; AND
B. Any of the fo iJO\.ving:
1. Birth Cenificate of Adoptive parenr; OR
2. Any valid ID/ docu ment of adoptive parent listed in
Annex A (1.1)
Any of the following:
A. Birth Certificate; OR
D. A.ny v ilid ID I document listed in Annex A
Any o f the follo wing:
A. Marriage Certificate/Con tract;
B. Court Decisio n;
C. Death Certificate; OR
D. Any valid document listed in Annex A (2d) or Annex A
(2e)
 P U RPOSE REQU IREME NTS
4. For Bene fi t Availment
-U Member A. Appropriate PhilHealth Claim Form 1; AND
B . Any of the following:
1. PhilHealth Identification Card (PIC);
2. PhilHealth Number Card (PNC) together with any
valid ID/ document listed in Annex A; OR
3. Pantawid Pamilya Pilipino Program ID
4.2 Dependent I\ . Appropriate PhilH ealth Claim Form 1; AND
B. PNC, or Any photo bearing valid ID; AND
c. Any of the following:
1. Member Data Record (MDR) reflecting name of
dependent patient; OR
2. Any valid document listed in Ann ex A (2)
4.3 Acceptable proof of Qversea§ Wo rke rs P rogram M e mbe rs:
contributions Any o f the following:
A. Validated Remittance Forms of banks and remittance
centers;
B. Official Receipt issued by recognized remittance centers;
OR
c. Validated Payment Slip
E mployed M e mbers:
A . Duly signed Phi1H ea1th Claim Form 1 (CF1); OR
B. E mployer Certification

Individually P aying M ember:

Any of the following:
A. P hill-Jealth Official Receipt (POR);
B. PhilHealth Agent's Receipt (PAR);
c. Printed proof of payment from Phi!Health website;
D . Certificate o f Premium Payment (CPP);
E. Validated Bayad Center Payment Form;
F. Validated Payment Receip t of ACAs;
G. Validated Acknowledgement Receipt of AC r\ s;
I l. Sendout Form from 'MLhuiller ( for online transaction);
I. Sendout Form Remote Transaction from 'MLhuiiLicr (for
offlin e transaction);
.J. Validated Payment Slip; OR
K V alidated P hilHealth Premium Order Slip (PPOS) and
P oint-of-Sale Generated Receipt (POS-G R)

I\Ll concerned institutions s hall require fro m transacting individuals/ memb ers only those
a pplicable d ocume nts mentio ned in the foregoing enumeration.
T lus Circular shall take effect fifteen (1 5) days from publication in any newspaper of gcncntl
circulation and shall be deposited thereafter with the N atio nal r\drnirustrative Registe r at the
Uruversiry o f the Philippines Law Center.

All o ther previous issuances inconsisten t with this Circular are hereby amended and / or repealed
acco rd ingly.

DR. EDU ?t'JY.. \ BANZON

President an~ecucive O fficer 10/10/!~
 AnnexA

LIST OF OTHER VALID IDENTIFICATION CARDS AND DOCUMEN TS

PURPOSE REQUIREMENTS
1. Proof of Identicy and Age
1.1 For 18 yrs old and above a. Baptismal Certificate
b. GSIS/SSS Members' ID
c. Passp o rr
d. Driver's License
e. Professional Regulatory Commission (PRC) ID
f. National Bureau of Investigation (NBI) Clearance
g. Police Clearance
h. Voter's ID
I. Postal ID
l· Senior Citizen's Card
k. Overseas Workers Welfare Administration (0\'\.'WA) ID
I. ·overseas Filipino Worker (OFW) TO
m. Alien Certification of Registration/Immigrant Certification
of Registration
n. Tdemificarion Cards Issued by Recognized Government
Institutions/Agencies/ Corporations
0. Certificate fro m the National Council for the Welfare of
D isabled Persons (NC\X'OP)
P· Department o f Social Welfare and Development (DS\VD)
or Local Social Welfare Development Officer (T.S\X'DO)
Certification
q. Integrated Bar of the Philippines Identification Card
r. Company IDs issued by private entities or instinnio ns
registered with or supervised or regulated by the Bangko
Sentral ng Pilipinas (BSP), Securities and E xchange
Commission (SEC) o r Insu rance Commission (IC)
s. Barangay Certification, subject for validation
t. r\ ffidavit from rwo(2.) Disinreresred Perso ns, subject for
validation

1.2 For minors below 18 yrs. old
a. Certificate o f live birth (newborns)
b. Baptismal Certifica te
c. School ID
d. Passport
c. Police Cleara nce
f. Alien Certification of Registration/ ! mmig rant Ce rtific:llion
of RegiHration
g. Certificate fro m the National Counci l for the \'\'clfare of
Disabled Persons (N CWDP)
h. Department of Social \'\'elfare and Development (DS\'\'D)
o r Local Social Welfare Development Officer (1 .S\X-'00)
Certification
1. Integrated Bar of the Philippines Identification Card
J· Barangay Certification, subject for validat.io n
k. Affidavit from rwo (2) Disinreresred Persons, subject for
validation

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 PURPOSE REQUIREMENTS
2. Proof of Relationship a. Ccrrificate o f live birth (for newborns)
b. Baptismal Cerrificate
c. Department of Social Welfare and De\'elopment (DS\X-'D)
o r Local Social Welfare Development Officer (L~\X'DO)
Cerrifica t.ion
d. Barangay Certification, subject for validation
e. Affidavit from t:wo(2) Disinterested Persons, subject for
validation

NOTE:

Affidavits administered by the following o fficials authorized to administer oath, as provided in

Administrative Code of 1987, as amended (Republic Act 6733, Section 41), shall be accepted as valid
supporting documents:

1. Members and Secretaries of b o th houses o f the Legislative Bo dy

2. Members of the Jucliciary · '
3. D e partme nt Secretaries
4. Governo rs a nd Vice Governo rs
5. City /Municipal Mayors
6. Bureau/ Regional Di1·ectors
7. Clerks o f Court
8. Register of Deeds
9. Other Civilian Officers in the Public Service o f the Philippine government w hose
appointments are vested upo n the President and are subject to confirmatio n by the
Commissio n o n Appo intments
10. All oth er Con stirutio nal Officers
11 . Public Notaries