How Much Is My Philhealth Maternity Benefit?

November 22, 2012 by Nors | Filed under philhealth.

Question:   I am giving birth to my child next month.  How much would be the Philhealth deduction from my my hospital  bill?

Answer:   The amount of your Philhealth maternity benefit depends on whether you give birth by Normal Delivery or by Cesarean Section, and the type of facility where you will delivery your baby.

Cesarean Section o CS:   19,000 pesos is the total benefit:

11,400  pesos   —  for hospital expenses

7,600  pesos    —  for doctors (professional fee)

 

Normal Delivery:

Kapag sa Level 1 Hospital (Small Hospital) at Maternity o Lying-in Clinic:

6,500 pesos ang total benefits:

3,900 pesos   —  for clinic or hospital expenses

2,600  pesos  —  for midwife or doctor

Kapag malaking hospital (Level 2 to 4 hospital):

5,000 pesos ang total benefits:

3,000 pesos   —  for hospital expenses

2,000 pesos  —  for doctor (professional fee)

 

Kapag Normal Delivery, Merong Prenatal Care Benefit:

Up to 1,500 pesos

Makukuha mo ito as a refund check from Philhealth, delivered to your address.

You need to give Official Receipts of prenatal care expenses. Ano ang mga puede?  List of prenatal care expenses covered

Kung halimbawa, 1,200 pesos lang ang ma-submit mo na ORs, 1,200 lang ang marefund mo.  Isasama ang ORs sa Maternity benefit claim, kaya i-submit mo ang mga ORs kasabay ng maternity claim documents.

 

Newborn Care Package for Baby Delivered through
CS or Normal Delivery:

Up to 1,750 pesos

Ang claim na ito ay separate sa Maternity benefit, pero dapat magawa ang newborn care procedures within 36 hours pagkapanganak, except for certain cases.

Puedeng ma-enjoy mo ang up to 1,750 worth of newborn care, or less than 1,750, depende sa available na newborn care procedures sa hospital o clinic.

List of Newborn Care Procedures

Qualified Ba Ako for Philhealth Maternity Benefit?


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510 Responses to “How Much Is My Philhealth Maternity Benefit?”

  1. shayne says:

    is the 19k cs benefit fix, does that mean any hospital i have my c-section that will be the benefit? if i give birth to a public hospital on nsd or cs should they charge me even if i am a philhealth member, coz i heard that if a member delivers at a govt hospital they shouldnt be charge any, is that true? thanks so much

    • Nors says:

      Hi shayne, it depends on the government hospital. Some have paying-patient departments. For CS, the coverage is 19k (11400 is for hospital cost and 7600 is for doctors), in any accredited hospital, private or government. For normal deliveries, usually patients do not have to pay anything, because the Philhealth coverage would be enough. But in reality, patients are required to buy some supplies before delivery because these are not available in the hospital, specially CS. Since doctors at government hospitals (non-paying department) usually do not charge any PF, they no longer refund the medicines they ask patients to buy outside the hospital. If you have your prenatal checkups at the public hospital where you intend to give birth, you’ll learn how Philhealth is administered there.

      • Neth says:

        I dont know how to post a comment kaya dto nlg ako ngreply.ask lng bakit narefund ko lng is 11400?late filing ako the sabi ng tga hospital at pholhealth is bnawas na daw nig ngbyad ako.how come babawasin nila that time na ngbyad ako e wla pa kmi documents non.how can they be sure na magfifile kmi after.what if hindi dba.i know i paid all the expenses kc nga wla p kmi docu that time.please help.

        • Nors says:

          Hi Neth, doon sa 19k benefit for CS, 11400 is for hospital and 7600 is for PF. Ibinigay din siguro sa doctor yong 7600 kaya hindi na ibinigay sa iyo. Parang additional PF sa doctor. Hindi dapat ganon, pero nangyayari.

          • camille says:

            hai mam nors:) naka sched po ako manganak this june .. pero this end of april ko palang po mababayaran ang philhealth ko .. magagamit ko po ba benefits ng philhealth ko pag manganak napo ako ?

          • Nors says:

            Hi camille, if you did not pay 1 month within Dec 2013 to Mar 2014, kulang ng 1 month ang Apr and May payments, so pay Apr to Mar 2014 so you can avail. Ask Philhealth too.

      • Jusette Orevillo says:

        Hi! appreciate what you’re doing here in your blog. It is a big help. I have a query also. I gave birth last November through CS. My bill reflects a philhealth deduction of 11,400 for the patient, 1250 for the baby, and 8100 for the doctor (I assumed this is for me and my baby). But in my total expenses only Php 12,650.00 was deducted. The ORs I have for my doctors reflect also the pf I paid without philhealth deductions. My query is what happens to the 7600? or 8100? will philhealth give that to the doctors on top of what they charged me? Should I visit the hospital again and ask them for a refund? please help.. thanks!

        • Nors says:

          Hi Jusette, have you received your benefit payment notice from Philhealth? If you have time, with your notice, bill and ORs (with xerox copies), you can try asking the hospital for your PF refund of 8100 or 7600. They might or might not refund. Based on many complaints here, usually the PF coverage is not deducted and not refunded — I don’t know if the hospital gets it or the hospital gives it to the doctor as additional PF, or if they split it. They can be reported to Philhealth, but since there are no limits to PF in the Philippines, they can always say that the total PF equals the Philhealth coverage plus the money paid in cash by the patient. If you’re unable to refund, you can post your experience on the Facebook page of Philhealth so more people will know.
          Thanks a lot of appreciating my blog. Means a lot.

          • joan says:

            hi mam nors.gusto ko lang po sana malaman bali yung philhealth ko po nastop mahulugan nung year august 2008. nagstart po xa ng november 2007. then tinuloy ko po bayaran since dec.2013 as individual. naka due po ako manganak on may 26… may makukuha po ba akong benefits nun??? thanks po

          • Nors says:

            Hi joan, yes, basta pay Jan to Apr 2014. 3 months of payment before month of delivery na lang ang required for Individual Payor-Informal Sector.

          • Nors says:

            Hi joan, yes, you can avail, basta you pay Jan 2014 to April 2014 as Individual Payor-Informal Sector

          • rachel says:

            hi ask ko lng kakamember ko lng nagbayd.ako 3 months from april to june magagamit ko na ba un kasi expected date ko ng panganganak is july. and pani procedures ng to avail ng benefits?

          • Nors says:

            Hi rachel, yes, you can avail in July. Bring your premium receipt (orig and xerox) and your MDR from Philhealth.

      • cathyrene says:

        hi mam ask ko lang po kasi nung nagpunta po ako nang philheath nagtanung po ako about sa hulog dapat daw po 3 months before ako manganak naghulog ako pero nung isang araw po na nagpunta po ako ulit june po ang due ko tapos sabi po sa akin ang dapat daw po na ang hulog ko ehh jan to march anu po ba talaga ang dapat na hulog ko thanks po

        • Nors says:

          Hi cathyrene, tama na 3 months within the 6 months before delivery month, pero hindi mo na puedeng bayaran ang Jan to Mar 2014 kasi late na. Ang puede ay Apr and May, pero 2 months lang, so dapat bayaran mo na ang 1 year in advance – Apr 2014 to Mar 2015, para maka-avail ka. Ask others too.

    • maria says:

      hello po…ive delivered last aug through normal delivery,sa level 4 hospital…wala po kami binayaran na PF,and other hospital bills dun kasi nasa charity ward namn ako.wala din kaming nabili na kahit na anong gamot inside the hospital kasi sa labas lahat pinabili..peo nung kinuha ko na po yung bills sa hospital umabot ng 5k qng anu anu ang mga nkasulatdun my nkalista na dextrose samantalang hnd aq dinextrose..peo ang binayaran lng namen is 4opesos…my mga pinasa kaming OR’s ng mga gamot ko….my makukuha pa po ba aqng reimbursement?or deducted na po sa 7500 ung cnulat ng hospital bills ko?

      • Nors says:

        Hi maria, I suggest antayin mo na lang yong benefit payment notice from Philhealth, and then pag meron na, punta ka sa hospital and request for your refund ng mga nagasto sa gamot na binili sa labas. Puedeng ibigay nila ito sa iyo, puede ring hindi, depende kung nagamit na ng hospital ang 3k coverage for hospital cost sa ibang bagay na nagamit. 3k lang ang coverage for hospital cost for normal delivery sa level 4 hospital.

        • liezl joy santiago says:

          Hello po..ask ko lng po..nakaschedule po ako for CS nextweek in a private hospital..Magkano po ang mabenefit ko..almost 1 year na rin akong naghuhulog at may company po ako. Slamat po.

          • Nors says:

            Hi liezl, coverage for CS is 19k (11400 for hospital and 7600 for PF). Submit your docs to the hospital for Philhealth deduction.

    • Jusette Orevillo says:

      Hi! Appreciate what you’re doing here in your blog. It is a big help. I have a query also. I gave birth through CS last November 2013. My hospital bill reflects a philhealth deduction as follows:

      Patient: 11,400.00
      Baby: 1,250.00
      Doctors: 8,100.00

      However,my total bill only reflected a deduction of Php 12,650.00 (11,400.00 and 1,250) only. I paid the amount charged by the doctors in full. The OR for my doctors did not reflect philhealth deductions also. What happens to the 7,600? or 8,100? Will I be able to have a refund on this? Or is the amount going to the doctors on top of what they charged me? What should I do? Please help.. Thanks!

  2. Cupid says:

    Hi PhilHealth,

    Nanganak po ang wife ko in SIngapore & gumstos po kami ng more than S$5,000 or equiv to PHP160,000 which is normal delivery po.

    My query is .. PHP 5,000 or PHP 6,500 pa rin ang makukuha naming benefits from Philhealth as per above info.

    Thanks!

    • Nors says:

      Hi Cupid, sad to say, yes, only 5k or 6500, and most likely 5k because foreign hospitals are considered level 3. But call Philhealth — 441-7442

      • Mae says:

        Hi mam..tanong ko lang po.nanganak po ako last june 02,2013 until now po hindi parin namin nakuha ang refund namin..kaya nung ngtanong kami sa office ng philhealth ang sabi nila hindi daw nirecieved ng bryg. hall namin tapos ang sabi din na punta na dw sa davao office ang refund.possible po ba yun?
        tapos ano naman din po ang mga requirement para makuha?almost 1year na po siya..makuha pa buh yun?

        • Nors says:

          Hi Mae, bakit involved ang barangay hall? May-ari ba ng maternity clinic ang barangay? Ang benefit payment notice from Philhealth ay dapat delivered via registered mail to your address. Then kung hindi kasama ang check sa notice, irefund sa clinic kung saan ka nanganak o nagbayad.

  3. Yori says:

    Hello! First, I would like you to know how great you are for posting such articles. Malaking tulong po! :) Second: I have given birth last Feb6, c-section, in a government hospital. They asked my husband to buy the necessary medical stuff and we have compiled all our receipts and we have submitted the OR’s to the Philhealth helpdesk in the hospital. We were told Philheath will reimburse the amount. We did not pay for the hospital bill. The thing is, we paid P20,200 for the doctor’s fee (OB, pedia, anesthesiologist). The receipt does not indicate whether the P7,600 was already deducted. Granted that it wasn’t, can we still apply for reimbursement?

    • Nors says:

      Hi Yori, yes, if the 7600 was not deducted, you can ask for the refund. Wait for the benefit payment notice from Philhealth, and then present it, together with your hospital receipt, to the hospital for refund. Xerox these papers so you have your own copies. Thank you very much for appreciating my blog.

    • aira says:

      helo. ask ko lang po, magkano po nagastos nyo sa mga medicines needed? kami po kase bibili ng mga kailangang meds, gusto ko lng po sana malaman para maka-prepare kami. thanks po.

  4. eds says:

    Hi,

    I delivered my baby through c-section in a non-accredited hospital. I only have 5 months contribution within a year ( last year) but i have had contributions since 2003. My question is can I get any benefit from PhilHealth? what are they?

    • Nors says:

      Hi eds, sorry, but one requirement for coverage is confinement or treatment in a Philhealth-accredited hospital. Also, if you’re voluntary or self-employed, you should have paid at least 9 of the 12 months BEFORE your month of delivery.

  5. mylene says:

    hello po philhealth…manganganak po ako this coming april 12,2013 sa government hospital, ako po lahat bibili ng gamot at gagamitin sa panganganak ko..my question po is magkano po marerefund ko sa philhealth?

    • Nors says:

      Hi mylene, coverage for CS is 19k — 11400 for hospital and drug costs and 7600 for PF. There’s also 1750 for newborn care. You should be able to refund the total cost of your medicines and hospital cost, up to 11400.
      And for PF, you can refund up to 7600, but if the doctors are free, you cannot refund the PF coverage.

  6. mylene says:

    follow up message lng po regarding po sa tanong ko..through cs po pla ako.. thanks po..

  7. megz says:

    hello im giving birth within this month and im planning to give birth in a small philihealth accredited hospital here in our place. My husband has a philhealth and im his beneficiary. I want to know if all the government hospitals have the same rates when comes to normal delivery and if yes, how much would it cost all in all. And can we have a refund. Thanks.

    • Nors says:

      Hi megz, the Philhealth benefit is the same for all hospitals at the same level. For level 1 hospital, the coverage for normal delivery is 6500 (3900 for hospital and 2600 for the doctor). For level 2 to 4 hospitals, it’s 5k (3k for hospital and 2k for doctor). For Indicated CS, it’s 19k (11400 for hospital and 7600 for doctor). The problem for some government hospitals specially in cities is that you buy some or all of the needed drugs and supplies because the hospital does not have those things in stock. Keep your receipts, so you have something to present when getting your refund.
      There’s also 1500 for prenatal care if you submit ORs of prenatal care together with the maternity claim (for normal delivery only). There’s 1750 for newborn care package if this is available at the hospital (for both normal and CS).

  8. imee says:

    Hello philhealth…how much po ba ang macocover if ako po ay madiagnosed ng pneumonia???

  9. marrion says:

    hi.

    nanganak po ako last sept.18 2012 until now wala pa rin po ung benefits ko from philhealth gaano po ba katagal un? sabi sa lying in na pinag anakan ko hintayin ko lang daw pero 7 months na po wala pa rin?

    • Nors says:

      Hi marrion, did you give your documents to the lying-in? Are you sure the lying-in submitted your claim? You can ask the lying-in at which branch they submitted your claim. Sometimes though it takes more than 7 months.

  10. Dianne Talusig Gomas says:

    Hi,
    I resigned last mar 2013, and havent made any payments since, and is due to give birth on sept 2013. I lost my philhealth id a long time ago wch was still under my maiden name and i dont know how to proceed from here now that im interested in availing the philhealth maternity benefit. Pls help.
    Dianne

    • Nors says:

      Hi Dianne, if you pay for April to Aug 2013, can you accumulate 9 monthly payments within the 12-month prior period of Sep 2012 to Aug 2013 period? Combined ang payments while employed and as individual payor. If yes, then pay for Apr to Aug asap so you can avail. Bring your ID to the nearest Philhealth and fill up the member data registration form; check For Updating.

  11. yori says:

    hi, ask ko po if my marerefund pa ko, kc nanganak ako thru cs last dec.2012, wla ko bnayran sa hospital kc hinati dw ng social welfare at philhealth yung bill ko na umabot ng 12, 000, hospital bill lang iyon, pero yung mga ginamit ng hospital at mga gamot na need sa operation ako po ang provide na umabot po ng almost 12,000 dn, bago po aq nadischarge pinasa ko rin po yung mga receipts sa hospital, my marerefund pa po kaya ako? thanks po

    • Nors says:

      Hi yori, wait for your benefit payment notice (BPN) from Philhealth, and then return to the hospital and show the BPN and your statement of account. Keep copies for yourself. The coverage for CS is 19k (11400 for hospital costs and 7600 for PF).

  12. christine says:

    hello po manganganak po kc ako ngayong sept and gusto kolang po itanong kung ano and mga dadalhin ko sa hospital para po maavail ko yung philhealth benefits ko. like what kind of documents po.

    • Nors says:

      Hi christine, documents: updated MDR, your ID, contribution payment receipt, claim form 1 (signed by employer if employed), certification of premium payment (if employed)

  13. joyce cruz says:

    ask ko lang po kasi nanganak po ako last feb 2013 sa semi-private hospital via normal delivery.nkatangap po ako ng benifit notice nkalgay po dun is 5000 po.pero nung check ko ung receipt ko is 2500 lang ung nbwasan sa hospital.paano na po ung remaining na 2500. kasi d nman po nbwasan ung sa PF ko sa dr.marerefund pa po b un?

    • Nors says:

      Hi joyce, yes, you can ask the hospital for refund. Show your notice and hospital receipt (keep your own copy).

  14. Tina says:

    hi im giving birth this sept. Just wanted to ask kung pareho din ba ang amount ng benefits na makukuha ng isang ofw compared to regular paying individual?
    Thanks for posting such article it is really of great help. Keep up! :)

  15. Tina says:

    Follow up po.same amount po ba ng benefits kapag 4th child na? and ano pong mga necessary docuMents ang dadalhin ko sa hospital when i give birth. my husband is an ofw. Thanks again more power:)

  16. johanna says:

    Hi I gave birth to.my son last may 11 kaso I’m.just a new member. My husband is a member hindi nya ako cover coz were not yet married. Iba ang bill kp sa bill ng bata so.ang finile niya is for.our son
    How much refund ang makukuha namin? Thank you

    • Nors says:

      Hi johanna, are you asking about the newborn care benefit? Up to 1750 pesos only; might be less if some procedures were not performed.

  17. christopher paul says:

    I would like to ask lang po sana pano po kung cs delivery yung 19K po ba ileless sa total bill?

    • Nors says:

      Hi christopher, 19k is further allocated as 11400 for hospital costs and 7600 for PF. If you submit your papers before discharge, yes, these should be deducted from the bill. It also depends on the doctor at sa usapan. Baka yong 7600 dagdag pa sa PF na hihingin sa inyo.

  18. jean says:

    hi philhealth!

    i’m giving birth for my 1st child this june and i’m voluntarily paying from 1st to 2nd quarter kasi nag stop na ako ng work last jan 2013 but i was a member since nov 2010 and the payment made was from a private comp kasi call center po ako, how much kaya ang makukuha ko for this maternity benefit?

    • Nors says:

      Hi jean, nasa article na po yong amount ng benefit, depende kung normal o CS o kung sa clinic or level 1 or leve 2 to 4 hospital.

  19. lulubelle says:

    Hi! I gave birth via cs last april and my doctors did not charge me PF at the time so the hospital only deducted 11k from our bill. I already paid my doctors in their private clinic and got a receipt. Can I still claim the 7600 for doctors fee from Philhealth? Thanks!

    • Nors says:

      Hi lulubelle, yes, wait for the benefit payment notice from Philhealth, and then ask your refund from the hospital. Bring your PF receipt. Keep your own copy.

  20. Mary Troie says:

    Hello! I am a voluntary member and I paid my philhealth dues for the months of October 2012-December 2013. I will give birth this month. Can I avail of the maternity benefits? Thanks!

    • Nors says:

      Hi Mary, sorry kulang ng 1 month, kasi ang Oct to May ay 8 months lang. Required is payment of 9 of the 12 months BEFORE month of delivery. Please ask others too. Take care

  21. joy garcia says:

    hi..philhealth,
    i will be giving birth through a cs section in a goverment hospital..they told me that i will going to pay for the anesthesiologist because they will going to get outside hospital… can i reimburse the pf of the anesthesiologist,

    • Nors says:

      Hi joy, the coverage for CS is 19k (11400 is for hospital and 7600 is for PF). If 7600 is not enough for your OB and anesthesiologist, you pay the rest.

  22. arni says:

    hi
    tanong ko lang po magkno po maternity benifits pagnanganak ng NSD/ vacuum delivery. s hospital. thanks po

    • Nors says:

      Hi arni, nasa taas na po yong amount ng benefits. Tingnan mo yong sa Normal Delivery. 6500 kapag level 1 at clinic. 5k pag level 2 to 4 hospital. Ma-divide yong benefit for hospital and for doctor.

  23. jonica says:

    Hi wanna ask if not accredited ng philhealth ung pagaanakan q wla na mkukuhang benefits…benefeciary po ako ng asawa q..

    • Nors says:

      Hi jonica, sorry wala. Requirement ng Philhealth na dapat Philhealth-accredited ang maternity facility. Please magtanong din sa iba para sure na sure.

  24. jonica says:

    Ung company ng mister ko ngfile ng benefits nung nanganak ako nung oct. 2011 with all the requirements needed pero wlang feedback if what happen…useless n dn ba kc mtgal na since naifile?

    • Nors says:

      Hi jonica, nakafile ba within 60 days of your date of discharge? Accredited yong hospital? Yong address nio ba ngayon is the same as your address written in the claim? Antayin na lang kung merong darating na benefit payment notice.

  25. Era says:

    hi. im going to give birth by july or august 2013, but i am separated from the company since May 2013. will i still be able to take advantage of the maternity benifits? with the company i stayed from august 2012 to may 2013 po.

    • Nors says:

      Hi Era, yes, basta nabayaran ang 9 of the 12 months BEFORE month of delivery: BEFORE July (within July 2012 to June 2013) or BEFORE Aug (Aug 2012 to July 2013). Please check my counting. Get certificate of premium payment from your former employer, with OR nos.

  26. Era says:

    Okay thanks Nors. Got another question,. right now, im currently admitted at the hospital but already for discharge today. anyhow, we’re going home tomorrow pa kasi we don’t have the money on hand yet. we also haven’t settled my philhealth requirements yet like me5 and rf1 because former company is close on weekends. if we can have everything by tomorrow, will philhealth still process their part of contribution even if the bill is ready today? because we havent paid it yet.. will do it tomorrow.

  27. arni says:

    hi,
    pano ung n miscarriage abortion magkno po covered sa philhealth. Thank u po

  28. Belica says:

    Manganganak po ako this sept. ….january p po hindi nababayaran ang philhealth ko!kung magbabayad po ako ng january to dec. macocover pa pu b ng philhealth ang ibang bills ko?

    • Nors says:

      Hi Belica, sorry payments BEFORE ang tinitingnan ng Philhealth. If your due is Sep, dapat meron kang 9 months na nabayaran sa mga months sa loob ng Sep 2012 to Aug 2013

  29. Dianne Gomas says:

    Hi,
    I sent an email before w questions abt my eligibility for the maternity benefit but i got abit confused abt the mos needed for contribution if employed vs voluntary. See i was employed from may 2006 until may 2012 then i was unemployed and didnt make any contributions til i got employed again last sept 2012 til mar 2013. Now i plan on making voluntary contributions from april til sept 2013. By doing so, will i be qualified for the maternity benefit? Pls help! Thanks

    • Nors says:

      Hi Dianne, when is your due? Count 12 months backwards from your month of delivery. Don’t count your month of delivery. If within those 12 months you have paid 9 months (either as employed or as voluntary), you’re eligible. Your deadline in paying Apr to June is June 29 or June 30 (if merong open na payment center), so pay asap.

  30. gerwn says:

    Good day po!

    asked ko lang po yung misis ko ay manganganak this end of june or 1st wik of july sa bulacan provincial hospital, naka ready na po papers para sa philhealth. . hindi p po cguradoo kung CS or normal delivery. . .kung normal isasama ko yung resibo nang prenatal care expenses na ipapasa ko sa hospital . . makakatangap po ba ako ng statement coming from philhealth? san po ipapadala yun home address or hospital? at ganu po katagal? thanks po. . and god bless

    • Nors says:

      Hi gerwn, yes, your plan is correct. Your benefit payment notice (BPN) from Philhealth will be sent to your home address, and then ask for refund from the hospital if there’s a discrepancy in Philhealth deductions. Keep a copy of your BPN and receipts. Usually government hospitals ask you to buy meds outside so keep copies of your receipts.

  31. liezl says:

    my maternity bah ang philhealth?or hospital bill lang yan philhealth?

  32. Janamy says:

    Hi, I consulted on a government hospital and accordingly, “hindi daw macovered ng philhealth if CS delivery and gusto ko”..This is my 2nd baby, and per my private OB, CS dapat kasi risky..Please give me an advise, this coming July na kasi ang due ko..Thanks

    • Nors says:

      Hi Janamy, Philhealth’s rule kasi is icocover nila only if Indicated CS, meaning merong indications na kelangang CS decided by the ob-gyne at the time of delivery. It will depend on the doctor who will actually help you deliver, kasi siya naman ang magfi-fill-up ng claim form

  33. kaycee says:

    gud pm philheath

    ask ko lang po kung ma aavaile q ung maternity kahit n wla aq hulog ng december 2012 pero may hulog ako ng august 2012 hangang june 2013 at ang due date ko ay ngaun july 2013.. ndi kasi ako knaltasan ng company ko nung dec 2012 . then nag resign aq ng april kya nag individual paying ako bnyaran ko ang april to june 2013 ko…

    tnx confuse kasi ako kung anu dpat gwin.. kung sakali kylngan q p b hulugan ung dec 2012?

    • Nors says:

      Hi kaycee, yes, you are qualified, kasi you have paid 9 of the 12 months BEFORE July 2013. Kahit hindi paid ang Dec., meron kang 9 months paid, more than 9 months pa nga.

  34. Lenie says:

    Hi,

    I’m living in Dubai and would want to give birth in Manila by next year. I’m not voluntarily contributing since I left my job in the Philippines last 2010, does this mean that I cannot avail of the maternity benefit from PhilHealth? If yes, is there any chance that I can still avail on it? Like starting to pay now? Thanks in advance! :)

    • Nors says:

      Hi Lenie, yes, you can avail because you’re OFW. Pay as OFW, pay months in advance including your month of delivery; make sure the validity dates on your premium receipt covers the date of your delivery.

  35. Janamy says:

    True ba? Philhealth will not pay for your 2nd, 3rd, or 4th Caesarean procedure?

    • Nors says:

      Hi Janamy, it’s only normal delivery that is limited up to 4 deliveries. CS is covered if it’s needed, meaning it’s Indicated by the doctor. Ang alam ko walang limit, basta Indicated by the doctor.

  36. SHINE says:

    gud day!
    ask ko lng po kung sa philhealth mismo irerelease yung maternity binifits ko o babawasin na po mismo sa hospital bills ko.employed po ako cmula nung may2009..,nakaeschedule po ako iCS sa oct20, 2013
    thnx:-)

    • Nors says:

      Hi Shine, if you submit your Philhealth documents to the hospital before discharge, the hospital should deduct your Philhealth coverage from your bill. This is better so you don’t have to wait for months for your refund.

  37. nympha says:

    hello po,

    i’m a private employee,feb2013 lang po nag start contributions ko and giving birth this july,can i still avail the philhealth benefit?
    thanks much.

    nympha

    • Nors says:

      Hi nympha, yes, you can avail because you’re employed. Payment of 3 of the 6 months BEFORE delivery lang ang kelangan pag employed.

  38. Lady says:

    Good evening. Ill give birth this coming september. No problem naman on my contributions since im working in a public school. Second child ko na ito and my first is via CS din. Would I still consider myself eligible for that 19k na benefit? parang I heard rumors kasi na pang first time na CS lang ang kinocover ng philhealth. thanks for the info.

    • Nors says:

      Hi Lady, basta Indicated CS, covered by Philhealth. Your doctor should be able to fill up the claim form indicating why you needed CS. Ang alam ko walang limit ang CS.

  39. mavic says:

    i was confined here in dubai but im not a philhealth memberim benefeciary of my husband who was philhealth member can i. reimburse my
    bill in the. phil?

    thanks mavic

  40. mavic says:

    nkonfine po aq d2 ss dubai dpo aq member ng philhealth pero asawa ko po isang ofw member ng philhealth pede ko po b reimburse yung bil ko d2 pg uwi ng phil since benefeciary nya po ako.
    tnx

  41. erlyn says:

    Good day!
    Ask ko lang po employed po ako nung Feb 2012, ako po nagbabayad sa bangko ng sariling kong contribution with my comapany kaya alam kong updated ako sa contribution ko, pero tumawag ako sa philhealth hotline para iupdate ang contribution ko lumalabas sa record nila feb-nov 2012 lang ang may hulog ako ung dec 2012 until ngaung may 2013 wla pa daw bayad. help me naman im 3 months pregnant.

    • Nors says:

      Hi erlyn, basta meron kang bank receipts at collection list with your Philhealth no. and name na maipakita sa hospital, valid yan. Delayed ang remittance/posting ng bank ang payments. Pag employed naman, usually you just need your employer’s certification of payment of 3 premiums (for 3 of the 6 months BEFORE your month of delivery) plus MDR from Philhealth and your IDs. Pero merong hospital na hinahanap yong premium payment receipts.

  42. tina perez says:

    I gave birth last apr.6, 2013 tapos po nagfile kme sa PH for reimbrsment..ang binayaran po namin sa hospital was 24k sa OB 7k and sa pedia 4k total of 35k..kanina narecved namin ung cheque from PH 3k lang, i wonder kung bkt parang ang baba yata…tapos nakalagay po don ung sa doctor zero refund and ung sa hospital bill 3k lng…. Tama po ba ung computation nila? I gave birth sa chinese gen…hope u can help me..ty

    • Nors says:

      Hi tina, normal delivery ito? If yes, 3k lang talaga ang maternity benefit pag big hospital (5k actually ang total; 3k for hospital and 2k for doctor). Kung level 1 hospital, 6500 ang total; 3900 is for hospital. Meron dapat 2k Philhealth payment for the doctor. Puede kang pumunta sa Chinese Gen with your notice and hospital receipt and ask for refund of the 2k. Keep xerox copies.

  43. Jericho says:

    Hi Ms. Nors, my wife just had a CS delivery. Will the benefits be automatically deducted upon paying for the total hospital bills?

    • Nors says:

      Hi Jericho, yes, if you submit complete Philhealth documents before paying time, and if the hospital and doctor are Philhealth-accredited.

  44. Jericho says:

    Hi, pwede ko po ba maisama as dependent yung brother ko aged 31?

  45. marie says:

    hello po! ask ko lang po, kasi naka package po ako sa isang private hospital na accredited ng philhealth, i asked the doctor if ma refund ko po ba pati ung sa mga laboratory fee ko? kasi medyo malaki laki po ung mga laboratories ko. and she said no. tapos meron po akong kaibigan na naka package din sa semi private na hospital and accredited ng philhealth, sabi daw po ng doctor nya na ma refund daw po ung mga laboratory fee nya, tanong ko lang po, na dedpend po ba un sa hospital tungkol sa laboratory fee na ma refund? tnx a lot and more power. -Marie-

  46. inah says:

    Hi,

    I will give birth this coming September and my OB and her clinic is not Philhealth accredited. I am working and i want to know if i can still use my Philhealth benefits though the clinic and my OB is not accredited?

    Thanks

  47. Gero says:

    good eve po,
    kung tatlong procedure po ang gagawin sa isang pasyente in just one operation Hal. CS, Removal of Myoma Uteri at Ligation… puidi po bang mag claim ng tatlong bases o isa lang sa CS lang yung dalawa wala na??? tnx po

    • Nors says:

      Hi Gero, the same na 19k ang coverage ng CS only at coverage ng CS with ligation. Yong sa myoma removal, hindi ko sure kung separate or kasama na sa 19k, although baka kasama na kasi the same operative session. Ask the doctor na lang

  48. diane says:

    gud eve pu mam,ask q lng pu, phlhealth membr pu kase c
    tatay q, my kptd pu aqng 19 years old,nanganak pu last may
    17 s lying in clinic pu dto s bulakan at phlhealth acretid pu,kpproces lng dw pu ng midwife ng papers, gusto po sna
    namen mlman kung mgkanu pu kya mggng benefits ng kptd q?
    pero byad n pu namen ung midwife,para ung phlheath bne
    fits pu ay mgmt ng kptd q,slmat pu

    • Nors says:

      Hi diane, 6500 ang total benefits from lying-in. Makikita nio kung magkano ang ibinayad ng Philhealth sa lying-in sa benefit payment notice that you will receive via registered mail from Philhealth after a few months.

  49. bhie says:

    Hi. Bago palang ako sa philhealththuis month lang but I paid for 3 months. My question is I think im 2 wks pregnant pwede ko ba magamit ang philhealth ko sa panganganak next year. I had a c section with my son, and 19k po ba ang sagot ng philhealth at magkano ang ibabayad ko sa panganganak o sagit na ng philhealth lahat? Thanks

    • Nors says:

      Hi bhie, count 12 months backwards from your month of delivery. Don’t count month of delivery. Within those 12 months, dapat mabayaran mo ang 9 months. 19k is the coverage for CS, divided into 11,400 for hospital costs and 7,600 for PF. You pay the balance kung kulang pa ang 11,400 at 7600. Yong ibang OB, sa kanila pa yong 7600 bukod sa ibabayad mo sa kanila, so depende sa usapan before delivery.

  50. Fatz says:

    Hi philhealth, I will be giving birth this sept on a private hospital. as per my OB if I will be in CS 50k ung nid ko ihanda but if normal delivery, 25-30k dw po ung ihanda ko. How much po ung icocover ng philhealth regarding sa prices above at ska considering n private ung hospital.

    • Nors says:

      Hi Fatz, 5k lang ang Philhealth coverage for normal, and 19k for CS. Sa 5k, ang 3k is for hospital and 2k is for PF. Sa 19k, 11400 is for hospital costs and 7600 is for PF. In some cases, yang mga coverage for PF, mapupunta pa yan sa OB, in addition to the agreed price, lalo kung hindi clear ang usapan wth OB before delivery.

  51. Joy says:

    Hi po!,, ask ko lang po im giving birth this july 27. Via cs..dba po. 19k ang bigay ng philhealth sa cs.. What if po kung private ang doktor ko at ang room na kukunin ko.. Pero gov. Po ang hospital..kung dipo maubos yung 11,400 na cover ng philhealth..para sa hospital,, pwede po ba sa doktor’s fee nlang ibawas.? Para konti nlang po ang ibabayad ko..tnx po

    • Nors says:

      Hi Joy, sorry hindi ganon. Usually pa, yong 7600 na allotted sa PF, hindi na ibinabalik ng doctor, kanila na rin, parang dagdag sa kita nila. So depende sa pag-uusap with the doctor. Usually rin, the more expensive the room, tataasan din ng doctor at anesthesiologist ang PF nila, pati na yong pediatrician for your baby. take care

  52. mitch says:

    hello po.. tnung ko lng po kung mahabol p po ung payment ko at ma avail ko p ung benifits kung i update ko po this month ung payment.. ang nangyri po kc gang february lng po ung nhulog ng employer ko dhil resign po ako.. july to february po.. kung hulugan ko po b ulit ngaun month at nxt month po delivery,. mgmit ko p po b benifits??,,tnx

    • Nors says:

      Hi mitch, kung August ang delivery mo, dapat meron kang nabayaran na 9 months sa loob ng August 2012 to July 2013

  53. jo cruz says:

    gud pm ask lng po s maternity benifits po b kasama po b un lIgation pang 4 n po tong PANGANGANAK KO..

    • Nors says:

      Hi jo, pag CS, kasama na ang ligation at pareho lang ang coverage amount. Kapag normal, ma-cover ang normal delivery mo, plus ma-cover din separately ang ligation with a coverage of 4k. Covered pa rin ang 4th delivery.

  54. Liezl says:

    Hi Philhealth, Good Day!
    I’m Married June 1, 2013 and my due is on 1st week of October, until now hindi pa kami nakakapag change status ng husband ko, dahil pareho kaming may work. I can avail philhealth benefits if ang record ko sa monthly check-up ko sa lying and receipts sa laboratories is my husband surname na? but i want use my philhealth under my maiden name, since my philhealth naman ako at hindi pa kami nakakapagchange status. Thanks! waiting for the reply…

    • Nors says:

      Hi Liezl, about using your own Philhealth and maiden name for maternity, yes, that’s possible. But about using receipts under your married name for the prenatal benefit, sorry I’m not sure. These should be under the same name because they’re filed together. Please ask others too

  55. Riza says:

    Hello…, ask ko lng po manganganak po me sa november or december, pag binayaran ko po ba from january 2013 to december 2013 magagamit ko po ba ang philhealth for my deluvery, tenks po

    • Nors says:

      Hi Riza, sori hindi na tatanggapin ang payments for Jan to June kasi late na. Ang July to Nov ay 5 months lang, so kulang sa 9 monthly payments na required.

  56. Liezl says:

    Hi Philhealth, Good Day!
    I got Married June 1, 2013 and my due is on 1st week of October, until now hindi pa kami nakakapag change status ng husband ko, dahil pareho kaming may work. I can avail philhealth benefits if ang record ko sa monthly check-up ko sa lying-in and receipts sa laboratories is my husband surname na? but i want use my philhealth under my maiden name, since my philhealth naman ako at hindi pa kami nakakapagchange status. Thanks! waiting for the reply…

    • Nors says:

      Hi Liezl, dapat the same names ang prenatal, maternity and all related papers. Puede namang authorized relative ang mag-change of data sa Philhealth. Download the registration form from philhealth.gov.ph Check For Updating

  57. Cindy says:

    Hello Philhealth,

    Im giving birth by September 5..I am employed and I will be delivering in a private hospital. How can I file for the refund of prenatal services in this case where the hospital will deduct philhealth claims in my hospital bill?

    Cindy

    • Nors says:

      Hi Cindy, submit your prenatal receipts together with your claim form 1. The hospital will include your prenatal claim in the maternity claim. You will receive the prenatal check via registered mail.

  58. jewmives says:

    Hi gud pm po. I have a lot of concerns. I will giving birth this 3rd week of August in CS because my 1st son is in Abnormal Presentation (BREECH POSITION)and my OB advise me to prepare 50k for the expenses. Last contribution ko po was April 2012 from my previous company. I’ve been worked there for 3years. Dun na po nag-stop ung contribution ko. What if hulugan ko po isang bagsakan ung mga walang monthly contribution ko po, pwede po ba yon?!

    Ung sa husband ko naman po last January 2013 po ang last contribution nya dito sa Pinas. Pero nasa abroad na po sya last March 2013. Problem po namin, hindi po namin naasikaso ung pagtransfer ng name ko as his beneficiary dahil sa bilis ng process nya going to abroad. May possibilities pa po ba na magamit ko po ung Philhealth ng asawa ko kahit aq nlang po ang mag asikaso for transfering as his beneficiary kahit wala po sya dito sa Pinas? ano po ba dapat ko gawin at ung mga requirements po? We already married last feb.2013. Need ko lang po talaga dahil sa laki ng gagastusin ko po sa panganganak ko. Not enough pa po kc salary nya dahil bago plang po sya dun and tight po ang budget namen. So please, can you help me?! :( gusto ko po sana ibigay Philhealth number namin mag-asawa, pero pag nag PM nalang po kayo sa email add ko. I hope there is other way pra magamit ko po Philhealth namen ng asawa ko. Please help me. I will wait for your response. THANKS!!! ^_^

    • Nors says:

      HI jewmives, yes, you can use your husband’s Philhealth. And you can process it as his wife. Ask your husband to send a copy of his OEC receipt (Philhealth payment is included there), authorization letter authorizing you to process changes in his registration data and copy of his ID or passport. Puedeng scan niya and attach to email. Write also a letter to Philhealth asking Philhealth to cancel your membership because you’re already unemployed since April 2012 and to register you as dependent of your husband. Go to the nearest Philhealth with your ID and these docs and fill up registration form (check FOR UPDATING) and get your updated MDR.

  59. Jackie says:

    Hi there, im planning to give birth in a Lying-in clinic, sadly, they are not Philhealth accredited. Will it be possible to get a refund? I stopped working since march 2013 and that was my last contribution. Thank you :)

  60. jen says:

    hello po…nagstart lng aq mgmember this jan2013…. paid n po aq jan-dec 2013…. now d issue is im giving birth this coming nov.2013? am i qualified to d benefits?
    if im qualified hirs another question…
    # i want to give birth to a goverment hospital but with a private doctor..how muchd deduction

    • Nors says:

      Hi jen, yes, you’re qualified. The coverage is 5k (3k for hospital and 2k for doctor). Usually they will ask you to buy some meds outside; you might be able to refund these after you get your Philhealth benefit notice. About doctor, you’re going to pay what she asked you to pay; usually they don’t refund the 2k — dagdag na yon sa bayad sa kanila. Depende sa private doctor. Based ang sagot ko sa mga sinasabi ng mga nagco-comment dito.

  61. Liezl says:

    Hi again,
    How long po to process ang magpachange status kaming mag asawa??? need pa po ba ng authorization letter nya if ako ang maglalakad???? thanks….

  62. Nors says:

    Hi Liezl, yes, kahit handwritten lang, para sure, with his ID and your marriage certificate (xerox and orig). Sori hindi ko na sure ngayon kung immediate pa rin ang pagkuha ng updated MDR, pero hindi naman siguro kasing-tagal compared sa change at SSS na more or less one month

  63. Liezl says:

    Thanks again ms. Nors. God Bless!

  64. mommypen says:

    Good day. ask ko lang po kung cover ng philhealth ang tahbiso? My ob gyne will surgically remove my ovaries and uterus next week…na dnc po ako last week.. Nagamit ko na po philhealth ko.magagamit ko po ba ulit ang philhealth ko sa tahbiso operation ko due next week? Thank you po…Godbless

    • Nors says:

      Hi mommypen, I think so, magagamit mo, kasi dnc and hysterectomy are treatments for different conditions. Please ask your doctor/hospital too.

  65. Liezl says:

    Hi Mam,
    Authenticated marriage cert. po ba ang need???
    How long po kaya magpa-aunthecate??di pa me nakakapunta sa NSO.,
    Thanks po

    • Nors says:

      Hi Liezl, I think puede na yong marriage certificate from the local registrar basta original, kasi sa Philhealth registration form hindi naman nakasulat na dapat NSO. Ang nakasulat na dapat NSO ay yong mga Muslim marriages. Pero if you get a marriage certificate from the NSO, nakukuha naman agad. Wala bang NSO sa city ninyo? Dito kasi sa Muntinlupa, madaling kumuha sa NSO branch dito.

  66. caijulian says:

    Hi! Good Day! I will be giving birth this December. My OB advised that I should rest until I gave birth. I am currently employed but I took my leave without pay which started last June and will end up on December. I want to still pay my contributions in Philhealth because I wanted to avail my benefit but it says that I should have atleast 3 months contribution. What will I do so that I can still avail my benefit though Im on leave without pay? what are the needed documents for me to still pay monthly until December? Thank you!

    • Nors says:

      Hi caijulian, you pay 150 per month for June July August as Individual Payor so you will have 9 months paid of the 12 months BEFORE December. But you can also pay Sep to Nov to be sure. Get a proof of your leave just in case Philhealth asks for it when you get your MDR. Keep your contribution receipts.

      • caijulian says:

        Thank you Ms. Nors! What type of proof do I need? I asked my employer for a certificate, and they told me that it will be hard for them to change back again my status. They also told me to write a letter requesting for a certificate that Im really on leave without pay, but it will be for waiting for approval. Can I use my Certificate of contribution instead as a proof?

        • Nors says:

          Hi caijulian, yes, your certificate of payment of Philhealth contributions plus your own premium payment receipt (at least 9 months in total; 9 of the 12 months BEFORE month of delivery) plus your MDR from Philhealth and your ID should be enough for the hospital. And yes, puede na siguro yong cert of contribution sa Philhealth, just in case lang naman.

          • caijulian says:

            Ok Ms. Nors, Thank you so much! I’ll request for my Cert of Contribution na. But Ms. Nors, Philhealth will accept my payment right as an Individual Payee eventhough I’m still employed.. My cert. of Contribution will be my proof that I’m on leave without pay.

          • Nors says:

            Hi caijulian, I hope so. Hindi ko kasi alam kung strictly na sinusunod ang instruction nilang ito: No. 5:
            http://www.philhealth.gov.ph/members/employed/faqs.html Ang alam ko ay iniiwasan lang nila na merong employed na nagbabayad ng 150 lang per month kahit employed na earning much and should be paying premium higher than 150 per month.

          • caijulian says:

            ok Ms.Nors.. thank you.. I’ll try to go to a nearest Philhealth branch within this this week. I already got my Cert. of contribution. My employer told me that they are not issuing cert that I’m on leave without pay. so i hope that it’ll work for the cert. of contribution. Thank you again.

          • Nors says:

            Hi caijulian, thanks for coming back to write something. I hope when you have time, you comment again about your paperwork so I collect more experiential data for my responses. thanks too!

      • caijulian says:

        Hi Ms. Nors, we went yesterday to Philhealth. They accepted my Cert. of Contribution. I just paid 600php for the months June-Sept. (150php / month, your right). They just change my status from employed to Individual Payee. They told me what do I need to submit to the hospital. And once I come back to work, it will jsut auto-update from Individual Payee to employed. Thank you so much again.

  67. Carene says:

    Hi maam,ask ko lang po kung ma avail ko pa po ba yong philhealth benefits ko kahit na nakahinto na po ako sa work ko last june 2013 ang last na hulog ng employer ko,covered pa po bayon sa philhealth ko?

  68. Rhina says:

    Good pm. I just want to ask, i deactivated my philhealth account last month, to add myself to the dependents of my husband. I will be giving birth this october. Can I claim my philhealth already by the time of my delivery? Thank you

    • Nors says:

      Hi Rhina, yes, as long as your husband is updated with his Philhealth payments. Check if you’re already registered as dependent in your husband’s MDR.

  69. donalyn navida says:

    hi! ask ko lang po, my hubby is employed and payer of philhealth since oct.2011 , kaso magreresign na po sya dis month kasi he accepted contract sa qatar po . kaya kumuha na po kami ng philhealth contribution and cf1 po sa company nya, pero november 2013 pa po ang expected due ko . its still possible po ba na maavail ko pa dn ang maternity benifits?

    thanks !

    • Nors says:

      Hi donalyn, hindi mo na magamit ang status ng husband mo as Employed, kasi hindi na siya employed at the time of your delivery. OFW member na siya. Kasali naman sa OEC niya ang Philhealth payment for 1 year in advance, so your delivery date will be covered by his Philhealth validity dates. Papirmahan mo na sa kanya ang claim form 1 as OFW and update MDR. Mag-open din siya ng bank account (BDO Kabayan, walang maintaining balance requirement) para merong madepositohan ng check kung halimbawa lang merong refund. Xerox his OEC receipt, ID/passport. Magsulat na rin siya ng authorization letter authorizing you to sign and process Philhealth papers, just in case you need it.

  70. dona says:

    hi, ask ko lng if pasok parin po ba me sa maternity benifits , kahit magresign na sya dis month ? he is payer since oct. 2011 po til now and my expected due is november 2013.

    thanks !

  71. lally says:

    Hello po, good day!
    Ask ko lang po kc ung company ko nag file ng redunduncy at kasama ho ako sa mga na retrench. Until last day of august nlng po ako sa company at due ko na po sa panganganak this september via C-section. Maccover pa ho ba ng philhealth ung bill ko at anu pong papers kelangan kong isubmit o kunin from our company?

    • Nors says:

      Hi lally, get from your company a certificate of premium payments for Dec 2012 to Aug 2013 with OR nos. (9 months), pero gawin mo nang Sep 2012 to Aug 2013 para sure. You will file as voluntary — required ang 9 monthly contributions within the past 12 months. Ask also a copy of RF1 and receipts. Meron kasing hospital na hindi satisfied sa certification ng employer lang. When you get your MDR, ask Philhealth if you need to pay Sep so you can file as Voluntary. Bring your certificate of retrenchment.

  72. MJ says:

    Hi, just want to ask, would i get the same amount whether i file my maternity benefits at the hospital (before or during delivery) and after delivery (within 60 days)? fixed amount for CS regardless when it was filed and if filed after delivery can i authorize someone to process the papers for me? thanks!

    • Nors says:

      Hi MJ, I’m not sure but you might be able to get the full amount if you file after delivery, and file directly at Philhealth with complete papers including bill, ORs and waivers from both hospital and doctors. You might also get the full amount if you file before discharge. There are times though, based on comments here, that the PF coverage is not refunded. But please ask others too.

  73. Liezl says:

    Hi Mam,sa North Caloocan po kami nakalocate kaya NSO east ave. kami pumupunta pag mag file sa NSO. Pwede po ba un pumunta pa kami mandaluyong??
    And Mam another concern, my end of contract is on Sept2013 and may expected delivery last week of sept. or 1st week of october.,and natawagan ko na po ang agency/employer ko na mahulugan nila ng sept. ang philhealth and sss ko. Need ko pa din ba mam magfile ng voluntary and maghulog for the month of October until Dec.??? before ako my delivery para lang maavail ko ang philhealth benefits ko?? Thanks & God Bless.,

  74. MJ says:

    Hi, will you get the same amount for CS regardless if you file the maternity benefits at the hospital (on or before delivery) or just reimburse it after? can i authorize someone to process the papers just in case i’ll be having a hard time moving due to the operation? thanks!

  75. dianne santos says:

    hi mam, eto po philhealth number ng tatay q 07-0252636275 , Fernando Santos Jr ang name. nanganak po yung sis q last may 17 2013, dahil 19 years old plng po sya ay finile po ng midwiyfe ang maternity benefits sa name ng ttay ko, byad n po yung midwife n\bago p nya ifile angg maternity benefits na inaasahan namen n dumating n po sana, kaso finile po ng midwife nung july 12 2013 ang maternity sa philhealth.. dpo ba 16 days lang upon filing marreimburse n po ang cheke?.. sabe dw po kase ng mdwife wla p dw po sya OR na maiisubmit s philhealth kung kyat di p dw nkukuha yung cheke. h gusto ko po sana ipasuyo ipacheck s inyo if naprocess n po yung maternity at kung my narelease n po n cheke. slamat. mukha po kaseng manloloko yung midwife n yun

    • Nors says:

      Hi dianne, hindi lang 16 days ang processing ng Philhealth. 2 months or more. At meron kayong matatanggap na notice from Philhealth. Sorry this website is not operated by Philhealth. It’s a personal blog. Email Philhealth actioncenter@philhealth.gov.ph or mag-comment ka sa Facebook page ng Philhealth or call 441-7442 kung na-file ang claim ninyo. You can also check kung Philhealth-accredited ang midwife o ang clinic niya

  76. Mary ann says:

    Hi gud eve,nanganak ako last july 31,2013.package kmi sa private hospital tpos pag august 3 dines charge ako s 11,000 tpos 3,000 ang deduction sa philhealth.pero yung baby ko naiwan pa sa nursery kasi may komplikasyon at may mga antibiotics.at ang bill ng baby ay umabot ng 20,000.magkano kya ang deduction sa philhealth?slamat ng marami.rply asap

    • Nors says:

      Hi Mary ann, hindi fixed ang coverage for your baby’s treatment. It’s not in the Case Rate list, kaya hindi ko ma-estimate. Iba ang coverage niya sa maternity coverage mo. Separate claim. Meron siyang coverage for meds, lab, room, PF, OR. Makita mo na lang sa bill yong deductions. But you can ask the hospital billing/accounting now. You can also ask kung puede mong i-refund yong 2k na coverage for PF sa maternity mo. Maternity coverage is 5k.

  77. jenna says:

    Hi goodpm. wanna ask if maccover ako ng mggng husband ko if were gonna married before my delivery due date, he has philhealth, employed sya dati, nung hnd na sya employed nag individually paid sya july to december this year, and he will pay january 2014 to march next year. my due date is 1st week ng march. cover kaya ako if that happen? nag-work ako 2008 and i think my philhealth ako dat tym pero since then, hnd ko na sya nahulugan nung hnd na ko mag work, so hind na ko member?. ok lng ba yung philhealth ng mggng asawa ko ang mgamit?

  78. Jheng says:

    Hi philhealth, im giving birth this coming sept. sa government hospital and ako po lahat ang bibili ng gamot and mga bagay na kalailanganin for my delivery. Ask ko lng po if marerefund pa po ba yun? How much po ang possible maternity refund? Thank you

    • Nors says:

      Hi Jheng, ang coverage ay 5k. Keep your receipts. Ask the hospital kung anong policy nila sa Philhealth para alam nila na gagamit kayo ng Philhealth. Kung kayo ang mag-file, hingin nio sa hospital at doctor ang mga signed claim forms, receipts, billing o statement na hindi kayo kinuhanan ng Philhealth deduction.

  79. Shena says:

    I give birth in Cebu City Medical Center last March 19, 2013. The hospital deducted me 5000 from my total hospital bill. I read that the maternity package for normal delivery is 8,000 so it means i still have 3000 to claim. Can I get this claim if I go back to the hospital and pass my all my expenses before confinement and the medicines I bought outside the hospital?

    • Nors says:

      Hi Shena, if it’s in a hospital, the coverage is 5k. In a lying-in, it’s 6500. There’s additional 1500 for prenatal expenses, but your prenatal care ORs worth at least 1500 should have been submitted to Philhealth together with the maternity claim.

  80. Cheers says:

    Hi ill just ask if im still entilted to the maternity benefit if i resigned from work last january 2013 and was not able to pay for my monthly contributions after that..
    Thanks

  81. Car says:

    Hi maam,,,ask ko lang po anu po ba ang kailangan kung gawin or mga requirements para mahulugan ko ung mga months na hindi ko nahulogan dahil sa nag stop na po ako ng work,,,may kailangan pa po ba akong kunin na requirements sa dating employer ko para makahulog aq ng monthly sa philhealth q ng sarili,

    • Nors says:

      Hi Car, you can pay immediately as Individual Payor. Payment deadline is the last day of the month or the quarter being paid for. Example: this August, ang puede mong bayaran is July Aug Sep, and months forward. Pero hindi na yong mga nakaraan.

  82. Jara says:

    Hi! Im an expectant mother too, I just called Philhealth Customer Service hotline and asked them to explain the contributions I need to make to avail for the maternity benefits, The Reps told me na for a VOLUNTARY contributor, u need atleast 9mos contributions prior to ur due date and EMPLOYEE contributor, 3 mos contributions is only needed prior to ur date of delivery… so un 9mos is applicable lng for voluntary, i asked the Reps bat mas maikli un sa employed, she said standard policy daw un ng Philhealth and maybe dhl mas mlaki rn ang contribution kpag employed ka…

    For Normal Delivery – 6,500 – 8,000 benefits
    New born screening – 1,750 (should have two separate sets of documents needed to avail them)

    CS – 19,000 fixed

    Thanks, hope it helps… :)

    • Nors says:

      Hi Jara, thank you very much for sharing info. It’s great that you were able to call Philhealth and that someone replied to you and answered in a friendly/saisfying manner, in contrast to the complaints by others commenting here. Have another great day!

  83. Jara Dee says:

    Hi! Im an expectant mothers too, I just called Philhealt Customer Service hotline and asked them to explain the contributions I need to make to avail for the maternity benefit, The Reps told me na for a VOLUNTARY contributor, u need atleast 9mos contributions prior to ur due date and EMPLOYEE contributor, 3 mos contributions is only needed prior to ur date of delivery… so un 9mos is applicable lng for voluntary, i asked the Reps bat mas maikli un sa employed, she said standard policy daw un ng Philhealth and maybe dhl mas mlaki rn ang contribution kpag employed ka…

    For Normal Delivery – 6,500 – 8,000 benefits
    New born screening – 1,750 (should have two separate sets of documents needed to avail them)

    CS – 19,000 fixed

    Thanks, hope it helps… :)

  84. Cheers says:

    Hi ask ko lng.. I resigned from work lng january ive been with them for 1.5yrs.. After resigning i was not able to pay for my monthly contributions, i will give birth on oct 23, will i still be able to get the maternity benefit? Thanks..

  85. car says:

    Hi maam,nag stop ng hulog ang philhealth ko last june 2013 and manganganak po ako dis coming dec….kailangan ko po ba buuin yung hulog ko Mula june till dec? Magkanu po ba ang hulog ko?

  86. katya says:

    Hello po ask ko lng po isa po akong ofw galing jeddah umuwi po ako para manganak dito sa pilipinas.. umalis po ako ng bansa MAY 2011 AT BASED po sa mdr ko nakalagay ay May18 2011 to may 17 2012 anang contribution ko.so expired n pla. Nag bayad ako this year ng buwan ng march. Nklgay po sa receipt ko ay april 2013 to april 2014. Manganganak po ako between august 20-sept 10 ang kabuwanan ko. Ma aavail ko ha ba ang benefits ko sa phil health??..anu ho ba dpt ko gawin pls reply

    • Nors says:

      Hi katya, noong nagbayad ka ba ay OFW ang status mo? Kasi kung ang status mo sa Philhealth is OFW, you will be covered because your date of delivery is within your validity dates on your receipt. If you’re not sure, call Philhealth 441-7442 or visit the nearest Philhealth and ask. If not OFW, update your member data so it will be changed to OFW. Show proof that you are OFW (passport with work visa, OEC or overseas job contract. Your MDR should state that your status is OFW.

  87. katya says:

    YEs po ofw po ang status ko sa mdr. Ko.pero sa update mdr ko pede kopo ba ito makuha thru email.eto po email ko babhy26@yahoo.com

  88. alexis says:

    good day! ask ko po if i can still use philhealth maternity benefit kung may isang buwan akong hnd nahulugan in 12months? tnx.

  89. alexis says:

    ask ko din po kung paano nalalaman kung accredited ang isang lying in clinic ng philhealth?

    • Nors says:

      Hi alexis, usually nakapost sa kanilang door. Para sure, you ask the midwife or doctor or admin if you can use your Philhealth.

  90. joannamariejaime says:

    hi po ask q lng po kng individual payers po ba preho lng po ba ang benefits ng individual s goverment payers?kc po cs aq sb po skn ng hosptal 16k dw po ang ggastusin 9months po aq naghulog mare2fund po ba ung 3k n sobra kc sb nyo po 19k ang benefits ng cs?slmat po

    • Nors says:

      Hi joannamarie, pareho ang mga benefits kahit anong category ng member. Yong sa 19k, ang 11,400 ay for hospital and 7,600 is for doctors. Kung wala kang babayaran sa hospital at sa doctors, dahil covered na lahat ng Philhealth, kahit less than 19k ang total cost ay wala ka nang mare-refund, kasi wala kang binayaran.

  91. Liezl says:

    Hi Ms. Nors,
    Good Day!

    I have another concern, nagpapacheck-up po me sa isang Lying-in or Maternity clinic… and ang nakapost po in this blog for the budget sa normal delivery is 6,500.. pero nag inquire me dun sa clinic 3,000 lang po ang deduction nila pag may philhealth… private lying-in daw po kasi sila.. Possible po ba un??eh hindi naman po malaki ang clinic nila compare sa mga nakikita ko na private maternity clinic??? and ang painless po ba coverage ng normal delivery??? Pls…. thanks

    • Nors says:

      Hi Liezl, yes, normal delivery ang coverage ng painless. Ask them kung puedeng isama nila ang prenatal ORs mo worth at least 1500 para marefund mo later on from Philhealth yong 1500. Hindi ko alam kung bakit ganyan ang policy nila. Pareho lang naman ang private o public na lying-in na 6500 ang coverage for normal delivery. Kung affordable naman ang cashout mo diyan, at comparable sa ibang lying-in (halimbawa total bill nila minus 6500), puede na rin siguro dahil diyan ka na nagpapachekup.

  92. Ayie says:

    Hi Mam, question po… My Due date is October 2013, I am employed Oct2012-July 2013 and resigned Aug2013..
    1.magagamit ko po ba ang Philhealth ko?
    2.Do I need to pay Aug2013-Oct 2013 contribution po?..
    3. since resigned na po ako sa work… automatic deduct po ba un sa hospital bill or reimbursement?

    Maraming maraming salamat po.

  93. Liezl says:

    Thanks Ms. Nors, naghihinayang lang po kasi ako if 3k lang ang deduction nila pag philhealth member, wala pa sa kalahati ng 6,500.
    initial po kasi nila sa painless is 6,000-up depende sa gamot na magagamit ko then iless nila ung 3k if may philhealth nga daw ako.
    Thanks Again Ms. Nors
    God Bless!

    • Nors says:

      Hi Liezl, tama ka na sayang naman yong 3500, malaki rin yon. I don’t know bakit ganon ang policy nila. Puede naman nilang sabihing 9500 ang singil nila, then minus Philhealth na 6500, at 3k pa rin ang babayaran mo, para hindi na magtaka ang patient. Pero siguro iniisip nila, puede nilang sabihing 6k lang ang painless nila, para mag-apir na mura lang sa kanila, pero in reality, 9500 ang makukuha nila later on (3k from you and 6500 from Philhealth). Ang reality kasi dito Liezl is the lying-in can dictate their price. Mali yong application nila ng Philhealth — but I’m not sure if it’s worth the effort now na ireklamo ito sa Philhealth, lalo na at doon ka na nagpapachekup. Pero of course depende pa rin sa iyo. Take care and God bless din

  94. elena says:

    Hi Mam Nors, ask ko lang po..kung pano kame makakatipid sa aming hospital bills, sabi kasi ng doctor namin kailanga naming maghanda ng at least 53k for cs operation… tanong ko lang po kung makakatipid po ba kami kung sa labas ng hospital kame bibili ng mga gamot at hindi kukuha sa pharmacy ng hospital mismo. 19K pa rin ba ang makukuha kong maternity benefit? sabi kasi ng friend ko..mas makakamura kame kung sa labas binibili ang mga gamot kasi malaki daw ang patong ng pharmacy ng hospital. thanks in advance po…

    • Nors says:

      Hi elena, assuming na private hospital ito — I’m not sure kung papayag ang hospital na bibili kayo sa labas. Tanungin nio na lang. 19k is further allocated as 7600 for PF and 11400 for hospital. Ask your doctor kung magkano ang ihanda nio if with Philhealth, at kung yong 19k from Philhealth ay ibabawas agad sa 53k.

  95. elena says:

    Hello uli Mam Nors, private hospital po ito…yung 53k na pinahanda minus na po ang philhealth dun…ang PF po kasi ng doctor, anaesthesiologist, at pedia…aabut siguro ng 35 to 38K, usually binibigay ito separate sa hospital bills and other expenses..hospital bills mga 15k…kaya naisip ko po kung baka mas makamura kame kung sa labas kame bibili ng mga gamot…baka mababawasan yung hospital bills namin… thanks po Mam Nors…

  96. Liezl says:

    Yes Ms. Nors., ganun na nga nasa akin pa din ang last decision.,buti mam kung 3k lang ang magiging cashout ko., kaso nainform na ako na 4k+ na lang daw babayaran ko pag may philhealth ako., mabigat pa din po kasi sa akin ang halaga na un.. sa 1st baby ko ang naging last bill ko lang po 1500., sa QCGen.
    Thank you so much Ms. Nors, I appreciated sobra ang BLoG nyo. Thanks & God Bless!

  97. novie says:

    Hi mam nors, ask ko lng po if i can avail maternity benefits, nag start po contribution ko oct.2012 at mangananak na ako ngayon oct..
    Thanks po..God Bless!

      • novie says:

        Hi po,nka package ako ngayon sa hospital dba po 6,500 yong total na benifits if normal delivery?,kac sabi ng hospital 2,500 lng daw yong e deduct nila kasama na doctor fee and pre natal care don..tapos if nka package ka almost 9k yong mabayaran mo less ng 2,500 if you have phil health,tapos malaki parin yon babayaran ko.. ang concern ko po if pwd ba hindi magpa deduct sa hospital pwd po bang direct nalang ako magpa re-imburst sa phil health sayang din po kac. thanks.

        • Nors says:

          Hi Novie, puede ang iniisip mo, pero tanungin mo ang hospital kung mabibigay nila ang lahat ng documents na kelangan mo to file directly with Philhealth, including waivers from the hospital and the doctor stating na you paid all hospital costs and PF and that the Philhealth refund should be issued to you in full, the claim forms, billing or statement of account and OR.

  98. Rona Bulatao says:

    Updated po ba ang philhealth mdr?kasi kumuha ako kanina, based on the information yung employer ko is yung dati pa rin which I already resigned last July 2012.At my bago na akong employer ngayon since April 2013 at nakapaghulog naman since April. Will this affect my availment in philhealth. Pregnant ako and my delivery is on October 2013.

    • Nors says:

      Hi Rona, yes, dapat updated ang MDR. You can ask your employer a copy of ORs of their payments to accompany their certificate of premium payments with OR nos. Some hospitals like to see the ORs.

  99. kathhh says:

    good evening po ask ko lang po, binayaran ko po ung philhealth ko ng 1 yr nung last march 2013, and due date ko po si october. 8 months lang po ang nacover.. makakakuha pa din po kaya ako ng benefits nun?

  100. Airish says:

    Good evening po…member ako ng philhealth 2011 tpos 2012 di ako nkapaghulog di po hinuhulugan ng pinapasukan ko pero kinakaltasan nman kmi.start january 2013-dec 2013 ako na mismo nagbabayad kc wala na po ako work. Gusto ko.lng po makasigurado kung my mkkuha ako benefits. Pregnat ako ngayon and due date ko na this month

  101. Airishtano says:

    Gud morning. Ngbyad po ako 1 yr january 2013-dec 2013 duedate ko po this month my mkkuha po ba ako benefits? Thnx

  102. Aileen says:

    Hi Ma’am!

    I will be giving birth for my 2nd baby this coming oct. 8 2013 via cs delivery since my 1st baby was delivered via cs too (sept. 20 2011). I would just want to know if philhealth will still cover my maternity package? I am updated in paying my contributions ( voluntary).
    And also Ive got married last august 28 2013, do i have to change my status na? Which is better, use my own philhealth account or deactivate my account and be a dependent of my husband?

    • Nors says:

      Hi Aileen, yes, you are eligible for Philhealth since you’re updated in payments. About CS, basta Indicated CS or right code ang isulat ng doctor mo sa claim form mo, maco-cover ka. Have you paid Philhealth up to this month? If yes, what Philhealth usually advises is you use your own, kasi member ka pa rin this month. Mag-cancel membership ka na lang next month, and then have your husband register you as his dependent para hindi ka na magbayad ng premiums.
      For this confinement, if you like, you can change your status with Philhealth. If the hospital asks for the discrepancy in name in your Philhealth receipt and claim form, present your marriage certificate.

  103. Aileen says:

    Hi ms. Nors!

    Would i still be able to have my philhealth maternity package even if i will be giving birth via cs delivery for the 2nd time? I gave birth last sept 20 2011 via cs po and will give birth on oct 8 2013 cs ulit. I am updated in paying my contributions.

    Please help!
    Thanksomuch and God bless!! :)

  104. Len says:

    Hi ms. Nors!

  105. Len says:

    Hi Ms. Nors!

    I will be giving birth on oct 8 2013 via cs delivery. I am updated in paying my contributions, the question is am i still covered by philhealth’s maternity package even if it’s my 2nd time to give birth via cs? I gave birth to my 1st baby last sept. 20 2011.

    Please help..

  106. Joana marie Hambura says:

    Gud am po. Manga2nak po aqo sa Dec. 15, 2013 in a private hospital which is a philhealth accredited hOsptal. Want qo po sana sa private rooms and gamitin Philhealth ng Asawa qo. Pwd qo po b ma avail ang maternity benefits?

    • Nors says:

      Hi Joana, yes, basta yong validity dates ng OEC ng husband mo covers your date of delivery. Pag hospital, 3k ang coverage for hospital expense and 2k for OB; you pay the balance. Usually, 3k lang ang dinededuct.

  107. inah says:

    Hi,

    I will give birth this Sept 20 via CS Delivery in a govt hospital wherein they require patients to buy their own meds. Just want to check the benefits that i can get. most of the govt hospt does not charge doctor’s fee so minimal lang ang payment sa hosp.

    Will i get reimbursement sa mga meds na bibilhin ko for my CS delivery? if yes, how will i process it? thanks!

    • Nors says:

      Hi inah, I’m not sure about government hospitals, kasi usually merong charity at merong pay department. Merong mga nagco-comment dito na ginamit nila ang Philhealth nila, at nagpapabayad ang doktor (payment directly to the doctor), in addition to meds bought outside. Siguro dahil sa time nila to fill up the claim forms, at nagamit ang pay facilities, opinion ko lang ha. So it depends kapag charity or pay, or sa doctor and your agreement, or depends on the package na tinatawag nila; para sure, magtanong ka sa Philhealth section ng hospital about kung gamitin mo ang Philhealth.

  108. elson says:

    Hi goodafternoon.

    Hi ask ko lang po kanino ko pwde makapagtanung about sa statement of payment refund from philhealth. Its been a year na kasi pero wala pa kame narereceive na notice. I inquire in the hospital where my wife was admitted ,available na daw ung refund nmen pero I need t know din ung summary of refund para mkita namen if correct ba ung mkukuha namen. thanks.

    • Nors says:

      Hi elson, dapat yong notice matanggap nio via registered mail at the address you wrote in your claim form. But since you haven’t received anything, call or visit Philhealth na lang.

  109. Arnel Fernandez says:

    Good am sir/maam,

    My wife gave birth (ceasarean with ligation) September 4, 2013 in a public ospital with aprivate doctor and private room. Undortunately I failed to assist and comfort my wife during her discharge (September 8, 2013) at the hospital (her sister – 18 yrs age- is only her companion at the hospital). She has a sponsored philhealth according to philhealth officer at Cabanatuan City. Also, according to my wife the total bill that she saw was Php 6,537 for the hospital and Php 500 for pedia. When her sister went to the cashier she paid an additional of Php 16,500 (16,000 for the doctor and 500 for the hospital) and the cashier DID NOT ISSUE AN OFFICIAL RECIEPT (they just wrote it down at the back of a delivery receipt of a certain hardware store). The cashier told to wife sister that we can get the doctor’s OR at the doctor’s clinic. After a few days of recovery, my wife went at the clinic to get the OR but the secreatry says that the doctor will be the one to send it in philhealth office. I also then texted the doctor why we cannot have a copy of the OR for the amount that we have paid. The doctor said we can go again to her clinic to explain why we cannot have our OR. Is that legal? what action should we do? Where can we seek assistance for cases like this? I am seeking your heartfelt assistance. Can I say the name the name of the doctor and the name of the hospital here? Anybody here who has the cases as ours? Please help. I only borrowed that money. My wife don’t have job. The baby is our fourth child and the first ceasarean delivery. Our baby didnt also underwent into a new born screening because the hospital personnel told my wife that it is out of stock (we don’t know what does that mean. As of this date (September 17,2013) we don’t have that OR and new born screening (have to borrow again money for this). I kneeling down on you people…. pls let us know what to do…

    • Nors says:

      Hi Arnel, you’re right, unfortunately, based on other people’s experiences shared on our blogs, private doctors treating patients at government hospitals in private rooms (paying patients) ask these patients to pay them directly without any OR. You can go and talk to the doctor and explain to her that you need the OR and you need to file with Philhealth so you can pay the money you borrowed. Ask her also to sign the claim forms. The 19k coverage for CS is further allocated as 11400 for hospital and 7600 for doctor, so what you can refund from PF is only 7600.

  110. Joan says:

    Hello,
    I will be giving birth po this November 2013,may posibilidad po na CS ako kasi breech position po ang baby ko. Sa private hospital po ako manganganak. Magkano po ba ang usually ang charge ng doctors sa PF nila,same po ba sa government?
    thanks po

    • Nors says:

      Hi Joan, iba-iba ang PF, depende sa ob and hospital. Dapat kausapin mo beforehand ang OB about her PF and hospital costs so you can prepare. Based on people’s comments here, malayong mahal ang PF for CS sa private hospital, compared sa government hospital.

  111. Lester says:

    Hi,
    magtatanong sana ako kung makakakuha ba ng benefit ang magiging asawa ko if nagstart syang maghulog nung September 2012 tapos naputol nung February 2013. And then, kinaltasan ulit sya sa work nung June 2013 until now. Manganganak sya either December this year or January 2014.

    Thanks!

    • Nors says:

      Hi Lester, will she be employed until Dec or Jan? Yes, she’ll be eligible because payment of Philhealth premium for 3 of the 6 months before month of delivery is what’s required for employees.

  112. jhane says:

    hi gud pm po philhealth staff im jhane po im already 6 months pregnant po nw and my due is dec 8/or 10.ask ko lang po pang 4th ko na po itong baby and my plan is sa public hospital po ako magnganganak pwede po ba kaming kumuha ng sarili naming room. at un po ba ay covered din ng philhealth bayad na po ako this year in advance po.at isa pa po ung 3 kids ko po ay iba ang father at iisa ang apilyido nila kahit di ako kasal sa una.and then this baby is sa 2nd hubby ko na. pwede rin po bang makapag refund ako kahit di pa cia kasama sa mdr, or kahit iba ang apilyido na dadalhin nia..thank u po and i’ll w8 for your answer.

    • Nors says:

      Hi jhane, ikaw naman ang Philhealth member, so eligible ka sa maternity coverage, kahit maging iba ang surname ng baby. Kapag public hospital kasi, merong paying patient at merong charity. So kalimitan ang nangyayari, kapag paying patient, depende na ang PF sa quote ng ob. So kausapin ang doctor kung paano ba kapag gagamitin ang Philhealth.

  113. neth says:

    hi po tanog ko lang po kung paano makuha ang benifits ng philhealth i will give birth next year ask ko lang f magkano ang makukuha ko sa philhealth pag di ba accredited na hospital sa philhealth wala kang makukuhang benifits from them?ang lahat ba ng private hospital hindi accredited?

    • Nors says:

      Hi neth, pag hindi accredited, hindi ka covered ng Philhealth. Maraming private hospitals na Philhealth-accredited, tanungin mo lang, or merong nakasabit na Philhealth sa entrance or front desk nila. Pag normal delivery sa hospital, 5k ang coverage; pag lying-in, 6500. Pero ask them beforehand, kasi yong iba hindi nirerefund yong PF portion ng coverage.

  114. joy garcia says:

    hello po ask ko lng oo sana how much po b ung covered ng painless delivery sa philhealth.,thanks

  115. Oscar D. Pable Jr. says:

    hi good day, ang asawa ko ay nagpacheckup sa ibang clinic accredited ng philhealth but nanganak siya sa ibang clinic yet accredited din naman,possible bang sya mismo ang magprocess at gaano katagal ang sya pwedeng mag file kasi mag isa lang sya at almost two weeks ago na sya nanganak,pwede pa ba sa magfile ng claim? salamat po.painless delivery po sya.

    • Nors says:

      Hi Oscar, yes, puedeng siya ang mag-file basta kunin niya lahat ang claim forms, OR, billing, waiver from the clinic. Then idagdag niya ang MDR and copy of premium payment receipt. File within 60 days after discharge.

  116. may villarosa says:

    Hi everyone, ask lang po ako. I’m now 25 weeks pregnant and this is my 1st child, my due date would be around 1st week of january and by that time 7 months pa lang po ako naka contribute sa PhilHealth. I would like to ask if I can still avail of all the benefits. Thank you.

  117. lebe says:

    hellow maam nors,isa po ako ofw dito saudi but before meron n ako cotribution s philhealth as self employed until now ngcontribute prin ako khit bayad n rin aq as ofw.this coming feb 2014 my wife is getting birth.ask q lng po kng alin ang mganda gamitin ung self-employed o ofw?kelangan n po bng mgstop n ako ng contibution s self employed dhil meron n nga ako as ofw?ung id ko po s philhealth as self-employed nandon ky misis at rin po ang ngbabayad don kelangan prin po ba ung authorization letter ko and other documents pra ma avail ny ung maternity benefit?thanks po maam nors and more power..

    • Nors says:

      Hi lebe, gamitin na lang kung ano yong current member type sa Philhealth pag kunin niya ang MDR mo. Usually puede na yong marriage certificate na gamitin niya to sign the claim form, pero para sure, kasi iba-iba rin ang policy ng hospital, mag-email ka lang ng authorization letter to your wife plus a scan of your ID and OEC (if OFW is member type). If OFW na ang magamit, itigil nang bayaran ang pagka-individual payor kasi sayang din. Mag-individual payor lang kapag ang vacation ay nagtatagal ng several months.

  118. via says:

    tanong ko lang po,ngayon pa lang po ksi kukuha ung asawa ko ng philhealth at manganganak ako on feb 2014 kung magbabayad po ba kmi ng January 2013-december 2013 magagamit pa nmin ang philhealth thank you po.

    • Nors says:

      Hi via, dapat makabayad kayo ng 8 months of this 2013 plus Jan 2014. Baka hindi na tatanggapin ang payment for May and June; ask now Bayad Center. Deadline for July to Sep is today, Sep 30.

  119. Mark says:

    Hello, great post here and a lot of interesting comments on this topic. First at all i am a foreigner and liked to travel through the philippines for the last 8 years and was living there the last 2 years complete. I am still young and need to work for my income so pls dont think i am the rich guy.
    After i went home we realised that my Girlfriend was pregnant, we expected it already but we wasnt shure while i am in the philippines.

    So 6 months after i went home she gave birth to our lovely son Dean with a weight of 3700 gramms. She needed a c-section because the Doc said the baby is big. So he told my partner that the c-section will cost round about 25-30k.

    Now we get the bill and its a total of round about 55 k. The doc want from us for hisself and the anestisist and the Doc assistant 28k
    and 7k Philhealth round about 35 k.

    The Hospital charges another16-20k.

    The doctor was a “private” Doc as far as i understood from Siliman and the Hospital is the Provincial in Dumaguete.

    Are these fees regular???? Or is it the typical overpricing???

    Is it not weird that a doc can charge 20k or more for a simple c-section??? Jesus the Philippines are a poor country what can a Philippino do when he gets a bill like this?

    We have to pay for the doctors 28 k out of our own pocket. Sorry a couple of hours doctors work and he makes money like other people, itself with a good job, earn in a month (in the philippines). My opinion!!! Theres something terrible wrong. A doctor doing 20 c-sections a month and have a income of 400K??? He works maybe 20 times 5 hours thats all.

    Sorry here in Germany a doc doing c-section have a income round about 300 k and this is not 20 times the income of a regular worker here in Germany. He is doing also other things not only c-sections and his working hours are daily at least 9-12 hours.

    I always thought that doctors do their work for passion, to protect life and not to rip of the poor people. Sorry my experience in this case and 2 other cases (accident/friends) showing that the doctors in the philippines dont respect any human needs all they see is the Peso sign. Ok maybe not all but the cases i have seen, sorry thats unbelievable and no doktor in Germany would handle a Patient like this. There are fix prices for most operations negotiated by the Health insurances with the hospitals. The bigest amount of the budget for a operation goes normally to the hospital. So no doctor is free to charge what he wants.

    We will life soon here in Germany and i am really happy about our health system and i wish all Phillipine people that they find a way to force these “doctors” to help humans again for a fair fee which people who work can pay for. I know i should not bother because for me the 30 k are for shure not so hard than for a philippine family but this topic kept me busy thinking about the whole day. Best regards, Mark

    • Nors says:

      Hi Mark, thanks for commenting. Yes, it’s really sad that the public health care system in my country is not yet satisfactory. I said “yet” because I’m still hoping for something. If we Filipinos can find more persons and fewer crocodiles to vote for as leaders, then we can repair our health system. Your Philhealth deduction should have been 19k (11400 for hospital costs and 7600 for PF). It’s also sad that there are a lot of doctors who are greedy, and that they’re helped by the lack of specific laws on their professional fees. They can charge any amount, as long as the patient agrees. It’s also a reality that doctors sometimes consider the apparent financial capability of the patient when setting their PF — they saw you, a Westerner, and they assumed you’re capable of paying more, and sure enough, you were able to pay in cash. If you took a private room, that’s one indication you can pay a higher PF. Sad, but that’s what happens.
      In St Lukes and in other big hospitals here in Manila, they even charge 100k or more for a normal delivery…yes, normal. 200k or more for a CS is not rare. Don’t believe it? It’s like a brand. They’re paying for the brand — the hospital’s image and the doctor’s too.
      But for people who don’t really have the means, they can have a CS for just less than 500 pesos. They have prenatal checkups at the charity departments of public hospitals, and they give birth, either CS or normal, as charity cases. The thing here is the patient should have a flexible pride, willing to be reminded that she is a charity case; reminded by the attitude of some nurses, long waiting times, prenatal checkups very early in the morning, and getting thrown into a crowded ward after delivery.

      Sometimes, it also depends on geographical location. Up north, in my home province, I’m glad that the regional hospital and the local hospital there are okay. Here in Muntinlupa, there’s a maternity center who does normal deliveries for less than 100 pesos, as long as the prenatal checkups are done there.

      You can help us if you have time. A mail from Germany might get attention. You can write Philhealth, a senator or congressman, PNoy or Inquirer. You might want to focus on the ability of doctors to set their rates, or to not disclose all rates to be paid, or to increase their rates after the procedure is done. Another is the failure of hospitals to implement the correct Philhealth coverage amounts.

      Thanks again, Mark.

  120. rhina says:

    Hi i jus recived a letter from philhealth stating na nabayaran na ng philhealth ang hospital bill ko worth 11k.i was confined last feb9,2013 at meycauayan doctors at nkalabas din ng feb10,2813.ang pagkakaalam ko sa bill ko ay 6k mhigit lang and we paid 2k for it since i have complied all the hospital’s requirement so i can avail my philhealth benefit.tapos nag byad din po ako ng 22k sa doctor’s prof fee.pero ng dumating po ang sulat from philhealth the doctors prof was not stated.ibig po ba sabihin nun hndi ako mkakarefund

    • Nors says:

      Hi rhina, what medical procedure was done? If no PF portion was deducted from your bill before discharge, xerox this notice and your bill and receipt and then go to the hospital and ask for your refund.

  121. Cris says:

    hi, pwede po ba i avail both newborn care package and normal spontaneous delivery? nung nanganak kasi ako s panganay ko 2011 hindi pa daw kasama ung bill ng anak ko sa na file for my philhealth, pinagbayad pa kme ng less than 1thousand para sa bill ng baby ko. pano po ba mag file sa billing section para ma cover ng philhealth ung bill nmin parhe ng baby ko?

    • Nors says:

      Hi Cris, mag-submit ka ng 2 sheets of claim form 1, isa para sa maternity mo at yong isa para sa baby mo for newborn care.

  122. melody says:

    ask ko lang.. magkano kaya marerefund ko from philhealth.. CS po ako and nakuha ko na yung BPN from philhealth nabayadan na daw kase yung hospital so magrereinburse na lang ako sa hospital.. nasaken copy ng mga receipt and total ng gastos ko e 7,500+ lang since government hospital yun, binayadan namen ng cash yung hospital nong nadischarge ako dahil kulang pa requirements ko.. paano po kaya yun? nakalagay kase sa BPN e 11,400 ung sa hospital charge and 7,600 PF ng doctor.. so yung 11,400 po ba marerefund ko khit nasa 7,500+ lang ang gastos ko in total?

  123. pops says:

    hi, just wanna ask, for employed in private company how many months to avail for a maternity benefits? tnx,

  124. diana says:

    hi, manganganak po ako this nov. 2nd child ko tas cs po ako ulit, tanong ko lang po, may makukuha pa ba akong benefit if, sa goverment hospital ako manganganak na they dont charge kahit cs ako, papalitan ko lang po yung mga gagamitin sakin gamit, how much po makukuha ko?

    • Nors says:

      Hi diana, it would depend on the hospital and the doctor. Ang hospital nirerefund lang ang actual amount na binayaran mo sa kanila (up to 11,400), kahit 19k ang ibibigay ng Philhealth sa kanila (7600 is for PF; sometimes this is not being refunded by doctors, and they also get all their PF na sisingilin sa inyo). Magtanong-tanong ka na lang sa merong mga experiences diyan sa hospital na yan. Ask about the charity option or the paying patient with Philhealth option.

  125. Sachi soleil says:

    Hi!ask ko lang kng panu malaman kng level 1 un hospital or level 2-4. Also want to know kng kelangan ko pa ba mag voluntary contribute.nagresign ako july 2013 and i have contibutions from aug 2010-july 2013.may delivery date will be dec 25 2013..kelangan ko pa po ba mag contibute?need ko pa po ba i updte un membership ko from employed to voluntary.thanks

  126. katy says:

    Hi po gud day!question lang po slightly confused lang ako.nagresigned po ako sa work january 2013. ang due date ko po is march 2014. ang nabasa ko po sa website is need to pay 9 months to avail maternity package. and tumawag po ko sa philhealth callcenter to ask if im eligible ang sabi po sakin di na daw nagaapply ang 9 months contribution basta bayaran lang daw atleast 3 montha para maqualify. tama po ba yon?thank you Godbless!

    • Nors says:

      Hi katy, maganda kung ganon na mukhang applicable yong new rule na yon for all types of individual payors. Meron ngang press release na 3 months na lang ang required for the informal sector. Siguro ang unemployed kasali na sa informal sector. I’m just waiting for a circular that says “for all individual payors.” Anyway, just pay Dec to Feb.

  127. kathleen says:

    Hi I was a member of Philhealth since 2010 and I resigned in my previous work las February 2013 and being employed again last May 2013, I am 7 months preggy now and my EDC is on December, my question is can I still use my philhealth even its my 2nd baby thru CS, I gave birth to my first baby last July 2012,and as per my OB I will undergo again CS for my second baby because its very risky in my part to give birth via ND. Magkasunod na taon lng kasi.

    Second question if Im nor eligible already, if my husband will apply for Individual payor he will pay the whole year of 2013, can i used it on decemeber?

    Your prompt response is much higly appreciated.

    Thanks and more powers!

    • Nors says:

      Hi kathleen, yes, you can again use Philhealth for your CS, as long as your ob will write the code for Indicated CS (meaning siya ang nag-decide ng CS). Will you still be employed when you give birth? Meaning your claim form will be signed by your employer? If yes, then you’re qualified because Employed members need only 3 months of premium to qualify (3 of the 6 months before delivery month).
      Meron na ring news release from Philhealth that the 9-month requirement for the informal sector has been reduced to 3-month requirement.

  128. ronalyn says:

    gudpm po! ask ko lng po if may ma-recieve pa akong refund galing philhealth if nabigyan din ako ng refund ng hospital? nanganak ako nung oct.7, 2013 via normal delivery sa private hospital na philhealth accredited.. thanks po!

    • Nors says:

      Hi ronalyn, kapag nadeduct na ang Philhealth coverage mo in full sa hospital bill, wala ka nang makukuha pa from Philhealth. 3k for hospital costs and 2k for PF.

  129. rita says:

    hi, my name is rita. I was not able to pay my 1st quarter contribution this year since i am an individually paying member. I resumed paying on the 2nd quarter. My question is will i still be able to avail of the maternity benefits since i will be giving birth thru c/s this november?
    thnks & more power!

    • Nors says:

      Hi rita, yes, kapag individual payor/informal sector ang classification mo. I cannot give a sure answer because I’m still waiting for the Philhealth circular to clarify their news release that the 9-month requirement for the informal sector has been reduced to 3-month requirement. Are all individual payors considered informal sector?

  130. Angel says:

    Hi nars! may GF is an OFW. Nagbayad na siya ng philhealt for 1 year as required sa POEA last december 2012 then she will gave birth on November, valid po ba membership o cover po sya ng program? thanks!

  131. gemma says:

    why is it that mas maliit ang coverage nang benefit kung nasa lvel 2 to 4 ka na ospital maconfine than the lying ins? is it not baligtad na desisyon ng philhealth kasi mas mahal ang singil pag nasa malaking ospital ka na kaysa lying in lang o primary clinic, Please check on it…. thanks

    • Nors says:

      Hi gemma, you have a point. And they should really increase the coverage. What I’ve read is that their reason is to encourage mothers to prefer lying-ins over hospitals. What they have not considered is that first-time mothers don’t know if they can deliver normally and easily, so they decide to go to hospitals in case there are complications. It’s good if you also write your comment at Facebook.com/Philhealth.

  132. mitch says:

    Hello po philhealth im giving birth po s december. I am a member of philhealth that was 2007 until 2010 po i had contribution the following years,when i was working then i stopped n po un tpos i continued po ulit ng buwan po ng july to december 2013,am i qualified to avail for maternity benifits?

    more power and may the god blesses you always!

    • Nors says:

      Hi mitch, are you presently unemployed? If yes, before requesting your MDR, update your registration with your ID at Philhealth and check “Informal Sector” in the form so you’ll qualify for the 3-month requirement which was previously 9-month requirement.

  133. NARS says:

    hi philhealth..manganganak po this coming december 2013 via CS. 25k po ang singil saken ng dr. so it means na 6000 nlng po ba ang bbyaran ko sa hospital kung ileless ko po yung philhealth benefit na 19k?

    • Nors says:

      Hi Nars, ask your ob-gyne kung yong 25k ay complete package na yon, at kung magkano if you use Philhealth. 19k is allocated as 11400 for hospital and 7600 for PF; yong kulang sa PF at sa hospital, yon ang punuan mo. Merong mga OB na hindi na dinededuct yong 7600; instead dagdag pa sa kanilang PF — I hope hindi ganun ang OB mo.

  134. mitch says:

    good day philhealth!thank you po s rply,yes po unemployed n po ako ngayon.I just dont get what you say about 3 month s requirement,you mean po ba dpat 9 months tlga yung hulog ko dapat.

  135. Lea Fuentes says:

    Hi good morning, i will give birth this coming dec2013, via cs-section, but before that i was confined last oct 2013 for premature labor, i used my philhealth for some deductions, will this affect the benefits that i will be getting for my maternity? Thank you..

    • Nors says:

      Hi Lea, dapat hindi, kasi iba naman ang CS. Kaya lang, ano kaya ang isinulat na diagnosis and treatment sa claim mo sa una? Ask your present OB about your case and your Philhealth.

  136. chelsea says:

    hi, ask lang po if qualified pa ko for this Philhealth maternity benefit, january-febuary 2014 ang kbwanan ko po, march 12,2012 umalis po aq ng bansa para mg work, before po ako umalis naghulog po ang agency namin s philhealth last febuary 9,2012 that is good for one year, ngayon nkauwi n po aq dito pinas, wala p din po akong nhulog s philhealth, simula nun, pwede ko pa din po ba mgamit ang philhealth ko? Thanks.

    • Nors says:

      Hi chelsea, register with Philhealth as Informal Sector then pay Oct to Jan. Merong new announcement na puede nang qualification ang 3-month payment for Informal Sector.

  137. Charmz says:

    Hello. Im 37weeks pregnant, and im going to deliver my first baby any moment from now on. bali, philhelath member ako. Nakapagbayad ako for 1year (jan 2013-dec 2013) i still can avail maternity benefits, though im still confuse because yung paanakan ko LYING IN CLINIC sya, ang package P5,500 (normal delivery,new born care, new born screening, take home meds, Bcg and Hepa B) so magkakasama sila sa package, eh sa nabasa ko 6500 ang benefits na makukuha ko from philhealth so i wonder kung bakit sa lying na paanakan ko need ko pa daw mag cash out ng 2000 pesos. Complete na rin po ako sa requirements na kailangan for philhealth. marerefund ko po ba yung icacash out ko? please reply. im really confuse. thank you!

    • Nors says:

      Hi Charmz, ang sabi nila is 2k ang cash out mo kapag merong Philhealth? Minsan kinukuha nila yon dahil sa mga pag-accomplish nila ng forms. Or marketing strategy rin, meaning mag-advertise ng mura, pero parang naging 8500 din ang package (8500 – 6500 = 2k). Kung lying-in ang mag-file ng philhealth, hindi ka na puedeng mag-file ng iba pang claim with Philhealth for refund.

  138. juvz says:

    Hi! First of all I salute you for your prompt response.. May tanong din ako.. I’m due nextweek or bk mapaaga pa.. Ung lying-in clinic is Philhealth accreditted, but my OB was not accepting Philhealth daw.. I got confused… Does it mean hindi ko magagamit ang Philhealth benefits? If so, isn’t it unfair and a bit misleading for moms like us?

    • Nors says:

      Hi juvz, dapat accredited both ang clinic at OB para maka-avail. Meron kang choice to look for a clinic na both accredited ang clinic at OB. Or the same clinic with another OB but accredited. Kung wala kang mahanap na okay, at affordable naman ang total package with your present OB, okay na rin siguro, compared sa babayaran mo pa rin in another accredited facility.

  139. Michelle Tagana says:

    Hi po! Im giving birth next month and im paying my philhealth (voluntary) since 2012 until now. I just got married last June, im using my husband’s family name na but haven’t changed my philhealth status yet (still my maiden name). Can i still use my philhealth for maternity benefits? Meron na nman po kaming NSO marriage cert.

    • Nors says:

      Hi Michelle, yes, bring your marriage cert (orig and xerox) to prove discrepancy in name on premium receipt and name in hospital. But I think you still have time to update your Philhealth record, so your MDR would be already updated, and it would make claim filing easier.

  140. glai tabafunda says:

    before ba madischarge sa lying in clinic un bill na babayaran is deducted na nun sa philhealth?tnx

    • Nors says:

      Hi glai, kung complete ang Philhealth papers mo, dapat meron nang Philhealth deduction before discharge dahil yon ang process dapat, pero yong ibang lying-in, pinagdi-direct filing ang patients, or nagrerefund na lang after makuha nila ang check from Philhealth.

  141. Gerlie says:

    hello po,

    napaka-helpful po ng site nyo, marami po kyo natutulungan, tnx po po at meron kagaya nyo.
    ask ko lng po if qualified rn po ako s Philhealth Maternity benefits(matagal n po akong member)…ang asawa ko po ay member ng AMUSOP, seaman po siya. pag member po kasi ng AMUSOP free din daw po sa medical assistance ang family niya…im pregnant po now at next year pa po ng May ang due date ko….ibig po bang sabihin non, wala po akong makukuha n philhealth maternity benefits dahil covered po ako ng asawa ko at free po panganganak ko nyan kahit private hospital po ang AMUSOP…thank you po and GOD BLESS YOU

    • Nors says:

      Hi Gerlie, ang alam ko yong Philhealth benefit mo ay nakasama na doon sa fully free medical treatment na ibibigay ng AMUSOP hospital sa iyo. Sila na ang bahala sa lahat ng kelangan at sa Philhealth processing, so wala ka nang intindihin o babayarang iba. Thank you also for appreciating my blog. You’re blessed na merong AMUSOP ang husband mo, kasi sa iba na walang AMUSOP, kahit merong Philhealth, malaki pa rin ang babayaran nila, kasi konti lang naman ang Philhealth coverage.

  142. five says:

    hi. nanganak po sister ko last week – CS. supposed to be around 30k bill niya deducted na po yung 19k.

    the night before her scheduled discharge date, na-stroke siya, na-ICU. umabot po yung bill niya to around 200k, yung deducted PHIC benifit po niya is 19k.

    pwede pa po ba siya maka-claim iba pa benefit aside from the 19k maternity?

    • Nors says:

      Hi five, kausapin nio na lang ang hospital kung ano ang basis nila na 19k lang ang deduction. Meron kasing rule ang Philhealth na kapag 2 illnesses in one confinement, isa lang ang ma-cover. Puede niyong tanungin kung puedeng yong stroke na lang ang i-file sa Philhealth, hindi na yong CS, kasi higher ang coverage ng stroke (28k or 38k).

  143. five says:

    hi!
    ask ko lang po kung possible na maka-claim ng other benefits aside from maternity pag nanganak at nagkaron ng other medical case while still in the hospital.

    thank you.

  144. erika says:

    hi! what group level is san juan de dios hospital? can the pf of the pedia be cover by philhealth? at least how much? is the amount fix already for the deduction sa maternity?thanks

    • Nors says:

      Hi Erika, level 4 kasi teaching hospital. 5k lang ang deduction for normal (3k for hospital and 2k for PF). Usually hindi na dinededuct ng hospital yong 2k kasi yong mga doctor additional PF na raw nila yong 2k. Hindi covered ang pedia. Merong 1750 coverage for newborn care, pero depende sa services available at the hospital.

  145. Miszsuplada Kahit Sxaan says:

    hi po .
    nong october lang po ako naka kuha ng philhealth .
    pwedi na po ba ito magagamit sa pagpapanganak ko dis march ?

    • Nors says:

      Hi Miszsuplada, yes, if your category is Employed or Informal Sector. Pag informal sector, payment of 3 months immediately before delivery lang ang required.

  146. Mahal Kitang Nonay says:

    hi po . nong october lng po ako nakakuha ng philhealth . advance napo december !
    tanong ko lg po , pde na po ba ito magagamit sa pagpapanganak ko dis march ?

  147. Rosalia Anclote says:

    Good day, ask ko lang po kasi po cs po ako at ang total bill ko po umabot ng 54,000 less philhealth na yan kasama na ang doctors fee. meron po ba akong ma cclaim pa benefits, bukod sa philhealth na kinaltas ninyo ?thank you and more power

  148. Jana says:

    Hi po..Manganganak po ako by June 2014. My last Philhealth payment sa from January to July 2013 since I resigned from work on July 2013 so nastop ang Philhealth ko..I have new work and my employer will remit dis Dec 2013 po. Makaka avail po ba ako? Thank you

    • Nors says:

      Hi Jana, yes, you will qualify. For employed members, payment of 3 of the 6 months immediately before month of delivery lang ang kelangan.

  149. JAJA says:

    Hi Im Janine im about to give birth this March or April 2014. however my employer has already given an announcement na mgiging floating employee kami on the 15th of Dec. Now am i still eligible for it? can i still file it thru my employer or personally na? and previous c-section nko am i still qualified? nag start ako ngcontribute may 2012 to present. kaso pano po yung dec -april 2014 payments ko? kc nga 3months floating status ako sa company ko due to financial problems ng company.

    • Nors says:

      Hi Jaja, yes, your CS can still be covered as long as it’s the decision of your OB that it should be CS. Pay Dec to April as Voluntary and keep your premium receipt. Keep your memo about your floating status because Philhealth might want to see why you’re paying as Voluntary. Depending on your status in March or April, you will file as Voluntary or Employed. Either way, you’ll qualify. If you file as Voluntary, present your Voluntary receipts plus certification of premium payments from your company (9 of the 12 months before month of delivery).

  150. roldan says:

    gud pm mam.mam ask q lng po ang bill nmin s hospital ay 14500,kng ang cs ay 19k ang sagot ng philhealth ung sobra po b ay marerefund nmin?

  151. khivz says:

    hi po ask ko po kc sponsor po ako nang lgu sa phillhealth at due date ko po ay sa dec.25…next month.sagot ba lahat nang lgu ang gastos if posible na normal delivery ako..sa goverment hospital ako manga nganak pero ang OB ko eh private magkanu po ang maibabawas sa philhealth ko para sa PF.tnx po.

    • Nors says:

      Hi khivz, 2k lang ang alloted for PF at usually hindi pa yan dinededuct sa PF bill. Ask your OB about her PF so you can prepare. The LGU only sponsored your Philhealth card; wala silang sasagutin sa hospital or sa PF.

  152. Yen says:

    Hi po, ask ko lng po i will be giving birth next month and i recently been separated from my company since oct.2013. ask ko lng po how will i go about using my philhealth benefits and what documents should i prepare if theres any. thanks in advance.

    • Nors says:

      Hi Yen, ask your employer a certificate of premium payments (9 months of payments). Request also your updated MDR. Bring your ID.

  153. Jazz says:

    Good day! Ask ko lang po, new member ako from july 2013. And preggy ako at nasa 2nd quarter pa ako nagbabayad ( july-december). When can i avail sa benefit? As what ive read naman s ibang replies mo, pwede ba ako magbayad advance directly to the cashier, or dun sa customer care nila? At pwede ko b maavail din ung mga refunds if qualified na ako? This january 2014 ang expected due date ko. thanks! Need some answers coz bago pa po ako.

  154. Jazz alfad says:

    Good day! Im a new member of philhealth from July 2013 and individually paying. Pregy ako ngayon 7months and im expecting my delivery this January 2014. Can i pay directly to the cashier if mag-advance payment ako to avail the benefit, or sa costumer care tlga?

    • Nors says:

      Hi Jazz, kulang ka yata sa 9-month requirement. Ask Philhealth about Informal Sector membership, para maka-avail ka sa requirement na 3 months lang.

  155. Zyrem Eunice Zamora says:

    Hi, what if member ung husband ko ng philhealth at dependent nya ako, tapos ako din member. Same pa rin po ba ung makukuha na benefit? Or tig6500 kami pag normal? First delivery ko pa lang po at due ko is dec21. Thanks po.

  156. Renee Ilunio says:

    Hello po. Ask ko lang, nanganak ako just this monday. Philhealth accredited ung hospital, gov hospital siya. Ang due date ko, sa January pa dapat pero I gave birth na po and sadly, still birth siya. Magkano macocover ng Philhealth don?
    And prior to this, I was hospitalized last Aug and underwent appendectomy. Employed pa po ako nun. By Sept 13, nagresign na ako, maapektuhan po kaya nun possible reimbursement ko or kung may reimbursement ako na maavail?..

    • Nors says:

      Hi Renee, walang effect kasi magkaibang medical case. At parang more than 90 days na, so kahit the same case, puede na. Maternity coverage is 3k for hospital and 2k for doctor.

  157. Jac says:

    Hi, Due date ko po sa February 26, 2013

    Wala na po akong work ngayon pero, may Philhealth number na po ako nung employed ako sa previous company ko (nagstart po ako sa company October 31, 2011 at nagresign po ako nung March 2013.

    I was advised po kung gusto ko pa pong magpagtuloy, palitan ko lng daw po ang status ko as voluntary.

    Ang sabi po sakin, bayaran ko daw po ang october, november, december, january, february, march po pra magamit ko po yung benefit sa panganganak ko po..

    Tama po ba? Salamat po ng marami!

    • Nors says:

      Hi Jac, parang kulang ka sa 9-month requirement (payment of 9 of 12 months before month of delivery). Ask about being an Informal Sector member, kasi puede ang 3 months lang na payment for Informal Sector category.

  158. marcus says:

    mam nanganak po un misis ko sa private hopsital by CS premature po un baby ko at kelangan NICU sya for 3 weeks cover po ba ng philhelth un sa baby ko at kasi billing ng misis ko aabot ng 100K + bill ng baby ko aabot ng 100K din

    • Nors says:

      Hi Marcus, yes, covered din ang baby mo kasi dependent mo, magagamit yong birth cert na gagawin ng hospital. Puede ring irequire ng hospital na pacertify ang birth cert sa local registrar; sometimes hindi na.

  159. April says:

    good day, ask ko lang po how much macocover ng philhealth, 8 months pregnant po ako and due date ko po is this december 2014, i’ve been working since 2005,. thank you.

    • Nors says:

      Hi April, if normal delivery at a hospital, your coverage is 3k for hospital and 2k for PF. 1750 for newborn care and up to 1500 for prenatal care if you submit prenatal ORs

  160. jane says:

    how many c section po ang covered ng philhealth? what if po sa 4 c section eh twice lang nagamit ang philhealth ng patient? can she use her benefits on her 5th csection? is ligation also covered by philhealth?

    • Nors says:

      Hi jane, I think the 5th CS is covered; please ask your OB. Kapag sabay ang ligation with CS, 19k pa rin ang coverage (11400 for hospital and 7600 for OB). Pag normal delivery, merong additional 4k coverage for ligation. Only the first 4 normal deliveries are covered by Philhealth, regardless of whether Philhealth was used in all 4 or not.

  161. jane says:

    ill be having my 5th cs po… i am a member ng philhealth from my 2nd cs but twice ko pa lang po nagamit ang philhealth ko. do i still have the previldge to use my philhealth? kasali po ba sa health benefits ang ligation? salamat po

  162. benjie says:

    tanong ko lang ofw since 2008- 1012.tapos buntis yung asawa ko. d ko kc alam kung nahuhulugan yung philhealth ko since na wala namng binabawas saamin tanong ko lang kung entitled ba kami sa benefits na yan or hindi? yung last na uwi ko is dec 31 2012.

    • Nors says:

      Hi benjie, you can pay your Philhealth 1 year in advance as OFW so your wife can avail. Pay as OFW; show proof of being OFW (OEC, or OFW ID, or work visa, or job contract)

  163. benjie says:

    I mean dec 2012 pala…

  164. veonna macie says:

    hi Gud evening,

    ittnung ko lang po sna kung makkaavail ako ng maternity package due date ko po this week december 2013..dati po kz company ang nagbbyad s phil.healtg ko nag self-employed po aq last january up to now dec.binabyaran ko.

    paanu po kung s public hospital ako manganak pero accredited namam cla maavail q po kya ung phil.health ko.bli 1200 dw po ung mgagastos namin s panganganak s gmot po un gya ng pampahilab etc’ pero ung byad s rooms wla dw po.pnu po ang process nun?

    2nd question po,ung mga ngastos ko po s laboratory and ultrasound ksali p dm po b? pti po new born screening.anu2 po ung 1st step n dpat kong gwin para magrefund lhat ng ngastos ko..slamat.

    • Nors says:

      Hi veonna, dalhin mo ang Philhealth papers mo; isubmit mo rin ang mga prenatal ORs mo para isama nila sa claim. Dalawang sheets ang claim form 1 mo para ma-avail mo rin ang newborn package. Iba rin kasi ang Philhealth processing ng government hospital, dahil pasyente ang pinapabili ng gamot, so magtanung-tanong ka rin.

  165. Noreen says:

    Hi, just want to verify if i will be eligible for the maternity benefit.. I paid april2013 to dec2013, ang my delivery due date will be on january 2014..will i be covered or not? I am based on my counting, but i still have to be sure. Thanks :)

  166. Rommer says:

    Hi, my wife gave birth yesterday. I went to the Philhealth desk of the hospital and ask about Prenatal care benefit since normal delivery ang wife ko but they don’t know the prenatal care benefit of normal delivery and refuse to get our OR’s of prenatal checkup since they only know 5K for normal and 1750 for NBS. My question is can we still avail prenatal care benefit even though we’re already discharged to the hospital? what would be the process? thanks

    • Nors says:

      Hi Rommer, dapat isinama yang prenatal ORs sa claim kasi yan ang instructions ng Philhealth. Hindi naman hospital ang magrefund ng prenatal; it would be Philhealth, kaya I’m puzzled na merong mga hospitals that don’t accept prenatal ORs. Sorry I’m not sure if Philhealth will accept prenatal ORs separately, or if you need to wait for your BPN and then refile. Ask na lang Philhealth.

  167. Badeth says:

    Hi.. I’m giving birth end of March 2014, till what month should i pay for my contributions so that i can avail for my Philhealth benefits? Thank you. so much.. :-)

    • Nors says:

      Hi Badeth, pag individual payor, dapat you have paid 9 of the 12 months before March 2014. Pag Informal Sector ang category, puede na yong payment of the 3 months immediately before March 2014.

  168. khristine says:

    gud pm po due po ako dis dec. at benfciary din ako ng husband ko slying in po ako manganganak hw.po covered ng philhealth.4th bby po.thanks

    • Nors says:

      Hi khristine, 6500 dapat ang coverage pag lying-in. Plus up to 1750 na newborn care. Plus 1500 for prenatal care kung meron kang ORs (ipakiusap mo na isama nila sa maternity claim; Philhealth ang magrerefund nitong prenatal). Ask your lying-in kung magkano pa ang babayaran mo if you use Philhealth, kasi meron silang sariling computations.

  169. anthony says:

    hi…gud morning pow madam or sir. member pow ng philhealth ang wife ko. nag bayad pow ako ng 1800 sa philhealth para magamit pow nya ung philhealth ng asawa ko. nanganak pow sya december 02 2013 sabi pow ng hospital hindi pow namen ma approbahan ang philhealth ng wife mo kng hindi naka pag prenatal ng apat na buwan. bakit pow ganon. un na ba talaga ang bago patakaran ngaun sa philhealth? sa setro pow naka pag prenatal ang wife ko. pro hindi pow nagamit ang philhealth ng wife ko. marepanan pow bayon.?

    • Nors says:

      Hi anthony, yes, kapag sa lying-in or matenity clinic, merong requirement na dapat nagpa-prenatal checkup ka doon sa kanila ng at least 4 times. Sa hospital, ang alam ko walang requirement na ganon. Hingi kayo ng claim documents sa hospital and then file with Philhealth within 60 days after discharge.

  170. raeljhen says:

    Hi philhealth..ask q po kung magagamit q ung philhealth nmn na cnimulan nming binayaran nong april 2013 at aq po manganganak sa december 30 2013,aq po ai ma c-cs kng ma avail q ba ung 19k na benefit? Thankz po

    • Nors says:

      Hi raeljhen, husband mo ba ang member? Mag-update siya ng MDR niya para maging Informal Sector – Individual Payor member siya, kasi kapag Informal Sector, 3 contributions paid before due date or one-year-in-advance payment lang ang kelangan.

  171. raeljhen says:

    Hi po,ask q po kung maaavail q ung benefits ng c-s kasi manganganak aq ng december 30 2013 binayaran po nmin ung 1800 nung aprill 2013. Ang husband q po pala ang nakapagala..thankz po,need ur reply po asap..

  172. Aimee says:

    Good day!ask ko lang po Kasi nag member po ako kahapon sa 1800.at pwede ko na po magamit para sa darting ko na cesarean delivery this coming December 23… Am a avail ko din po ba na 1700 na new born care? Voluntary member po ako…thank you and god bless!

  173. Shen says:

    Hi.ask lng po kc confusing to.latefiling kmi after discharged po sa hospital.i had my cs on sept 1 2013.meanig i paid all expenses at pf.tpos ngyn po ang dmating na lng na tseke sakin is 11400.pmnta ko hospital at philhealth sa hospital to ask.sabi bnawas na dw yn sa pf ng doctor datihow come ibabawas e that time ala pa kmi documents at hndi kmi ngfile.pano sila nkakasiguro n mkkfile kmi after. Then wla sa statment if account na deduction by philhealth.please help.

    • Nors says:

      Hi Shen, usually kapag hindi naisama ang waiver signed by the OB, yong PF na 7600 ay ibinibigay sa OB (additional sa PF na binayaran nio in cash). Puede niong tanungin yong OB kung nakuha talaga yong 7600, para kung hindi, dapat irefund ng hospital.

  174. mabel says:

    hello po. i gave birth last aug.31, 2013, CS po. i receive yesterday my philhealth refund amounting to 220 pesos. i’m just wondering why its only 220, would it be possible? di ko man lang nabawi ang ginastos ko sa meds at doctors ko.

    • Nors says:

      Hi mabel, government hospital ba ito? You go to your hospital and ask for your additional refund. Xerox your bill, ORs and benefit payment notice.

  175. jane says:

    hello po,ask ko lang po..i’m so confused.teacher po ako kaso on leave ako ngayon at malayo po sa amin kaya wala akong reliable na mapagtanungan, yung rf1 po ba, ako yung magproprovide tapos ipabibigay ko sa principal namin para masignan niya at mafill upan or may copy na po ba cla nun na ready to give sa akin?ahmm..at saka po, yung ME5,kailangan ko rin po ba yun?pasensya na po kc nakikisuyo lang akong magprocess, hindi rin naaayos ang layo ko kasi, sa leyte pa ang amin, medyo mahirap ang communication and any moment, manganganak na ko:)

    sa mga deped employees po ba the same rin ang set of requirements?

    updated mdr, i.d, claim form 1, rf1..what else ?thanks a lot!

    • Nors says:

      Hi jane, yes, the same documents: updated mdr, id, claim form 1 signed by your HR or head, cert of premium payment and copy of payment receipt (rf1 or Me5). I think na pareho lang, basta makita ng hospital ang proof na paid ang premiums mo for 3 of the 6 months before month of delivery.

  176. jane says:

    Hello po…i’m confused medyo walang mapagtanungan, i’m glad may ganito palang forum here…ang sabi po kc sa requirements ay mdr, i.d card, rf1 and a lot of forms for the maternity benefits, ganon din po sa mga nababasa ko na ibanvg requirements sa ibang website pero ang sabi po ng kasamahan ko sa work at saka ng kasamahan ng mother ko sa work, mdr, philhealth card and cf1 will do..yung cf2 and cf3 meron me na pong copies at medyo madali na xa…tama po ba cla?

    d na po ba kailangan ng rf1 at ng me-5 for deped employees?

    • Nors says:

      Hi jane, sa karamihan kasi, ang requirements ay 4 lang: updated mdr, id, claim form 1 and OR of premium payment. Kung employed, cert of premium payment plus OR nos. Dapat okay na ang mga ito, pero merong hospital na kelangan pang merong proof na nagbayad talaga ang employer, meaning they don’t believe in the cert of premium payment, so they want to see the OR or the receipt, so bring OR of premium payment.

  177. Ronadel says:

    Hi good morning! I’m about to deliver this coming April or May, where can I get the contribution payment receipt and certificate of premium payment? I’m employed.
    Do I have to go to philhealth to have the updated MDR? Thank you very much.

    • Nors says:

      Hi Ronadel, yes, get your updated MDR from Philhealth. Cert of premium payment with OR nos. is from your employer, together with signed claim form 1.

  178. Jem says:

    Gud day! my wife will be giving birth to our 2nd baby this coming june 2014 thru cs in a private hospital sa manila po, ask ko lng po if may makuha pa kami sa philhealth? and if meron 19k parin po ba? Last August 2008 my wife gave birth to our 1st baby thru cs at private hospital din pero bakit almost 9k lng po ang nakuha nmin sa philheath? Thanks in advance po and God bless.

    • Nors says:

      Hi Jem, yes, covered pa rin ang CS basta Indicated CS uli (decision by OB) and your membership is active. 19k is further divided as 11400 for hospital and 7600 for PF. Yong sa unang case nio, dapat nakarefund kayo ng at least 11400 (if you paid more than 11400). Dapat narefund nio rin ang 7600 pero usually ang mga OBs kinukuha ito as additional PF kaya hindi narerefund.

  179. nethskie says:

    Hi tanong ko lang po kunga magkano ang covered ng philhealth pag sa private lying in manganganak?

  180. isla says:

    I stopped paying monthly on my phil health last 2010 since nag OFW ako, recently this 2014 i pay and contribute for whole year. my 1st question is could i possibly avail my maternity insurance if i give birth on August? since i just start to contributeingagain this January… 2nd My PhilHealth ID is on MALE gender, is it easy to change it…… please also give me details on what are the documents needed so that i can avail after discharging at the hospital. thank you

    • Nors says:

      Hi isla, yes, eligible ka. Update your member data at Philhealth, so you can make sure your category is OFW and your gender is Female. Documents: MDR, premium receipt (orig and xerox), 2 sheets of claim form 1, your ID (any valid ID)

  181. Arcely says:

    Hi just want to asked po how will I claim the New Born package? anu po requirements para maclaim ko before ako madischarge sa hospital??
    Thanks

    • Nors says:

      Hi Arcely, file another claim form 1 sa ospital; patient’s name is your baby’s name. Dapat Philhealth accredited din yong pediatrician.

  182. Arcely says:

    Hi just want to asked how to claim newborn care package? What are the requirements, employed po ako

  183. ghe says:

    hi po ..im a private employee ..and got married last oct6,2013 .ask ko lang po qng ok lang po b na ..sa philhealth lang po aq nakapag update ng status at hind ko pa po naupdate s employer status ko,bale po s philhealt married n aq pero un record ko po s certification of contirbution is my surname parn as single

    • Nors says:

      Hi ghe, mas magandang i-update mo na yong sa employer mo para match ang name sa cert of premium payments at Philhealth member data record. Puede namang mag-request ng another claim form 1 from your employer; yong updated na. Para sure ang approval sa hospital at Philhealth. Pero kung andiyan ka na sa ospital, have your marriage cert (orig and xerox) to show to the hospital. Pero be ready if the hospital asks for additional document.

  184. Mish says:

    Hi,

    I will be delivering my 4th baby this Feb via normal delivery. This is technically my 6th pregnancy coz I had 2 miscarriages (3rd and 5th) and had undergone D&C on both. Am I still eligible to claim the benefits? Is my baby still eligible for the newborn care package?

    Thanks.

  185. Neneth says:

    Hi,

    I have a question, ang maternity care package sa 6,500 pag level 1 hospitals or , lying in clinics. Kung sa lying in na pagpapanganakan ko is 7000 ang package(normal delivery, room and doctors fee) hindi kasama yung mga extra like gatas, pampers or what. so kung 6500 ang philhealth maternity care package ibig ba sabihin nito nasa 500 pesos and up nalang babayaran babayaran o depende pa din sa policy nung lying in clinic?? kasi nagtanong ako sa nurse dun sabi niya kung may philhealth ako 5,500 nalang daw babayaran ko lahat lahat na. so parang ang nabawas lang sakin eh 1500 lang??????

    • Nors says:

      Hi Neneth, yes, sad to say, depende pa rin sa kanila, kasi kung ireklamo mo naman sila sa Philhealth, tataasan ng lyin-in yong package cost nila para 5,500 pa rin ang babayaran ng patient.

  186. Jennifer simon says:

    Hi, manganganak po ako this 3 rd week of january 2014 para sa 6th child ko. Yun first 5 ko po normal delivery lahat yun pang 6 th ko po cs section kaya magpapatali na din po ako. May mavlaim pa po kaya ako sa maternity at ligation ko sa philhealth

    • Nors says:

      Hi Jennifer, kapag CS, walang limit sa no. of deliveries, pero hindi ko sure ang rule sa CS after 5 normal deliveries. Ang OB ba ang nag-decide ng CS? Kasi ang covered ng Philhealth ay yong Indicated CS. Yes, covered ka for ligation. Ask your OB para sure.

  187. gelique says:

    hi good am, ask ko lang nawala kasi ung card ko and di ako nkapag byad ng contribution since 2012 manganganak ako this coming march pwede ba ako pmunta sa philhealth office at iupdate at byaran ng 1 year ung philhealth ko pwd ko b un gmitin kpag nanganak na ako?

    • Nors says:

      Hi gelique, yes, i-update mo ang member data mo to Individual Payor-Informal Sector, then pay for 1 year in advance, at ma-qualify ka. Magtanong ka na rin doon sa Philhealth.

      • kristine says:

        Hi may question lang ako nag file ako ng reimbursement sa philhealth last dec 2013 fortunately kanina dumating na yung cheque kaso nagtataka aq 11400 ung nasa cheque smaller amount than I expected. Alam ko kc dapat 19k since case rate yung case ko. I gave birth last september via cesarean section. Hmm baket kaya 11400 lang yung na reimburse ko? Anu pwede ko gawen. In terms of PF ng doctor I already paid 70k all in all (50k sa ob, 5k pedia, 15k anesth)
        Hmm d naman nagprovide ang hosp ng official receipt for PF payment.
        Hmm may nabasa aq dito sa blog na yung remaining 7600 sa dr bibigay? True ba yun? Eh parang wala naman kame nakuha na deduction from her PF eh.
        I hope you could give me an idea regarding these matter.

        • Nors says:

          Hi Kristine, kunin mo ang refund na 7600 sa hospital. Kung sabihin nila na ibinigay na nila sa OB mo, hanapin mo ang OB mo at tanungin mo kung naibigay ba ng hospital yong 7600 from Philhealth, kasi sabihin mo na nag-notify na ang Philhealth na meron ka nang refund.

          • kristine says:

            Hi ms nors first of all salamat po sa respond
            Hmm nakatawag na akomsa hospital sabi nila wala daw pinapadala sa kanila and according sa kanila hindi daw sa kanila ipapadala yun sa akin daw dapat since ako mismo yung nagfile sa philhealth office.anu po ba pwede ko gawin? Possible po ba na sa OB ko naipadala yun? And possible ko po ba makuha yun?
            Hmm hindi ko naman alam kung na less ba ako ng philhealth ng OB ko since wla naman sila detailed receipt na binigay.
            Again thank you po

          • Nors says:

            Hi kristine, ang alam ko, sa hospital pinapadala ang PF. Di ba nakasulat sa benefit payment notice kung magkano lahat ang binayaran ng Philhealth? Kung 19k ang total payment, that means yong PF na-send sa hospital. Sinesend lang ng Philhealth ang PF refund sa patient kung merong PF OR na na-file with Philhealth plus waiver from OB. If you like, you can visit Philhealth and ask where they sent the PF.

          • kristine says:

            Sa bpn po 11400 lng tlga yun Nkalagay na total then zero amount yung sa pf ng dr po

          • kristine says:

            Hmm wala po kasi binigay na official receipt sa akin yung dr ko then yung nagfile ako ng reimbursement ang sabi sa akin kahit wala na yung OR ng dr kc case rate naman daw po.

      • kristine says:

        hi hmm d aq makapagpost ng comment bket ganun may question sana aq Ms Nors

  188. joyce says:

    Hi po, tanong q lng po…may kakilala po kc aq na 4Ps na nanganak sa lying-in…philhealth accredited po…she told me po na nag bayad xa ng 2,450…bakit po ganun? Kala q po pag 4Ps wala na po bbyaran. And ang pakaka alam q po kahit di ka Sponsored basta kompleto mo contribution mo LIBRE ka…and bakit po nag babayad ng 600 sa newborn screening? Kala q po kasama xa sa package?

    Thank you po! God bless!

    • Nors says:

      Hi joyce, sori hindi ko rin alam kung bakit. Siguro hindi kasya na bayad yong 6500 na Philhealth coverage sa kanila, at siguro rason din yong pagkatagal-tagal mabigay ng Philhealth yong 6500. Doon sa additional newborn care cost, ang nababasa ko na rason, kulang yong Philhealth coverage sa newborn care.

  189. Tonet says:

    Hi, i’m scheduled to give birth next Tuesday Feb 11, 2014. Repeat CS po ako. Diba po philhealth benefit is 19k ang madededuct sa bill ko. Sigurado po ba madeduct yun kagad sa bill? 80k po kasi yun sinabi ng OB ko na pde ko maging bill. Gusto ko lang makasiguro na mababawas nga tlga yun 19k sa bill ko. Thank you.

    • Nors says:

      Hi Tonet, dapat nga 19k ang deduction before discharge. Pero maraming instances na kung ang PF ay directly paid to your OB, yong ibang hospital, 11400 lang ang dinededuct. Ask your OB or hospital.

  190. mai says:

    Hi ma’am Nora, ask ko lng po sana kung qualified ako makaavail ng philhealth. I’m individual paying po. Ang due ko po at this end ng Feb 2014. At ang hulog ko lng po ay oct-dec 2013 at Jan – march 2014. Makakaavail po kaya ako. Thank you po.

    • Nors says:

      Hi mai, yes, sabihin mo sa ospital Individual Payor-Informal Sector ang member category mo. Pag ganito ang category, 3 contributions within 6 months before delivery lang ang kelangan.

  191. angelica says:

    tanong ko lang po gusto ko po magamit ang philhealth ko kasi hindi ko pa po nagamit ang philhealth ko sa pag anak manganak po ako sa april last hulog po nang agency ko dati nung september 2013 tapos po ako po ang mapatuloy sa pag hulog para magamit ko po ang philhealth ko .saan po ang malapit na philhealth dito sa maynila para po makahulog po ako .salamat po …

    • Nors says:

      Hi angelica, sana naghulog ka noong January pa, kasi ngayon late na for January. Puede ka sana sa 3 contributions. Tanungin mo na lang kung puedeng bayaran mo ang 1 year in advance at kung puede kang maka-avail in April. Merong branch sa Taft Ave corner Quirino at sa Avenida between 10th and 11th.

  192. Karen says:

    Gud day…ask Ko LNG.im now 2months pregnant.plan Ko p LNG mg member s philhealth.if ever magpa member Ako today ma a avail Ko b ung Mga benefits kung s sept.2014 Ang expected delivery date Ko.?thank you.pls help

    • Nors says:

      Hi Karen, yes, mag-register ka with your ID or birth cert and then check sa registration form ang Informal Sector, and then pay Feb to August 2014. Or pay muna Feb to Apr, and then in May, pay May to Aug.

  193. ivy says:

    Ask q lng po kng pwede q pa po gamitin ung philhealth ng mr q manganganak po aq ngaung april 2014.,,nagamit po kc ng byenan for her 2 eye operation last january ung isang eye ngaung feb 10 nman po ung isa…magagamit q pa po ba philhealth ng mr q lalo po at cs po aq..salamat po

    • Nors says:

      Hi ivy, yes, magamit mo, kasi iba naman yong patient na gumamit. If not yet updated, i-update ng husband mo ang MDR niya with your marriage cert para masulat ka na dependent niya.

  194. rhiza says:

    Hello. Ask k lng po. Mangnganak kc ako s 1st week ng September 2014. Ung last contribution k was 2011pa tas di k n natuloy.So ang ginawa k is binayaran k n ung contribution k this year ng January-December 2014 as voluntary member. Covered n ba ako ng benefits kung September ako manganganak?

    • Nors says:

      Hi rhiza, yes, eligible ka, para sa mga Informal Sector/Individual Payor, 3 monthly contributions na lang ang kelangan. Pag kunin mo ang MDR mo, pa-update mo to Informal Sector (kung kelangan pang ganon; hindi ko kasi sure kung okay na yong Individual Payor lang ang nakalagay).

  195. teresa palomar says:

    hello po,,nag member po ako neto lang january 2014,,nagbayad po ako 6months contribution,,sa may or june 2014 po ung possible ko panganganak,,magagamit ko n po ba ung benefits ko?,,possible po akong cs. dahil twins po at in breach position po sila,individual payor po pala ako,,pero member din husband ko 5yrs na po,if sakali po b hndi ako valid pede ko p po magamit sa husband ko??
    one more thing pa po,,yung kambal po ba may benefits din?salamat po ng marami,,god bless you.

    • Nors says:

      Hi teresa, nagmember ka at nagbayad ka na ng 6 months in advance so hindi ka puedeng dependent ng husband mo. Puede ka namang dependent ng husband mo sana kung hindi ka nagmember. Sabi ng Philhealth, yong individual payor-Informal Sector, 3 contributions lang ang required, so eligible ka. Hindi ko lang sure kung kelangang nakasulat ang Informal Sector sa MDR mo, or kung puedeng Individual Payor lang. Merong newborn care package; magdagdag ka ng additional claim form 1. God bless you din.

  196. khate says:

    Hi po, paano q po mkukuha ang benifit q s philhealth, manganganak po aq by last week ng aug or 1st week ng sept. employed pa po aq since May 2, 2013 pro ngresign n q effective april 15, 2014. my makukuha po b aqng benifit for normal delivery? and pano q po make-claim po un.Pano po b mag-file and mgclaim.Thanks po.

    • Nors says:

      Hi khate, pay your Philhealth premium as Individual Payor/Informal Sector in May to August. Find a Philhealth-accredited clinic or hospital. Before discharge, you must submit your premium receipt, claim form 1, MDR to hospital or clinic. No more direct filing with Philhealth. Have a copy of your premium receipt.

  197. ferry says:

    Hi Ms. Nors, nagmember po ako sa philhealth as individual last October 1, 2013 and yung binayaran ko po is advance for 1 year October 1, 2013 – September 1, 2014. Expected Date of Delivery ko possible na June 22, 2014 or July 13, 2014. Possible po ba na qualified po ako para sa maternal benefits po nga philhealth? Thnak you hoping for your kind respond.

    • Nors says:

      Hi ferry, yes, you’re qualified kahit June or July ka manganak. Sa Individual Payor-Informal Sector, 3 monthly contributions within 6 months before hospitalization na lang ang kelangan.

  198. Cheeny says:

    Hi Philhealth, my due date is april 2014. Nun nagpunta po aq sa philhealth cvi ndi daw ngbbyad un dti qng employer at wla daw aqng philhealth number so pinakuha nla aq ng bagong number as voluntary member. yun nabayaran q jan 2014 – March 2014 plang. Qualified ba q for maternity benefit kc un sabi skin sa philhealth eh pero dun sa website nkalagay 9 months. Pls Reply. Thank you.

    • Nors says:

      Hi Cheeny, yes, you’re qualified, kasi for Individual Payor-Informal Sector, 3 monthly payments within 6 months before delivery na lang ang kelangan, hindi na 9 payments. Hindi pa updated yong nasa website nila.

  199. mary ann says:

    hi gud day, manganganak po ako this april 2014 sa philhealth accredited lying-in sa lugar namin,ang sabi ng lying-in once manganak ako ng normal sa kanila no cash out policy sila including newborn screening, nakita ko po kasi na aside from 6500, then newborn screening my Prenatal Care Benefit pa na up to 1500? maaavail ko din po ba yun once na maipon ko yung mga resibo ng prenatal check up ko, ask ko din po kung pwede po isama yung resibo ng mga binili na vitamins, laboratory at ultrasound?,, salamat po.

    • Nors says:

      Hi mary ann, tanungin mo na lang yong lying-in kung puede nilang isama yong prenatal care claim mo, kasi merong case na hindi na nila magawan ng paraan yong Philhealth requirement na dapat nag-prenatal ka sa lying-in ng mga ilang beses where you will deliver para ma-cover ng Philhealth.

  200. lherivic says:

    hello philhealth!!
    ask ko lang po, nag-inquire kc ako na manganak in public hospital, and plan for ligation also,. the obgyne said that i must prepare atleast 20,000… she said i have to pay hospital 5,000 and mareimburse ko din po sa philhealth.. then obgyne pf is 8,050, anestsiologist is 4,600.. mareimburse ko po ba sa philhealth ang PF?

    • Nors says:

      Hi lherivic, 5k is for maternity (3k for hospital and 2k for PF), and 4k is for tubal ligation (2400 for hosp and 1600 for pF). Yong 8050 and 4600 quoted by your obgyne, palagay ko hindi mo na marefund. Yong 5k at 4k dapat ideduct agad ng hospital sa hospital bill mo. Pero merong hospital na dinededuct muna nila is 3k and 2400. Wala nang direct filing with Philhealth, kaya dapat mag-submit ka ng Philhealth papers agad sa hospital.

  201. milaflorguevarra says:

    hi miss nors ask ko lang po if wla na akong ma bayaran sa clinic na panganganakan ko gamit ang philhealth ko. yong lang ba ang ma kukuha kong maternity benefits. salamat po need po ako sa reply niyo..

    • Nors says:

      Hi milaflor, depende sa clinic, kaya dapat tanuning mo ang clinic. Karamihan ng nagco-comment dito, meron pang babayaran. Tanungin mo na rin ang prenatal care at newborn care package nila kung ano ang policy nila sa mga ganito.

  202. milaflor says:

    thanks reply miss nors. ganun ba piro ang sabi sa akin ng clinic na panganganakan wla n adaw akong babayaran pati screening born free na daw. ang binabayaran ko lang po yong prenatal evry cheak up…

  203. milaflor says:

    miss nors sorry po if makulit ako sa pag tatanung kc first time ko po ma gamit ang philhealth ko. wla na po daw akong babayaran sa clinic na panganganakan ko pati born screening free na daw lahat. so after my delivery pupunta pa ako sa philhealth para ma claim ko yong maternity benefits ko or hinde na kc wla na akong na bayaran sa clinic sa panganganak ko, yon na ba ang maternity benefits ko.plz po miss nors paki explain ho sakin para ma intendihan ko…salamat.

    • Nors says:

      Hi milaflor, yes, yon na ang benefit mo from Philhealth — yong wala ka nang babayaran pa. Mas maraming clinic ang nagpapabayad pa ng additional bukod sa Philhealth coverage. Dapat ma-submit mo ang papers mo sa clinic before discharge para sila ang mag-claim; bawal na ang direct filing with Philhealth. Maganda nga yan na ang clinic na ang bahala. Tanungin mo kung puede nilang isamang i-file yong prenatal ORs mo para mabigyan ka ng prenatal check na 1500 from Philhealth (kung meron kang ma-submit na prenatal ORs na worth 1500 or more.

  204. airen says:

    hi….ask q lng po if i can still avail the philhealth benefits,i had my contribution january 2013 until july 2013 then na stop cya aug,sept. and oct….then continue paying november until now…manganganak po aq this coming april po!tnx

    • Nors says:

      Hi airen, if you have paid for Jan to Mar, you’re eligible. For Individual Payor-Informal Sector, 3 recent contributions ba lang ang kelangan.

  205. berlisa says:

    Hi mam nors, ill gve birth po dis coming may 2014 sa birthing homes malapit sa amin, 4k po dw lahat2 na mababayaran ko ask ko lng po sa 6500 po na benefit sa philhealth may mkukuha po ba ako na refund if 4k lng lhat na magagastos ko, khit na po thru deduction??

  206. sheila says:

    gudpm miss nors, firstym q po magbuntis ngayun at s totoo lng ndi q alam mga pasikotsikot s ganto…philhealth member nmn po aq kaso contractual lng work q kea nung na endo aq last august2013 nag stop ndin yung contribution q..pero yung asawa q continuous po yung contribution nia gawa ng regular nmn po sya…tnung q lng po kung entitled po ba aq na mgamit yung philhealth nia sa mga pagppchekup q laboratory pti po panganganak kahit hindi pa kami kasal?…this September po aq manganganak…sna po ay matulungan nio aq…slamat po…

    • Nors says:

      Hi sheila, sori hindi ka puedeng dependent ng husband mo kasi kelangan ang marriage cert. Continue your membership by paying for Feb 2014 and the following months until you give birth para ma-qualify ka.

  207. sheila says:

    gudpm miss nors, firstym q po magbuntis ngayun at s totoo lng ndi q alam mga pasikotsikot s ganto…philhealth member nmn po aq kaso contractual lng work q kea nung na endo aq last august2013 nag stop ndin yung contribution q..pero yung asawa q continuous po yung contribution nia gawa ng regular nmn po sya…tnung q lng po kung entitled po ba aq na mgamit yung philhealth nia sa mga pagppchekup q laboratory pti po panganganak kahit hindi pa kami kasal?…this September po aq manganganak…sna po ay matulungan nio aq…slamat po…kung entitled po magknu po kea ma a-avail nmen? thank u po..

  208. stephanie says:

    question po. manganganak po ako this coming april as normal delivery, and plan ko na rin po magpaligate. magkano po kaya ang magiging deduction kapag sinabay ko na ang ligate? thank you.

    • Nors says:

      Hi stephanie, 4k ang coverage ng ligation. 5k (level 2 to 4 hospital) or 6500 (level 1 or clinic) ang coverage ng normal. Pero ask your OB-gyne, kasi minsan hindi nila agad dinededuct yong PF portion ng coverage.

  209. mary says:

    evening po. ask ko lng po.hindi na po ako employed last september2013 pa. pero inapdate ko po ang philheath ko last january 2014 as voluntary member… at ngbayad na ako ng january to june 2014… manganganak po ako this MAY 2014. qualified po b ako to avail maternity benefit?

    • Nors says:

      Hi mary, yes, you can avail of maternity benefit. Look for a Philhealth-accredited clinic (coverage is 6500) or hospital (coverage is 5k)

  210. Eunice B. Aquino says:

    Hi! question lang.. Nanganak ako last august 16, 2013 via c-section. may narecieve akong letter pero hindi naman noted kung notice ba sya or letter na nagsasabi na may maternity benefit ako. Na-recieve ko ung letter nitong Feb.18, 2014 lng.. ang nakalagay lang sa letter eh ung hospital charges na 19k.. tas ung professional fees eh zero balance. ung 19k ba na nakalagay sa letter eh ung maternity benefit ko? possible pa kayang ma-avail ko ung benefit ngayon? I have no idea na meron palang benefit na makukuha sa Philhealth. Please answer my query po. thanks! God bless.

    • Nors says:

      Hi Eunice, ibig mong sabihin hindi ka nag-submit ng Philhealth documents when you gave birth last Aug 2013? Pero merong letter na galing sa Philhealth na may amount na 19k? Do you mean merong possibility na yong hospital nag-file ng claim sa Philhealth kahit hindi ka nag-submit ng Philhealth documents? God bless din. Or employee ka ba at meron kang HMO at HMO na ang nag-file ng claim?

  211. pishot25 says:

    tanong ko lang kanino mapupunta yung overpayment ng Philhealth regarding sa refund ng mga pasyente sa government hospital… example under the case ng cesarean. Kung 19000 yung benefits under CS what if the Philhealth give the whole P 19000 to government hospital, pero ang actual claim ng hospital is only P 15000, the P4000 difference para sa refund ng pasyente, pano kung ang napresent lang ng pasyente resibo is P 2000 lang… pano yung P2000? ibabalik pa ba yun ng government hospital sa Philhealth?san na mapupunta yung excess amount?

    • Nors says:

      Hi pishot25, yong excess amount ay mapupunta sa hospital, para sa pondo nila, kasama na rito yong common pondo for doctors. Yong 15k ba para lahat sa hospital expenses? If yes, yong mga nabiling 2k na gamot sa labas ay hindi na marefund. Pero kung halimbawa, 9k ang hospital costs, puede pang irefund yong 2k na gamot na nabili sa labas, kasi sa 19k coverage, 11400 is for hospital costs and 9600 is for doctors.

  212. mojik says:

    hi good morning employed po ako ngaun and iam 4months pregnant with my second child 2years member na din po ako ng philhealth ask ko lang po if sa ospital po na public is binbawas po ba agad ung philhealth benifits

    • Nors says:

      Hi mojik, yes, dapat nababawas agad. At dapat mag-submit agad ng Philhealth documents sa hospital kasi hindi na allowed ang direct filing with Philhealth.

  213. Shane tapel says:

    Helo po.im shane ask lng po.nanganak po aq tru cs last sept.1 2013 po,d2 po s catanduanes,.at bgo po aq lmbs ngfile npo kme s hsptal..since then po wla po aqng ntangap n n0tice or claim glng phlhealth kya po ngpnta aq s ofis nla,at nlaman q po n pending dw po at mali dw po ung speling nang name q s cf2,kya ngpnta po aq s hsptal at bngay q ung leter galing phlhelt.at sv nl wla dw po cl nrecv n n0tice mula s phlhelt at gnun pu dn aq,kya huminge cla nang birthcrtficte q at leter q n ngp2tunay n wla aqng nrciv n n0tice ..ask qlng po kng mku2ha q pa po b y0n?inaashan dn pu namen un.at ang bil q po s hsptal e 5k,mgkanu pu kya ang marefund q?.msg0t at m2lungan po sna ninyo aq.marming slmat po..e2 po ang akng #09991960338 pwd nio dn po aq itex kc po d po aq plgng nka0nline.marming slamat po ule..shane of bikol

    • Nors says:

      Hi Shane, dahil CS ka, dapat marerefund mo ang 5k na nagasto mo. Antayin mo yong benefit payment from Philhealth and then go to the hospital and ask for your refund. Keep your hospital bill and receipt.

  214. emelyn says:

    hi,
    Can I avail of my philhealth sa aking panganganak kahit na last april pa ako wala nang trabaho? my duedate is this march.
    What will I do if my employer will not give me any affidavit of separation can I still avail my philhealth kasi AWL

    • Nors says:

      Hi emelyn, register ka uli sa Philhealth (bring your ID) and then pay Mar 2014 to Feb 2015 (1 year = 2400 pesos) para maging eligible ka. Write your member category as Individual Payor-Informal Sector. Hindi na required ang cert or affidavit of separation

  215. Aicah says:

    Ask ko lng po, by september p po ako manganganak,
    Nkpghulog po ako ng july2012-march2013, sept2013-february2014. Question po need ko p po b mgself-employed hanggang sept pra maavail yun? Or hnggang may2014 lng pra saktong 9mons? Thanks.

    • Nors says:

      Hi Aicah, pay also March to August 2014 para sure. 3 contributions na lang within the 6-month-period before delivery ang required for Individual Payor-Informal Sector.

  216. hannah says:

    ask ko lang po manganganak na ako dis april,last january pa kc ako nkapag register kya quarterly pa lng nbyran ko, then byran ko din dis april til june, ask ko lang po f makukuha ko ba ung prenatal care package na 1,500 kahit un lang po? di yata ako qualified sa maternity package.

    • Nors says:

      Hi hannah, if you have paid Jan Feb Mar 2014, you are eligible for maternity benefit. Sabihin mo Individual Payor-Informal Sector ka. I-submit mo lang sa hospital yang prenatal ORs mo, and then request them to include it in your maternity claim.

  217. kristine beatrix says:

    hi gud am :)manganganak po ako this march and gagamitin ko ang philhealth ng husband ko ofw po xa.ask ko lang po kung kukuha po ako ng private doctor sa ospital para sa panganganak ko seperate po ba ang ibabayad ko sa pf ng doctor?normal delivery naman po ako.tnx po :)

    • Nors says:

      Hi kristine, government hospital ba ito? Kasi sabi mo kukuha ka ng private doctor. Yes, kung kukuha ka ng private doctor mo, babayaran mo ang full PF ng doctor. Kapag private hospital, yes, babayaran mo ang full PF ng doctor, kasi usually hindi nadededuct sa PF bill yong 2k coverage (based sa mga nagco-comment dito).

  218. kristine beatrix carlos says:

    hi gud am po.im kristine manganganak po ako this march gusto ko po sana kumuha ng private doctor ko gagamitin ko po ang philhealth ng asawa ko at isa po xang ofw.kung kukuha po ba ako ng private doctor ko para sa panganganak ko maisasama po ba un sa philhealth?o ibang payment po un?thank you po :)

    • Nors says:

      Hi kristine, ang Philhealth coverage for normal delivery ay 5k lang (3k for hospital cost and 2k for PF), so yes babayaran mo ang private doctor mo (bihira na madeduct itong 2k based sa mga comments on this blog), plus yong hospital cost na hindi macover ng 3k.

  219. maria says:

    hello po..nanganak po aq last aug.normal delivery po un 2days lng kmi dun s hospital.isa etong govthospital sa pangasinan level 4 po xa..nung kinuha ko na po ung bills ko umabot xa ng 5k ..ang dami nkalista pati dextrose meron samantalang sa lahat ng nanganak aq lng ang walang dextrose,ung hos.bill ko na yun ang binayran lng namen is 40pesos..peo my reimbursement form prin kmi na pinasa kasama lahat ng OR ng gamot kc sa labas lahat binili un…my marerefund pa po ba ako?pati ung pre natal carecovered pa rin po ba un?

  220. hannah says:

    Ok. thanks po.. if eligible po ako, plan ko po ay sa center lang malapit samin ako manganganak dis april.. philhealth accredited nman dun.2thou. lang daw babayan, dba po 5thou.yong maternity package? soo, wala na po akong babayan?may refund pa po ba ako?.:) about po sa sinabi nyo na sabihin ko lang individual paying-informal sector dpat pa ba akong mag process nito or mag fill up ng form sa philhealth b4 my due.?or on the day na lang 2 sa panganganak ko. thanks and more power!

  221. Jesse says:

    Hi! I’m OFW member…Nakunan po ako so niraspa po ako dito sa UAE and we paid total amount of AED 3700 (Almost) want to know kung magkano po ang expected reimbursement ko since i stayed in the hospital for 3days. All documents were submitted already

    • Nors says:

      Hi Jesse, ang coverage for Dilatation and Curettage ay 11,000 pesos. Case Rate na ang refund system since 2012; fixed rate na ang coverage.

  222. dianne says:

    Hello po 1st tym ko po mg apply at ggmit ng philhealth
    ng apply ako ngaung february 2014 at nagbayad ng 6mons 1200 pesos then ngaung march binyran ko n ulit ung 6mons so fully paid nko dis year . Wala akong trbho so sariling hulog ko po sa philhealth and d kmi kasal ng asawa ko kya d nya ko ma cover mangangank po ako by july cs po ako
    pero sa goverment hospital ako mangangank ma avail ko n nb ung philhealth ko ? Pwede n xa mgmit ? At sobrang luto po ako kung paano ang ggwin paano macclaim dhl un nga po ako daw bibili ng mga ggmitin sa operation outside the hospital anu po b mas mgnda hayaan n hospital magpricess ng philhealth or ako po pgka discharged ? Thanks po

    • Nors says:

      Hi dianne, ganon nga kapag government hospital, you buy your own meds and supplies kasi wala silang supplies. Pag charity, itong binili mong supplies outside ang gasto mo, plus konting hospital expense. Libre ang PF. Pag sa pay department naman at gamitin mo ang Philhealth, ang gasto mo ay yong supplies and meds bought outside, plus hospital expense, plus professional fee for OB and anesthesiologist. Ang coverage for CS ay 11400 for hospital cost at 7600 for PF. Iba-iba ang pag-Philhealth-deduction ng public hospital, depende sa hospital. Nabasa ko sa circular at sa mga nagco-comment dito na bawal na raw ang direct filing with Philhealth, so dapat file your Philhealth docs with the hospital. Keep your ORs for meds and supplies bought outside. Have your complete name written on the ORs, for future refund. Magtanung-tanong din with other people, lalo na sa hospital, and your OB, so you can prepare.

  223. dianne says:

    …At sobrang lito po ako kung paano ang ggwin paano macclaim dhl un nga
    po ako daw bibili ng mga ggmitin sa operation outside the hospital anu po b mas mgnda hayaan n hospital magproccesss ng philhealth or ako po pgka
    discharged ?
    mas ok po b n i submit ko n saknila mga requirements bgo mangank or ako nlng po lumakad after ko mangank kung umabot po halimbawa ng 15k ung bill ko mkukuha pb ung 4k na natitira sa 9k gnun po b un Thanks po

    • Nors says:

      Hi dianne, kung 15k ang gasto mo, hindi mo mare-refund ang 4k. Para sure about when and where to file, dumaan ka sa nearest Philhealth, and ask kung puede mong i-file ang sarili mong Philhealth claim sa kanilang branch after discharge.

  224. liezel ares says:

    na-injured po husbandko while on work… what typeof benefit we can get… he is on leave for 3 months due to a cervical pain…

    • Nors says:

      Hi liezel, ang Philhealth ay para lang to help cover hospitalization or outpatient surgery or certain special treatment. Walang other benefit. Sa SSS or GSIS ang meron — yong sickness benefit (maximum of 120 days per year) and then apply for disability benefit na kapag more than 120 days within the year.

  225. Peter Lee says:

    Hi Good day, My sister ay four (4) months pregnant and kasamaang palad namatay ang baby nya sa sinapupunan. She undergo raspa (D/C). She got a Philhealth self-employed. Ang tanong ko magkano kaya ang coverage ng Philhealth?

  226. eden says:

    hi po. this is eden. im giving birth this comming aug 20, 2014. and i wanted it to ospital ng muntinlupa which is i think level 2 hosp. i wanted it as NSD kasi kaya ko naman.

    my question is, filing of this is prior discharge di po ba? how long will it takes po para macover ng philhealth ung mga expenses? is it automatically deducted to my benefit? di ko po kasi alam ung process. thanks po!

    • Nors says:

      Hi Eden, submit your Philhealth before discharge. Dapat dinededuct agad yong 3k na Philhealth coverage for hospital expense; pero kung ang Osmun ay katulad din ng ibang public hospital na nagpapabili sila ng gamot at supplies, ikaw muna ang gagasto, then irefund mo na lang later on ang ibang nagasto mo. Ask your OB kung magkano pa ang babayaran mo kapag gagamit ka ng Philhealth.

  227. Angelica Alcantara says:

    ma’am tanong ko lng nanganak po ako nung march 7,2014 sa lying in free po yung pag anak ko.nag pa new born screening po ako tapos nang pa ultra sound din po ako saka nang pa laboratory din ako nung 7 months yung new born screening po 650 tapos ultra sound ska laboratory 750 mag kano po ang makuha ko na benefits .

    • Nors says:

      Hi Angelica, free yong delivery mo, sabi mo, so walang refund for maternity. Sa newborn, tanungin mo yong lying in kung puede kang mag-file for newborn package.

  228. lizette says:

    hi ms nors,, due na ako anytime… manganganak ako sa lying-in.. sabi nila kung gagamitin ko ang philhealth ko wala na akong babayaran na kahit ano.. may refund din ako para sa pre-natal care at libre na rin yung newborn care, pero kung iinduce ako ng ob ko, hindi ko magagamit yung philhealth ko sa kanila, kailangan ko bayaran yung package nila,, pag ganun po ba ang mangyayari na magbabayad ako ng buo sa kanila, pwede ba akong personal na magclaim sa philhealth?

    • Nors says:

      Hi lizette, dinidiscourage na ng Philhealth ang direct filing. May mga nag-comment na rin dito na bawal na raw ang direct filing. About yong deal with the lying-in, meron na ring nag-comment dito na ganyan ang sistema ng lying-in. Magkano raw pag induced? Kung iisipin natin, mas pabor sa kanila ang induced, kasi wala na silang Philhealth paperwork at instant cash pa ang matatanggap nila from you. Hindi ko alam kung bakit ganon — naiisip ko tuloy baka bawal sa Philhealth ang induced normal delivery sa lying-in, so hindi puedeng mag-claim with Philhealth ang lying-in kapag induced. Ask how much is their package baka ma-induce ka, so you can prepare.

  229. lizette says:

    hi ms nors,
    baka may idea ka sa sitwasyon ko ngayon, due na po ako anytime, manganganak po ako sa isang lying-in na philhealth accredited, so sabi po nila, kung philhealth member wala na akong dapat na bayaran, libre ang normal delivery, at newborn care at marerefund ko rin ang nagastos ko sa pre-natal ko.. pero ang sabi nila pag ininduce daw ako ng ob ko, hindi ko maaavail ang philhealth package nila, kailangan ko magbayad ng buo, kapag ganun po ba ang nangyari, pwede po ba akong magclaim ng personal sa philhealth?

  230. glaiza.riturba says:

    Hi..good day….ask ko lang po kasi na sked po ako this first week of april via c section.im wonderi g lang po kasi some of people said if sa charity ward ka more or less 1k lang po babayaran but when i read some of the comments natakot ako kasi i do not have that kind of money…dependent ako nang asawa ko…what will i do please help….tnx….
    Glai

    • Nors says:

      Hi glaiza, sa government hospital ba ito? Ang Philhealth kasi ay nagagamit lang kapag paying patient ka, so that means sa Pay Department ka. Mako-cover ang hospital expense mo, pero babayaran mo ang PF ng OB at anesthesiologist, at usually ikaw muna ang bibili ng mga meds and supplies. Pag sa charity, bibilhin mo rin usually ang mga supplies and meds, pero libre ang mga doctors. Magtanung-tanong ka pa, para sure.

  231. michelle says:

    Hi po !

    Sa june po ang duedate cu at blak cung mnganak sa government hospital na accredited ng philhealth .. ask cu po sana cun pnu cu mggmet ng aus eung benefits cu .. kelngan cu na po bang ipasa eun mga documents like copy ng mdr , id .. pag gnun po ba ang ginwa cu mei mkukuha ba cung refund if ever na mei mga kailnganing bilhin sa lbas ng hospital or ipalaboratories or byran cu na muna eung mga bills then ska acu magpasa ng mga requirements and zerox ng mga or .. nung niraspa kse cu last year mei bill avu na 500 pero d cu na eun bnyran pero mei nagastos din acu nung nagplaboratory kme sa lbas .. lately sbi ng pinsan cu nung niraspa daw cia nagbyad cia ng bill na 200 then eung resibo pnsa daw nea sa desk ng philhealth sa hospital at nkpagrefund cia ng 2000 .. sken kse nun mei pnpirma lng pero walang refund .. if ever po na eung bill cu ee mei sobra pa sa benefits cu mrerefund po ba eun ? tenks po

    • Nors says:

      Hi michelle, yong noon, wala ka bang natanggap from Philhealth na benefit payment notice? Kasi yon sana ang pinang-refund mo sa hospital, kasama ng mga receipts ng mga binili mo. About sa June delivery mo, dapat daw mag-file sa hospital before discharge, kasi bawal na raw ang direct filing with Philhealth, sabi ng mga nagco-comment dito. Pero magtanung-tanong ka pa rin, kung ganon na nga ba na wala nang direct filing.

  232. carls says:

    hi po maam…ask ko lng po sna last time po CS aq at sa level 2 hospital po aq nanganak wala p po aq philhealth dt time ang hospital bill ko po ll in all including pf po is 55k plus…ang tanong ko po kung gagamitin ko po b ang philhelth for my nx c-section ung 19k po b n mabebenefit sa philhealth surely pi b n maidededuct sa 55k n hospital bill?kc po im planning to give birth with same hospital bd ob-gyne po n fortunately pi eh both philhealth accredited a
    and di time po my philhealth na ako…

    • Nors says:

      Hi carls, yes, 19k ang deduction (11400 for hospital cost; 7600 for PF). Ask your OB also, or the hospital’s billing/collection department kung binabawas agad yong 7600 na PF sa bill.

  233. ekang says:

    im declared married to phil health but ayoko gamitin ang married name ko. ung mga medical records ko is under my maiden name, can i still avail claims, including the maternity benifits? ung mgiging son ko will be using his fathers surname. any suggestions?

    • Nors says:

      Hi ekang, yes, you can use your maiden name. It’s easier if you yourself is a Philhealth member and registered under your maiden name. But if you’re a dependent of your husband, bring your marriage certificate and IDs to the hospital.

  234. Strell says:

    Hi ms.nors good day!:) Gusto ko lang po sna itanong kng anu po kaya ang dapat ko gawin,kasi po ngresign po ako sa work ko last year dec 2013 last hulog ko po ay nov 2013 at ang due date ko po ay july 30,2014 . Kailangan ko pa po ba maghulog?at may kailngan pba ako ipabago like (voluntary)? Thanks in advance po. God bless you!:)

    • Nors says:

      Hi Strell, you need to pay for April May June; puede sa Bayad Center. Write Individual Payor on the form. You need your Philhealth no.

      • Strell says:

        Gudpm! Hindi ko npo ba need pmunta ng philhealth offce mlapit sken pra ipabago existing ko na employed to voluntary?khit magdirect npo ako mgbayad sa bayad center ok npo yun?tanong ko nrin po kc sbi ng clinic ang requirmnts daw nla is 9mos contribution bfore delivery. Ang hulog ko lng po last year ay jan-nov 2013 pro member npo ako ng philhealth mtagal na,this year po wla pko hulog eh sbi ng ob ko pwde ko manganak ng june30 or 1st week of july. Pwede ko pa po ba bayaran ung jan-march 2014?thanks po!:)

  235. mar says:

    ask ko lang po, ang binigay poh kasi sakin ng provincial hospital na bill ay 400 plus nung cnav ko po na may philhealth ako naging 1400 plus… talaga po bang ganun?

    • Nors says:

      Hi mar, sad to say ganon nga. Kasi kapag government hospital at kapag charity, libre ang doctor; gamot and other supplies lang ang babayaran. Kapag paying patient (Philhealth member), merong PF ang doctor.
      Ganunpaman, merong mga cases na mas okay na gamitin ang Philhealth.

  236. gud day po, ask ko lng po kc due date ko dis april 2014 pero ngresign po ako last nov 2013, hindi ko po nbyaran ung for the month of dec 2013, jan to march 2014 pero member pa po ako ng philhealth last sept 2011, base po sa nbasa ko need ng 3 contribution within 6 months before delivery,2 months lng po ung naupdate ko po. anu po kya maganda ko gawin kc first tym ko lng din po magagamit ung phil health benifits at pra ma avtail ko po ung maternity benifits ko, thanks po and god bless..

    • Nors says:

      Hi julie, nabayaran mo ba ang Jan to Mar 2014? If yes, you can avail this April. If not, or kung 2 months lang sa Jan to Mar 2014, go to Philhealth and pay 1 year in advance so you can avail (2400 pesos), para makapagtanong ka rin doon, para sure.

      • gingie says:

        hi po CS po aq ask ko lng po qng tama ung computation saken nagamit po nmin ung 10k bill po nmin sa hospital kc bawat reseta ng doctors binibili nmin sa labas bale 1k nlng daw po ang matatanggap ko,kung 19k po ang Cesarian. asan po ung 8k?Thanks

        • Nors says:

          Hi gingie, sa 19k na coverage, 11400 is for hospital cost and 7600 is for the doctors. Rounded-off siguro ang ginawa nila, so 8k ang pupunta sa doctors.

  237. haydz says:

    Hi, I just want to ask kung kasama ba sa pre natal ang 3D ultrasound at ung normal na ultrasound? Hindi kc ngiissue ng receipts ung OB ko for my check up. Thanks!

  238. jerico says:

    Pwede bang gamitin ang philhealth kahit na buwan ng march ay hindi pa na bayaran?

    • Nors says:

      Hi jerico, depende. Pag individual payor-informal sector at nabayaran mo ang 3 months of the past 6 months, you’re eligible kahit unpaid ang March. Ask others too.

  239. Strell says:

    Hi po ulit!:) itatanong ko lng po sana kung mkaka-avail pba ako ng maternity benefits sa philhealth kung ang last hulog ko po ay feb-nov 2013 at ang duedate ko po ay july 10,2014? Pwede ko pa po bang habulin ang jan-march 2014?kung hindi nman po how about kng bayaran ko po ang april may june at july mkaka avail npo ba ako?please answer patiently po. Many thanks! God bless..:)

  240. Ann says:

    Hi Ms. Nors. Gano po katagal yung reimbursement sa Philhealth? Iba pa ba yung makukuha mong maternity benefit dun sa pre-natal care benefit? nakuha ko na kasi yung 1500 nung nafile ko yung for reimbursment. May makukuha pa po ba ako? Nung november 2013 po ako nanganak. Mas nauna ko po iflile yung sa newborn screening at pinadala sya thru check worth 550. I was wondering kung yung na ba mga yun or may matatanggap pa ko? TIA. :)godbless po!

    • Nors says:

      Hi Ann, kung hindi na-deduct sa hospital/clinic bill ang maternity coverage mo, makukuha mo pa later on, either check or refund from the hospital. Wait for your benefit payment notice. Yong sa prenatal care at newborn care, yon na yong mga natanggap mo.

  241. Richie Quirante says:

    Hi Philheath..
    I was expecting to gave birth this coming August..ngstop na po ako ngwork last Oct.2013 so meaning hindi ko na po nahulugan ang Philheath..pwede parin ba akong maka.avail sa maternity benifits? what are the requirements and I need supposed to do? thanks

    • Nors says:

      Hi Richie, bring your ID and register at the nearest Philhealth branch as Individual Payor-Informal Sector. Pay for Apr to July.

  242. khai says:

    hi po! Im about to gave birth sa july cs po anu2 pong mga docs ang ipeprepare ko pra mo sa philhealth makukuha po ba un sa office ng philhealth. beneficiary po ako ng husband ko. And magkano po ang deduction sabi po kc ng ob ko 25k daw po ang cs ko less na dw po dun ung philhealth how come po e sa semi private lng ako manganganak? thank u po

    • Nors says:

      Hi khai, kung yon ang sabi ng ob mo, maaaring 44k ang CS sa hospital mo. So 44k minus 19k from Philhealth, kaya 25k pa ang babayaran mo. Get MDR from Philhealth, with you written as dependent. If your husband is employed, he gets cert of premium payment with OR nos. and claim form 1 from employer.

  243. khai says:

    hi po follow up lng powhat if din po di ksama ung mga dextrose sa hospital panu po marerefund un?

    • Nors says:

      Hi khai, wait for benefit payment notice from Philhealth, and if what Philhealth paid to the hospital is higher than your Philhealth deduction, ask for refund from hospital. Show dextrose OR.

  244. khai says:

    yung form 1 po ba is same as the certificate of contribution?

    • Nors says:

      Hi khai, no, not the same. Get your signed claim form 1 and signed cert of contribution of premium payments with OR nos. and dates paid from your employer.

  245. khai says:

    yung form 1 po ba is same as the certificate of contribution? salamat po ng marami mam nors

  246. rica says:

    Hi po Ms Nors,

    Due date ko po this coming june 16. 2nd baby ko na po and i am not a philhealth member po though ung husband ko po ay member and beneficiary nya po kaming mag ina. Ask ko lang po sna ung procedures to avail philhealth deductions pra po makapagprepare ako before june. 1st time ko po ksing mag aasikaso ng papers sa philhealth. Reimbursement po ba ang mangyayari sa magiging bill namin sa hospital or direct na pong idededuct ng hospital sa bill namin ung philhealth kpag po nkpagpasa kmi ng requirements to avail it?
    Thanks po in advance. God Bless po.

    • Nors says:

      Hi rica, submit your Philhealth documents to the hospital. Filing directly with Philhealth is no longer allowed. Docs: updated MDR from Philhealth (with you written as dependent), premium receipt (if employed, cert of premium payments with OR nos. and dates paid), signed claim form 1 (if employed). Bring your marriage cert and ID (in case the hospital asks). Xerox for your own copies.

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