Philhealth maternity benefits have been boosted with newborn tests and care services worth 1,750 pesos, as of September 1, 2011 under the new Case Rates payment scheme.
This 1,750-peso Newborn Care Package (NCP) is in addition to the:
– Normal Spontaneous Delivery (NSD) package of 8,000 pesos in Level 1 hospitals
– Or the NSD package of 6,500 in Levels 2 to 4 hospitals
– Or to the Maternity Care Package of 8,000 pesos in maternity or lying-in clinics
– Or to the Indicated Caesarian Section (CS) package of 19,000 pesos
The Newborn Care Package (NCP) worth 1,750 pesos includes:
– drying of the newborn
– skin-to-skin contact
– cord clamping
– physical examination of the newborn
– early breastfeeding initiation and advice
– eye prophylaxis
– Vitamin K administration
– weighing of the newborn baby
– BCG vaccination
– Hepatitis B immunization (first dose)
– Newborn Screening Test (NBS)
– newborn hearing screening test
– professional fee
In instances where the mother pays for certain eligible newborn care services outside the health facility, official receipts should be attached to the Philhealth claim so the mother would be reimbursed.
For sponsored members using government hospitals, the No Balance Billing (NBB) policy applies to this NCP benefit. There is no bill balance to pay.
Can my baby enjoy the Newborn Care Package even if my delivery was not covered by Philhealth because this is already my 5th child?
Yes, you and your newborn can enjoy the NCP as long as you are Philhealth-eligible, and your pediatrician is Philhealth-accredited. If you are an Individually Paying or Voluntary member, you should have paid at least 9 monthly contributions within the 12-month period before your delivery.
hi po..ask ko lng po if pwede ko ba mareimburse sa philhealth ung bill ko? employed po kc ako lastyr til sept. then di hnulugan ng company ko ung month ng sept ..tsaka ko lng nlman nung ngpnta ako sa office ng philhealth..pero ngindivdual paying ako from oct til now..last march 18 2013 kasi ung due date ko..di adw po kasi pwede sabi ng hosptal kasi may gap daw po kasi..need ko daw po mk 9 months..
thanks po..
Hi len, the hospital was wrong; you are eligible. Hindi kelangang consecutive 9 months; basta merong 9 months of the 12 months BEFORE March 2013 which is your month of delivery. You can file for your refund directly at Philhealth. Just get your MDR from Philhealth and collect the accomplished claim forms from the hospital. Xerox your hospital bill payment OR for your personal copy. Get a certification of premium payment from your former employer with OR nos. (4 months – May to Aug 2012), add to your premium payment receipt for Oct 2012 to Feb 2013 (5 months). Puede na ring yong employer cert ay from April 2012 para sobra pa.
member po ako ng philhealth since 2008…na stop po ang hulog ko nung ng ofw ako nung 2010..nagstart ulit ako maghulog last january2013..buntis po ako ngayon at expect delivery ko this coming september..covered parin po ba ako ng maternity benifits?!..th
ank you po..
Hi betty, sorry but Jan to Aug is only 8 months — kulang sa requirement na payment of 9 of the 12 months BEFORE month of child delivery. Magtanong din sa iba.
Hi po…ask ko lang po kng magagamit ko pa dn po ba ang maternity benefit ko since nag stop po ako ng work last February 2012 kaya ang January 2012 ko po ay may contribution pa… pero nag individually paying member po ako this January 2013 at binayaran ko na din po hanggang September 2013. Ang Due date po ng delivery ko ay August 2013. Possible po bang covered pa din ako ng maternity benefit? or may certain bracket lang po like NCP ang ma-aavail ko?
Thank you!!!
Hi melai, for voluntary member na maternity ang claim, required ang 9 monthly payments within the 12 months bago month of panganganak. Jan to July is only 7 months — kulang. Please ask others too. Or ask Philhealth kung ino-offer na uli yong Individual Policy Contract baka puede ka.
hi…good pm po!ask ko lang po if covered ba ng philhealth ko ang maternity ko? ilang percent po ang mababawas sa bill ko?s july2013 po ako manganganak…thanks!
Hi angie, are you an individual payor? If yes, dapat nakabayad ka ng 9 months sa 12 months BEFORE month of panganganak. For normal delivery, ang coverage ay 5k kapag sa level 2 to 4 hospital at 6500 kapag level 1 at lying-in.
Hi… Ask ko lang po, how to deactivate my brother’s philhealth so he can be his wife’s dependent since he is not employed now. He resigned from his work since last year (2012) Hope you can help me.. Thank you
Hi Nix, ask your brother to write a letter to Philhealth, puedeng handwritten, or printed pero signed, requesting Philhealth to cancel his Philhealth membership, Philhealth no. ___ because he is already unemployed since ___ and to register him as dependent of his wife ____. The wife will update her registration data at Philhealth with the letter, marriage certificate, husband’s ID and her ID. Puedeng thru her company kung meron silang messenger. She can also authorize her husband to update her records.
good day po,pde ho ba ma reimburse un mga consultation receipts,vaccines at other medicines ng baby ko?ipinanganak ko xa sept 2010.
Hi vanj, sorry, ang filing of claim ay dapat within 60 days from date of discharge.
hi this is jen. regular po akong nagbabayad ng premium since i was employed in 2005. manganganak na po ako with my first baby this coming end of june, and my obgyne told me to have my baby a HBIG vaccine right after the baby‘s delivery. then, just want to ask hindi po ba cover ng philhealth
under NCP yung HBIG vaccine, or pwede po bang mapare-imburse pag binili sa drugstore. thanks
Hi jenny, ang coverage for the first dose of HB immunization, BCG and others is only 500, so it’s likely that you have to pay a big part of HBIG. http://www.healthphilippines.net/2011/10/philhealth-newborn-care-package-ncp/
Hello.po. manganganak po.ako. ds june and paid nmn po.ako.sa phil health ko for the hul year. tanong ko lng po. pano ko po ba i aavail ang new born care package?
Hi mom2be, fill up 2 claim forms, one for you and one for your baby. Dapat Philhealth accredited ang pediatrician. If you’re voluntary, dapat paid ang premiums for 9 months sa loob ng June 2012 to May 2013
good day. ask ko lang po tungkol sa reimbursement para sa newborn screening ng baby ko. nanganak ako last june 28 via CS. yung hospital costs ba para sa baby na binayaran ko hindi irereimburse ng philhealth? hindi kasi namen naifile agad yung docs sa philhealth ipafile pa lang. thank you.
Hi cristy, if that 8k bill was solely for newborn care procedures, you can refund only about 1750 or less, depending on what newborn care procedures were performed. If it’s for other kind of treatment, you can refund more, depending on the baby’s case; have your claim forms filled up/signed by the hospital.
good day po. nanganak ako last may 28 via CS. ask ko lang if marereimburse ba through philhealth yung hospital bills ng baby ko. umabot din kasi ng 8k and di ko naisubmit agad yung doc sa philhealth at naadd si baby as dependent. aasikasuhin ko pa lang. thank you.
Gud day po. Hindi po kami kasal ng kalive-in ko. Employed sya from june 2012 to october 2012. Magagamit din po ba namin yung philhealth nya kapag po nanganak ako this coming september?
Hi Mia, sorry, no, kasi required ang marriage certificate so you can be his dependent. Besides, pag voluntary na maternity, kelangang paid ang 9 of the 12 months BEFORE month of delivery
Hi. I want to ask if my daughter is covered to my philhealth Im individually payor and updated in my payments. She pregnant and not yet married her due is Dec 13, 2013. Or if She apply her philhealth and pay the whole year is she covered the maternity benefits. Thanks
Hi jasmin, she can be your dependent if she’s below 21 in age at date of delivery. If she applies as a member, she can pay July to Nov, only 5 months, not enough to comply with the 9-month requirement. Please ask others too
hi.6 months pregnant na po ako gusto ko sanang mag bayad ng philhealth.magstastart palang po akong magbayad..mangananak ako this coming october makakaavail pa po ba ako?
Hi liezel, sori hindi ka pa maka-avail kasi ang mababayaran mo lang ay July Aug Sep, 3 months lang. Ang kelangan ay mabayaran ang 9 of the 12 months BEFORE month of panganganak. take care, ask others din.
Ask ko lang po kung ang pwede kung iclaim ung NCP sa philhealth for reimbursement. kahit ung lying in & pedia ko is not accredited nung requirement po?
Hi Anna, sori, dapat Philhealth accredited ang lying-in at pedia
hi, i gave birth last june 8, 2013 via cs. nadeduct naman yung philhealth sa bill namin. ask ko lang kung may makukuha pa ba kame na 1,750-peso Newborn Care Package or kasama na yun sa deduction kapag cs? thanks.
Hi rica, if you filed for NCP, in addition to the maternity claim, you will get a refund or puedeng na-deduct na. You can see it later in your benefit payment notice from Philhealth
Hi sir/mam. Pwede pa po ba ako maka avail ng philhealth kung ngayon pa lang po ako mag aapply nito and Im 7months pregnant po. Or kung pwede ko po gamitin yung philhealth ng father ko. 20 yrs old po ako and di pa po ako kasal
Hi Mishell, late ka na kung ngayon ka pa lang mag-member. Yes, dahil unmarried ka pa and under 21, you can use your father’s Philhealth basta you’re unemployed.
hello good day!I just want to clarify things since its so inconvenient for me to go to your office. I’m a member since 2012. My last contribution was posted last December 2012 pa under my last employer. since nag resign na rin aku from my latest employer, they told me that hindi pa sila naka pag post nang mga contributions daw, they just gave me a certificate of contribution from January-July 2013. anu po ba dapat gawin ko? upon confinement or during discharge na po ba dapat ipresentar sa inyu? ano po bang form dapat kong ibigay? sa ospital po ba o sa office nyu? thanks
Hi Christine, what do you mean last payment ay Dec 2012 pero may payments na 2013? Kung nabayaran ang Jan 2013 to Sep 2013 (9 months) at Jan 2014 ang due mo, eligible ka. By the way, this is not a Philhealth blog, it’s a personal blog. Ask others too
hi! just gave birth last oct 3. gusto ko sana avail NCP. eligible pa baby ko na maka avail nh NCP?
Hi mohana, puede kung makahanap ka ng willing gawin ang paperwork na para NCP lang. Kaya usually ang NCP, nakakasama ito sa maternity claim kasi isinasama na nila yong NCP paperwork sa maternity para makatipid ang doctor o hospital sa processing.
:mel:hello there I’m mel,i would like to ask if i can avail the benefits from philhealth even though unemployed ako this time,my premium contributions started last june 2011 up to september 2012 since i resigned last october 2012.yung due date ko po this january 2014.di rin po kasi ako married and im 23.
Hi mel, update your registration asap at Philhealth with your ID. Check informal sector and then pay for Oct to Dec. For the informal sector starting this Oct, only 3 months of payments are required.
Gud pm po ask ko lang po last june2012 nagresign po tpos buntis po ako manganganak po ako march.kung magvovoluntary m ako magagamit ko po ung philheath ko.ilang mnths po b ang dpat kong hulugan para po magamit ung philhealth.
May isa p po akng tanung kc 2008 nanganak po ako d po mnamin n refund marerefund p po b namin un.thanxs po
Hi lea, update your registration with your ID and check “informal sector” so you can qualify for the new 3-month eligibility requirement. Pay Oct 2012 to Feb 2013. About your 2008 delivery, you can no longer refund. Filing deadline is within 60 days after discharge.
hi.. ask ko lang po sana kung pano gsmitin yun philheath. voluntary member lang po ko. ngayon naka 6 months palang po kasi ko ng hulog hngang december 2013 na po yun. sa january 11,2014 ang duedate ko, pwede pa ba ko maghulog or maghabol para mapunuan ko yun 9 months? may makukuha po ba ko prenatal benefit? or kung magkano bill ko sa panganganak ibabawas po nila sa nahulog ko sa phlhealth?
Hi joan, update your registration form at Philhealth, so you can check “informal sector” in the form, so you can qualify for the new 3-month requirement. Pay Oct and Nov. Meron kang refund for prenatal care if you have prenatal ORs; ipasama mo sa maternity claim form. Submit your docs to the hospital/lying-in before discharge. Ask about cost if you use Philhealth, so you know how much to prepare. Maliit lang ang coverage for maternity: pag lying-in, 6500 and 1500 for prenatal if there are ORs. Pag hospital, 3k lang for hospital cost at 2k for PF. Kaya pag hospital, malaki pa rin ang binabayaran.
Hi, i would like to avail sana both the maternity package and NCP. Question is, magkaibang set of forms paba yung kelangan iforward to the hospital or ok lang na isang certification of premiums, isang MDR and 2 Copies of CF-1 or dapat lahat 2 copies?
Hi Ann, yong claim form 1 lang ang 2 copies.
Hi Ma’am Nors! Thank you so much for blogging about maternit benefits – I’ve been re-reading your posts since I found out I’m pregnant to make sure I don’t miss out on anything when processing claims. I gave birth a month premature last Nov 4, ang my baby was placed in the NICU for a week. On top of his premature birth, my baby was also treated for pneumonia during his stay in the NICU. I was discharged after 3 days; my baby, after a week. My boyfriend and I (we are not married yet) both have PhilHealth, and met the required no. of payments to avail of the benefits, but we ran into some problems during the submission and claiming of the PhilHealth benefits:
1. I included my prenatal ORs (ultrasound, lab tests) upon submitting my reqs, but the PhilHealth desk at the hospital gave it back and said it wasn’t part of their coverage. I said it was a refund and not a deductible from the bill that needed to be attached to the forms, but they said there was no part in the claims that needed ORs for tests done outside of the hospital (my doc consults at a separate clinic and I had my tests done there). So i was discharged with PhilHealth deducted from my bill, but my prenatal ORs weren’t filed with the claim. Can I still have my prenatal care package processed and refunded if i go to a PhilHealth branch?
2. Since i was discharged first, my baby had a separate bill. I was told to use my partner’s PhilHealth for the baby’s bill. I asked about the newborn care package that my baby was entitled to, and whether he can still avail of it even though we’re using a separate PhilHealth membership for him. I was then told that since my baby was premature and had to undergo other tests, he isn’t qualified to get the PhilHealth NCP. The fact that my baby was not born “well” (the nurse-in-charge at NICU’s words) exempted him from getting the NCP – is this true? May stipulation bang ganito?
Both my doc and hospital are PhilHealth accredited. I’ve checked the PhilHealth website for answers but couldn’t find any. I really hope you can help me. Thank you. 🙂
Hi Pauline, about newborn care, there’s a list of specific things that are covered such as BCG, hepatitis vaccine, etc. If these procedures were not done within a specific number of hours after birth, newborn care will not be covered. About the prenatal care, the hospital should just have included your ORs as a service to you since you’re a paying patient, and because Philhealth prefers that the ORs be submitted together with the maternity claim. It’s puzzling that they don’t know that prenatal-package procedure, or they’re just being uncaring. You can try to file your prenatal ORs yourself; tell Philhealth that the hospital refused to include your ORs in the maternity claim, and take note of what they will suggest.
Hi po!
Ask ko lang. Makaka-avail po ba ako ng maternity benefit kapag ang paid contribution ko lng is from May to September 2013? Nagtanong kc ako sa Philhealth sabi nila kailangan ko dw bayaran ang remaining months ng 1000+ para maka.avail ako. Tama ba yun? Diba kailangan lng ng 3mos payment sa 6mos before sa panganganak ko? Due ko na ngayong month na to (December 2013). Maghihintay po ako sa sagot. Nababahala kc ako na baka di ako mka-avail dahil lng sa hindi pag-remit ng aking trinatrabahoan ng contribution ko. Employed kc ako from December 2012 hanggang ngayon.
Hi julie, did you tell them that you’re Employed? Yes, you should qualify kasi you paid 3 of the 6 months before Dec. Ask your employer too.
Hi Mam,
Salamat po sa reply. Hindi ko sinabi nung nagtanong ako sa kanila na employed ako. Akala ko kc makikita na nila sa system nila na employed ako. Salamat po atleast panatag na ako ngayon.
God bless!
Hi julie, God bless too. Anyway, later on naman ay hihingi ka rin ng cert of premium payments sa employer mo plus updated MDR from Philhealth
hello po , kakapanganak ko lang po pero nahospital si baby kasi may problem sa blood. since di ko pa sya dependent sa philhealth dahil di ko pa unpdated kasi next week ko pa makukuha birth cert nya,macoconsider po kaya yun ng hospital na may benefit pa din o discount sa hospital?
Hi mary, puede nang ma-consider na dependent mo, kasi diyan ka naman nanganak sa hospital, at hospital naman ang nag-a-accomplish ng birth certificate for submission to the local registrar.
good day po maam Nors, voluntary payer po ako ng philhealth, its my second pregnancy and again it will be cs, ang nabayaran ko po ay from july 1, 2013- june 30,2014 and yung due date ko po ay last week of april 2014. can i still avail the maternity benefits? gusto ko lang po sanang ma assure , malaki laki din po kasi mababayaran pag cs and laking ginhawa pag ma avail yung philhealth benefits.
Hi angelli, yes, qualified ka. Tamang-tama na 9 months ang nabayaran mo before month of delivery. Kung kulang man, puede pa rin, kasi kapag Individual Payor-Informal Sector (new announcement), payment of 3 months before month of delivery lang ang required.
hi po gudeve kabuwanan ko na po this month can i avail philhealth benefits po ba? kahit kulang ang contribution ko? di ko po kc nahulugan ang first quarter ko
Hi jane, nabayaran mo ba ang Oct Nov Dec 2013? Puede kang eligible basta Individual Payor-Informal Sector ang member category mo.
HI po. Ask ko lang po. Dun pa sa claim forms 1 and 2 para po sa newborn care package for baby, pangalan na po b ni baby ung ilalagay sa name of patient? Thanks po
Hi aira, yes, name of patient is baby’s name.
thanks po for your reply.pano po dun sa cf 1? name pa rn po b ni baby ang ilalagay? super helpful po ntong post nyo.
Hi aira, sa claim form 1 (for your maternity benefit), name mo ang name of patient kasi ikaw ang mag-deliver ng baby.
i mean po cf1 for newborn care package,since hnd ko pa namanpo automatically madedeclare si baby as dependent pano ko po ififill up un?sory po kung madami ako questions,nacoconfuse lng po ako.thank you po for your time.highly appreciated.
Goodafternoon po. Ask ko lang sana tungkol sa prenatal benefits. Sa clinic po kasi sa Manila ako ngpaultrasound and laboratory and now andito ako sa Bicol para dito manganak.. Tatanggapin kaya ng hospital yung mga o.r. kahit hindi sakanila yun? Thank you.
Hi Jenny, dapat tanggapin nila, basta prenatal ORs at in your name ang mga ORs. I-request mo na isama nila ang prenatal ORs mo sa maternity claim. Yong mga lying-in clinic ang merong rule about prenatal consultations.
Hi aira, about newborn claim: Name of member: ikaw yon. Name of patient/dependent: your baby. Puede mo nang gawing dependent kasi merong birth cert na ibibigay ng hospital (puede na raw ito basta completely filled up and signed by the hospital). Bukod dito, meron kang maternity claim, proof na ikaw ang ina ng baby.
thank you very much ms. Nors. thank you po sa time nyo. god bless po.
Hi pls help. i am currently employed since 2009 but resigned last dec2012 and then employed again july2013 and my contract will be last this jan2014. i will give birth this march 2014 can i have my philhealth maternity benefits?? or should i use my husband’s philhealth benefits. pls help.. big thanks
Hi erich, since July to Feb does not total 9 months, I suggest you use your husband’s Philhealth. Next month, ask your husband to update his Philhealth data and register you as his dependent. He brings your marriage cert, his ID plus your letter asking Philhealth to cancel your Philhealth membership because you’re already unemployed, and to register you as your husband’s dependent.
sir, tanong ko lang po. dun sa package ng philhealth kung magpapaligate po ako kasabay ng panganganak, bukod pa ba dun sa package ang babayaran kong doctors fee?
hi po! good evening, ask ko lang po kung makakapag avail ako ng maternity benefits ko kung ang contribution ko ay nung 2011 pa at nag voluntary payment ako mula (jan- june)2014 dahil manganganak ako ng june?
Hi janet, yes, you can avail; 3 monthly payments na lang ang required for Individual Payor-Informal Sector. (3 payments within 6 months before delivery month)
Gud pm po..im shane.ask qlng po kc lst sept.1 na cs po aq.and nun jan.wla po aqng rcv na claim,glng hsptal at phlhealt.tz po nun pinalow up q po s phlhealth nk pending dw po dhl s wr0ng speling..naay0s q na po i2.ask qlng po kng mgknu po kya mrefund q alm0st 8k po ung gm0t n nbli namen,pero wl po kameng bnyran s hsptal,nanganak po aq s virac ctanduanes..mgknu po kya pwd q refund,ang sv po kc s hsptal 1,50o lng dw po eh..tnx po
Hi Shane, dapat marefund mo ang 8k plus na nagasto for medicines, kasi ang hospital-cost coverage for CS ay 11400 at ang for doctor ay 7600. After you receive your benefit payment notice from Philhealth, showing that Philhealth paid the hospital 19k, xerox the notice, also your medicine ORs, and then ask for refund of your 8k plus from the hospital.
Hello po im ofw member of philhealth hnd po ako nakabayad ng philhealth from oct.-dec.2013 dahil nasa taiwan p ko pero pag uwi ko nagbayad po ko jan.2014-jan. 2015 now im 7months pregnant at sabi ng OB ko due ko last.wk of may makaja avail po ba ko ng maternity benefits..thanks
Hi cherry, yes, you can avail, kasi your delivery date is within the dates in your premium receipt.
Hello po. I’m employed. I started paying my Philhealth January 2014. I’m 4 months pragnant now. Can I avail my Philhealth po? my due date is on November 2014. Salamat po!
Hi Glaiza, yes, as long as you continue paying. For employed, 3 months lang ang required (3 months within May 2014 to Oct 2014).
Good day po.. Ask ko po sana kung may makukuha ko sa philhealth. individually paying po ako. last yr po ako nagstart ng august maghulog. due po ako ngayong mar. 25.. total na hulog ko po ay 8 months lang. meron po kaya ako makukuha sa philhealth for me and my baby.. thank you po and godbless
Hi Marie, yes, you’re eligible; just present your premium receipt (keep your copy) and your MDR. 3 months premium payment na lang ngayon ang required sa individual payor-informal sector. God bless din
Hi! Ask ko lang sana kung may makukuha po ba kung benefits sa philhealth. individually paying po ako. kapapanganak ko pa lang po last march 20. normal delivery po ako pero umabot po ng 75k ang bill ko. tpos ang baby ko po ay nasa nicu padin till now cause of sepsis and pnemonia. 8months lang po ang total na hulog ko sa philhealth kasi matagal po ako nawalan ng work. may makukuha po kaya ako sa philhealth para sakin or at sa baby ko. salamat po.
Hi Annie, sa 8-month premium payments na sinabi mo ba ay nabayaran mo ang 3 months sa Sep 2013 to Feb 2014? If yes, eligible ka for Philhealth deduction na 5k for your maternity bill. For your baby, meron kang 1750 coverage for newborn package at meron kang coverage for sepsis or pneumonia (whichever is more costly, or puedeng covered ang both sepsis and pneumonia depende sa Philhealth policy). 3 sets of claim forms ka: 1 for your maternity, 1 for newborn, and 1 for nicu confinement. Yong birth cert prepared by the hospital ang gagamitin for your newborn and nicu claim.
Gud day po mam nors, sa case ko po last contribution ko sa philhealth nun employed ako was aug or sept 2013 (if ibbase s kaltas ng sss since sabay sila sept 2013 po) due date ko po is aug 2014 gs2 ko po sna convert sa voluntary pra mka avail ng philhealth, pwede po kya? Isang byaran for jan-sept bale 3 quarter. And kung my possibility n pyagan ako bayaran in full din un last quarter ko ng 2013 kxe un lang kulang ko pra mabuo un buong taon ng 2013. Thank you po in advance. God bless.
Hi Gen, you can no longer pay for 2013 and Jan to Mar 2014. Pay Apr to July 2014 as Individual Payor so you can avail. Puede na ngayon ang payment for 3 months immediately before delivery month.
Hi,nanganak po yung sister in-law ko. ang gamit nyang philhealth is sa father nya. Pero pre-mature po yung baby kaya nasa ospital pa po.Paano po makaka avail ng Philhealth ang baby?
Thanks,
Amerah
Hi amerah, dapat member ang mother (yong sister in law mo) para makagamit ng Philhealth ang baby. I don’t know kung paano pa ma-cover ang baby, kasi late na for the current confinement kung ngayon pa mag-member ang mother, pero it is best to go and ask Philhealth or call Philhealth 441-7442
Kung Philhealth member ang father ng baby, puedeng ma-cover ang baby.
hi po maam nors..panu po ang computation pag dalawa po ginamit po pra may maless s hospital bills at pf’s isa po Hmo(intellicare maternity coverage up to 15k s company asawa ko) at 1 po from philhealth being d member myself..kc po before po aq nanganak cnabihan ko n po ung OB q with regards to the hmo and philhealth ill b using pg nanganak n po ako and she explained to me beforehand na 38k package s knya for CS(kc CS po ako) naless n daw po dun ung philhealth tapos ileless din ung 15k sa intallicare kya may cash out po n 23k plus..ang question ko po bkit ponung lumabas n kmi ng hospital may binayaran pa po aq n 7k plus pra daw po sa pedi at sa baby kc dpa daw included dun binayaran q for my Ob ung sa pedia..hindi po dpat dun s iniless ng hmo ko at philhealth ksama n dun pedia at c baby?? preterm po pla baby ko since 37wiks lng xa..magkaiba po b how much ang benefit ng well baby at ng preterm po?
hi! matanung ko lang po pwde ko pabang bayaran ang philhealth ko kahit natigil ako ng 1year sa pag babayad?
3 years po akong nag hulog ng walang palya…
Hi catherine, hindi mo na puedeng bayaran ang past quarters. You can pay Apr 2014 to June 2014 and onwards.
hello, ask ko lng po if i can still avail PHIC benefits, this is my 5th child..once pa lng po ako nakagamit ng maternity benefit sa 4th child ko lng po.. this time sinabihan po ako na need ko ng mag cs delivery… I heard po kasi sa radio sabi ng isang PHIC representative na pwede daw makaavail kahit sobra sa 4 na ang delivery (topic is benefits ng mother and child under PHIC).. is this true.. I tried calling din yun radio station to confirm pero di ako nakapasok sa line nila..updared po ang contribution ng husband ko.we researche din po sa net and nakita lng po namin is yun ammendment and RVS for Primary ceasarian section.. pasok pa po kaya ako sa primary? thanks po in advance
Hi maricel, your 5th is covered according to Philhealth VP and COO Alex Padilla, http://www.philstar.com/headlines/2013/06/23/957094/pregnant-women-now-enrolled-philhealth
Hinahanap ko yong statement sa new Philhealth law, pero hindi ko makita. Sabihin mo na lang sa hospital, halimbawa hindi pa nila alam. Dapat outright deduction, kasi bawal na ang direct filing with Philhealth by patient.
Hi mam ask ko lang po yung binayaran po nmn n 1200 before kami umalis ng pinas isang one year po un diba..umalis po kami june2013so till june 2014 po un…due date q po kc ng july ndi po b aq cover ng philhealth maternity package..or need q po magbayad ulit as balik manggagawa..kc po sa pinas po ako manganganak
Hi Marnelyn, yes, pagdating mo, kung puede na, puedeng irenew mo agad ang OEC mo so you can pay Philhealth for June 2014 to June 2015 as OFW. Pag di pa puede ang OEC, puede ring bayaran mo muna ang Philhealth for June and July as OFW (show proof you’re OFW) para ma-cover ang date of your delivery. Or June to Aug 2014.
Hi! Cover ba ng philhealth ko ang newborn baby even if im single mom? Will give birth this june. Thanks!
Hi Jhona, yes, your baby is covered because she is your child and you’re a Philhealth member; it does not matter whether you’re married or single.
hi, this is my 6th child and my due will be on last week of August to first week of september, never ko pa po nagamit yung philhealth ko, according po sa isang lying in na napagtanungan q, di q n raw po pede gamitin yung philhealth q. tama po ba yun? mejo risky p nmn n daw po aq kasi its my 6th and i’m 38yo, that’s why i plan to give birth in the hospital. Meron din po akong medicard….
Mitch of QC
Hi Mitch, coverage for normal delivery is only for the first 4 normal deliveries. I think CS is covered if it’s Indicated, but I’m not sure. Ask your ob-gyne. Ask Medicard if it’s going to cover the bill fully if the 5k coverage for normal delivery is not deducted from your bill.
Gud day po.,nag file po kmi ng reimbursement sa gamot last April 14,2014 nung manganak ang asawa ko kailan ko po kya un makeclaim?April 17 po siya nadischarge sa hospital.tnx
Hi elwell, wait for your benefit payment notice from Philhealth, then get your refund from the hospital. You have refund only if the 5k coverage was not used fully by the hospital.
Hi… 8months na akong pregnant at ang due ko sa aug 12, 2014… Last kong contribution was aug 2011.. Puede pba akong mka avail ng benefits?? Tnx!!
Hi Kristina, you should have paid May June July 2014.
http://www.healthphilippines.net/2014/06/philhealth-maternity-benefit-individual-payor/
Hello po. Unemployed po ako ngaun, ang last hulog ko po ay aug 2011 pa. 8months pregnant po ako at ang due ko ay sa August 12,2014. Pwede po ba akong maka avail ng benefits? Tnx po.
Hi Tina, you should have paid 3 months within Feb 2014 July 2014. Ask Philhealth if you can avail if you pay 1 year in advance.
Mam Nors,
Individual payor po ako.
Contributions: January – October 2008
(2009-2013 no contribution)
April 2014 – December 2014 (lumpsum contribution)
Manganganak po ako October 2014
Makakaavail po ba ako ng maternity benefits? 200/month contribution po.
Kung cover po ako paano po kaya ako mag-aaply para dito?
Maraming salamat po.
Hi Maye, yes, you can avail. http://www.healthphilippines.net/2014/06/philhealth-maternity-benefit-individual-payor/
Hello Mam Nora.. Makaka avail po b ako ng philhealth benefit ko. Employed ako from June2013 to January 2014 at Nabataean po ng employee ko sang philhealth ko while I was employed. . Tapos po nag individual pay po ako January 2014 to June 2014. Sa Aug. 15 n po due date ko. Kelangan ko p po BanG bayaran ung July to sept. 2014 n contribution?
Hi Ednalyn, you’re eligible. Pay also for July to be sure. http://www.healthphilippines.net/2014/06/philhealth-maternity-benefit-individual-payor/
Its my 5th pregnancy..can i still avail my benefits in philhealth which i didnt used it during my 1st to 4th child?what about ligation?can i avail benefit for ligation?
Hi mara, I thought before that the new Philhealth law will cover all deliveries, but it’s still vague as of now, so I’ll say for now that your 5th won’t be covered even if you didn’t use Philhealth for your first four. Your ligation will be covered. Ask your ob-gyne, to be sure.
hi po! maam nora.. new member po ako ng philhealth, pregnant po ako ngayon, binayaran ko is april to september. cover na po ba ako ng philhealth? august 15 po ang duedate ko
Hi annabel, yes you’re covered. http://www.healthphilippines.net/2014/06/philhealth-maternity-benefit-individual-payor/
Hi mam nors. Ano po mga needed requirements n ipasa para maavail ang newborn care benefit? Nov. Pa po ako manganak
Hi Jai, submit 2 claim form 1 (one for your maternity and one for your newborn care)
Hello po.. Dito n lang ako magtanong mam nors, im separated and di pa annuled still married name gamit ko sa philhealth and im giving birth on oct 31 for my second baby which iba ang father.i will use his surname kahit were not married is it ok po ba and can i avail the benefits for maternity thanks so much po
Hi Neriza, if you’re a Philhealth member and you’ve paid 3 of the 6 months before Oct, you can avail even if you’re not married to your baby’s father. Yes, the baby can use the father’s surname (the father will sign the birth cert)
Gud.day po ask ko lang po kung makaka avail po ako ng philhealth ng husband ko.?seafarer po kc husband ko at di ko po alam kung ano po gagawin kc po 1st tym ko po kasing gumamit ng philhealth.wala po kasi husband ko dito umalis po sya nung feb.2014 due ko po sa september 17.ano po ba mga requiremenz?maraming salamat po..GOD BLESS
Hi rhena, present to the hospital: updated MDR (with you written as dependent), ID, premium ORs or cert of premium payment from your husband’s company and claim form 1 signed by company marriage cert. Ask your hospital’s Philhealth policy
We had our newborn screening in another hospital, not where I delivered, as they didn’t have newborn screening test. Where can i submit my newborn claim? How long can i get my refund?
Hi jerynah, sorry, the newborn screening coverage should have been deducted from your bill. But usually, for many hospitals, if you did not give birth at their facilities, they don’t process newborn claims, as this is filed together with the maternity claim. Ask others too
gud day. voluntary member, is painless covered by philhealth?
Hi melanie, the coverage for normal delivery is 5k, whether there is or there is no painless delivery injection.
My daughter, who is under 21 years of age, unmarried, will be giving birth December 2014. Is she covered by the maternity benefits under the philhealth?
Hi rosmin, she can be your dependent, and her delivery can be covered if you’re updated with your payments. But it’s advised that she gets her own membership so she can cover her baby in case extra pediatric care is needed in the future
http://www.healthphilippines.net/2014/08/philhealth-dependents-child-under-21-and-pregnant/
hi good day im employed yet my employer have not remitted our premiums. is it possible if I process myself before i give birth? and my status wont change to employed? pls do help me reqarding this.Thank u in advance-sheh
Hi sheh, are you giving birth in Jan 2015? If yes, you can pay for Oct to Dec 2014 asap as individual payor so you can avail as individual payor, and if you give birth in Feb 2015 or further on, pay also for the months before your due. Pay at Philhealth, fill up member data form, so you can get your MDR and card. If you’re delivering this Dec, you should ask your employer to remit asap your premiums.
hello. plan to deliver in another hospital. prenatal at lying-in. last dec.12, was admitted for 8 hours for false labor. and we paid 1k. can i reimburse 1k if I give birth in another hospital? thanks
Hi jen, sorry no, you were confined for less than 24 hours, and if more than 24 hours, Philhealth deduction must be done before discharge.
Hi, can a patient who was discharged but did not use Philhealth and did not have deduction in the billing claim after discharge?
Hi Nympha, only if you had an agreement with the hospital. You can no longer file a claim with Philhealth directly. It should be the hospital that will file your claim. Exceptions: You can file with Philhealth if you’re employed and you were discharged on a non-business day, or if you were confined abroad.
sk ko lang open po ba ang philhealth sa malolos sa december 22-23 2014?? pls reply thank you
ask ko lang open po ba ang philhealth sa malolos sa december 22-23 2014?? magbabayad kasi ko para makahabol yung 3 months ko. para sa january 2015 gagamitin, and kelan pang mga dates bukas sila this december? pls reply thank you
Hi po.5th delivery on august. am i still covered? thanks.I have not used the coverage for my 3 deliveries
Hi, mel, sorry, only the first 4 normal deliveries are covered, even if you have not used Philhealth before. Ask others too
Hi i’m currently pregnant and due on july 2015 and a newly self-earning individual member of philhealth. I’ve just registered — jan-march 2015. Can I avail of maternity benefit? Thank you for your kind response.
Hi marie, yes. Make sure that in April, pay for Apr to June so you can avail. Or pay in advance.
Hello, I’m 8 months pregnant. can i use my philhealth when i give birth next month even if I paid only oct to march?
Hi danica, yes, you can avail. You’re eligible.
Hi norz panu pla mlalaman kng anung level ang ospital ?
Hi, my baby is premature about 32 weeks and she was also diagnose having neonatal pneumonia. What was deducted from our bill is for the case of premature (16,900) because its coverage is higher than neonatal pneumonia (15,000). I was told which ever is higher. Is that right, whichever is. Is it not per case? Shouldn’t the deductions be for both?
Hi Lizette, sad to say, that’s Philhealth’s rule. If the patient has 2 or more illnesses or procedures, the one with the higher cost will be the one covered by Philhealth, except for certain procedures like chemo or dialysis, etc. If you like, there are examples here (Click “Examples of 1st-2nd Case Rate Implementation”) https://sites.google.com/site/informationphilippines/philhealth/case-rate-guidelines-2013
Hi I’ll give birth april 2015. Paid oct 2014-sept 2015 philhealth. Can I get Philhealth benefits?
Hi Mercy, yes, you can use Philhealth.
Hi ask ko lang po. nanganak po ako pero naiwan baby ko sa hospital dahil nagka neonatal pneumonia siya. 10 days sia sa hospital alam nio po ba magkano mababawas ng philhealth. Inask ko ung doctor iba daw kasi ung pang baby sa pneumonia deduxtion n nkapost sa philhealth. Thanks in advance
Hi isabeladimalanta, I can’t find neonatal pneumonia in the list. I saw congenital pneumonia. Coverage is 12,700 pesos (3,810 for PF and 8,890 for hospital cost). I’m not sure if this is the same case, but congenital pneumonia means pneumonia that occurs before or within 48 hours of birth.
Hi,po..mag 4mos.n po aqng buntis.first baby.january 2016-dec.2016.complete po hulog q s philhealth.pero ung june-dec.2016 voluntary hulog q po.s January.,2017 ang due date q.s lying in po q manganganak.pnu po ung CF 1 n ggmitin q?ung binigay ng company or rerequest nlng s philhealth?close n ung compny nung May 2016.
Hi Arlene, voluntary member ka na so use a new claim form 1. Pag employed pa ang status mo sa MDR mo, ask for a new MDR from Philhealth. Fill up the registration form (check FOR UPDATING). Bring your ID. The receipt that you will present to the clinic is your June to Dec 2016 payment receipt (xerox and orig).