Philhealth Maternity Benefit for OFW Members and Dependents

Updated June 2, 2016

You can claim your Philhealth maternity benefit as an OFW member or dependent if:

the validity dates written in your Philhealth premium receipt cover the date of your child delivery.

Your date of delivery should be within the Validity Dates written or printed in your Philhealth premium payment receipt.

Most often, your Philhealth receipt is included in your OEC receipt or Balik-Manggagawa receipt from POEA.

What are the documents that you will bring to the hospital or lying-in center?

1.  MDR (Get this from Philhealth)

If you’re a dependent, your name should be written as dependent in the MDR.

2.  Philhealth premium payment receipt   ( or OEC receipt showing premium payment to Philhealth)

3.  Philhealth Claim Form 1  (This is available at the hospital, but you can also get this from Philhealth when you go there to get your MDR)

Submit 2 claim forms: one for your maternity benefit, one for your baby’s newborn care benefit

4.  Official receipts of prenatal care, worth at least 1,500 pesos (only if normal delivery; not available for Cesarean Section or CS delivery)

5.  Philhealth ID (or any valid ID if Philhealth ID is not yet available; some hospitals or clinics might require your ID)

Submit your Philhealth documents to the hospital BEFORE discharge. Your Philhealth benefit must be DEDUCTED from your bill.

Philhealth no longer accepts direct filing from patients for refunds.

There are only a few valid reasons why Philhealth will accept direct filing. One is you gave birth abroad.

If your reason is valid, submit these to Philhealth NOT LATER than 60 days after discharge.  NOT LATER than 180 days, if you gave birth abroad.

– Documents listed above
– Philhealth Claim Form 1 (signed by you and the hospital)
– Philhealth Claim Form 2 (signed by the hospital)
– Official receipts of payments made to the hospital

How much is the Philhealth maternity benefit for Normal Delivery?

5,000 pesos if you delivered at a hospital

6,500 pesos if you delivered at lying-in or maternity clinic

Plus 1,500 pesos for Prenatal Care expenses (if you submitted prenatal official receipts)

How much is the Philhealth maternity benefit for CS?
19,000 pesos (should be done at a hospital)

7,600 pesos   for the doctor
11,400 pesos  for the hospital

No prenatal care benefit for CS

Is there any other benefit?
1,750 pesos for Philhealth Newborn Care expenses (if pediatrician is Philhealth-accredited)

Newborn care must be given within 3 days after birth.

This is available for both normal delivery and CS.

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