HELP! Checking-out of hospital but employer not paying PhilHealth!

[DeathRow]

Help guys!

My wife is my dependant in my PhilHealth. She has just given birth and I have been contributing to my PhilHealth every month for the past year.

Upon checking-out of the hospital, the hospital and PhilHealth are telling me that they haven't contributed to my PhilHealth since March 2011! So there's nothing I can do except pay the amount of the discount (which was P30,000, C-section). However I do have payment receipt (bank receipt) slips from my company to PhilHealth - it shows my company depositing money to PhilHealth.

Could it be payment is not reflected on PhilHealth's system?

I want to make a claim to get back my money.

What to do?

[pop3corn]

ang alam ko babayaran mo naman talaga ng full yan eh, tapos reimbursable yan sa Philhealth. ang direct discount eh kung may HMO card ka.

[1997]

Help guys!

My wife is my dependant in my PhilHealth. She has just given birth and I have been contributing to my PhilHealth every month for the past year.

Upon checking-out of the hospital, the hospital and PhilHealth are telling me that they haven't contributed to my PhilHealth since March 2011! So there's nothing I can do except pay the amount of the discount (which was P30,000, C-section). However I do have payment receipt (bank receipt) slips from my company to PhilHealth - it shows my company depositing money to PhilHealth.

Could it be payment is not reflected on PhilHealth's system?

I want to make a claim to get back my money.

What to do?

Clear mo muna sa company niyo.. pwede ka rin mag complain sa Philhealth.. may proof ka naman eh...

[greenlyt]

yep clear it frist sa company mo, they can issue a certification na they are remitting your contribution sa philhealth
tapos pwde mo na reimburse sa philhealth yun 30K
baka nga kasi hindi updated yun system nila

[flakez]

ang alam ko babayaran mo naman talaga ng full yan eh, tapos reimbursable yan sa Philhealth. ang direct discount eh kung may HMO card ka.

pag may HMO ka kelangan pa rin may philhealth ka. may portion na philhealth ang magbabayad. so kung hindi ka member ng philhealth ikaw mag shoushoulder non. so baka ganon nangyari kay TS. lumabas na hindi siya nagbabayad kaya sa kanya pina shoulder. complain mo na lang sa philhealth tapos pakita mo lahat ng receipts mo.

[DeathRow]

They would have deducted the 30k at the hospital cashier if my PhilHealth contribution was fine.

Does everybody agree that the problem is with my company & philhealth?

What can I do in the meantime? I read that claims are only valid 60 days after hospital discharge.

[BratPAQ]

check mo rin SSS mo at pag-ibig, baka di rin binabayaran yan ng company mo.

[nervenllarena]

check mo rin SSS mo at pag-ibig, baka di rin binabayaran yan ng company mo.

baka company mo ang may kasalanan dyan baka hindi nireremit yung binabawas sa inyo

[_Qwerty_]

you can complain sa philhealth.. pakita mo proof (payslips) na nagbabayad ka nang philhealth and di ni re remit nang company mo.. hindi talaga babayaran nang philhealth yan.. so dapat i reimburse sayo nang company mo yang 30T na dapat binawas sa bill mo..

[chrismarte]

They would have deducted the 30k at the hospital cashier if my PhilHealth contribution was fine.

Does everybody agree that the problem is with my company & philhealth?

What can I do in the meantime? I read that claims are only valid 60 days after hospital discharge.

maaring company at philhealth.

Tunay ba yung pinakita sayo nang company mo na resibo nang bayad sa philhealth?

Or baka yung name mo eh isa dun sa mga 130,000 (di sure sa figure) na nakasama sa backlog nang philhelath na hindi pa na i-encode

[robot.sonic]

baka taga accenture ka? nagka problema sila sa philhealth e.

[ab_initio]

TS, is it not you need to get documents filled by someone from the finance department? If they remitted your regular monthly contribution to Philhealth then there should be no problem upon discharge. You just need to pay the difference after deductions. Just in case you found out that your employer did not remit your contribution then there are legal repercussions. If your employer is a private entity that's estafa and if public entity, it may fall under malversation. Initially you can file a complaint with Philhealth. There is an institutional mechanism within Philhealth regarding disputes on contribution-this is the administrative aspect of non-remittance of contribution.

[cast_no_shadow]

TS, is it not you need to get documents filled by someone from the finance department? If they remitted your regular monthly contribution to Philhealth then there should be no problem upon discharge. You just need to pay the difference after deductions. Just in case you found out that your employer did not remit your contribution then there are legal repercussions. If your employer is a private entity that's estafa and if public entity, it may fall under malversation. Initially you can file a complaint with Philhealth. There is an institutional mechanism within Philhealth regarding disputes on contribution-this is the administrative aspect of non-remittance of contribution.

Sir taga philhealth ka?

[cast_no_shadow]

Upon checking-out of the hospital, the hospital and PhilHealth are telling me that they haven't contributed to my PhilHealth since March 2011!

Sir kanino mo naconfirm na wala kang philhealth contribution? Nagpunta ka ba ng philhealth office to verify?

FYI yun philhealth section sa mga hospital, hospital staff yun they are not from philhealth.

Since employed ka dapat pinacertify mo na lang yun Claim Form 1 mo sa employer mo, and that is already enough for the hospital to deduct from your hospital bill. If ever na hindi ka nga hinuhulugan ng employer mo philhealth na ang bahalang humabol sa employer mo to charge them.

[ab_initio]

Sir taga philhealth ka?

Hindi, Sir. It is just one of the many aspects of Philhealth law that I found relevant to the discussion.