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

24 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.

    2. Hi po april po ko manganganak voluntary member po ako nag bayad ako knina lng from jan 2019 to jan 2020 quilified po ba ko sa maternity package? Tnx in advance

      1. Hi Anna, dahil sa maternity ang case mo, puede ka, pero under the Women About to give birth program. Pumunta ka sa hospital o clinic kung saan ka manganganak at tanungin mo kung meron bang dapat ka pang gawin kasi mag-a-avail ka ng Women about to give birth program.

  2. Hi! I’m a new member of Philhealth and I started to pay for the 2nd quarter this year. Yung pang 3rd quarter ko ay babayaran ko pa lang this week. I am also about to give birth this September. Am I eligible to avail of the maternity benefit package? Or yung women about to give birth program na ang applied sakin? Another question is, if hindi ako eligible for both of the said program, can i still use my philhealth if 6 mos na ko nkapagbayad or 2 quarters. Sorry it’s a bit confusing for me kasi, hehe, wether the maternity benefit package is different dun sa normal na covered ng Philhealth upon hospitalization or same lang sila. Thank you so much!

    1. Hi Gel, the same lang yong benefit package. Ang maiiba lang is kung paano ka ma-eligible. Kung September ka manganak, puede pa yong payment of 3 months within the past 6 months. Sa October 1 pa mag-start yong payment of 9 months within the past 12 months. So eligible ka kasi paid mo ang 2nd quarter at 3rd quarter.

  3. hello po, gusto ko lang po malaman im individually philhealth member at updated po ang bayad ko ng philhealth until november mag give birth po ako sa anak ko sa november covered po ba ito ng philhealh

    1. Hi mica, yes, maka-avail ka kasi updated ka. Prepare your premium payment receipt from March to November or Feb to October, or any payment of 9 months within the past 12 months.

  4. Hello po, ask ko lng na stop po kc ako sa pag pay ng philhealth from june until now pwd ko pa po bang mabayaran yun kasabay na rin po ng pag change status ko ? Manganganak po kc ako sa april kaya need ko pong maasikaso kaagad

    1. Hi Jessica, this September, puede mo pang bayaran ang July Aug Sep (one quarter). Hindi na tatanggapin ang June payment. Pay Oct to April 2019 on time para magamit mo ang Philhealth in April.

  5. Hello po, Gusto ko lang po iclarrify kung magagamit ko po ba ung philhealth ko kasi New Member lang po ako sa Philhealth (Self Employed) this March at Kabuwanan ko po this October, April na po ako nakahulog Sa philhealth at nahulogan ko na po until December.. Magagamit ko po ba ung Philhealth ko?? May Additional Charges po kaya ako na babayaran ?? O Macocovered po siya ng Philhealth ko.. please answer po

    1. Hi Winniei, mas sure kung tatanungin mo yong hospital where you will give birth para malaman mo kung gagamitin mo ang Women about to give birth program or yong new-member policy. Ang new member kasi ay bibigyan ng chance para makaipon ng 9 monthly payments, pero hindi ko sure kung alam ng hospital mo ang policy na yan, so it’s better na magtanong ka sa hospital kung anong mabuti na option.

  6. Pag nag bayd po b ko ngaun nang isang taon sa philhealt maggamit kopo ba ito oh hin by november po ang anak ko

    1. Hi Devilyn, yes, pero pumunta ka muna sa hospital o clinic kung saan ka manganganak para ma-advise ka nila kung kelan ka magbabayad ng Philhealth under Women About to give birth program.

  7. Maria Christina A. Naron

    Hello po.. Ask lng aq dependent po aq ng husband q ofw and im preg. And about to gave birth by Jan. 2018! Mkakavail po ba aq ung normal na benefits or dto na po aq mkakapasok sa woman abt to give birth program? Kc sb dw 9/12 ndw philhealth ngaun kya worry aq ngbayad kasi asawa ko from june 2018 to june 2019! Mkakaavail po ba aq? Thank you.

    1. Hi Maria, makaka-avail ka kasi ang Jan 2019 ay nasa loob ng June 2018 to June 2019 na validity dates ng Philhealth ng husband mo. Iba ang requirement sa OFW — kelangan ang date of confinement ay within the validity dates. Prepare your MDR (dapat nakasulat ka as dependent ng husband mo). Yong Claim form 1, puedeng ikaw na ang mag-sign kasi wife ka ng philhealth member.

  8. Hi. If magpamember ba ako ngayon then magbayad for quarterly (oct-dec) then hanggang june. Pwede ko ba magamit yung philhealth ko ng June? Due date ko po is last week of june. Thank you.

    1. Hi Zali, yes, tama ka. So register now and pay, asap this month, so you will qualify in June, and so you don’t need to use the Women about to give birth program.

      1. Hi. Nag ask din kasi ako sa nurse sa clinic. And she recommend na sa january nalang ako magpay for 1 year. Can I still use my philhealth? Thank you.

        1. Charris Ann Barrion

          Hi. Makakaavail kaya ako ng philhealth maternity benefits if magbayad ako ng 2400(1year) kahit ung last dec 2018 ko po ay walang hulog? Nagresign ako sa work ko last nov. 2018 then nalaman ko na pregnant ako this january so wala po akong hulog ng dec. Mkkaavail po ba ako pag nagbayad ako ng 2400? Please badly need po ng answer. Sana po masagot! Anyway august po ako manganganak. Thankyou! Hoping for your reply.

          1. Hi Charris, magkukulang ang Jan to Aug 2019 na payment (8 months lang). Magtanong ka sa hospital kung saan ka manganganak kung puede kang mag-avail ng Women about to give birth at kung kelan ka magbabayad ng 1 year.

  9. Hi! Here’s my info:

    – Philhealth member since March 2012 – March 2017 (5yrs)
    – Unemployed April 2017 – Dec 2017
    – Resumed work last January 2018 up until now March 2019.
    – Starting from December 2018 until July 2019 I will be on bed rest na until manganak(July 2019) kasi delikado pregnancy ko.
    – Still employed with the company but on LOA.
    – Checked my payslip and I still got SSS and Philhealth deductions until Feb 2019.

    So here’s my question.
    I won’t receive any compensation from March 2019 until I resume to work. So based from the 9/12 rule by Philhealth, from the time of confinement within 12 months, I need at least 9 months contribution to be eligible for their birth program. Am I right? In my case, I already payed August 2018-Feb 2018 (6 months contribution). So do I need to pay them voluntarily, March 2019 – May 2019 (3 months contribution) to qualify the program?

    Thank you for your response.

    1. Hi Hazek, yes, you’re right, have someone pay at Philhealth office the months of March to May 2019 as Voluntary. Your representative should bring a copy of your approved leave form and your ID, and to be sure, write a letter at the back of your leave form asking Philhealth to let you pay as Voluntary from March to May 2019 as you are on leave.

  10. Hi again. Itatanong ko lang sana kung anong mga requirements pag pumunta ng philhealth para makapagpaupdate/makaavail ng women about to give birth bukod po sa ultrasound. Ilang valid id po ang kailangan? Salamat. And pano po kaya ako makakaavail ng sure ng maternity benefits ng philhealth.

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