Philhealth reimburses prenatal care expenses up to 1,500 pesos, as part of its Philhealth maternity benefit for Normal Spontaneous Delivery (NSD).
This benefit is attached only to Normal Spontaneous Delivery (NSD) cases, and not to Cesarean Section (CS) cases.
You need to keep your official receipts (ORs) and you need to submit them to the hospital or maternity clinic before discharge so they can attach them to the Philhealth Claim forms. To receive the full 1,500-peso benefit, the total of your official receipts must be equal to or more than 1,500 pesos.
What kind of prenatal expenses are reimbursed?
These prenatal expenses are covered:
- Prenatal consultation
- Drugs and medicines used during prenatal period, such as anti-anemics, anti-infectives, vitamins, minerals and tetanus toxoid or tetanus immunization
Medicines should be in the Philippine National Drug Formulary (PNDF) list.
- Routine care tests, such as CBC, blood typing, urinalysis, glucose test, Hepatitis B surface antigen (HBsAg) test, Venereal Disease Research Laboratory (VDRL) test
- Ultrasound, glucose tolerance test and related tests when they are considered medically necessary
How is Philhealth reimbursement for prenatal costs made?
The reimbursement check from Philhealth is sent to the patient in cases where the patient presented Official Receipts (ORs) in her name.
The reimbursement is sent to the hospital or maternity clinic in cases where prenatal care is provided by the hospital and the patient has signed a certification that prenatal care was provided by the hospital or maternity clinic.