Updated June 2, 2016
I’m an OFW wife. What should I do to avail of Philhealth maternity benefits?
Ask your husband to send you the following:
1. Clear copy of his OEC Official Receipt that shows his Philhealth premium payment
This will be your receipt of your Philhealth premium payments
2. Authorization letter authorizing you to request, sign, or process all documents related to your claim for Philhealth maternity benefits
You will use this authorization letter when transacting with Philhealth and with the hospital.
3. Clear copy of his ID or passport
Next, go to the nearest Philhealth branch or desk office at a Robinsons mall or SM Mall with a Philhealth office and request your husband’s MDR (Member Data Record). Ask also if your husband’s Philhealth card or ID isf already available.
If you were not yet registered as dependent of your husband, bring your marriage certificate (original and xerox) and valid ID, and fill up PMRF — PHILHEALTH MEMBER REGISTRATION FORM . Check FOR UPDATING in the form.
These are the documents that you will present to the hospital before discharge:
1. Philhealth Claim Form 1 (2 claim forms — one for maternity benefit and one for newborn care)
You sign the forms in behalf of your husband.
2. Your husband’s MDR (Your name should be written as dependent)
3. Receipt of your husband’s Philhealth premium payments (original and xerox)
The validity dates in the receipt should cover your delivery date .
There are hospitals that might require these:
— Your husband’s Philhealth ID (If none, copy of his valid ID)
— Your valid ID
— Your marriage certificate (original and xerox)
My husband was not able to pay his Philhealth premiums for the current year, what should I do?
Ask your husband to send you proof of his being a current OFW. Copy of his work visa, copy of his foreign ID, or copy of his job contract, or any other proof that he is working abroad.
Then go to Philhealth with your husband’s proof of being OFW, your own ID, marriage certificate and authorization letter and pay your husband’s Philhealth premiums for one year. One year’s total premium is 2,400 pesos.
What other important information should I know?
Remember that Philhealth’s coverage is FIXED, whether you give birth at a big hospital which charges 200,000 pesos, or at a small hospital that charges 30,000 pesos for the same procedure.
Ask your OB-gyne and hospital if they are Philhealth-accredited. Ask the OB if she/he is offering a Philhealth package, and how much.
Remember that Philhealth’s coverage for normal delivery at a hospital is only 5,000 pesos — 3,000 for the hospital and 2,000 for the doctor.
Philhealth’s coverage for normal delivery at a lying-in or maternity clinic is only 6,500 pesos. You need to have prenatal check-ups at the lying-in or clinic to avail of Philhealth there.
Philhealth’s coverage for CS is only 19,000 pesos — 11,400 for the hospital and 7,600 for the doctor.
What is prenatal care benefit?
This benefit is worth up to 1,500 pesos. Philhealth will send the check to you by postal mail if you submit Official Receipts (in your name) of prenatal care expenses worth at least 1,500 pesos. Attach these to the Philhealth papers that you submit to the hospital or clinic.
This is offered only for normal deliveries.
What is newborn care benefit?
This benefit is up to 1,750. It covers newborn care procedures performed by a Philhealth-accredited pediatrician.
my i ask pede ko po ba maavail ung philhealth benefits ko kasi never ko pa po nagamit nagstart po ako mghulog 2010 pero yung huling hulog ko po e yung ngtrabaho ako last DEC.2012 – MAY 2013 ngaun po last JUNE2013 nlaman ko po na buntis ako JAN.2014 po yung due date ko maavail ko po ba sya? kung hindi pnu ko po sya maavail bago ako manganak?
Hi Manilyn, go to Philhealth and ask if you can pay 1 year in advance as Informal Sector member so you can avail of your benefit in Jan 2014.
January 3,204 at12;30 am
member po ang asawa ko since oct.2009 up to presents.Katunayan po kaaalis nya lang po last oct.9,2013.May pagasa po ba akong makaavail ng maternity benefits ng philhealth..Ano po bang maaring gawin para po maavail ang maternity philhealth sa ngalan po na ako ang kanyang dependents…Pls Reply..Thanks
Hi Perlita, if your husband passed through POEA, he paid his Philhealth for 1 year (Oct 2013 to Oct 2014). Ask for a copy of his OEC and copy of his ID so you can ask for your husband’s MDR from Philhealth. Your delivery date should be within Oct 2013 to Oct 2014 para eligible ka.
gud pm. ask ko lng po. kc ofw ako at dto ko brunei ngaun. confine baby ko last sunday ano ano kylngan requirements s osptal pra mcovered sya ng philhealth ko. nka declare cya as my dependent s mdr ko. hndi kmi ksal ng father at pde po bang ung tatay ng anak ko kmuha ng copy ng mdr ko s opisina ng phil health? pti list ng contribution ko.? tnx po I hope I can have ur immidiate reply.tnx
Hi evangeline, yes, your child’s father can process your Philhealth papers. Email him an authorization letter so he can print it. Baka puede mo ring picturan ang ID mo kung walang scanner diyan. He also brings his ID.
Ask ko lng po, ang 875 at 200 monthly contribution ay pareho lang ang naaavail sa hospitalization?
Hi Jennifer, yes, pareho lang. All member categories, including dependents, get the same coverage for the same sickness or medical procedure.
good daypo OFW po husband ko kaalis lng ny last March 22,nung ngbalik mangga2wa po cy d pinbayad ang OFW Premium membership nya for 1year kc po hnggang April24,2014 p rw po ang validity.ngayon po April 24 kelangan ko po b bayran ito ng sakto date?ksi po s ktapusan p pdala ng aswa ko,pwd po b dun ko n byran?wl po b mging problema o gap kung sakali dko mbayran ng saktong April 24?slamat po sn msagot nyo po ang katanungan kong ito…MORE POWER po…
Hi lalaine, walang problem kahit merong gap basta hindi gagamitin ang Philhealth sa dates na wala sa validity date. Pag hindi pa siya paid, you can pay starting today, May 1 2014 to May 1 2015.
gud day po.. nsa kuwait po ang husband ko pero bgo cia umalis nung feb.2014 hinulugan po ng agency nia ang philhealth nia hnggng 2015 tpos now po pnu ko magagamit philhealth nia kng kailngan n merun ako ng latest reciept nia eh nadala nia po kc lhat sa kuwait.. hope po ma2lungan nio ko.. salamat
Hi analyn, ask your husband to scan his receipt and email it to you. Get his MDR from Philhealth. Bring your marriage cert. and ID
Both po kami ng husband ko na may philhealth. Gusto ko lang po malaman kung magagamit ko din po ba yung philhealth ng husband ko once madeliver ko na ang twin babies ko? Seaman po husband ko at employed naman po ako.
Hi Anna, you can use your Philhealth or his Philhealth, whichever is convenient for you.
hi po ask ko lng po. ano po puede ko gawin ..para ma avail ko po yung philhealth ko .mag work po ako nung nov.2013 to april 2014 . mangangak po yung asawa ko ko ng jun. pano po pag hindi na ko nag wwork .5 months lng po ako nka hulog sa philhealth kailangan ko po ba mag voluntary contributions para mgamit ko philhealth ko ..
Hi vin, yes, pay May or May and June as Individual Payor. Ask for cert of premium payment (Jan or Feb to Apr 2014) from your former employer so you can accumulate at least 3 payments within the 6 months prior to giving birth.
good day po nagfile po ako ng reimbursement para marefund po yung ginastos namin nung nanganak po ako nung may 23 2014 ko po naifile seven months po ba talaga yun bago ma refund
Hi carmely, sad to say, processing still takes a long time. You can follow up at the branch where you filed
Hi, qualified po ba sa maternity benefits ang dependents namin if under age pa sila like 16yrs old? employed member po ako
Hi charmaine, yes, they’re qualified as your dependents. But young single mothers are advised to be members so that their babies will be covered as their dependents in case the babies need additional medical care.
hi, as advised ng maternity lying in clinic (philhealth accredited) hindi daw qualified gamitin ng dependent ko ang philhealth ko kasi she’s 16yrs old, dapat daw 19 sya…do we have a particular mandate like that? please advise po
Hi Charmaine, my sis is 16 years old and will give birth next year. Can she use my father’s Philhealth? The father of her child is also underage. Can sss be used?
Hi Joy Ann, yes, your sis can use your father’s Philhealth, as she is less than 21 and unmarried. Your father should check his MDR to see if your sis is written as one of his dependents. SSS cannot be used because your sis is not an SSS member.
ppwede po bang maka avail ako.I expecting to give birth december I started February 2014… at paano?
Hi Maricris, yes, you can avail. Submit Philhealth papers upon admission: MDR from Philhealth, premium receipts, claim form 1 from hospital. Bring your ID
Good Pm po Mam Nora, ask ko lang po kung may makukuha po ba ako maternity sa sss, lastyear 2013 yung AUGUST lang po ang di nahulugan ng employer ko, bale 11months po may hulog ako, then Jan-feb2014 may hulog po ako, so 13months po ang hulog ko sa sss. tapos nag resign n po ako sa work ko nung feb this year kya nag stop n yung hulog, im 5months pregnant po, sa october po ako manganganak. I need your help po. Salamat po… 🙂 Godbless
Hi Erica, yes, you can avail. File your MAT1 asap with ultrasound report and SSS ID or 2 IDs. Register at sss.gov.ph so you can track your data. You can use your former employer’s SSS no. (just for registration). You can read some info in our other blog: http://sssphilippinesnotes.blogspot.com/2013/04/sss-maternity-benefit-claim.html
Hi,manganganak na po kasi ako ngaung august 2014,itatanong ko lng po kung pwedeng gamitin ang philhealth ng asawa ko khit wala sya dito sa pilipinas kc umalis sya papuntng dubai nung june 4,2014..at kung anu po ang kailangan para magamit ko ung philhealth nya,tnx
Hi keiko, ask your husband to email you a copy of his OEC with Philhealth payment receipt and a letter authorizing you to process/undertake all his Philhealth documents and transactions. Update his data (bring your marriage cert) so you’re written in the MDR as his dependent. Docs: MDR, premium receipt, claim form 1, marriage cert and your ID
hi, where do I get an authorization letter? Do I make it to send to my wife? asap thanks
Hi richard, yes, you write it yourself. Something like “I authorize my wife ___ to process all my Philhealth documents, including signing papers on my behalf.”
Hi po, aside from the hospital bill, can we get some assistance from owwa?
Hi Mary ann, OWWA does not offer hospitalization assistance. It only offers disability, death, funeral, scholarship, reintegration and training assistance.