Philhealth Maternity Coverage for Women About to Give Birth

If you are pregnant or malapit ka nang manganak, pero hindi ka pa qualified to avail of Philhealth maternity benefit, kasi late ka na sa pagbayad at lagpas ka na sa payment deadline, puede ka pang maka-avail of Philhealth maternity coverage under the Women About to Give Birth Program.

pregnant-woman-belly

Ang gawin mo lang is to pay your Philhealth contributions for one year (2,400 pesos).
Pero bago ka magbayad, punta ka muna sa lying-in clinic or hospital where you will give birth and ask if you can avail of the Women About to Give Birth program. Ito ay para sure na alam nila itong program at para maka-avail ka ng Philhealth.

 

Pre-natal checkups

Required din na magpa-prenatal check-up ka sa clinic o hospital kung saan ka manganganak at kung saan mo gagamitin ang Women About to Give Birth program.

At least 4 prenatal checkups nga yong nakasulat sa Philhealth Circular, pero itong count na ito ay flexible naman, depende sa kung ilang buwan nang pregnant ang member.

One Time Only

Itong program na ito ay isang beses mo lang magamit. Kapag nagamit mo na, hindi mo na uli puedeng magamit sa susunod mong panganganak.
Ang kelangan ay sundin mo na yong mga payment deadlines ng Philhealth.

 

Maglagay ka ng reminder sa wallet mo o sa bahay mo na kelangan mong magbayad ng Philhealth sa month o quarter after your one-year payment. Ito ay para lagi kang eligible for Philhealth benefit coverage.

For monthly payments (200 pesos per month):

Ang deadline is the last day of the month.

For quartertly payments (600 pesos per month):

Ang deadline is the last day of the quarter.

Make sure na kapag Saturday, Sunday o holiday ang last day of the month, makakapunta ka pa sa open na payment center katulad ng Bayad Center or SM Business Center.

Nine Monthly Payments na ang Requirement for Philhealth eligibility

Starting October 1, nine monthly payments na ang required para maka-avail ng Philhealth maternity coverage or other Philhealth benefits.

Philhealth maternity coverage amounts

Normal delivery:

5,000 pesos kapag manganak sa hospital (3,000 for hospital, 2,000 for doctor)

6,500 pesos kapag manganak sa lying-in or matenity clinic

Normal delivery with bilateral tubal ligation:

5,000 pesos for normal delivery

4,000 pesos for ligation

Cesarean Section (CS) Delivery at a Hospital

19,000 pesos (11,400 for hospital, 7,600 for doctor)

Vaginal Delivery at a Hospital

Complicated Vaginal Delivery — 9,700 pesos
Breech Extraction — 12,120 pesos
Vaginal Delivery after Previous Cesarean Section — 12,120 pesos

Pre-natal checkup benefit

1,500 pesos

Kelangang nagpapa-checkup ka sa lying-in clinic kung saan ka manganganak. Tanungin mo kung ano ang requirements ng clinic para maka-avail ng pre-natal benefit. Keep your receipts and submit them during admission.

Kapag sa hospital ka manganganak, submit prenatal receipts of at least 1,500 pesos during admission. Valid ang mga receipts na kahit hindi sa hospital mo nagamit o nabayaran.

Newborn screening benefit

Philhealth Circular No. 025 s2015, titled Social Health Insurance Coverage and Benefit for Women About to Give Birth Revision 1

Updated: July 28, 2018 — 7:55 pm

2 Comments

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  1. Hi po, ang new born screening po ba ai pwede parin pong maavail if i choose to give birth sa lying in?

    1. Hi Mariel, yes, pero merong mga lying-in na hindi complete ang newborn screening equipment so hindi ka maka-avail. Tanungin mo na lang yong lying-in.

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