Philhealth Benefits for Normal Delivery, Cesarean Section (CS), Prenatal, Newborn Care

Updated June 4, 2016

If you give birth in a HOSPITAL and if it’s Normal Delivery:

Benefit is 5,000 pesos

(3,000 pesos for hospital expenses and 2,000 pesos for your doctor)

 

If it’s Cesarean Section (CS), it should be in a HOSPITAL:

Benefit is 19,000 pesos

(11,400 pesos for hospital expenses and 7,600 pesos for your doctor)

 

If you give birth in a LYING-IN or MATERNITY CLINIC:

6,500 pesos for the maternity care (clinic services and midwife or doctor)

 

For Newborn Care:

Benefit is 1,750 pesos

For Normal Delivery and Cesarean Section

Newborn care should be performed within a reasonable time after birth by a pediatrician accredited by Philhealth.

 

For Prenatal Care:

.  Coverage is 1,500 pesos

.  Only for Normal Delivery

.  No Prenatal Care benefit for Cesarean Section

.  Only for Mothers who submit prenatal ORs worth at least 1,500 pesos

.  If Lying-in or Maternity Clinic, you should have at least 4 prenatal check-ups

at the lying-in or maternity clinic where you will delivery your baby.

.  Philhealth will mail your Prenatal Care Refund check to your address.

 

 

Philhealth-accreditation:

The Hospital and the Ob-Gyne must be Philhealth-accredited.

The Hospital and the Pediatrician must be Philhealth-accredited to claim newborn care benefit.

The Clinic and the Midwife must be Philhealth-accredited.

 

 NO MORE DIRECT FILING by PATIENT at a PHILHEALTH BRANCH.

Make sure your PHILHEALTH benefit has been deducted from your Hospital Bill BEFORE DISCHARGE.

269 Comments

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  1. hi po…aside from my husband philhealth card.ano po ba ang other documents or requirements before checking out in a clinic or in a hospital after giving birth..?salamat..:-)

      1. When can I get yelL0w cArd? The owner of PH had CS. we were the ones who passed. we were told they’ll pR0cesS. they did not give yelL0w cArd. When can I get yelL0w card? PH under 4Ps. Name aizel laBitad

        1. Hi Larry josel, get your yellow card from the government organization you are connected with or to the office where your submitted your application — your local government or your barangay or your DSWD.

  2. Hi I gave birth April 16 2014. CS delivery. Did not use Philhealth because my free card expired. One month after I was discharged, it was renewed. Can I use it to refund what I spent for delivery even if 6 months have passed? thanks

    1. hi Pinky, sorry no. Your membership should have been active while you’re confined. Your card has validity dates. Ask others too

    1. Hi toni, yes, but you should have filed your prenatal ORs together with your maternity papers. No more direct filing with Philhealth.

  3. Hi, i’m still employed. I’m on leave since oct 1, and my due date is nov.29. Last premium payment is august based on coc. Have no salary so they can’t pay for my premium. Can i still avail of phlhealth benefit or should i self pay?

    1. Hi meileen, you can avail of Philhealth because you’ve paid at least 3 of the 6 months prior to Nov. Ask for a cert of premium payment (May to Aug 2014) and accomplished claim form 1.

  4. Goodpm Ms. Nora, ask philhealth accredited ung maternity clinic n pinnganakan ko, actually 6k lng po ung offer nla s normal delivery pg wlng PH, ako po kasi meron ung kaso ko dw po eclamsia, ngbayad p po ako ng 3k . Then i ask them if my mre reimburse pko kasi nung ngfill up ako s PH. Pti po s prenatal , mkukuha ko po b ung prenatal benefits ko o sknla n yun ? Kung sknla mn pde po bko mgcomplain s PH ? Nkpngalan po b un s lying in o sken ?
    Di ko nman po ineexpect n my mkuha pko pra s ND ko, ung prenatal lng po. Thanks po.

  5. Hi, due date is jan 3, 2015. I paid 6 mos from july to dec. then 3rd week of january I’ll be going to Canada. How can I continue paying while abroad?

    1. Hi camille, what is your member category in your MDR? Individual Payor? Yes, you can avail in Jan. While in Canada, pay via I-Remit and other remittance firms there.

  6. hi..i am an ofw i just came home from the philippines last june 2014. i am pregnant ,cesarian and my due date will be on dec 2014. i payed my philhealth oct 2014 to march 2015. can i avail the 19k discout benefit on dec? if not why? thanks

    1. Hi joan, did you pay as OFW? Do you have proof that you’re OFW? Your MDR should show that you’re OFW. If your Philhealth status is OFW, then you can avail.
      If Individual Payor, sad to say, you cannot avail in Dec. You can avail in Jan 2015. Why? Because for individual payors, the requirement is payment of at least 3 contributions within 6 months prior to month of delivery. Ask others too

      1. How can I use philhealth? im pregnant and giving birth on april.last payment by my company was january. tnx

        1. Hi kathrina, pay Feb to April or Jan to April at Philhealth with your ID so you can avail in April. Get your MDR and card.

          1. Panu poh un hinahanapan poh aq ng cert of contribution. Pd pah poh b aq magbayad ngaun month .next month n poh kz aq manganganak. Tnx

  7. Dear PH, I was been in the Philhealth accredited hospital last night because I want my wife deliver our baby at the hospital. According to the hospital staff we need to have at lest 4 time prenatal to the hospital in order for us to be covered in Philhealth benefit due to the new laws of philhealth. Now My question is my wife prenatal record was in Barangay center. Can I still use my philhealth for him to deliver at the hospital.I was 9/10 kilometer away from the hospital.

    1. Hi Russel, that prenatal requirement is only for lying-in or maternity clinics. If hospital, that is not required. Philhealth deduction must be made before discharge. Ask them to confirm again with Philhealth

  8. For normal delivery, will 2K for the doctor be deducted from the professional fee of the doctor. For example if the fee of my doctor is 8K, the fee will be reduced to 6K?

    1. Hi Julie, yes, you’re correct. But in many cases, based on comments here, the 2k is not deducted, but is added to the PF of the doctor.

  9. individual payor. i hav paid 6month contribution fr july to dec 2014 and undergo csection on january 2015 can i avail the maternity benefits?tnx

  10. I paid Philhealth this november 2014 and I’ll give birth february 2015. I’m ofw and this is my status with Philhealth. Can I use Philhealth in the Phils even if I just paid this November?

    1. Hi Janice, I assume you paid Nov 2014 to Apr 2015? Or Nov 2014 to Nov 2015? Yes, you can use Philhealth. Since you’re OFW, your due date which is Feb 2015 should be within your validity dates in your premium receipt.

  11. Hi..im giving birth CS at St lukes erod this feb 2015. does it mean that the philhealth benefit deduction of 19 thou(hosp and doc) and for the baby P1750 is fixed? It doesn’t matter how much is my bill? thanks

    1. Hi Gold, yes, it’s true, the 19k Philhealth deduction for CS is fixed, regardless of the actual bill, regardless whether the total bill is 20k or 100k or higher.

  12. hi, my due date is February 2015. My Last payment was July 2014.Can I still avail maternity benefits? How much can I avail if I’ll be having a normal spontaneous delivery? Thank you

  13. I am new member of PH last week for the preparation of csection in july 2015.. this is my 2nd child, im a post eclampsia from my 1stchild. is the CSection benefit of 19k standard? Even though i had eclampsia case in my past normal delivery

    1. Hi Mhaya, yes, the coverage for CS is 19k (11400 for hospital costs and 7600 for PF). There’s a coverage for eclampsia, 6,800 (2,040 pf and 4760 hospital expense), but sorry I’m not sure if it’s considered as a 2nd case. If it is, the coverage is only half (3,400), and some hospitals do not deduct the PF coverage.

  14. Hi I gave birth december 21. we’ll be discharged today. CS. I need to pay 10k as pf of doctor and 5k for anesthesiologist. The doctor said they don’t get anything from philhealth so I need to pay the whole 15k. It’s a public hospital with philhealth and I’m required to pay that much.

  15. Good day! 34 weeks pregnant po ako and my OB told me na I need to be admitted kasi gawa ng pre mature labor and UTI, my question is kpag ginamit ok po ba now ang philhealth ko, magagamit ko pa un sa panganganak Ko? Thanks.. Sa lying in po ako naka confine now

    1. Hi Pearly, ask them if you can use your Philhealth for your current confinement, as lying-in is usually for delivery. Child delivery is different from UTI, so you can use your Philhealth for UTI or other medical condition and also for your delivery later on (in another confinement) as long as your lying-in is Philhealth-accredited for that type of treatment.

  16. Hello. I paid 1yr to PH march 2014 to march 2015. can i use Philhealth for my delivery this April 2015? I registered as new member within the last 6 months 2014. i paid for missed months to accumulate 1yr this 2015. It will be a big help, specially if CS. thanks, God bless

  17. hi PH Good day. i paid through my employer for january-april, then i became voluntary, paid july-september in august, then paid oct.-dec this dec. 26. dec. 29 is my delivery date. is that valid for philhealth? thank you

  18. can i use the philhealth of my husband? He has not updated his status so I’m not yet registered as his dependent. He has paid for 17 months. i have philhealth id but i have not paid since i contributed for 1 month. not even sure if my agency remitted it. march 19 is my due date

    1. Hi rechelle, your husband should go to Philhealth with your ID and marriage certificate to register you as his dependent and get his updated MDR. Make sure that he has paid at least 3 months within Sep 2014 to Feb 2015

  19. Hi Nora, Im expecting to have a normal delivery any day now but my due is on JAN.02. Both my OB Gyne and Maternity Clinic are Philhealth Accredited. However, the Maternity Clinic(located w/in NCR) mentioned that they may not be able to renew their accreditation by 2015 since Philhealth has a new requirement regarding the size of the facility. Unfortunately, they were not able to push through w/the expansion but they heard rumors that the accreditation may possibly be extended until FEB or MAR 2015. How true is this? I’m worried that if I deliver by JAN.01 2015 onwards then I won’t be able to use my Philhealth coverage anymore. Thanks

    1. Hi Christina, I checked the list of accredited maternity clinics, and indeed all accreditations expire on Dec 31, 2014. If they’re not able to renew, then sad to say, you’ll not be able to use your Philhealth. They can renew anytime if they are qualified.

  20. Hi! I’m an active PhilHealth member and have been paying through my employer but I don’t have an ID yet. Given that, will I still be able to avail of the Philhealth maternity benefits? Thanks!

    1. Hi tin, yes, what hospitals usually require are your updated MDR, cert of applicable premium payments and employer-signed claim form 1. Bring any valid ID, in case they require an ID.

        1. Hi diana, Philhealth benefit should be deducted from the bill before discharge. Ask your OB because usually the 2k PF coverage for normal delivery or the 7600 PF for CS is not enough.

  21. another question, we need to process 2 copies CF1s, one for the mommy and one for the baby. for the baby’s CF1, we will fill out PART II for patient’s dependent(baby) with the baby’s info already?

  22. Hi Nora. I am an OFW but my wife used her Philhealth. She is a teacher. She went into a hospital because of preeclamsia. The Philhealth assistance was there, it paid for the labs, room fee and doctor’s fee etc. But to my surprise,one of the doctors free was not paid by philhealth. In this case, how come that the doctor does not allow the patient’s bill to be deducted and be paid by Philhealth? Appreciate if you can help me out.

    1. Hi Stephen, for pre-eclampsia, the PF coverage is only 2,040 (hospital cost coverage is 4760), so it’s most likely your wife paid the balance PF.
      P.S. You write well.

  23. hi!im planning to give birth at a lying in clinic.and the they will follow one discounted price for philhealth patient @ 6500 is that right? thanks

    1. Hi leapineda, yes, they should deduct 6500, or 8000 if you had your prenatal checkups with them and you have ORs. But talk with your lying-in about payments because different lying-ins apply the Philhealth coverage differently, based on comments here.

  24. Hi Ms. Nora, I was just wondering, I am to give birth this February and I’m thinking of giving birth in a Maternity Clinic. Can I use my Philhealth card for my prenatal check ups with them? Or should I pay upfront and I’ll be reimbursed? Thanks

    1. Hi Bidette, prenatal checkups are paid in cash. You can submit prenatal care ORs worth at least 1,500 together with your maternity claim papers so that Philhealth can send a 1500 check refund if ORs are valid. Maternity clinics are required to have at least 4 prenatal checkups with maternity patients who use Philhealth.

  25. gudmorning. i gave birth on september 17,2014. waiting for refund from philhealth. does it really take a long time? is there an online system to check if my claim/beneficiary was filed? tnx

    1. Hi karen, it takes 3 to 6 months. Your coverage should have been deducted from your bill. What did the hospital say to you? You’ll get the refund from them? Or did you file directly with Philhealth?

  26. Good day, how much should have been deducted for my baby’s care? Our bills were separate. i gave birth last dec 27. had Cs. deduction was 19k.

  27. Good day PH. Im pregnant now and will due this march 5. Im not a philhealth member if i will register now and pay the premiums can i use the maternity benefit? Thank you

  28. Hi i am a philhealth member and i was employed last yr. I had a contribution from may – august 2014 but i resigned from my job. Then I updated my member status to informal sector/individual payor this january and i paid the first quarter of this year. Can.I avail my maternity? My due date will be on May 2015.

  29. hi nora, id like to ask if im still able to avail of my philhealth benefits and newborn care even if i am no longer employed. my due date is in June and my last contribution is this month, January.

    1. Hi jean, pay asap your Feb to Mar (on or before Mar 31) and then later your Apr to June (on or before June 30) at the nearest Philhealth branch and update your data (change to informal sector) and get your MDR and Philhealth card. Or pay Feb to June at one time on or before Mar 31.

  30. Hi! Im undergoing a repeat CS with bilateral tubal ligation this feb 2015 at St. Lukes erod.how much will be deducted from my bill?and from 2006 to 2010 i regularly pay my contribution but aug 2010 was my last payment then i resume my payment this april 2014 until this month. Can i avail my benefit?thanks

  31. Gud morning!I am a individual payor since 2012po,!DEC 2012 last n payment ko, and then nalaktawan ko po ang 2013,ng ngpachange status po ako ng July 2014at nagbayad po ng July 2014-march 2015bale 1800 po,due date ko po ng Feb 2015,makakaavail po b ako ng philhealth kun s lying in ako manganganak

  32. Gud pm, can I claim from philhealth? I had cs but did not pay anything to the hospital, but I have receipts of meds bought outside the hospital.

    1. Hi jamie, did you file Philhealth papers with the hospital before your discharge? If yes, you can ask for refund from the hospital after you receive your benefit payment notice from Philhealth.

  33. i’m pregnant and my due date will be on may. i’m only a beneficiary bec. i’m only 17 years old. could i avail the benefit? my parent paid her contribution last 2013

    1. Hi mom, you can no longer use your parent’s payments in 2013. It’s better that you register yourself as member so your baby will be your dependent. Your baby cannot be a dependent of your parents. Register asap with your ID or barangay certificate and pay Jan to Mar (600 pesos), and then in April, pay for Apr to June.

  34. Hi I used my philhealth last april for my dependent then resigned last july. did not pay 2 mos. I became voluntary last october. Can I use my philhealth this coming march? thanks

    1. Hi lai, did you pay Oct to Dec 2014? If yes, you can use it this March. Pay also for Jan to Mar 2015 for continued coverage.

  35. hi ms nora. I’m not yet a member of philhealth. I’ll give birth this april. Can I avail of Philhealth benefits if I register this January? please reply,thank you

      1. Hi nora i just wanted to ask coyz my sister gave birth and she was CS. However she’s my dda beneficiary and my dad wasnt able to pay the whole yr of 2014. if my dad pay that including jan-march 2015, couldmy sister use our dad’s philhealth?

        1. Hi John, if she has already given birth, sad to say, she can no longer use any Philhealth premium that your father will pay after the childbirth. Payment should be done before confinement. If your sister gave birth this Jan, your father should have paid for Oct to Dec 2014 last year (payment deadline was Dec 31).

      2. I registered july 2014 and paid 600 from july to september. I didn’t pay oct. to dec. Due date is feb.2015. Can I avail of benefits for Normal delivery?

  36. Hi, can I avail my philhealth benefit for my CS delivery for my second child this nov 2015, I already have my first child and its CS delivery too but I was not member of philhealth when I had my first child.

  37. if my previous CS delivery was not covered by philhealth can I still avail my philhealth benefits for my second CS delivery

  38. good day Nora! i am an OFW, i have been paying philhealth yearly thru the balik manggagawa dept in the POEA office.i just gave birth last nov. 23, here in Dubai. how do i go about my claim? is there a deadline to follow? and is it possible to do the transaction from abroad? also, as written above, normal delivery will be paid 5000 php, if the hospital is outside the Phils. amount will still be the same? thank you

    1. Hi veronica, sad to say, yes, the maternity benefit is only 5k, even for overseas cases. Attach prenatal care ORs worth at least 1500 pesos and newborn care ORs at least 1750, so you’ll also get 1500 for prenatal and 1750 for newborn care. Send your documents to someone who can file for you in the Philippines. In the claim form 1, write a Philippine address where the cheque can be sent. Here’s the list of documents: http://www.healthphilippines.net/2012/03/how-to-claim-philhealth-benefit-for-overseas-hospitalization/

  39. hi, is there an effect in claiming maternity benefit if my surname in my MDR and contributions are not the same? I have updated my surname with philhealth but not yet with my employer. thanks

    1. Hi May, yes, some hospitals are strict with non-updated documents. Show your marriage certificate to your HR, so that when they accomplish your certificate of Philhealth premium payments and claim form 1, they will use your married surname (the same with your surname in your updated MDR).

  40. Good day. Can I avail of philhealth? I’ve been paying for 8yrs as employee. I resigned Sept.2014 and have not paid Oct. to Dec 2014. I paid January to Dec 2015. My due date is march 2015. Thanks

      1. hi ms. nora, can I claim or refund from philhealth the meds I’ll buy outside the hospital? I’ll have cs as charity patient and we will buy meds for the operation. thank you po for answering our questions

        1. Hi yara, I think Philhealth can only be used by paying patients. What I know is that for charity patients, PF and some hospital costs will be free, except meds, some lab exams and some supplies, which the hospital does not have. If you opt to be a paying patient and use philhealth, the PF that you pay in cash might be much higher than the costs of the meds you buy as a charity patient. But of course, I might be wrong. Ask others too.

  41. hello..im an ofw and did not finish contract poea deducted me for 1 yr contribution june to may 2014. im pregnant now and due date is july 2015..i paid my contribution jan to march these year.i updated philhealth as individual payor/informal sector and i will pay again april to june.can i use my philhealth?thanks…

  42. Good day po. our Benefit Payment Notice arrived from PH. Will there be deduction from the refund? the hospital said we will get 1,350. your reply would be much appreciated thank you po ms nora. For Newborn Care: Benefit is 1,750 pesos For Normal Delivery and Cesarean Section

    1. Hi JK, based on what the hospital told you, 400 pesos might already have been deducted from your baby’s newborn care hospital bill.

      1. Hi nora.can i still avail the cs maternity benefit if i didnt pay for jan-mar2015 and will pay for apr-june2015?i was employed and my last contribution was dec2014.i will give birth on july2015 by cs.thanks.

          1. Hi nora follow up question.if i will use my husbands PH but we will still process the additional benefit on april2015,can i still get the maternity benifit under my husbands PH?thanks

  43. Individual payer.. I’m a member since 2012 i only paid for about a year and a half.. My due date is june 2015.. I just want to know if I need to pay 9 months prior to my delivery to avail the benefits? Or can I just start paying this january 2015? As far as I remember my OB told me that I need to pay starting sept 2014- may 2015 for me to use my PH.. Thanks..

    1. Hi pao, the rule has changed. Requirement is payment of 3 of the past 6 months. Pay for Jan to Mar asap, and then in April, pay for April to June, or pay Jan to June outright.

  44. Hi PH, I would like to inquire if there will be any possibility to use my PH in lying- in clinic, even my doctor said his package for NSD is 15K? Thank you. J lao

    1. Hi J lao, talk with your doctor about how much you’ll pay if you use Philhealth. Both the doctor and lying-in should be Philhealth-accredited

  45. Hi Nora,I’ll be giving birth ds coming june last week of the month,I have philhealth,just wanna know if how much is covered for regular delivery and is the doctord PF included on that?

    1. Hi Jacinth, at hospitals, the coverage is 5,000 (3k for hospital and 2k for PF). Submit prenatal care ORs worth 1500 so Philhealth can send you a refund check. Newborn care is 1750.

  46. Hi, i’m a new member of Philhealth and I just registered last November. I paid for October-December contributions and i’m planning to pay this Feb, for my january to march contributions. Im not employed (so, i think i’m an individual payor). My due date is on March 20. Can I still use my philhealth? Thanks for your help. More power. 🙂

    1. Hi Kristine, if you have a valid reason for not presenting your Philhealth documents to the hospital for deduction, Philhealth might accept your claim filing. Yolanda survivors have a valid reason, so their filing is considered.

  47. Hi po. individual paying member, paid jan to march 2015 and due date will be on aug 2015. if i pay till dec 2015, can I claim benefits? thank you very much..

  48. HI,good am i just wanna ask if i can use my philhealth may last contributn is oct to dec 2014. by june or July is my due date as CS.

  49. hi im edna I gave birth last aug. I used philhealth for normal delivery then I paid around 1k+. I received yesterday BPN from pH. Can i get a refund? the letter says no check no refund. We bought the meds, we submitted the receipts.

    1. Hi edna, sorry I don’t know the policy of your hospital, but you can go to the hospital with your PBN, hospital bill, OR and receipts of meds and ask for your refund

  50. Good Evening. hi, i’ll be giving birth by May 2015 and already on leave since january 18, 2015. according to my payslip for month of Feb 2015 they have still deducted an amount for PhilHealth contribution and i think it will be the last one until i get back. I’ve requested for COC but according to it last contribution posted was Novemeber 2014 (w/c was posted Dec 11, 2014). Will this still be updated before April? Coz’ according to the Email sent to me by my employer “posting of payment would still be dependent as to when Philhealth confirms it.”. And please correct me if I’m wrong, i need to atleast pay for the month of JAnuary 2015 until March 2015 for me to avail it? Thanks and GODBLESS.

    1. Hi Nikki, pay for Jan to April asap as Individual Payor at Philhealth branch (show your leave form and ID) so you can avail and so you don’t need to get certificate from your employer.

  51. i use my philhealth last month for my eldest who was confined due to abdominal pain. can i use again my philhealth incase i gave birth to my second baby this april? pls reply…

  52. hi dec.03 i gave birth. We did not use philhealth. can we claim? last payment was when he was employed jan.-may 2014 then he resigned and paid sept.-november2014. can we file with philhalth for refund? had cs. thanks

    1. Hi mary grace, I’m puzzled why you did not present your Philhealth docs to the hospital before discharge. Your benefit should have been deducted from your bill. When were you discharged? If 60 days have passed since your discharge, you’re already late. The filing deadline has passed. If you’re still within the deadline, you can try to file an appeal with Philhealth but you need to request for claim papers and waiver from the hospital, plus your hospital bill and OR.

    1. Hi mary grace, write your name, email address and comment, and then press “Post Comment”. It is not published immediately, to prevent spam comments, so you cannot see your comment immediately.

  53. Hi my due date is on last week of june 2015 .i am a member since 2010 but i didn’t pay 2011 to 2014 , i only paid this jan 2015 to dec 2015. Can i still avail the maternity benefits? Pls reply….

  54. great day mam nora. can i use both (mine and my husband’s) philhealth in processing payments for my soon delivery? (1st week of march) we are both voluntary members upon enrollment in philhealth and has paid the whole year of 2015 and can i ask if how much would be the possible slash from the amount that will soon be billed for us. thanks mam. hope you can provide us with the info we need.

    1. Hi dexy claire, you can use only your Philhealth. Next year, your husband can be the member and you’ll be a dependent, so you pay only one membership (show marriage certificate). Philhealth benefit for normal delivery at a hospital is 5k and newborn care is 1750.

  55. good day mam!i’m currently working in my present company with stable contribution in my PH, I would like to ask if i could use PH for my prenatal coz im planning to have my first prenatal next month,can i avail it? #cebu

    1. Hi Charlote, sorry you cannot use Philhealth for prenatal checkup. But you can accumulate your prenatal care ORs worth at least 1500, and then file them later on with the hospital together with your maternity papers, for future refund from Philhealth.

  56. Hi, PH. What if the lying-in clinic is not philhealth acredited? Can I file a reimburstment after giving birth? Thanks for the reply.

    1. Hi Katherine, sorry no, it must be accredited. And Philhealth no longer allows direct filing by members; it should be through the accredited hospital or clinic, through deduction.

      1. what if the hospital did not want to gave claim?because we didnt declare philhealth to them?or can we file in philhealth without hospital claim?we havethe bills and discharge form only

  57. hi gud day! what are the requirements to avail of philhelth maternity benefits? im 5months pregnant. last 2013 I registered but did not pay contribution. what should I do? thanks.

  58. due date is feb 27 2015, lying in. The nurse asked if I have ph, I said I have but expired. was govt employee before. They told me I can use ot if I pay 2600 through them. They’ll be the ones to process and update my Ph. I was told I won’t pay anything to the lying-in, only the 2600, and I also have Philhealth for 1 year. Is that true? I won’t pay the lying-in except for the birth cert which is 300 pesos. Is this true?

    1. Hi grace, sorry that I saw your question only now. If they’ll do what they told you, then that’s valid. If you register by yourself at Philhealth, and you pay for 1 year, it costs 2,400 pesos (200 pesos per month). It’s likely that the extra 200 is for their time and effort in processing your Philhealth. But I’m not sure if they can claim for your maternity benefit if you give birth on Feb 27. If you give birth in March, yes, they can claim. Anyway, I hope you’ve given birth and all is well.

  59. Hi I’m Mitch I’m giving birth on September I have philhealth but my last contribution was 2010 can I still use my philheath…please help me what to do..thanks in advance

    1. Hi Michelle, update your data at Philhealth with your ID, and pay March to August or March to Sept so you can avail. You can pay March to June asap, and then pay July to Sep in July.

  60. Hi I’m Ex abroad. member category is indigent. Sub-category migrant worker. effected period 01/01/2014-12/31/2014. I gave birth may 12,2014 at a private hospital. They asked for my MDR and philhealth form CF1 before I had my cesarean operation.(CS) My question: is there a chance I can reimburse from philhealth? I’ve been waiting for my refund. I have not yet paid philhealth as I’m still here in Phils (full time momy) Thank you so much and more power this program.

    1. Hi erlinda, do you mean you did not get any Philhealth deduction in your bill even if you have submitted complete Philhealth papers? If not deducted, wait for your benefit payment notice from Philhealth via registered mail and then ask for your refund from the hospital. Processing takes 3 to 5 months or more. You can make follow-up at Philhealth. To be a member as individual payor, register at Philhealth with your ID and pay for 1 quarter. Bring your baby’s birth certificate and register him/her as your dependent.

  61. I paid yesterday at philhealth for jan-june 2015. due date is june 17,2015. if ever I give birth may or july, am I covered? thank you po.

  62. Good day, this March 7, 2015 and I will use my husband PH. I’ll be delivering my first born through Cesarian Section on her 37weeks this was due to my High Blood Pressure and I think i heard it from my OB pre-eclampsia. My question was is it the benifits that i will get was 19,000 and aside from that there was still other benifits for pre eclampia? I just want some clarification. Thank you and more power. 🙂

    1. Hi Marivic, I can’t find pre-eclampsia in the list of second conditions that can be considered for second coverage, so you’ll most likely pay any pre-eclampsia treatment separately. Ask others too

  63. hi po ms Nora,I’m not yet a member. my due date is first week of april. is it still OK to avail benefits if I’ll register to be a member this march…and how many months I’ll pay my contribution. thanks po.

  64. hi good afternoon ms Nora. I want to know if I can avail maternity benefits if i’ll register to be a member this march. how much I’ll pay? my due date is on april 8 this year.thanks.hope for asap answer.god bless!

  65. hello mam, I’ve paid oct nov dec 2014. I gave birth nov 11,2014 ceasarian. we filed philhealth but was discharged saturday. so we used our orange card. My bill was less than 10k. So we did not pay anything as we used our orange card. Can I reimburse?

    1. Hi Lovely, it’s good you had orange card because if you paid only Oct to Dec 2014 premiums, you were not eligible for Philhealth in Nov 2014. About refund, you said you did not pay anything so you cannot refund anything. Aside from that, I’m not sure if you were eligible in Nov 2014

      1. Mam, january to june 2014 nakapag bayad po ako sa philhealth. Ung july, aug, sept.2014 lng po ang hindi ko nbyadan. Saka ung mga resibo ng binili nmin mga gamot binigay ko po sa philhealth.

  66. Hi, iam an OFW and the lAst time i paid for my PH was from sept 2013 (good for a year) in poea main office. I went home last may 2014 and got the poea exit form but did not pay for PH since it is still good until august. Just got home last feb 2015 and will be delivering my baby in april. Would i still be able to use my philhealth? Can i pay my contribution in any philhealth office? Please reply, iam going to PH ofc on friday.

    1. Hi Stephanie, yes, you can go to any Philhealth office. Bring your ID and proof you’re an OFW (pay March to May or pay for 6 months to 1 year). But if individual payor, pay for Jan to April so you can avail.

  67. Hi Nora! I’ll have my scheduled CS on the 21st this month. Since i have difficulty with my pregnancy,i was forced to go on leave of absence last Dec. I have 3 consecutive contributions prior to March (Sept Oct and Nov). Will i be eligible for the benefits? If yes,how much will be your coverage as my doctor gave me a package price of 35k? Thanks!

    1. Hi Maki, pay for Jan to March asap, so you can be eligible. Coverage for CS is 19k (11400 for hospital costs and 7600 for PF).

  68. Hi Nora,just a clarification with your response, why do i still need to pay from January to March when i have at least three payments 6 months prior to my expected delivery date which is on March 21st? That’s the minimum requirement right?

    Now i also clarified this from the hospital and they said my contributions from Sept to Nov will entitle me for the benefits. Now its a little confusing. If i was given the wrong info,where can i make a payment to avoid inconvenience with availing the benefits. Thanks

  69. hi.im philhealth member and just resigned from my job last jan. i checked with philhealth and the company paid till dec.. so i changed status from employed to voluntary and paid january- march. my due date is this month. the maternity lying in said that they cannot deduct the philhealth right away and they will just reimburse it be most of the patient they had have probblems with the form and requirements. i had my requirements checked by them but still said that it will be reimbursement process. my question is how long will it take for me to get the reimbursement because the OBY said sometimes it took 6 months to get the check?

    1. Hi sofia, Philhealth’s policy is that Philhealth coverage should be deducted from your bill. But if we try to understand the lying-in, which also needs cash to pay their employees, I think as long as they will really file your Philhealth claim, then you might want to consider them. Yes, payments from Philhealth take 2 to 5 months or more. A benefit payment notice from Philhealth will be sent to your address.

  70. Hi Miss Nora, this is Ann po. Im about to deliver my baby this month po. About 1yr I haven’t paid. If I pay this month for whole yr po, can I avail? Please need your help po.

  71. hi, about maternity benefit, does it cover other expenses? the maternity benefit I have is only for delivery. Laboratories and Other expenses are excluded. Does Philhealth cover them? Do we need to do something to get the benefit? or is it automatic when confined?

    1. Hi jen, the coverage is fixed. If hospital, coverage is 3k for hospital cost and 2k for PF. Your benefit must be deducted before discharge. Bring your MDR, premium receipt and ID

  72. hai im pregnant my due date is may30 2015. my last payment fr0m last work was october 2014.can i use my PH or can i avail the PH benefit? thnx

  73. I’m a voluntary member. I paid jan to march. april is my due. If earlier than april, will I be covered? ? will have CS.

      1. Thank you ms. Nora. Fix po un n 19thou ng macocover? Mgllbas pa po b a ng cash nun.. Or philhealth n lhat. Frm kiy n ggmitin q

    1. Hi ivy, that’s only true for no-balance-billing patients in government hospitals and certain public hospitals that have rooms exclusively assigned for those using Philhealth. But in almost all accredited hospitals, patients willing to pay much more can choose private rooms and use Philhealth.

  74. Hi Nora, The hospital had filed the approval for reimbursement to Philhealth. How long will it take for releasing of the cheque?

  75. hi I started as individual payor with philhealth. i found out my employer of 3 years did not pay my philhealth. I’m pregnant and will give birth in sept. I started paying jan-march. I’ll pay april to june and I plan to make advance payment for 6months. Can I use my philhealth in sept? tnx in advance

  76. Hi good day ms nora. im a member last 2013 i pay for whole year but in 2014 i did not. im 2 months pregnant now expecting delivery in last week of october2015. im started paying my contribution this of jan-march. can i avail my benefits in october 2015? Thank u

    1. Hi maricel, in April or May, pay again for Apr to June, and then in July or Aug, pay for July to Sep, so you can avail.

  77. Hi i am nyka, my delivery will be this coming april 6, 2015, i am not an active member of PH but my ob gyne suggest me to pay it for thr whole year of 2015 froom jan to dec 2015. She told me the process has changed. Is it true? Can I still pay? Might have cs because my baby is big.

    1. Hi nyka, yes, register at Philhealth with your ID asap. Must be on or before March 31. You can pay Jan to June, but go ahead, pay Jan to Dec so you’ll be complying with your OB, and so your coverage is continuous.

  78. Hi i just want to know what if the pregnant will be cs in May but the paid months are only Feb-april is she still be covered by philhealth? Thnks

  79. Hi! Good morning Ms.Nora. I’m already a member of Philhealth since 2011. pero ang paid ko lang po is yung first 3 months. after that hindi ko na ulit nahulugan.I’m pregnant now and my due date is on July 25. My mother in law started to pay my philhealth last December 2014.para po yon sa Oct, Nov, December. after that my husband continue to pay for it until now. Can I still use my philhealth when I give birth?.. might be CS. thanks!…

  80. Hi po.. i just want to know if possible magamit ung philhealth benefit
    Sept 2015 po ako due..
    Jan to March paid po ako as individual payer pero April to June (lapse po)
    if i pay july to dec 2015 maggamit ko po ba ung maternity benefit?

    and if hindi nmn ok lang po ba na as dependent nlng ng asawa ko ung gamitin ko po? since updated nmn po un.. (but im a member also)

  81. Hi.. I lost my philhealth id.. But my contribution is still on going and i have my philhealth number.. Can i still use my maternity benefit even without the card?

  82. Gud evening. I’ll give birth this july. I paid philhealth 1 year contribution. Can I use it this july? and I had my prenatal at the clinic. can I avail of Philhealth if I give birth at a hospital?

    1. Hi Kathlyn, does your one-year payment include April to June? if yes, you can use it in July. If you like to give birth at a hospital, you should have your check up there and talk with an OB about Philhealth package.

      1. Gud pm. I have a wife, she is 4months pregnant, i have not yet applied or member in philhealth. But i was planning. My question is if i applied to be member in philhealth next week can i use the benefits in philhealth when my wife given birth on november 2016? Will my final bill amount be small? Need help.

        1. Hi Hash, you should pay July to Sep so your wife will be covered in Nov. Pay also Apr to June so she and you are covered immediately. Bring your marriage cert and register her as your dependent. Your bill will depend on the fees charged by the OB and hospital. Remember normal delivery benefit is only 5k and only 19k for CS. Ask the OB’s Philhealth package.

  83. Hi im a philhealth contributor..my first contribution was last june 5 and until now it’s being paid by me and my company as im still employed. my due date is on october..can i avail d benefits? How about prenatal? How can i avail those benefits? Pls reply po.

    1. Hi Precious, make sure you’ll be able to pay for July to Sep so you can avail. Submit to the hospital prenatal official receipts worth at least 1,500 pesos. Philhealth will be the one sending the refund.

  84. Hi po gud day! Just asking if the OR of medicines/vitamins can include in the benefits worth 1.5k for prenatal?

        1. Hi may jan, you should pay Apr to June or July to Sep or Apr to Sep so you’re covered immediately. Pay at Philhealth so you can get your MDR. Bring your ID.

  85. hi po. voluntary payor po ako i started last jan 2016. manganganak po ako this month of june hopefully normal. nagprenatal po ako sa isang government hospital at plano ko pong manganak sa isang semi-private na hospital. can i still avail prenatal care? i have my OR’s. kung matutuloy po akong manganak sa isang semi-private, ano po bang procedures para makaavail ako sa prenatal care? saan ko po ipapasa itong mga OR’s ko? pwedi din po ba akong makaavail sa newborn care?

    1. Hi mary ann, you include your prenatal ORs in your claim forms. For newborn care, fill up another claim form 1 for your baby. File upon admission so you’ll know the hospital’s Philhealth procedures and rules early.

  86. ask if i should avail reimbursement from philhealth even if the lying-in doesn’t have a philhealth accreditation?

    1. Hi ria, sorry you cannot use Philhealth, whether deduction or reimbursement, if the lying-in is not Philhealth-accredited.

  87. Good evening po. I’ll give birth this july. I fully paid philhealth from april to December. Can I use my philhealth? accdg to the doctor, I’ll spend 21-25k po for cs. is philhealth already included? Thank you po

    1. Hi mariz, ask your doctor if that is his/her Philhealth package for CS. Based on others’ comments here, that amount — 21 to 25k — is mostly the doctor’s fee, and the Philhealth coverage will be used for the hospital.

    1. Hi jermie, do you mean you’re younger than 21? It’s better that you register as a Philhealth member so that you can cover your baby. Your baby will be your dependent. Your baby cannot be a dependent of your father.

  88. Good pm po can we reimburse what we spent for meds bought outside the hospital when I gave birth? About the prenatal po 1500, where can I get it?

    1. Hi Anna marie, wait for your benefit payment notice from Philhealth, then go to the hospital together with your bill and ORs and ask for a refund. For the prenatal package, if you submitted prenatal ORs together with your Philhealth papers before discharge, Philhealth will send you a cheque

  89. hi! my daughter is pregnant and her due date will be on Nov. 4,2016.she is only 17yrs.old. could she avail the benefit? my husband paid his contribution last may 2014.

    1. Hi Maria, I suggest that you ask your daughter to register with Philhealth and become a member. Why? So that her baby will become her dependent and can avail of Philhealth in case her baby needs some care. Your daughter can be your husband’s dependent, but the baby (his grandchild or apo) cannot be his dependent. She should pay for July to Sep, or better yet, pay July to Dec for continuous coverage.

  90. ask ko lang po kung magagamit ko na yung philhealth ko sa age na 20 years old kasi nung feb 10,2016 lang po ako nag pa membership ng philhealth gagamitin ko po sya sa End of july manganganak po kasi ako eh 3 months pa lang po ang hulog ko pwede ko na kaya sya ma avail ? thankyou

  91. Ask ko lng po if i can still have the chance to avail my maternity benefits if Edd ko po is this coming oct.16, 2016..how po? Sayang din po kc, my philhealth number nko dq q lng po nhulugan..pwede ko p po b mhabol?

  92. Hi ms. Nora. I just registered today in ph. Can i pay my premium starting november 2015 up to september this year?

    1. Hi rose, sorry you can no longer pay for past quarters, and payments for past years are no longer useful. If you’re OFW, you can pay for July 2016 to July 2017. If paying here in the Phils, show proof that you’re OFW. If voluntary, you pay for July to Sep to July to Dec.

  93. Hi! Sino na po naka xprnce manganak sa east ave medical center yung sa govt hosp po ung hnd sa private ob. Sa 1st baby ko ksi sa east ave ako nanganak via cs pero private ob kasi ako nun en plan ko sana ngayon kht hnd na sa private ob para makatipid. How much kaya magagastos pag hnd private ob and may philhealth? Tia

  94. hi ask lng po gano katagal bgo mareimburse any pgilhealth sa isang lying in, 3mos na baby ko hanggang ngaun spa nmn na reimburse. tnx

    1. Hi maricel, dapat kasi nag-deduct yong lying-in. Anyway, kapag meron kang matanggap na benefit payment notice from Philhealth via mail, it means Philhealth has already paid your lying-in and you can refund your payment. Iba-iba rin ang Philhealth processing time — 1 month to 5 months.

  95. hi ask q lng po if what month po ang dapat mabayaran para maavail ang benefit if sa october ang due date q? tnx

    1. Hi lhen, pay asap for July to Sep so you can use it in Oct. It’s also good if you pay for Oct to Dec so your coverage is continuous.

  96. Hello po, I will give birth on Oct 2016, but last employment ko po was Oct 2015, and did not changed my status to Individual payor and did not continue contributions. Member din po husband ko, can I still use my Philhealth benefits or my husband’s? If sa husband ko po, kailangan pa po nya mag file ng ammendment sa data nya pra maging dependent nya ako kahit may sarili po akong Philhealth Membership? Thank you.

    1. Hi Christine, yes, you can use your husband’s Philhealth. and you’re right, dapat your husband updates his Philhealth data by presenting your marriage cert (xerox and orig) plus a letter from you requesting Philhealth to cancel your membership because you’re already unemployed and to register you as dependent of your husband. He will fill up the registration form and check FOR UPDATING.

  97. Hello po! Ask ko lng kung magagamit ko po b ang philhealth ko my due date is on jan 1,2017. New member po i pay july to dec? Magagamit ko po kya?? Salamat sa reply. God bless.

  98. hi. ask k lng po. kc nag pre term delivery po nung nov.03, 2015. sad 2 say po nov.04, 2015.namatay po si baby. base on diagnosis, sepsis po ang ikinamatay ng baby ko. s level 1 hospital po ako nanganak. 3000 po ang dineduct nla s total bill ko po. kc ung 2000 dw po pf ng doctor. ang question k po, ibang case rate po ba ung sakit at ikinamatay ng baby k po? pde p rn po b k mg claim ng nbp n 1750 kht namatay dn c baby kinabkasan pgkapangank k po? pde k p rin po b ito i claim f ever pde ung case nia? slmt po

    1. Hi Maye, sorry for your baby. Ang intindi ko, mukhang yong 3000 na deducted from your bill is yong coverage for your normal delivery. Noong nag-submit ka ba ng claim form 1, isa lang? Name mo lang? If one claim form lang, mukhang yong normal delivery mo lang ang na-file. Hindi na siguro na-file yong sa sepsis kasi hindi naman na-treat. Parang na-diagnose lang as cause of death. Yong newborn care, another claim form 1 din yon. In your baby’s name dapat, kung na-file ito. Did you receive a benefit payment notice from Philhealth via postal mail? kasi doon mo makikita how much Philhealth paid your hospital.

  99. hi.manganganak po ako dis january 2017,nagstart po ako maghulog ng contributions dis august magagamit ko po b ang philhealt ko for my dilivery voluntary payer po ako tnx.

  100. Good evening po my due date is dec.21 2016 .nagstart po aq mghulog april to june..need q papo ba mghulog for july to sept. Pr may maavail q po ung philhealth q.tnx

    1. Hi lhory, yes, you should pay for July to Sep (payment deadline Sep 30). It’s also good to pay for Oct to Dec in Oct para you are covered continuously.

    1. Hi Ariane, dati, up to 4 normal deliveries lang. Pag CS, all are covered. Ang alam ko applied na yong new policy na lahat na ng deliveries ay covered. Para sure, ask mo na lang sa hospital or clinic where you are having your checkup.

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