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.
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.