Individual Payor Eligible for Philhealth Maternity Benefit

Updated June 2, 2016

Are you an Individual Payor? Are you eligible for Philhealth Maternity Benefit?

Or are you a dependent of your spouse or parent who is an Individual Payor? Is your spouse or parent eligible?

To be eligible for Philhealth maternity benefit, you should have paid premiums or contributions for 3 of the 6 months BEFORE your Month of Delivery. Your month of delivery is included in the 6-month counting. 

Eligibility requirement is the same for Employed Members.

If you will give birth in January, you should have paid 3 months of the 6 prior months (5 blue months and Jan):

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

 

If you will give birth in February, you should have paid 3 months of the 6 prior months (5 blue months and Feb):

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

 

If you will give birth in March, you should have paid 3 months of the 6 prior months (5 blue months and March)

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

 

If you will give birth in April, you should have paid 3 months of the 6 prior months (5 blue months and April):

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

 

If you will give birth in May, you should have paid  3 months of the 6 prior months (5 blue months and May):

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

 

If you will give birth in June, you should have paid 3 months of the 6 prior months (5 blue months and June):

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

 

If you will give birth in July, you should have paid 3 months of the 6 prior months (5 blue months and July):

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

 

If you will give birth in August, you should have paid 3 months of the 6 prior months(5 blue months and August):

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

 

If you will give birth in September, you should have paid 3 months of the 6 prior months (5 blue months and September):

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

 

If you will give birth in October, you should have paid 3 months of the 6 prior months (5 blue months and October):

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

 

If you will give birth in November, you should have paid 3 months of the 6 prior months (5 blue months and November):

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

 

If you will give birth in December, you should have paid 3 months of the 6 prior months (5 blue months and December):

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec

 

Remember payment deadlines for Philhealth premiums or contributions:

Payment deadline for any quarter is the last day of the quarter. 

Philhealth or Bayad Center or SM Business Center no longer accepts payment of only one month.  They DO NOT accept late payments.

Philhealth Maternity Benefit Requirements for Individual Payors

86 thoughts on “Individual Payor Eligible for Philhealth Maternity Benefit”

  1. Nka pag hulog ako ng philhealth ko 2 yrs lng,year 2007-2008.status ko employed.i called philhealth kasi gusto ko continue gwin kong individual.sbi nila change ko ng status then i can start to pay na.pwede ko bang bayaran yong 9 mos para magamit ko sya for hospitalization?kasi di ba dapat 9 mos ang hulog b4 hospitalization?

    Reply
    • Hi janice, merong deadline for Philhealth payments. Halimbawa, this Sep, ang puede mong bayaran na nakalipas na ay July and Aug basta bayaran mo ang the whole quarter of July to Sep.

      Reply
  2. My sister is 2 months pregnant now. If she register now, can she pay the months of July-sept??

    She is not yet a member…She needs to register first

    Reply
  3. hi can i ask my due date is dec. and individual payer po aq ngbayad po kame ng phil health april – sept 31. can i avail the contribution if i pay advance po tnx

    Reply
  4. hi po. turning 8 months pregnant na po ako. almost 1 yr po ako sa dati kung company nag resigned ako by january2013 tapos nag work ulit ng february 2013 at by april 2013 nag resigned na naman kasi maselan ang pagbubuntis. na stop ang payment ko sa philhealth pwede ko parin po bang mabayaran ang ilang buwan na kulang para ma avail ko ang maternity benefits sa darating na nobyembre?

    SALAMAT PO.

    Reply
    • Hi jasmin, sori baka hindi ka ma-qualify, kasi hindi na yata tinatanggap ang payments for July to Sep 2013 kasi Sep 30 ang payment deadline. Subukan mo. Dapat nabayaran ang 9 of the 12 months BEFORE month of delivery.

      Reply
  5. hello po, manganganak napo aku by thi november, self employed po aku sa new company but i started contributing phihealth since june 2011 up to april 2013 then na stop po by may and june then contributer ulit this july up to now po. can i avail the philhealth maternity benefit po?

    Reply
    • HI Nelvz, punta ka na lang to Philhealth to get your MDR and to ask them if you’re qualified, kasi meron silang ni-release na news release na puede na ang 3 months for eligibility for the informal sector. Hindi kasi nila sinabi sa news kung 3 months within the past 6 months or 3 months within the past 12 months at kung informal sector lahat na individual payors.

      Reply
  6. hello, I’m ann, i just started working this 1st week of september and I’m pregnant. my due date is on june 2014, i just registered this week for a philhealth membership, can i still avail philhealth maternity benefit? thanks

    Reply
      • hi gud pm may i ask kung pwede ko pangiavail ang maternity benifits? by april 1. 2014 is may due date june 23 last payment ko pwede ko pa ba ihabol yung months n di ko nbayaran july to oct. 2013 unemployed n ko nung aug. 14 2013 hindi nahulugan ng company ang philhealth ko ng july di ko na makontak yong dati kong work ..meron po ba kayo pwede maissuggest n paraan maavail ko….salamat

        Reply
        • Hi ana, puede mong bayaran ang Oct to Dec and Jan to Mar. Update mo ang registration mo and check Informal Sector para kahit kulang sa 9 months ang payments mo, puede kang ma-qualify. Pag informal sector, 3 months payment lang ang required. Pero kung paid mo ang Apr May June 2013, meron kang 9 months na payment, so eligible ka pa rin kahit hindi under Informal Sector.

          Reply
  7. hi tanong ko lang last year employed ako from july 2012 to dec 2012 , ngaun… hndi na ako nagwork hangang mabuntis ako ng march 2013 . so hinulugan ko nalang sya hangang sa due date ko . bali 1 year bnyran ko cash 1800 jan to dec 2013. tos nung tinanong ko sa lying in ang sabe nila hndi p daw sila nagmemeeting about s ganun proseso ? eh paano akla ko entitled na ako pag may hulog ako ng 9 months sa loob ng 12 months ko.? bkit ganun? private sila pero accreduted nmn sila . ang hindi ko maintindihan kung bakit hindi sknla pwede ang gnwa ko na hinulugan ko na nga yung 1 year ko gang manganak ako tpos tstsnong p dw nila kung pde ung gnwa ko? paano anong magandang sbhn sakinla pls response po

    Reply
    • Hi gerrica, you’re eligible, kasi you have paid at least 9 of the 12 months before delivery. Mag-file ka directly with Philhealth na lang. Ask claim forms plus waiver from lying-in at ikaw na lang ang mag-file.

      Reply
  8. im an OFW and 4 months pregnant.bale managnagnak po ako ng last week april or 1st week of may 2014. mag pa active po ako ng philhealth ko this week. pwede ko po bang bayaran whole year of 2013 and 2014? bale last vacation ko po ay nun march 19, 2013 with OEC.

    Reply
  9. hi po , nanganak po ang asawa ko nung dec.1,2013 , member po sya ng philhealth kaya lang hindi pa po sya nhulugan kasi ng.stop na sya mgtrabaho .. pwede pa po ba syang ihabol or pwede pa po bang maka.avail ng maternity benefits ung asawa ko??

    .tnx 🙂 godbless

    Reply
    • Hi jhoomar, kung hindi nabayaran ang Sep Oct Nov 2013, or 9 months within Dec 2012 to Nov 2013), sori hindi na mahabol. Dapat mauna ang payment bago ang panganganak. God bless din at magtanong din sa iba.

      Reply
  10. wat if po last hulog ko jan. 2013 due date ko na this jan. 2014 pwede ko b byaran straight ung dko nhulugan para mka avail ng benifits?

    Reply
    • Hi jola, update your member data to Individual Payor – Informal Sector then pay this Dec 2013 (hindi na puede sa Jan 2014) ang Oct to Dec 2013, so you will qualify.

      Reply
  11. Hi po…nun feb. 2012 hanggang dec. 2012 nahulugan philhealth ko. After nun hndi na po nasundan..dahil wala na ako work . Now im pregnant turning into 4 months…if maghuhulog po ko now sa mga hndi nahulugan nitong mga nakraang buwan..ma i aavail ko po ba ang maternity benifit?
    Salamat po sa magrereply….sana po mapayagan ako..kung hindi man po may iba pa po bang options.?

    Reply
    • Hi joy, update your member category to Individual Payor-Informal Sector, then pay Feb onwards. Pag Informal Sector, 3 contributions lang ang required.

      Reply
  12. hi poh gud day.. ngmit ko poh ung philhealth ko s 1st bby ko nung nanganak ako nung jan.2011.ang last contribution ko poh nung dec.2010.mula nun d n poh ko nkahulog kc d n ko nagwork.4months poh akobuntis at mnganganak poh ako s june.pde p poh b ko mghulog pra mgmit ko ulit s pnganganak ko o pde ko dn poh b mgmit ung s asawa ko sakaling pde nya ko mging dependent?? salamat poh..pls reply

    Reply
    • Hi amelia, ask na lang your husband to register you as his dependent. He brings your marriage cert to Philhealth to update his data. If he’s employed, 3 contributions paid within 6 months before your delivery lang ang kelangan.

      Reply
  13. Due date ko po sa February 10. Noon pong January 14, nagregister po ako at binayaran in advance yung premium jan-dec 2014. individually paying member po ang category ko. Magagamit ko po ba yung benefits o talagang after three months pa pwede?

    Reply
    • Hi Annabelle, ang alam ko magagamit mo kasi you paid 1 year in advance before your delivery. Sabihin mo ang category mo is Individual Payor-Informal Sector. Ask others too

      Reply
  14. Hi good day! Inquire lng po ako..due date ko by march 2014.. Kaso ung nhulugan ko palang po is from oct to dec 2013, then ngadvance pay po ako from jan to june 2014, entitled po ba ako for maternity benefits?if then kaya din po ba icover baby ko nung philhealth ko? Or pde ko po byran ung whole year 2014 pra mkpag avail ako? Appreciating your kind response..thank you

    Reply
  15. Hi..i am an ofw. I am 1 month pregnant.nagbayd ako kahapon march 10 sa poea, kasali ang philhealth which is march 10, 2014 to march 9, 2015.. Dito po ako manganganak sa pinas..am i eligible? Thank you

    Reply
  16. Good day po! Due date ko po is Apr23 2014, nkapghulog lang po ako ng Jan-Jun2013 kse employed ako. pwede ko po ba hulugan yun mga kulang ko pra maka avail ng benefits? Thank you po.

    Reply
    • Hi Frappe, eligible ka na kasi paid mo ang Jan Feb Mar; 3 months lang ang required for employed members (3 months within the 6-month period before delivery). Kahit individual payor-informal sector, 3 months din ang requirement.

      Reply
  17. Hi po good day.. September 2014 po due date ko. january to december 2014 binayaran ko na po.. makakaavail po kaya ako maternity benefit? Thanks po.

    Reply
  18. Frappe here again, hello po and thank you sa pag reply sa earlier query ko. Nagbayad na po ako ng 600php for Jan-Mar2014, magagamit ko na po ba sya sa Apr? Khet 3mos palang ako nakahulog? Salamat po in advance. God bless.

    Reply
  19. hi, nanganak po kc ako ng october 2013 pero before po employed po ako ng april to september 2012 nkkpag byad pa po ku sa philhealth nun then hindi po ku nkpag bayad ng october to march then ako na lng po yun nag hhulog sa philhealth ng april to october? pasok po ba yung philhealth ku kc yung ospital na pinag admitan ku binablik daw sa knila ng philhealth yung request nila.

    Reply
    • Hi Aprilyn, sad to say na that time in October 2013, ang requirement ay 9 months within 12 months before month of delivery. Dapat 9 months ang paid within Oct 2013 to Sep 2013. Apr 2013 to Sep 2013 ay 6 months lang. Ask others too.

      Reply
  20. hi po. individual payoing member po aq. nagamit ko yung philhealth ko last may 2012 nanganak aq. paid aq from whole year 2009-2012. ngaun buntis ulit aq 5 weeks. paano po aq makakaavail ulit ng maternity benefits kc nahinto ung bayad ko nung 2013 and present. sa dec 2014 po aq manganganak? pls…po… i’ll wait for your rply. tnx a lot.

    Reply
    • Hi amy, update your registration at Philhealth and pay Apr to Nov, or Apr to Jun muna, then be sure to pay the next months until Nov. 3 prior monthly payments na lang ang required, pero you pay early para sure.

      Reply
  21. ello po ask q lng po kng mkakakuha po ba aq ng reinbusement sa philhealth q?kz ng voluntary po aq last year nhulugan q po un oct-dec-2013 q then un jan-june-2014 nabyaran q na rn po…manganganak po aq ngaung may-2014 anytime…ang hindi q lng po maintindihan eh may cnsv po ang philhealth na dapat makabayad ka ng contribution atleast 9 mons bfore delivery…nbabasa q nmn dun sa ibang comment nyo na un mga informal sector pede na basta may 3 months na nhulugan…anu po ba tlga?at panu mo masasabi na maconsider ka as informal sector?tnx

    Reply
    • Hi lordlene, yes, you can avail. Kapag Voluntary or Individual Payor, payment of 3 months na lang ang requirement, lalo na kung maternity claim.

      Reply
  22. July 2 po ngayun july 20 po ko sched for cs ..may philhealth napo ako pero 2011 pa last hulog pwde pa po ba humabol if magpay ako sa 9-12months na kailangan to avail? mggmitko po kaya salmat pareply po pls

    Reply
    • Hi genevive, ask Philhealth about 1-year advance payment. There are news online that this is allowed, but ask Philhealth, to be sure.

      Reply
  23. Hi good afternoon po ,Im 7 months pregnant na po and my partner is an OFW pareho nmn po kmeng may philhealth kaya lng nung inupdate q ung akin e hnd nmn po pla nhulugan mga nakaraan qng company pwede nya po kaya aq ilagay sa list ng mga dependents nya khit hnd kme kasal?o pwede ko po ba iupdate and change ung status ko from employed into Individual then pay q ng 1 year? and one last question po,kc CS na aq sa 1st baby q pero hnd pa ako member bg philhealth that time,mggmit ko po ba ung philhealth q for maternity package if ever na mabayaran q ung 1 year khit na CS na ako sa 1st child ko coz of pre-eclampsia?

    Reply
  24. 2Yrs and 3months po akong employd ngresign akonung april , pero ung philhealth q hndi ko po nagmit s 2babies ko tpos pregnant po ako now ang last n hulog po nung employed aq e nung march, kso hndi ko n po sya nhulugn start april 2014 po kung huhulugn ko po yung april -oct. Maaavail ko po b yung philhealth ko…. thanks po kc duedte ko po is ngaun oct.

    Reply
  25. Hi im 7mos. Pregnant but i really had a rough pregnancy coz i was hospitalized on july bcoy of threatend abortion.after 1 month no contribution bcoz i was on sl for a month i got hospitalized again this sept.30. So my question is after being hospitalized twice this year before my due date dec.18, can i still avail my philhealth maternity coverage? Dec 2013- june. August – nov. 2014 is my cobtribution months.(11months total)

    Reply
    • Hi ice, did you use your Philhealth for those confinements? what did they write as your diagnosis? I think you can avail of your maternity benefit because maternity benefit is different from those diagnosis.

      Reply
  26. Hi. Im already 5 months pregnant and my due is feb next year. i registered this august and paid for 6 months (july- dec31). If i pay this january for 6 months in advance, can i avail of philhealth benefits for my delivery in feb? tnx

    Reply
    • Hi april, yes, you can avail of benefits in Feb, even if you pay only for Jan 2015. But of course, it’s better if you do what you planned, which is to pay for Jan to June 2015.

      Reply
  27. Hi. Im a graduating student and giving birth this nov.21. Can i apply for my philhealth by paying 9-12months before my due date? Can i avail?

    Reply
    • Hi Judith, sorry you’re late. You should have paid at least 3 of these 6 months (May to Oct). The payment deadline for these months has passed. But if you like, you can register and pay Oct to Dec 2014 (200 pesos x 3 months) so you and your baby have Philhealth coverage from Jan to Mar 2015. Ask others too

      Reply
  28. Hi, due date is jan 2015 and dependent of my husband. by oct 2014 he got re-employed, but his company did not pay for oct. to philhealth. Can we avail of the benefits?? Thanks

    Reply
    • Hi cooks, your husband should pay for Oct 2014 as individual payor so you can avail in Jan. And he makes sure his company pays for Nov and Dec. But you might have to pay for the whole quarter of Oct to Dec as individual payor so that they will accept your payment, as the payment deadline for Oct only has passed.

      Reply
        • Hi bhelle, go asap this December to Philhealth with your ID. Fill up member data form. Receive your MDR and Philhealth card. Then pay for Oct to Dec 2014 or Oct 2014 to Jan 2015 so you can avail.

          Reply
  29. Hello, can i avail of maternity benefits if i was not able to pay contributions last year(2014)? but i plan to pay in advance for this whole year of 2015. last week of march 2015 is my due date. confused about philhealth rules. thanks:)

    Reply
    • Hi jane, sorry you should have paid Oct to Dec 2014. Pay asap for Jan to Mar 2015 for future needs, or in case you give birth in April

      Reply
  30. Hai po. Mam bale employed po ako last 2014. Bale nabayaran po ung 5 months sa philhealth ko nun. tapos buntis po kasi ako ngayon. Sept po due ko. Nabayaran ko po ung July- Dec contribution ko. Makakaavail po ba ako?

    Reply
  31. Hi, I’m 2 months pregnant. I’ve been employed Jan to May 31, naghuhulog po yung company sa Phil health ko. I’m expecting to give birth on March 2017. How can I avail these maternity benefits? At kailangan ko padin ba maghulog sa Phil health ko? Thank you in advance. God bless!

    Reply
    • Hi Karen, yes, you need to pay for Jan to March 2017 in Jan, or para mas sure, pay for Oct to Dec in Oct and then for Jan to March 2017 in Jan. Pay at Philhealth so you can get your MDR. It’s better also for you to pay asap July to Sep, so you can start getting covered in Sep. God bless din. Ang eligibility rule kasi is payment of 3 of the 6 months prior to delivery (with delivery month included in the 6-month counting).

      Reply
  32. Hello po. Manganganak na po kasi ako ng december 27. Pero aang last na contribution ko po is nung january 2016. ang sbe skin is magbayad daw ako ng 2400 hanggang nextyear na daw po yun. Pero hindi ko po maintindihan kasi manganganak nako ng december december 2015-2016 na daw ung payment ko na 2400 magagamit ko ba un sa hospital pag nanganak ako??

    Reply
    • Hi Gly, pay asap this month for Oct to Dec 2016 sa Philhealth so you can get a new MDR. You can use this receipt in December. 3 months within the prior 5 months and current month na lang ngayon ang requirement. Doon mo na rin tanungin sa Philhealth kung magagamit mo na ang Philhealth sa December, para sure na sure ka. Puede rin namang bayaran mo na rin ang Oct to Sep 2017 (2400) para continuous na ang coverage mo, or Oct to March 2017 (1200).

      Reply
  33. gud day maam..tanong ko lang..dati employed ang father ko..tapos nag retire na cya due to disability..(dialysis)nuong 2016 pa..ngayo binayaran binayaran ko ang april to june 2017..kilan ko pa po ba magamit ang philheath nang papa ko..ang sabi kc pwd ko na magamit nang june 1..pro mag end din ba nang june 30 ang binayaran nmin?..o hangang sept. na yan??..gusto ko lng po maliwanagan..salamat..

    Reply
    • Hi jeff, yong April to June ay puedeng gamitin from June to Sep. Dapat younger than 21 ka as dependent at dapat nakasulat ka as dependent sa MDR. If not yet in the MDR, ask your father to authorize you to update his Philhealth data. Bring his ID, your ID and your birth cert (orig and xerox)

      Reply
  34. Hi May Tanong lang po ako. Last na hulog po ng philhealth ko is Oct.2016 dahil na awol po ako sa agency. Mangangnak po ko ngaun june 2017 magkano pa po ang kailangan kong bayaran para magamit ko ung philhealth ko. Thanks po

    Reply
  35. Good day po. Ask ko lang po kung pwede po bang bayaran ng isang boung taon ang premium? Nasa abroad po kasi yung member. Pinapatong nya lang po. Babayaran nya yung Jan.-Dec. 2018. Pwede po ba yun? Thanks po. God bless!

    Reply
    • Hi Dennis, yes, dapat one year ang babayaran ng OFW, pero ang date will be date of payment to one year after. Halimbawa, magbabayad siya ngayong April 3. Ang date ng receipt will be April 3, 2018 to April 3, 2019. Puede niyang gamitin ang Philhealth within April 3, 2018 to April 3, 2019. Kapag dito sa Philippines ang payment, present proof that the member is OFW, and pay at Philhealth.

      Reply
  36. Hi,just want to ask,i’m 7 months pregnant,oct 10 po expected delivery ko,pwede pa po ba ako magbayad para ma qualify sa maternity benefits? Anong month ang pwede ko pong bayaran?

    Reply
    • Hi Jhen, yes, pero under the Women about to give birth program na. Pay for one year (2,400 pesos). Before paying, pumunta ka muna sa clinic o hospital where you will deliver at tanungin mo kung puede yong magbayad ka ng one year para maka-avail ka ng Philhealth, para ma-sure mo na alam nila itong program na ito.

      Reply

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