Philhealth Maternity Benefits Requirements for Voluntary Members

Thursday, 31 May, 2012

 

Philhealth Maternity Benefits Requirements for Voluntary Members or Individually Paying Members and their Dependents

Ito ang mga documents na ibigay mo sa hospital or maternity clinic bago ma-compute ang bill mo, or bago ka ma-discharge para maibawas agad ang Philhealth maternity benefit mo sa total bill.

Mas maganda na maibawas agad ang Philhealth maternity benefit mo sa total bill mo, kasi matagal ang processing ng Philhealth refund. Pareho lang ang amount ng benefit ng nagpa-deduct agad at yong nagpa-refund.

1.   Clear copy of  Member Data Record (MDR) — Kunin mo ito from Philhealth

2.  Philhealth Claim Form 1 — You can also get this form from Philhealth or from some hospitals or clinics.   Fill this up and sign.  Ganito ang itsura ng form:  https://sites.google.com/site/informationphilippines/philhealth/philhealth-claim-form-1

3.   Clear copies of Official Receipts of Philhealth contribution payments  

Dapat merong 9 monthly payments.  Dapat itong 9 months na ito ay nasa loob ng 12-month period bago buwan ng panganganak. Puedeng merong gap, basta merong 9 months na nabayaran sa loob ng 12-month period.

Example:  Kung September 2012  ang buwan ng panganganak, dapat merong 9 months na nabayaran sa loob ng 12-month period mula September 2011 to August 2012.

4.  If you are a dependent of your husband, at hindi pa nakasulat ang pangalan mo as dependent sa MDR, submit a copy of your marriage certificate from NSO or from local civil registrar

5.  Official receipts of Prenatal Care Payments — Puede lang ang benefit na ito sa Normal Delivery. Wala ito sa Cesarean Section o CS.

Submit at least 1,500 pesos worth of receipts, kasi 1,500 ang prenatal care  benefit.  Anong prenatal care ang puede? Merong list dito:  http://www.healthphilippines.net/2011/11/philhealth-maternity-benefit-prenatal-care/

6.  Hindi naman sinabi ng Philhealth, pero dalhin mo na rin ang Philhealth ID mo or any other ID, just in case hanapin sa iyo.  Pero hindi ito dahilan para hindi mabawas agad ang Philhealth benefit.

Additional Information: 

1.  Dapat Philhealth-accredited ang hospital o clinic at ang doctor.

2.   Merong 1,750 pesos worth of Newborn Care — Dapat Philhealth-accredited ang pediatrician.  Puede ang benefit na ito sa Normal Delivery at sa CS. Ano itong newborn care?  Ito ang listahan: http://www.healthphilippines.net/2011/08/philhealth-maternity-benefits-newborn-care/

3.  How much is Philhealth maternity benefit?

Kapag Normal Delivery:

– 6,500 pesos pag maternity o lying-in clinic o Level 1 or small hospital

(2,600 pesos for doctor at 3,900 pesos for hospital)

– 5,000 pesos pag Level 2 to 4 or bigger hospital

(2,000 pesos for doctor at 3,000 pesos for hospital)

Ang 1,500 pesos ay marerefund lang kapag merong mai-submit na Official Receipts of Prenatal Care Payments.

Kapag Indicated Cesarean Section o CS:

19,000 pesos — Dapat sa Level 2 to 4 hospital.  7,600 pesos for doctor at 11,400 for hospital

 

Philhealth Maternity Benefit for OFW Members and Dependents

How to Claim Philhealth Refunds

  • 175 Comments

    • florlyn says:

      Hi po thank u po for answering my inquiries, meron pa po ako tnung, un nga po since sabi nio po ang pwede q nlng byran or punan is ung jan to march 2013 kc due q ng april, so hndi po ba aq mkaka avail nung maternity benifits since ang nahulugan q lang is dec 2011 to may 2012?

      • keilyn says:

        good day,i am currently pregnant and my due date is july 2013,nag work po ako april-september2011 at my hulog po ang philhealth ko then nag work po ulit ako ng april-june2012 then i resigned,bali 3mos. lang po ang my hulog sken last year,pag po ba naituloy ko ang hulog ko maga2mit ko po ba ang philhealth ko? please answer my question,thanks.

        • Nors says:

          Hi keilyn, para maka-avail, you should be able to pay 9 of the 12 months before July 2013 (July 2012 to June 2013). Ang puede mong mabayaran ngayon ay April to June — 3 months lang, kulang ka ng 6 months. Ask others too.

      • Grace says:

        Hi gud pm! Im currently self employed or they are calling individual payment, i just paid from jan to march 2012, then october to dec 2012 then jan to june 2013,but my due date for delivery is end of this may is it possible that i can use my philhealth?thanks grace

        • Nors says:

          Hi Grace, sayang pero kulang yata ng 2 months. Dapat paid ang 9 of the 12 months BEFORE May. Oct to Dec is 3 months and Jan to Apr is 4 months, so 7 months lang; kulang. Ask others too. Take care

      • Rosalie calma says:

        Hello po ask kolang po kung nagbayad lang ako ng last october to dec 2012 and jan to march 2013 dati po na individual ako then pina transfer kopo ng ofw kc mtagal narin ako m ofw now pinbayaran kopo ang april to march 2014 na for transfer n ng ofw. Ngayon po mangaganak ako ng may 2013 makka avail kopoba ang philhealth ko.. Slamat po

        • Nors says:

          Hi Rosalie, yes, you are eligible if your status is OFW, kasi your month of delivery (May) is within April 2013 to Mar 2014. Dapat, the receipt shows you are OFW and your MDR also shows you are OFW. If your status was not yet changed, show your OEC or OFW job contract or work visa to Philhealth to change your status to OFW.

    • Louverie Caser says:

      Hi, I gave birth via Normal Delivery last January 21 in UST Hospital. I was only able to avail 3000 less from my hospital bill and 1250 only for the newborn care package. I was just wondering if it is possible to reimburse the rest of the amount? How to avail of the 2000 less for the doctor? and the 500 pa from the newborn care package since 1750 max sya dapat db? Also, my prenatal care receipts were available but my dad forgot to gave it. Pwede pa ba yun i-reimburse? and how do i go about the reimbursement process? Thank you!!!

      • Nors says:

        Hi Louverie, about the prenatal receipts, they should have been submitted to Philhealth together with the maternity claim; ang remedy here is to ask the hospital kung andon pa sa accounting/collection nila yong claim nio para maihabol nio. Kung na-submit na, I don’t know kung puedeng habulin sa Philhealth. Pakitanong na lang doon sa branch kung saan nag-file ang hospital. About the 2k PF refund, I suggest you wait for the benefit payment notice from Philhealth via postal mail, and then ask your refund from the hospital. About the newborn package, baka merong process na hindi na-perform kaya kulang ng 500 pesos. http://www.healthphilippines.net/2011/10/philhealth-newborn-care-package-ncp/

    • Nors says:

      Hi florlyn, parang 5 months lang yong nabilang kong paid months mo, so kulang sa 9 months na required, so hindi ka eligible. Pero you visit Philhealth dahil meron silang new program called Individually Paying Contract, baka puede ka pa under this program.

    • madelle says:

      hi september 2010-september 2012 po ako meron hulog sa philheatlh tapos po nag resign ako september. wala n po ako hulog mula october 2012-present year. at buntis n po ako ng 7 mos. magagamit ko po b din ang philhealth ko?
      hindi ko pa rin po kasi na change fron employed to self employed para po sana hulugan ko voluntary.

      • Nors says:

        Hi Madelle, April 2013 ka ba manganganak? Kung nabayaran mo ang Apr to Sep2012 at mabayaran mo ang Jan to Mar 2013, 9 months yan (pakibilang din), eligible ka for maternity. Kung Mar ka manganganak, eligible ka pa rin, basta bayaran mo ang Jan Feb 2013. Kung May 2013 ang due mo, bayaran mo ang Jan to Apr 2013. Fill up ka lang with your ID sa Philhealth ng registration form. Check FOR UPDATING and check VOLUNTARY. Request for your Philhealth ID and your MDR. Get certification of premium payments with OR nos. from your former employer

    • gerry paulo says:

      Hi po…just want to verify lng po if pwede pang magavail ng philhealth misis ko… nagwork po kc cia for 7 months last yr (feb to sept 2011) and ngresign n po cia dhl buntis n po cia. 6 months n po cia pregnant today… idineclair ko rn po cia n dependnt ko sa philhealth last month… 4yrs n po kong ngwowork… pwede n pa po b nyang iavail ung philhealth nya under my name kpg nanganak po cia sa april or may? O kailangan po nmin icontinue ung payments ng philhealth nya? Maraming salamat po.

      • Nors says:

        Hi gerry, puede na niyang i-avail ang Philhealth mo, kasi declared dependent mo na siya, and I assume na updated ang employer for remitting premiums. At least 3 months paid sa 6 months before April or May lang ang required kapag employed.
        By the way, Sep 2011 ba yong last payment niya? O last year, Sep 2012? Kasi merong rule ang Philhealth na kapag less than one year pa lang ang separation from work, kelangang magsulat ang wife mo to Philhealth deactivating her membership and asking for registration as your dependent. Pero kung isinulat na siya ng Philhealth sa MDR mo, okay na, siguro iniba na nila ang rule nila.
        Magtanong din sa iba… best regards

    • gerry paulo says:

      Hi po…just want to verify lng po if pwede pang magavail ng philhealth misis ko… nagwork po kc cia for 7 months last yr (feb to sept 2011) and ngresign n po cia dhl buntis n po cia. 6 months n po cia pregnant today… idineclair ko rn po cia n dependnt ko sa philhealth last month… 4yrs n po kong ngwowork… pwede n pa po b nyang iavail ung philhealth nya under my name kpg nanganak po cia sa april or may? O kailangan po nmin icontinue ung payments ng philhealth nya? Maraming salamat p

      • Malou says:

        hi po, just to make sure lang po.. will give birth po ng april 2013 ang paid po saken sa philhealth July2012 – June2013 as voluntary. Qualified po ba ako? and before po may nakuha kmi 19k via cs same aprin po ba maki-claim namin or iba na po and nakadepende sa level ng hospital? thanks!

    • collette says:

      naka dipende po ba sa level ng hospital yung amount ng pwdeng ma-claim sa maternity via cs. pano po kng public hospital lang before po kasi naka claim kmi 19k di na po ba same employed po ako non nagyn voluntary.

      thanks!

      • Nors says:

        Hi collette, kapag Indicated CS, dapat level 2 to 4 hospital. The same na 19k ang coverage for any type of member, ke voluntary or employed. 11400 for hospital costs and 7600 for PF. If voluntary, dapat paid ang 9 months sa 12 months BEFORE month of delivery, or if kulang, you can inquire about Individually Paying Contract.

    • jho says:

      gud day!

      ask ko lang din kng sa new born screening pde ko mgamit ung philhealth ko…kc nde ko sya magagamit sa panganganak ko dhil 8months lng ung hulog ko.

      • Nors says:

        Hi jho, I suggest pumunta ka sa Philhealth branch and ask kung puede ka sa new program na Individually Paying Contract para magamit mo sa delivery mo, kasi sabihin mo 1 month lang naman yong kulang mo.

    • Mariane says:

      Hello po,

      ask ko lang po, private employed po ako, expected date of delivery ko po is on june 2013, ma avail ko po ba ung philhealth maternity benefits ko, last october 2012 lang kasi ngstart ang aking contribution sa new employer ko…pero meron po akong contribution sa previous employer ko but that was 2 years ago….and panu po ito maprocess when times na manganganak na po ako….

      please guide me for an advice…thanks

      godbless

      • Nors says:

        Hi Mariane, yes, you will be eligible kasi employed ka naman. Make sure you have at least 3 months paid within Dec 2012 to May 2013. Get your Philhealth ID and MDR from Philhealth and certification of premium payments with OR nos and signed claim form 1 from your employer

    • shently gongora says:

      hello po. good day!

      Ask lng po ako,currently employed po ako. makaka avail po
      ba ako nag maternity benefits mula september 2012 hanggang ngayon ang contribution na hinoholog ng company. april po ang date ng delivry ko.atnu po requirmnts?

      • Nors says:

        Hi shently, yes, qualified ka for maternity coverage, kasi employed ka. Kung April ang due mo, dapat meron kang at least 3 months paid sa Oct 2012 to March 2013. Get your Philhealth ID and MDR. Ask from your employer: signed claim form 1 and certificate of premium payments with OR nos.

    • agnes says:

      gandang araw po makaavail kya ako ng philhealth mat. benefit pg june 2013 ang xpected q manganak,last payment q last quarter ng 2012 tapos nag advnce payment aq ng 2 quarters of 2013?

      • Nors says:

        Hi Agnes, Oct to May is only 8 months, not enough to comply with the 9-month requirement. Visit Philhealth and ask about Individually Paying Contract (IPC). You can be eligible under IPC.

    • agnes says:

      addt’l info… voluntary pla ung skin.salamat po!

    • Jayson says:

      Bat ganun yun sa akin… nagumpisa ako nagbayad July.. binayaran ko na yung 9 months bale ang deadline ko is last week of feb. para mag bayad ulet.. manganganak asawa ko this feb. tpos nag tanong kami sa philhealth ang sabi nila d daw pwde yung philhealth ko dpt daw nag umpisa daw ako magbayad nung JUNE.. ganun ba tlga yun?

      • Nors says:

        Hi Jayson, July to Jan is only 7 months. It should be 9 months BEFORE Feb. But you ask them about Individually Paying Contract (IPC). You commit to pay 1 year to 3 years in advance. Under IPC, you can qualify.

    • Engeline says:

      Hi, i have a short question here about the philhealth benefit, my labor date is on the month of september and i have avail the philhealth last january 1, 2013, but i payed already the whole year of 2013. My question is, qualified na ba ako sa philhealth benefit? Thanks po.

      • Nors says:

        Hi Engeline, Jan to Aug is only 8 months, lacking 1 month for the 9-month requirement for voluntary maternity cases. I suggest you go to Philhealth and ask about the new program Individually Paying Contract, so you can avail of the maternity benefit.

    • reniel says:

      hi po., ask ko lang po kung ano ma aavail ko or ilang percent ang cover ng Philhealt sa Hospital bill?, bago panganak po kasi daughter ko na admit 1 wik na, private employee po ako., mag 3 years na Philhealth ko ngayon ko palang po gagamitin,,,…..

      • Nors says:

        Hi reniel, if your child gave birth via normal delivery in a level 2 to 4 hospital, she’ll get 5k coverage (3k for hospital costs and 2k PF) plus newborn care of up to 1,750, depending on newborn care procedures performed.

    • bobet says:

      good pm. ask lng po kung makaka avail aq ng philhealth maternity benefits. due date ko ay march 2013, pero may gap ang contribution ko ng 4 months. sv po sa hrd namin 6 months p lng hulog q. pwd po ba aq mgclaim? ano requirements?

      • Nors says:

        Hi bobet, which months were not paid? If you have paid or can pay at least 3 months of the 6 months from Sep 2012 to Feb 2013, you are eligible because you’re Employed. For employed members, the requirement is payment of at least 3 months of the 6 months before month of delivery.

    • bobet says:

      pwede po ba byaran q ung kulang pra maging 9 months ang hulog q. private employee nga po pla aq… pls. help me. thanx.

    • bobet says:

      additional info.. private employee po aq.

    • trisha says:

      kung manganngak ako ng march 2013.. magagamit ko ba ang philhealth ko .. kung ang payment ko ay ng start noong jul 2012-dec 2012 then advance payment ng jan. 2013- jun 2013

      • Nors says:

        Hi trisha, are you voluntary? If yes, July to Feb is only 8 months; you lack one month. Please check my counting. And please ask others too. I’m not sure if you can still make use of the new program Individually Paying Contract (IPC) since you’ll be delivering next month. You can go and ask, if you like.

    • aypee says:

      Can I still avail of the maternity benefit if I resigned last October 2012 and I just found out I am pregnant this Feb 2013. My due date is Sept. 2013. Can I still pay for November and December 2012 and then pay for the whole year of 2013 to be able to avail of the benefit?

      • Nors says:

        Hi aypee, sorry you can no longer pay Nov and Dec 2012. Jan to Aug is only 8 months; lacking 1 month for the 9-month requirement. You ask about the new program Individually Paying Contract, so you can avail of the maternity benefit.

    • cassie says:

      Itatanong ko lang kung mgkano ang contribution ngaun sa philhealth para sa individually paying?

    • ann says:

      hi! good day! ask ko lang po kung makakapag avail po ako ng maternity benefits, employed po ako from january 2012- december 2012, but nag check po ako ng contribution last feb 25,2013 ang sbi po sa akin sa philhealth ay hanggang july lng po ung last posting ng contribution ko. voluntary member napo ako starting january 2013.. maaari ko ba ma avail ang maternity benefits ko?! sa August 2013 po ang due date ko..
      best regards..

      –ann

      • Nors says:

        Hi ann, the requirement is you should have paid any 9 of the 12 months BEFORE your due, which is August. If you cannot accumulate 9 months, apply for an Individually Paying Contract (IPC) at Philhealth, so you can avail. You will pay 1 year or 2 or 3 years in advance.

    • Trisha says:

      Good Day po Ms. Nors! Ask ko lang po May 2013 po due ko. Resigned employee po ako effective Oct 2012. Then nag voluntary member po ako from Oct2012-April2013. Then chineck ko naman po sa philhealth updated naman po ang hulog ng prev employer ko from april2012-sept2012. Eligible naman po ako for maternity benefit dba po kasi 12 mos before delivery ko is may2012-april2013. So ang requirements ko po ba ay OR from philhealth at cert of premium payments with OR nos sa prev employer? And i just got married po kasi wla naman po magiging problema kapag nag update po ako status? Will wait and thank you po sa response nyo Mam.. :)

      • Nors says:

        Hi Trisha, yes, you can update your Philhealth record with your marriage certificate. And bring your marriage certificate (xerox and orig) to the hospital if your previous employer’s certificate of premium payments and your voluntary payment receipts are in your maiden name. Yes, you’re eligible because you have paid 9 or all of the 12 months in the May2012-Apr2013 period. I’m glad you have counted correctly, as many others seem confused about the counting. By the way, request for your Philhealth ID and updated MDR.

    • tolits says:

      hi gud day! ask ko lang kung maaari akong makagpag avail ng sickness claim. kung ngayon pa lang ako mag aaplly ng philhealth, kaso sa anak ko sana gagamitin kasi na operahan siya sa appendix. thank you.

      • Nors says:

        Hi tolits, sorry but you should have paid at least 9 of the past 12 months before you can make a claim. Contributions must be paid BEFORE the operation. 3 of the last 6 months if it is not surgery.

    • joanne says:

      ang philhealth contribution q lng po ay mula feb-august 2012. then naistop na buntis po aq ngaun ng 3mos and manga2nak by cs operation this september 2013. ano po pwede qng gawin para mkaavail ng philhealth benefits.

      • Nors says:

        Hi joanne, go to Philhealth and ask for an Individually Paying Contract IPC) with your ID and Philhealth no. You’ll pay 1 year in advance (1800) or more years. Confirm if you can use this for your maternity, because I just read it in their recent circular.

    • resty says:

      gudpm po,ask ko lng po pwdi q nb e claim ung reimbursement ko xa philhealth kht wla pang dumatng n BPN?Kc po alm0st 8m0s nq wait ng bpn but til n0w wla p,peo sv samin ng admin n available n ang cheque.gby

    • Sheryl says:

      Hello po. Employed po ako from Feb 2012 to september 2012. Tapos, voluntary payment po from january 2013 to december 2013. Manganganak po ako by August 2013. Pwede ko po bang ma-avail ang benefits? Paano po kung nagsara ang kumpanya ko and hindi ko na po makuha ang mga OR numbers ng contributions namin? Pero alam ko po na posted amg payments dahil ako pa ang nagpa-post nun bago po ako mag-resign. Salamat po.

      • Nors says:

        Hi Sheryl, you can ask Philhealth for a certification of eligibility. Or you can ask for certification of premium payments with OR nos. now from your employer before they close. If you have paid at least 9 of the 12 months BEFORE August, you are eligible.

    • agnes says:

      good day! mka avail kya ako?,ngbyad aq noong oct til dec 2012 then jan 2013 til june 2013 ung akin, mag due aq this june…panigurado lng kc ung s akin,in case nbyran ng employer yung phic. ng husband q ang 2nd and 3rd nya mka avail kya aq? thanks!

      • Nors says:

        Hi agnes, make sure your husband’s employer will be able to pay 3 of the 6 months before June (pay 3 months within Dec 2012 to May 2013. Your membership may not be enough because Oct 2012 to May 2013 is only 8 months. Your other option is Individually Paying Contract (IPC) if your husband’s membership is not okay.

    • cihin says:

      Hi good day! Voluntary paying member po kami. Ang due ko po ay sa September 2013, pero ang nabayaran lang po namin last year ay from Jan-June 2012, then Jan-September 2013. Ma qqualify po ba ako sa philhealth? Thanks in advance :)

      • Nors says:

        Hi cihin, under the 9-over-12 requirement for voluntary maternity, you lack 1 monthly payment. Go to Philhealth and ask about Individually Paying Contract (IPC) so you can sign this and commit to pay 1 year or more in advance. Under IPC, you can be covered.

    • Jane says:

      Hi! Just wanna ask if I can reemburse all my philhealth premium. I got so dissappointed coz I was’nt able to use my benefits for my miscarriage this March 7, 2013 since i paid my premuim last May 2012 (I resigned from work last May 2012).
      Thank you!

      • Nors says:

        Hi Jane, sorry Philhealth premiums cannot be reimbursed. The requirement for coverage is having paid 9 of the last 12 months before hospitalization.

    • nones ytang says:

      Hi po ms.nors ask ko lang po ang husband ko po ang member ng philhealth seaman po sya since 2008.2008 nag contribute na po sya ng philhealth.pero hindi sya onboard wla pong hulog yong philhealth nya minsan 7mos,6ms or 1yr yong contract nya..last payment nmin august 2012 then hulog ulit kami ng jan 2013 to june 2013 due date ko po this coming june mkaka avail po ba ako ng maternity? thank you po and god bless sana po ma replayan mo tong tanong ko sayo…thanks po uli…

      • Nors says:

        Hi nones, do you mean he’s not on a ship at present? If he’s not, you need to have paid 9 of the 12 months BEFORE June. If you don’t have 9 months, go to Philhealth and ask about the Individually Paying Contract. Under IPC, you can be eligible for Philhealth in June.

    • alina says:

      balak q p lang mag pa member s philhealth at kung magbabayad po b aq ng 1 year contribution ngayong march 2013 at mangaganak po aq ng aug 2013, magagamit q po kya ang philhealth q… maraming salamat po..

      • Nors says:

        Hi alina, you can. Go to Philhealth with your ID and money and ask about the Individually Paying Contract. Under IPC, you can be eligible for Philhealth in August.

    • CELIA L.BAGUI says:

      good morning po,cs po aq nung nanganak,ibg sbhin po ay 19k ung benefits q,from philhealth,pnu po qng sa bill q ay 11k lng ang knuha nila sa phlhealth,pero nung dmting po ung phlhealth q,wla nmng tseke?

      • Nors says:

        Hi Celia, Philhealth sent the check to the hospital, so refund your 7400 from the hospital. Bring your notice and hospital receipt. Keep your copies.

    • Aimae says:

      Gud pm..Ask ko lang po if maka avail ba ako ng maternity benefits? Currently employed ako,my due date will be this July 2013.. Hindi pa nahulugan sa company yung philhealth ku kasi probitionary period. Mahulugan lng if regular kana,din my regularization will be this April,so 3months ang contribution ko April-June. eligible ba ako 4 maternity benefits? I need your suggestions. Thanks in advance.
      Best Regards,

      • Nors says:

        Hi Aimae, if your company can pay your April, May and June, you can avail. For employees, only 3 monthly payments within 6 months BEFORE your month of delivery are needed. Have your company sign your claim form 1 and give you a certificate of premium payments with OR nos.

    • Veronica says:

      Hi po,

      I resigned last 07/2012, since then I was not able to pay Philhealth. Can I pay my coverage from 7/2013 to 10/2013? Coz I’m on my 2nd month now, I’d like to know if ever I can complete my coverage, is there any chance that my hospital bills be covered also, or any discount be applied? I hope for your soon response. Thank you!

      • Nors says:

        Hi Veronica, is your baby due on October? If yes, you pay Jan to Sep 2013 asap (should be this March) — this would total 9 months — it would be enough for coverage. To avail of the prenatal benefit, keep your prenatal ORs, at least 1,500 in total, for submission together with claim forms. If your due is Sep, go to Philhealth and ask about the Individually Paying Contract (IPC) program. Or perhaps the IPC is better, so no matter when you give birth, you’re still covered. You might be asked to pay the whole of 2013 – (150 pesos x 12).

    • jelly says:

      hi gusto ko po sanang malaman kung pano ko maitutuloy ang contribution ko sa phil health. mangyari po kc na tumigil n po ako mgwork last jan. 29 2013 dahil buntis po ako 5 mos n ngayon march 14,2013. dati po akong employed and gusto ko po imake sure na makaktulong ang philhealth ko sa panganganak ko. hindi ko nman po sigurado kung lahat ng employer ko ay naipost lhat ng deductions ko.

      • Nors says:

        Hi jelly, you can call 441 7442 to ask the premiums paid by your employer. Then make sure that you will be able to pay 9 of the 12 months before your month of delivery. You pay at Philhealth so payments will be posted immediately. If the total is less than 9 months, go to Philhealth and inquire about the Individual Policy Contract program. You might be asked to pay 1 whole year.

    • shayne says:

      i decided to give birth sa well family clinic after i found out na di ko na pala kailangang ma CS since my baby moved from being transverse lie i am on my 36 weeks na. I was told sa clinic that I should have at least 4 check ups with them so i can use my philhealth para wala akong bayaran, ibig sabihin ba na kung di ako makapag 4 check ups sa kanila i wont be able to use the benefit, is that a Philhealth requirement. i wonder how would i know kung nasagot na ung querie ko, ksi i have a question before but i havent seen if it was psted and answered. thank you po. God bless

      • Nors says:

        Hi shayne, yes, the 2009 circular that I read says “there should be 4 prenatal visits before delivery” if you give birth at a lying-in or maternity clinic. Just ask them if you can file for a refund directly with Philhealth after giving birth, as they’ll be the ones filling-out the claim forms. God bless too

    • Christine Santiago says:

      hi! I wanted to know po if I can use my philhealth pag nanganak ako. I started paying 2005 and stopped when I resigned from work in 2009. Last January 2013, I reactivated it and paid for the whole year of 2013 (voluntary contribution). I am due this coming July. Am i qualified to avail of the maternity benefit since I already paid for the whole year of 2013? thank you

      • Nors says:

        Hi Christine, what Philhealth counts are the months BEFORE month of delivery. Jan to June is only 6 months, not enough for the 9-month-within-past-12-month requirement for voluntary/maternity. So I suggest you go to Philhealth and ask about their new program called Individual Policy Contract (IPC). Under this IPC, you may be able to qualify. You may be asked to pay for another year so they can convert your 2013 and 2014 payments into IPC, but not sure how they will remedy it.

    • honey says:

      hi..makaka avail b ako sa philhealth ng maternity benefits ngstart aq ng member/ngbayad ng march 2013,due date ko ng oct 2013..mka kuha po b aq kung bayaran q n ang march to nov.quarterly po kc aq gbayad

      • Nors says:

        Hi honey, March to Sep 2013 is only 7 months — not enough for the 9-month-within-past-12-month requirement for voluntary/maternity. So I suggest you go to Philhealth and ask about their new program called Individual Policy Contract (IPC). Under this IPC, you may be able to avail of the benefit. You may be asked to pay in advance for one year or 2 years.

    • jerry says:

      sir/mam ask ko lang po f pd papo gamitin ung philhealth ng tito ko, gagamitin sa asawa nila kac may cancer eh bali retired military na po cla nong January 2011 at d na nahulogan ulit. pano magagamit ulit ung philhealth nila para macovarage ung pag papagamot ng asawa nila?. plss reply ty….

    • jerry says:

      hi po. ask ko lang po f pd papo gamitin philhealth ng tito kac na diagnose ung asawa nila na may cancer. kaso ung philhealth na stop ung paghuhulog nong nag retired cla last january 2011. pano po ulit magagamit ung philhealth and macocover ba asawa nila??..

    • shayne says:

      thanks. what if sa government hospital ako manganak does philhealth have a requirement of how many check ups i should have done with them..? thanks Nors

      • Nors says:

        Hi shayne, I think Philhealth has no required no. of prenatal checkups at hospitals. But you know of course that it’s easier for admission if you have at least one prenatal checkup at the facility where you will deliver.

    • aiz says:

      gud pm. im individually paying member. Ang due date ko po ay july 5, 2013. ang contribution ko po ay january 2012-june 2012, tapos july2012-sept.2012 wala po akong contribution. oct2012-june2013 may contribution po ako. may makukuha po kaya akong benifits panganganak ko? and wat if mapaaga po ng lastweek ng june 2013 may makukuha pa rin po ba ako?

    • ivy says:

      hi! ivy hir..pano po mllman if approve yung inapoky ko for claims..its bin a yir na po kc..wla pa po ko nrerecve n letter o fidback..tnx!:)

      • Nors says:

        Hi ivy, you can go to the branch where you submitted and ask. You can call Philhealth, but many say the phone is often busy. 441-7442

    • Lei says:

      Hi, my due date is on April 2013. I Resigned last Sept 2012 and i have Employers Certificate of Contribution in Philhealth (indicated OR nos.) from Jan 2012- August 20132. I’m planning to avail maternity benefits so i will pay voluntary from September 2012- MArch 2013, right? Also I inquired in clinic where I give birth, their maternity package is P10,000.00 and if with Philhealth will only cost P5,560.00. Just wondering coz from what ive read PHIC maternity benefits for NSD is 6,500 pesos(maternity o lying-in clinic o Level 1 or small hospital). Isnt it that it should be P3,500.00 only for the total bill (less PHIC)? thanks po.

      • Nors says:

        Hi Lei, I hope you already have paid Sep to Dec 2012, because if not, you can no longer pay these months.
        About the lying-in rate, yes, you should pay only 3,500.
        They could have just said their package is 12,060, and if with Philhealth it’s 5,560, so there would be no more questions for them to answer. Just ask them na lang. take care

    • Mariden says:

      Hi Po! I just want to ask If i can avail maternity package? I paid my premiums fr0m OCT2012 UP TO MARCH2013 AND I PLANNED TO PAID IN ADVANCE April-june2013 SO I Can avail the package pwd po b un?

    • Mariden says:

      Hi Po! I just want to ask If i can avail maternity package? I paid my premiums fr0m OCT2012 UP TO MARCH2013 AND I PLANNED TO PAID IN ADVANCE April-june2013 SO I Can avail the package pwd po b un, Ang expecting give birth ko po ay ngaung june2013?

    • AIZ says:

      REPOST: KASI HINDI PO NASAGOT YONG TANONG KO NONG MARCH 21, 2013. TNX!

      gud pm. im individually paying member. Ang due date ko po ay july 5, 2013. ang contribution ko po ay january 2012-june 2012, tapos july2012-sept.2012 wala po akong contribution. oct2012-june2013 may contribution po ako. may makukuha po kaya akong benifits panganganak ko? and wat if mapaaga po ng lastweek ng june 2013 may makukuha pa rin po ba ako?

    • Shannen says:

      Hello! I’m an OFW and I had a CS delivery last week (16th March). Could you please tell me the necessary documents needed to claim my maternity benefits? Pwede ko rin bang ma-claim ang new born care since it’s not worth 1,750 pesos? Thanks a lot po.

    • karen says:

      hi po.tanong ko lang po kung mgagamit ko philhealth ko kc mnganganak po ako this april 2013.. nkbayad po ako ng july 2012-dec 2013..thanks

    • paula sophia says:

      Hi, would like to inquire and be enlightened about the Philhealth Maternity Care Package particularly which states on the list that it excludes “First pregnancy of patients aged 35 years and older”. I am 37 y/o and would like to know if i would still be covered by PhilHealth?

      Thank you.

      • Nors says:

        Hi paula, that’s one of the exclusions from the maternity care package offered by lying-in maternity or midwife-managed clinics. That means if you’re 35 years old or older and it’s your first pregnancy, you should give birth at a hospital, and not at a lying-in or maternity clinic so that you’ll get the Philhealth benefit.

    • Nina says:

      Gud evening, I just want to ask Kung makaka-avail po ako nG maternity benefits ok po ang payments Ko, but my ob told me na d ako makakaavail because I only have 3 check ups and philhealth daw advice them na dapat dw I should have at least 4 check ups before my delivery, is it true? Sa lying-in po ako ngpapacheck up at dun dn manganganak

      • Nors says:

        Hi Nina, yes, that’s true. Don’t you have time for the 4th checkup? Ask your OB if you can avail by refund — meaning it would not be outright deduction. You pay them cash, and then they help you with the documents so you file your claim directly with Philhealth after giving birth.

    • Jen says:

      Hi po,, ask ko Lang po Kung magagamit ko po yung philhealth ko, nag change n po ako from voluntary, last na hulog ko po Nung employed p ako eh feb 2012 then nagchange po ako into voluntary Nung October 2012 bale po yung nkapaghulog na ako ng October 2012 to June 2013, eligible po b ako??? Or need ko p po magadvance hulog for safe po?? Thanks po,,,

      • Nors says:

        Hi Jen, when is your due? Count 12 months backward from your month of delivery. Have you paid 9 of those 12 months? If yes, you are eligible. If your due is July or Aug or Sep 2013, yes you’re eligible.

    • agnes says:

      good day! ngsuggest kau n puntahan q ang philhealth here in davao tpos tnanong q cla about IPC kasi eligible aq,pero hindi raw un implemented dito sa davao, pano yan para mka avail aq…june ang due q…

    • Jen says:

      Hi po ulit regarding po sa tanong ko ang due date ko po eh May 10, then ang hulog ko po na latest is October 2012 to June 2013 po, eligible po b aq??tnx po,,,

      • Nors says:

        Hi Jen, Oct to April is only 7 months, not enough for the required 9 months paid BEFORE the month of May. Go to Philhealth and ask about Individual Policy Contract (IPC). You may be required to pay 1 year in advance. Ask them if you can use IPC for your delivery this May. best regards

    • weng says:

      Hi, I just want to ask if eligible po ba ako to avail the maternity benefits if I started paying my philhealth last October 2012..I’ve paid my Oct-Dec 2012 plus Advanced premium – Jan-Dec 2013…I will be giving birth this April 2013 and I want to know if I can use my philhealth already…thanks..

      • Nors says:

        Hi weng, Oct 2012 to March is only 6 months, not enough to comply with the 9-month requirement. Under this, you cannot avail because you lack 3 monthly payments. I suggest you go to Philhealth and ask if you can convert your payments to the new program Individual Policy Contract plus pay in advance for another year, so you can avail of the maternity benefit.

    • susan c. huerra says:

      hello po may ask po ako paano po kung dto manganak sa ospital ng makati pag may yellow card kc dto pag inabot ung bill u ng start 5k up donation na 200 pesos lang ung babayaran so just incase na macs ako makukuha ko ba sa philhelth ung refund ko na 18,800. updated ang payment ko advance nga til dec 2013 due date ko dis coming june 2013

      • Nors says:

        Hi susan, sorry, you will not be able to refund 18,800, because you will not pay 18,800 to the hospital. You can refund only money that you have paid. About the 200 pesos, since this 200 pesos is a donation, and there’s no official receipt, you cannot refund this 200 pesos.

    • shinalou says:

      Tlga bang Ang claim check ng philhealth e manggaling p s Capitol dito sa province?,Dba dapat sa philhealth thru mail or I-claim mismo sa philhealth office Ang check?kc (C-Sections) delivery ako at inasikaso ko last dec2012 ang philhealth ko. then lately lang lumabas Ang printed statement ng philhealth . Nung kinuwenta na NaSA 3thousand LaNG Ang claim ko.of course nakakagulat tas ang explain nila kinukuwenta pa daw sa hospital tas approval galing pa sa kapitolyo.nakakawindang naman ang process d2.hindi aq baguhan sa philhealth at unfair pa dun sobrang Laki ng ginastos namin at sa labas naman Ang gamot,doctor’s fee at gastusin namin.advance naman at yearly ang bayad ko ng philhealth then unfair Ang claim ko.dito ko LaNG na experience yan.

      gsto ko LNG ishare at no offense sa tatamaan ha gusto ko lang kc maintidihan ganun b talga ang claim?

    • shina says:

      ask ko lang, san manggagaling ang claims tulad ng check?is it from the capitol of the province or direct from philhealth office?

    • NIFTY says:

      hi po ask ko lang po if mkkaavail po ba aq ng maternity benifits.. jan. 2013 po aq ngstart ng payment ko as individual member due date q po ng october.. continues nmn po payment ko kc nhire po ako as contractual employee ng march 2013.. makakaavail po b aq ng maternity benifits?

      • Nors says:

        Hi Nifty, yes, you will be able to avail as Individually Paying Member because Jan to Sep 2013 is 9 months, enough for the maternity requirement of payment of 9 of the 12 months BEFORE month of delivery. Continue to pay all months and keep your receipts.

    • rachelle says:

      Gud day, I resign on my previous employer last jan, bec of my pregnancy,and I failed to pay my contribution since then. This april po aq manga2nak ask q lng po am I eligible for philhealth benifits? Thankz.

    • agnes says:

      paano b ung about ipc..?hindi raw implemnted dito s davao? pano aq mkaavail ng maternity benefit?

    • rheign says:

      Hi! I’m due on May 14 and I’m getting married before the end of April. I was wondering if there would be any problem with deducting the benefit from my hospital bill since I’m newly wed and my name and status are gonna be changed. Is it okay not to update my status with Philhealth yet until everything is settled with regards to bill deduction? I’ll be using my own Philhealth benefit. I would actually want for it to be deducted immediately from my bill instead of waiting for the reimbursement since as I heard, the process is really long for that. Thanks!

      • Nors says:

        Hi rheign, if you decide not to change yet your status with Philhealth after your marriage, you should also use your maiden name in the claim forms and at the hospital when you deliver, so that the surnames/middle names will match. However, you can use your married name at the hospital and claim forms, even if your Philhealth data is unchanged, if you submit a copy of your marriage certificate to the hospital…to explain the difference in surnames. Ask others too.

    • rachelle says:

      hi ask q lng poi if i paid april-december2013 eligible po b aq s maternitypackage due q this coming september2013.tnx

      • Nors says:

        Hi rachelle, sorry April to August is only 5 months. The rule for individual payors for maternity cases is payment of 9 of the 12 months BEFORE month of delivery. Ask Philhealth if their Individual Policy Contract (IPC) is being offered again; under IPC, you can qualify.

    • genie rose labustro says:

      ask ko lang po. 9 months po kasi nahulog sa philhealth ko.. makakakuha parin ba ko ng maternity benefits???? please do email mo po sana :) thanks

      • Nors says:

        Hi genie rose, yes, you will be eligible as long as you have paid 9 of the 12 months BEFORE your month of delivery.

    • Maria says:

      Hi! I am going to give birth this December 2013. I completed my philhealth contribution last year. I have no contribution from January to March this year but I am going to pay my April to December contribution. Will I stll be able to claim my maternity benefit? Thanks! :)

      • Nors says:

        Hi Maria, yes, you will be eligible. Show your receipts for Dec 2012 and from Apr to Nov 2013 — these total 9 months BEFORE month of delivery. Requirement is payment of 9 of the 12 months BEFORE month of delivery.

    • Maria says:

      Hi! I will give birth this December 2013. I completed my philhealth contribution last year but I was not able to pay my Jan to March contribution. Will I still be eligible for the maternity claim if i’ll pay my april to december contribution? Thanks! :)

    • ginalyn says:

      tanong ko lng po kung magagamit ko pa un philhealth ko nagbayad po ako ng april-december 2013, due date ko po ay september 2013? thanks..

      • Nors says:

        Hi ginalyn, sorry, April to August 2013 is only 5 months. The requirement is 9 months paid (9 of the 12 months BEFORE month of delivery). Ask others too. You can ask Philhealth if their new program Individual Policy Contract is being offered again.

    • ginalyn says:

      voluntary po aq ngbayad. nbyadan ko ay april-december 2013, magagamit ko po b ang aking philhealth , ang due date ko po ay September 2013.. thanks..

    • sammy says:

      hi ask ko lang po if i can avail the benefits,and what r they..my delivery date is on august,hopefully normal delivery..i was a sponsored member last year and i applied for voluntary,self employed this feb 2013.i chose to pay annualy so i paid for the whole year. The benefits are listed above, in the article.

      • Nors says:

        Hi sammy, did you mean you were a sponsored member until Oct or Nov or Dec 2012? If yes, you can avail. Keep your sponsored ID — you will combine 3 months from your sponsored membership and 6 months of your voluntary membership (Feb to July 2013) to accumulate 9 months. The rule is payment of 9 of the past 12 months BEFORE month of delivery.

    • arlene says:

      H! Pregnant po ako ang duedate ko po is sept2013. Kung mahuhulugan ko po ba ang jan2013 to sept.2013 makaka avail po ba ako ng maternity benifits?
      Thank you!

      • Nors says:

        Hi arlene, sorry you can no longer pay for Jan to March because it’s now April. What you can pay is for Apr to Aug, and these months total only 5 months, not enough to reach the 9-month requirement. You can ask Philhealth if they are again offering the Individual Policy Contract — under this, you can qualify.

    • jei says:

      hi… sa june 2013 po due ko… employed po aq kaso nung feb kinailangn ko na magleave due sa prgnancy maselan. yung sss ko nkita ko na po n may hulog hanggang feb gnun din po kaya sa philhealth makakaavail ba ko?

    • jei says:

      im due on june… makakahabol pa ba ako.sa pagbabayad ng apr to june ngayon?? im employed pero nakaleave ako… nakita ko ung sa sss nabayaran hangang feb possible kaya na nabayaran ung philhealth ko?? till march…

      • Nors says:

        Hi jei, yes, you need to pay April to May (pede na ring Apr to June) because you a have a long leave. Yes, you can still pay April to May or June. Even if your employer did not pay your Feb and Mar (because you were not on the payroll during these months), you can still avail because you will be able to pay 9 of the 12 months BEFORE your month of delivery.

    • maricel says:

      hello mam, i just want to ask pwede ba akong maka avail sa maternity benefit..bale im now a voluntary member at 6months lng nabayaran ko starting jan2013-june2013 bale 2 quaters.pero may binigyan ako ng certificate of last contribution galing sa agency na may remittance ako july2012-december2012 bali 3rd quatr-4th quarter ng 2012..na end of contract kasi ako december 2012..pero pag punta ko ng philealth office to check if may remittance ang nakalagay dun 2010 pa last may remittance pero sabi ng agncy meron daw sila na i submit dun sa philhealth..by may 16, 2013 ill be expecting to give birth na..so, ano po pwedeng gawin?pang second baby ko na ito..my eldest is now 3years old pagka panganak ko sa 1st baby ko hindi rin ako naka avail kasi wla pa akong alam nun at late na rin ako nag process ng refund dapat may refund kaso 5 months na ako nun nag file hindi na tinanggap ng philhealth..please give me some advice po..take care..god bless

      • Nors says:

        Hi Maricel, does the certification from your previous employer have amounts, dates paid and OR numbers? If not, go back and ask for another certification that have amounts paid, dates paid and OR numbers. Then get your MDR from Philhealth. You will be eligible because you have paid at least 9 of the 12 months BEFORE May 2013 (9 months within May 2012 to Apr 2013.

    • edmundo verrterra says:

      hi po tnong ko lang…kung halimbawa mgbyad ako itong mayo ng kabuuang 12month makakaavil po ba ako kung manganganak asawa ko sa june nitong buwan..at kung pde po mgkano bbyaran… maraming salamat po

      • Nors says:

        Hi edmundo, if you pay as Individual Payor, you’re already late, you can no longer pay for past quarters. But if you pay as OFW, your wife can avail — it’s good I noticed that your IP address is in USA. You should pay as OFW there if you can find a remittance firm that accepts Philhealth premium payments. If not, your wife/family can pay here in your behalf as OFW with proof of you working overseas, such as copy of your work visa or job contract or company ID or at least 2 recent remittance receipts. Here’s additional info: Documents for Philhealth Membership as OFWs Payment could still be 1200 per year for OFWs, or could already be 150 x 12 = 1800 pesos, same as Individual Payors.
        For OFWs, the hospitalization date should be within the validity dates in the premium receipt.

    • marco says:

      tatanong ko lang po nag resign po kc ako sa trabaho gusto ko pa sana ituloy ung pagbabayad ng philhealth ko pano po ba ang proseso nito. salamat po.

      • Nors says:

        Hi Marco, do you know your Philhealth no.? You can pay at Bayad Center or SM Business Center. Ask for the payment slip and fill it up, then pay at the counter. Keep your receipt. You can also pay at the nearest Philhealth branch with your ID; fill up the member registration data form so you can update your personal data.

        • marco says:

          do i need to get a certificate of contribution from my previous employer. kc nung galing ako sa philhealth sabi sa akin kuha daw muna ako ng certification and gave me a form PMRF i need to fill up daw. hindi naman ako bagong member. thanks.

          • Nors says:

            Hi marco, did you go there to get your MDR? I’m puzzled because they should give you your MDR after you show your ID. You only fill-up again the PMRF if you need to update or change some data. It’s the hospital that requires certification from your employer or premium receipts because hospitals want to make sure you are updated.

    • lani says:

      mgagamit ko pa po b yung more than 1 year kung hinulog sa philhealth,kung ngstop ako nghulog nung feb 2012,tpos nabuntis po ako nung october 2012 manganganak po ako ngayong 1st wek ng july 2013 gagamitin ko po sana s lying inn..tnx po

      • Nors says:

        Hi lani, sorry, hindi. Ang requirement ay payment ng at least 9 months sa loob ng July 2012 to June 2013 (12 months bago manganak). Ang puede mo lang bayaran ngayon ay Apr to June 2013, so 3 months lang, not enough.

    • myh says:

      Hi po… i just want to ask po certain questions regarding on my philhealth benefit. I resigned from my previous job last jan 21, 2013 po kasi buntis po ako. As of now I’m 30 weeks pregnant. My expected due date is on the last week of June 2013. I got married last Feb 2013.here are my questions:
      1. i wanted to pay for my Jan2013-March2013 premium voluntarily but I was unaware of the deadline for paying of premiums for voluntary members. Can I still pay for the 1st quarter of 2013? Is there a penalty for not paying it on time?
      2. I have not yet updated my status from single to married and from employed to voluntary member. Where can I update my membership?
      3. My husband is employed until now. Can we avail of his philhealth benefits me as his beneficiary? If so, can we avail of our philhealth benefits simultaneously when I give birth on june 2013?
      4. Is there a website where we can check our philhealth contributions?

      Please advise me on what I should do. thanks po.

      • Nors says:

        Hi myh, 1) Sorry you can no longer pay for the 1st quarter. Payment deadline for any quarter is the last day of the quarter. 2) You go to any Philhealth branch with your ID and marriage certificate (orig and xerox) and fill up the member registration form. 3) If you have not paid 9 of the past 12 months BEFORE June 2013, you should use your husband’s Philhealth. Ask him to update his Philhealth record with his ID, marriage cert. and a letter from you asking Philhealth to cancel your membership and to register you as dependent of your husband. You cannot be a dependent if you are an active member. You can use only one Philhealth membership — that of your husband or yours. 4) No online checking of contributions yet. Your husband needs to get his MDR from Philhealth

    • yeye says:

      Good day,
      I am currently pregnant and will be due on July 2013, I have paid Philhealth contribution on October to December 2012, and on January 2013 up to December 2013. (And i also have a 3 month payment way back in 2010, June,july and August) My question is, Can i avail the maternity package of Philhealth?
      Thanks and God bless

      • Nors says:

        Hi yeye, yes, you can avail. Oct to Dec 2012 is 3 months. Jan to June 2013 is 6 months. You have paid at least 9 of the 12 months BEFORE July 2013. God bless too

    • Malou says:

      Good day

      Im a voluntary member. I am currently pregnant and my due date is MAy 2013, I have paid philheath contribution from july,2012 to december 2013.Can I avail maternity benefits during my labor? God bless.

      • Nors says:

        Hi Malou, yes, you are eligible for maternity benefit. You have paid at least 9 of the 12 months BEFORE May 2013. God bless too. Bring your prenatal ORs too , at least worth 1500 pesos, so Philhealth can give you a refund.

    • myra says:

      hi.. concern ko lng bout dun sa hipag ko..nanganak sya sa isang lying inn…nkalagay sa labas na Philhealth accredited sya pero nung mgtnong na bout sa billing ang sabi hindi daw pede gamitin philhealth dahil ang policy daw ay kailangan atleast na ka 3times chek up sa kanila.. eh dun lang biglaan nadala kasi talagang emergency at lalabas na yung bata..gang ngayon hindi pa nakakalabas hipag ko ..pde b kmi mgreklamo at saan regarding with these?

      • Nors says:

        Hi myra, ang puede nio sigurong ireklamo ay yong hindi pinapalabas yong mag-ina. Pero yong paglagay ng lying-in ng Philhealth na sign sa labas nila ay okay naman dahil Philhealth accredited nga sila. There’s really a Philhealth rule about prenatal checkups before the 4th month for non-hospital facilities. Sabi mo kasi emergency kaya napapunta don at hindi nio na natanong kung magamit nio ba ang Philhealth o hindi. Kung tinanong nio ang Philhealth pagpasok nio at hindi sinabi yong about prenatal check-up rule, yon ang mali nila. You can ask help from your barangay or your munisipyo or the campaigning politicians — they should be able to help.

    • charmelette cruz says:

      makakaavail po ba ako ng maternity benefits kc po ang delivery date ko po ay nov 2013..ang latest contribution ko po ay nov.2012 to april 2013..end na po kc ung contract ko..pwede ko po ipagpatuloy un as voluntary para mkaavail ako ng maternity benefits at ilang months pa ang kaylangan ko hulugan?..thank you.

      • Nors says:

        Hi charmelette, yes, you can avail. To avail as voluntary, pay 9 of the 12 months before NOVEMBER. So paid na ang 6 months mo, 3 months na lang. Pay May to July (3 months) or to Sep na lang para merong sobra. Ask others too.

    • shella lao says:

      Magandang araw po! Tanong ko lang po.. Nanganak ako last January 8, 2013 sa isang lying-in, Phic accredited sila pero bakit ganun ndi daw nila ibabawas yung portion ng phic so binayaran ko yung buong bill ko. Pinagprovide pa rin nila ako ng PHIC requirements so after 3 to 4 months daw bago ko marefund yung phic claim ko. Ganun po ba talaga katagal un?? dba po pagPHIC accredited ang isang hospital/maternity clinic dapat ibawas yung phic portion?? Please advise.. :(

      • Nors says:

        Hi shella, yes, they should have deducted immediately your coverage. But some lying-ins do that because they need cash. I don’t know if you have the time or if you can take the stress of filing a complaint with Philhealth. Yes, it takes months before you get your refund. Wait for your benefit payment notice via registered mail from Philhealth.

    • mary dimaano says:

      MARY

      ask ko lang po if ano mga requirements ko na iprepare kasi july 2013 is my due date and i resign last december 2012 po and nagvoluntary na ako pagpay last jan 2013 and i paid the whole year of 2013 in advance.nakuha ko na ung MEMBERS CONTRIBUTION CERTIFICATION sa philhealth which are the lists of my previous employers contribution.ang tanong ko po is do i still need to go to my previous employer para manghingi ng CF1 at magpapirma daw eh nagvoluntary na nga ako po di ba.i dont have work na last january 2013 pa pero ok naman ung contributions ko sa previous job ko.

      plz tel me po what talaga mga need pa now that im individually paying member and a single mom

      • Nors says:

        Hi mary, you’re already voluntary, so you don’t need your claim form to be signed by your previous employer. Get your MDR form from Philhealth and your Philhealth ID, if they have, but if not, the MDR is enough. Requirements: Premium payment receipt plus certification showing payment of 9 of the past 12 months BEFORE July 2013, MDR, claim form 1, and your ID (Philhealth or valid ID).

    • Kaylene Gala says:

      hi po,can i avail maternity benefits? may hulog po ang philhealth ko when i was working last april-june2012 tapos hindi ko na po na hulugan,sa july2013 po ang due date ko,pwede ko pa po ba hulugan para magamit ko sa pag aanak ko? please answer,thanks!

      • Nors says:

        Hi Kaylene, sorry ang puede mo na lang bayaran ay April to June — 3 months lang, kulang sa 9 months na required. Requirement is payment of 9 of the 12 months BEFORE month of panganganak. Ask others too.

    • aiz says:

      hi mam, ask ko lang po kong ano yong new program ing IPC. pano po yong mga 8 months lang contribution lack ng 1 month kasi due date na?

    • renesmee leian says:

      Hi. ask q lang kung makakapag avail aq ng maternity package kung nung january 2013 lang aq nakapagpamember individually payments puh ung skin. pero may nakalagay na voluntary. ang due date q puh is ngaung june 2013.salamat

      • Nors says:

        Hi renesmee, sorry but for voluntary or individual payors, Philhealth requires payment of 9 of the 12 months BEFORE month of child delivery. Jan to May is only 5 months — not enough. Magtanong din sa iba. Take care

    • helen funtila says:

      hi! gud afternoon! pwede po bang ilagay ako ng boyfriend ko as his dependents? we’re not yet married but we’re living together. thanks and god bless!

      • Nors says:

        Hi helen, sorry you cannot be a dependent of your boyfriend because Philhealth requires a marriage certificate. You can register as a Philhealth member if you like.

    • analyn says:

      hi ms. Nors, How can I avail the maternity benefits if I’ve lost my receipt??

      • Nors says:

        Hi analyn, get a certificate of eligibility for maternity benefit from Philhealth. Get also your MDR from Philhealth. Bring your ID.

    • Mariz says:

      Hi!goodmrning po..ask ko lang,kung magpapakasal kami ng partner ko ngayong May,at maging dependent nya ako.,makakakuha ba ako ng maternity package gamit ang philhealth niya kahit bagong kasal lang?June po kasi ang due ko.Voluntary member po pero hindi pwede mkaavail ng maternity benefits dahil jan-mar 2013 palang po ang hulog ko.Yung kasal lang po naiisip namin na way.

      Thanks!

      • Nors says:

        Hi Mariz, yes, you can qualify as long as you can present your marriage certificate to Philhealth so you can update his member data record. Presenting the marriage certificate to the hospital is also allowed, but the hospital might not deduct outright, so update before delivery.

    • julie pearl says:

      hi, ask ko lang regarding sa prenatal care benefits im 8months pregnant and wala na din yung mga receipt ko maaivail ko pa ba sya??? panu?? tnx much:)

      • Nors says:

        Hi julie, sorry, Philhealth need prenatal care ORs so they can refund up to 1500 (for normal delivery only).

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