Philhealth Newborn Care Package Ok for 3-over-6

Update as of September 2014:   

For Individual Payors, this benefit is available only for those whose child delivery is covered by Philhealth.

This means you must have paid your premiums for 3 of the 6 months prior to your child delivery. 

For mothers who are delivering their fifth child, 6th child or succeeding children  (delivery not covered by Philhealth),  they can still avail of the Newborn Care Package worth up to 1,750 pesos, as long as they are eligible Philhealth members and the pediatrician is Philhealth-accredited.

As of publication in October 2011:

The Philhealth Newborn Care Package (NCP) is worth 1,750 pesos.  It is available for Philhealth members’ newborns, either delivered via normal process or via Cesarean Section (CS).

This package consists of services provided to your newborn baby by your Philhealth-accredited pediatrician in an accredited hospital. These services must be performed within 3 days of the baby’s birth.

These are the newborn care services:

NECESSARY or ESSENTIAL newborn care — 500 pesos:

  1. Immediate drying of the newborn
  2. Early skin-to-skin contact between mother and newborn
  3. Cord clamping
  4. Early breastfeeding initiation and breastfeeding advice
  5. Eye prophylaxis
  6. Weighing of the newborn
  7. Physical examination of the baby
  8. Vitamin K administration
  9. BCG vaccination
  10. 1st dose of hepatitis B immunization

OPTIONAL, or these may not be available in some health facilities:

– Newborn Screening Test —  550 pesos
– Newborn Hearing Screening Test —  200 pesos

Professional Fee allotment is 500 pesos.

If the Newborn Screening Test is not performed, 550 pesos will be deducted from the NCP package. The same with the hearing test if not performed.

In some government hospitals, the Philhealth NCP of 1,750 pesos can be enough for newborn care.
But in many private hospitals and other government hospitals, the mother may need to make additional payments for the pediatrician and for hospital costs.

Notes:
—  You can avail of this Philhealth Newborn Care Package even if this is already your 5th or 6th, etc. as long as you have paid your premiums for 3 of the 6 months PRIOR to your child delivery.

Philhealth Maternity Benefits Include Newborn Care

Philhealth Maternity Benefit – Prenatal Care Worth 1,500 pesos

How to Claim Philhealth Refunds

How to File a Philhealth Benefit Claim for Reimbursement

39 Comments

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  1. Hi!

    May I know kung para sa mga Individually paying and Voluntary lang ba ang Prenatal and Newborn package? Pano po naman sa Employed members? Makakakuha ba kami ng ganito? Thanks .. 🙂

    1. Hi Erica, yes, every eligible member is entitled to prenatal and newborn package. For prenatal, present prenatal ORs together with your maternity claim papers.

  2. Hi!
    Maam Nor ako po ang nagbayad ng new born screening at hearing test ng baby ko. Tanong ko po if pwedi ko po bang reimburse un sa philhealth?if yes, paano po ba at ano ung requirements?

    1. Hi Emy, yes, pero maganda sana kung nakasabay sa maternity claim. Kasi hindi ko sure kung irequire pa nila yong claim forms from the hospital kung ang filing ay separate. Dapat accredited yong nagperform ng tests at dapat naperform within 3 days of birth.

  3. Ano po requirements and/or form need para sa NCP? Thank you

    1. Hi grace, isabay sa maternity claim ang ncp para mas madali ang processing. Magdagdag ka ng isa pang claim form 1. Patient name is your baby.

  4. Hi! May i ask, i gave birth last feb 14. Sa billing di agad ng na less yung philhealth kc di pa avail yung birth cert. They advise us bumalik after a week pr ireimburse. Nung pinuntahan ulit namin ang sabi samin wala daw kmi makukuha kc well baby nmn daw. ang pwd lng bang mgclaim is yung may sakit or diperensya n baby? Di din sya binigyan ng bcg, hepa and hearing test. Yung new born sinama s billing nmin.

    1. Hi Pie, baka hindi Philhealth-accredited yong pedia or ayaw mag-accomplish ng mga Philhealth documents kaya hindi na sila nag-file ng claim for newborn care for you. Tingnan nio na lang na yong binayaran niong newborn care procedure ay ginawa talaga.

  5. hi. I gave birth last dec 5, 2013 thru caesarian section. 19thou deduction ko s hospital bill KO, but ung ky baby ko we paid the total amount without any reduction. we paid also for the new born screening & hearing test. s brgy health center n lng nmen xa pinainjectionan ng bcg & 1st dose ng HEPA B kc mhal s hospital eh. it cost 1600. then after few days inasikaso ng tga Philhealth ung claim form & other documents, then ng ok n pinadla n s philhealth ofis. ask ko LNG is there a possibility n my mkuha p kmi refund? 3months b tlga tgal bgo dumating ung claim mo? thanks 🙂

    1. Hi joy, sad to say that 3 to 5 months or more will pass before one can receive through mail any refund from Philhealth.

  6. 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!

    1. Hi Ann, processing takes 3 to 5 months or more. I’ve answered your other questions in the other post where you commented.

  7. hi po.ask ko lang po kung magagamit ko ung philhealth ko sa pangnganak ko this nobemver 2014 kasi ngstart po ko mghulog nung april 2014,nasa 5 months na po ako na pregnant..worry lang po kung makakaavail pa ko til manganak ako gamit yung philhealth ko .voluntary po ako kasi nastop po nun dec 2013 til march ung hulog ko sa philhealth nag end nadin kasi po yung work ko that time kaya ngvoluntary nalang po ako..sa tingin nyo po magagamit ko po ung philhealth ko?goodbless po.

    1. Hi tin, yes you can avail. Requirement is payment of at least 3 months within the 6 months prior to delivery.

  8. Hello po..ask ko lang po if pwede ako magdirect file ng reimbursement ko s philhealth if sa lying in lang ako manganak? Hindi po philhealth accredited yung lying in kaya ask ko po if possible na mag self claim na lang ako. Thanks

    1. Hi Heidy, no, you can not claim if the clinic is not accredited. Also, you can no longer file directly with Philhealth even if the lying-in is accredited. Find an accredited lying-in which is considerate regarding the 4-prenatal-visit requirement.

  9. hello
    ask q lng po ngstop aq ng hulog last nov.2013..if continue q ung contribution q this month onwards mga2mt q b ung philhealth q ? december po ang delivery q . tnx po

  10. Hi ms nors! Ask ko lang po kung dinideliver po ba yung prenatal claim thru mail address? Nanganak po ako nung july 21,2014 sa private clinic,voluntary member ako feb-nov 2013 hulog ko at ang kasunod april-june 2014 na. Hndi po nabawas sa bill ko ung philhealth ko kc po kulang pko requiremnts. Nitong august 6 ko lang po naipasa req ko. Tanong ko din po,ksma na kaya yung NCP sa makiclaim ko,kc hiningan nila ko req. na birth cert ni baby,new born screening,at hearing test result. Kaya lang sa ibang hospital ko na npagawa hearing test kc wla cla nun,after 5days na nmin npagawa ung hearing test. And sa mail address din po ba sinisend ang NCP claim? Thanks in advance po. Godbless 🙂

    1. Nga pala ms.nors ung contri ko po nung feb-nov 2013 may employer pa po ako nun,ung april-june 2014 lang po ako ngvoluntary. Eligible po ba ako sa maternity claim? TIA.

  11. hi po,. ask ko lang po. november 2014 po due date ko,voluntary member po ako, ang nahulugan ko po sa philhealth ay from april to december 2014 na po,. covered pa po ba ako sa benefits even november na agad ako manganganak?

  12. Hi ms nors! Ask ko lang po kung dinideliver po ba yung prenatal claim thru mail address? Nanganak po ako nung july 21,2014 sa private clinic,voluntary member ako feb-nov 2013 hulog ko at ang kasunod april-june 2014 na. Hndi po nabawas sa bill ko ung philhealth ko kc po kulang pko requiremnts. Nitong august 6 ko lang po naipasa req ko. Tanong ko din po,ksma na kaya yung NCP sa makiclaim ko,kc hiningan nila ko req. na birth cert ni baby,new born screening,at hearing test result. Kaya lang sa ibang hospital ko na npagawa hearing test kc wla cla nun,after 5days na nmin npagawa ung hearing test. And sa mail address din po ba sinisend ang NCP claim? Thanks in advance po. Godbless

    1. Hi Strelita, if approved, your prenatal check will be sent to your address. The same with your newborn and maternity claim, if approved. It’s good Philhealth accepted your filing — I thought direct filing with Philhealth is no longer allowed

      1. Hindi po ako direct filing mam, sa private clinic po na pinag-anakan ko sya pinasa. Pag po ba sa clinic ako ngpass ng mga requiremnts since hndi na allowed ang direct filling,thru mail address po ba isesend lahat? Salamat po. Godbless.

  13. Hi, last june 7,2014 i gave birth at chong hua hospital in cebu city. i ask about my refund from phil health. during my prenatal day i deposited total of 10,000 pesos and then when we checked out we paid 5,400 something. how much should be the deduction? where’s the philhealth benefit if we still paid additional. i paid the whole year 2014 for my phil health but it did not help me. my bill in hospital almost 16,000..and now i spent my own money, where’s my insurance with phil health. it’s useless. also, the one assigned by philhealth at the hospital she does not know how to entertain or explain about deductions for my medicine,lab.,prenatal. i thought philhealth can help me. can i refund something? thank you po….god bless

    1. Hi Anamae, am very sad that the Philhealth officer there was not helpful. Philhealth should hire competent people; there are many others waiting for jobs. Sad to say also that the Philhealth benefit for normal delivery at a hospital is only 5k pesos (3k for hospital expenses and 2k for PF). Look at your bill. Your total bill might be around 21k, so after the 5k deduction, your balance is around 16k, so you paid around 16k pesos.

  14. helo mam nors, good pm. if final diagnosis is: “normal full term neonate boy delivered via cesarean section birth weight 3.6kgs, bs – 40 weeks” and icd 10 code is: P03.4, Z38.0. can i claim P03.4? or 99432 rvs code for newborn care package? please reply thanks…. God bless and more power.

    1. Hi edward, it would depend on what type or neonatal service or treatment your baby received. Ask your pediatrician. Am glad you checked the case rate list, including the codes.

  15. hi mam,i gave birth june 14 2014. i used my philhealth. but i wasn’t able to file my prenatal. i also wasn’t able to use my newborn care package, as there was no available kit at the hospital. can i still use it for my baby?

    1. Hi hazel, if the hospital already filed your Philhealth docs with Philhealth, then you can no longer file for your prenatal care benefit. Prenatal and maternity should be filed together by the hospital. About newborn care, it should be done within 3 days after birth. Ask others too

  16. good afternoon ms. Nora! ask what if last 2011, newborn screening was done on my child at a public hospital. they said only those with philhealth can have newborn screening for their baby. since my husband has philhealth, my baby had the test. but we were not advised where to get the test result. up to now we haven’t received any newborn screening test result. how is that?

    1. Hi loribell, you should have claimed the results days after the test. I don’t know if they still have your records. You can try asking the hospital.

  17. hi, i gave birth in pgh, my maternity claim was deducted from my bill, my ncp claim cheque is now processing. However, as i read other comments, there is a prenatal benefits, based in philhealth personnel in pgh, it is already not included in philhealth benefits, so they dont allow us to attach my prenatal receipts. Can you enlighten me about this?

    1. Hi nina, sad to say, if your prenatal receipts were not included when PGH filed your maternity claim, you can no longer claim.

  18. Do we need to get certificate of contribution from philhealth to claim maternity and new born package at the hospital or just receipt of contribution and MDR? I’m ofw and my due is jan 2015 and I have 1 year coverage of contribution till april 2105, can I claim from philhealth. How can we claim new born package if we cannot immediately get the birth certificate?

    1. Hi alma, yes, you’re eligible. No, cert of contribution is not needed. What you will submit is your premium payment OR, MDR and 2 claim forms (1 for you and another for your baby). Bring any ID. For newborn care, the birth certificate issued by the hospital will be used.

  19. Mam nora, ask lng po nanganak ako nun oct3 ngaun lng dumatin bpn. Nklagay dun is 1700 lang. 22k hosp.bill+ 3800pedia + 3800 s meds binili s labas, + yun s room 6k.
    . Nagapply po ako ng philhealt 1month bgo manganak 3months lng po nhulog ku dun. May marerefund po ba ako? Nasa magkano po kaya iyon? Thanks. Godbless

    1. Hi april, does your bpn show that Philhealth paid the hospital only 1700? Is this for newborn care, that it’s only 1700? If yes, then you can refund that 1700, but only if that 1700 was not deducted from your bill.

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