Friday, July 15, 2011

PhilHealth Maternity Benefits

Since Nov. 1, 2009, PhilHealth has been giving the following benefits for all normal spontaneous deliveries performed in accredited hospitals/lying-in clinics:

P2,500.00 - Hospital (room and board, drugs and medicines, laboratories, supplies, ancillary procedures, other medically necessary charges);
P2,500.00 - Physician (actual deliver, immediate postpartum care, counseling);
P1,500.00 - Prenatal care.

Total benefit amount is P6,500.00.

Note that this applies only the first four (4) low-risk normal spontaneous deliveries.

The basis for this revised maternity benefit package is Circular No. 39, s. 2009 pursuant to PhilHealth Board Res. No. 1282, s. 2009.

You can read PhilHealth's media release regarding this benefit package here.

26 comments:

  1. hello..im on my third pregnancy,,twin po ito,,pero yung nauna kong dalawa eh hindi pa po ako employed nor member ng philhealth..iko-consider poh ba na first benefit ko toh from philhealth..and not third?

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  2. As far as we know the benefit applies sa kung pang ilang pregnancy ka na hindi based on kung kelan ka naging member. So it would be the third pregnancy na.

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  4. hi...panu po b maaavail ung maternity benefits, im on the 6th month of my pregnancy at 10months plang akong employed..can i still avail it???panu po ung process pra maavail ko ung benefit?

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    1. Hi, yes you will be able to avail if you have 3months contribution within 12 months (for employed members) prior your delivery date.

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  5. Hi there! Question... What if my total bill is P5600, will I receive P6500? Or exactly, how many percent will be deducted from my bill? Thanks! :]

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  6. hi...how can I avail of maternity package??due ko na dis june...im an ofw pero nand2 nko sa pinas..ung agency ko ang nagbabayad ng philhealth ko,,and when I checked bayad cia til aug 2012..d pko nakapag change status,,,kelangan na ba un?? what will I present to the hospital if ever???just tthe philhealth card??pls help...tnxie.. :)

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    1. You will need a copy of your mdr reflecting your payment. If it is not reflected attach a photocopy of your receipt and philhealth id plus one valid id. These docs will be requested by the hospital.

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  7. hi, question lng po. due q na diz september. still searching for accredited lying in clinic. but what if my doctor is philhealth accredited but the hospital is NOT! can i still avail the philhalth benefits? if so, how much? pls i need an answer. thnx!

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    1. As far as we know, the accredited hospitals will be directly deducting the benefit for this case. If only the physician is accredited, then you would probably only avail the portion of the physician.

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    2. it would be best to coordinate with their call center and inquire on the amount that may be availed to have an accurate figure.

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  8. hello! ask langi am on my third trimester of pregnancy and 2 years na akong alang work.. paano ko kaya maaavail ang philhealth maternity benefit..o marereactivate ang aking philhealth.

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    1. dahil sa gap ng iyong contributions, possible na hindi mo magamit ang iyong maternity benefits. however, pwede mo pa rin ipagpatuloy ang iyong contributions by paying the required quarterly premium sa kahit anong accredited collecting agent ng PhilHealth o diretso sa PhilHealth.

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  9. good afternoon..ask lang po aq if makaka-avail pa ako sa philhealth maternity benefit..na.stop kasi ang payment q kc na.end na ang contract q..I started paying on October 2011 and na.end po nung Feb. 2012..due ko na po ngaung October. If ever pwd po, anu po ang kelangan q gawin.?..Meron po ba akong kelangan ipakita na documents..?..salamat po..

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  10. hello good morning.ask ko lang po if pwede pa rin ako makapag-avail ng philhealth maternity benefits.. continous po akong nagko contribute since march 2011 pa. bali nung end of june 2012, nagresign ako sa previous employer ko. then july 1st, may bago na akong work. september na po ung due date ko.. i have here the cert. of my philhealth contributions from my previous employer, pwede na po ba yun or kailangan na latest 3 months of contribution yung maipakita ko? kasi nabasa ko sa ibang site na kailangan ipakita yung three monthly premium contributions within the last six months. eh magto two months pa lang po ako sa new work ko sa september..paano po yun? please help and advice. thanks in advance!

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  11. precious from governmentAugust 30, 2012 at 9:44 AM

    I wanted to ask if i can still avail of the Philhealth benefit... I have 4 kids na po and on my fifth one. Yung last kid ko lang po ang ang nagamitan ko ng philhealth maternity benefits ceasarian operation after a vaginal attempt due to premature contractions. Thhis time po i was wondering if I could still avail of the philhealth benefits because i would need a ceasarian operation due to my previous ceasarian performed in 2008 and i am now diagnosed with gestational diabetes. I am scheduled to give birth first week of october so i wanted to know if I can still use philhealth.

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  12. Ask ko lang kung pwede ko pa bang i-avail ung benefits ng via CS delivery kahit pang 3rd na po?? may nabasa kase akong article from yahoo na hindi na daw isshoulder ng philhealth kapag 2nd, 3rd, 4th..? thank you..

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  13. hello gud day....ask ko lang po kung makaka avail pa aq ng maternity benefit nga philhealth na ganito ang case q:due q na ds nov. tapos nabayaran q ang 4th quarter ng 2011,1st quarter ng 2012 tapos hindi q nabayaran ang 2nd quarter ng 2012,binayaran q ngayaon yung 3rd at 4th quarter ng 2012...may nakapagsabi kasi sa akin na dapat 9 months straight ang kailangan para maka avail po ng maternity benfit...tnx po...

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  14. hi,philhealth member ako,nanganak ako last october 4 pero namatay din agad baby ko.sa lying in ako nanganak,hindi po b covered un ng philhealth???

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  15. Hi, OFW po aq..I'm 7 months pregnant and member po aq ng Philhealth since 2008..bayad naman po un Philhealth ko last July 2011 for 1 yr, magagamit ko po ba ang philhealth ko for my delivery khit hanggang July 2012 lang ang contributions? tHank u

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    1. Di mo na po mgagamit ksi lagpas na sa coverage na nbayaran mo. pero Kung OFW ka po ngaun at magbabayad pa lang Pwede agad Mgamit from the date na nagbayad ka gang next year. kht may month ka na di nabayaran.

      pero kung nsa pinas na po at ngaun ka plang magbabayad maghihintay pa ng 9mos bago mo mgamit philhealth.

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  16. hello ask ko lng kung makakaavail ako ng maternity benefit, bayad ako ng april 2012 hanggang dec 2013 as voluntary, inaavail ko kz ung promo dati na 100 pesos lng pag 2 years ung bnyaran not knowing na 1month pregnant n ako.. tas by MAY 2012 natanggap ako sa work as clinic assistant, pinapalitan ko ung membership category ko from voluntary to employed... magagamit ko b ung philhealth ko kapag nanganak ako ngaung dec??? tas yung employer ko hindi nrin nagsubmit ng monthly report kasi bayad nmn n ako hanggang next year..pede ba un? magagamit ko kaya????

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  17. Hello! tanong ko lng...Am i still covered to a philhealth maternity benefits if i decided to have a ligation after my fifth delivery this coming october 2013?

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  18. hi po ask ko lng po kung covered pa po b yun kahit 1 year n hindi nghulog sa philhealth,pero more than 1 year din po akong nghulog dati kylangan ko po kasing gamitin ngayong manganganak po ako?

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  19. Good day po.. ask ko lang po employed po ako..pero had to stop working since i have arrythmia and its dangerous for the baby..ill be giving birth august cs..can i still avail of the maternity benefit ket nagstop yung contribution ko gang january 2013 or i have to pay feb to july as voluntary member?thank you very much

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  20. gud pm what will i need to accomplish to get d benefit package,my big day is on feb.im a member since 2009,i dont have id yet what wud i do?i did not yet file for change status can i get dat benefit pac?pls reply asap

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