Update: New policy on Benefit Eligibility starting October 1, 2018
The time you discover that you have a growing human inside your belly is a magical moment! But before you get too pumped up with decorating the nursery or thinking of baby names, let’s dive into the practical side of having a baby – expenses, expenses, and more expenses!
If you don’t know it yet, let me tell you that it’s expensive to be pregnant and to give birth. The minimum cost is P5,000 if you give birth in a small birthing clinic or a charity ward. But, if you prefer a private hospital, chances are your bill will amount to at least P100,000. Caesarian delivery costs even more – believe me, I’ve been on the receiving end of a CS delivery bill.
I don’t mean to scare you! I just want to point out the importance of being financially prepared before your little bundle of joy arrives.
You can lessen your maternity costs by knowing the benefits you’re entitled to, namely Philhealth and SSS Maternity Benefits. (I’ve published a separate post on How You Can Qualify For SSS Maternity Benefit)
Here’s the lowdown on the Philhealth Maternity Coverage that every expectant Filipino mother should know:
1. You should be a Philhealth member to avail of the Maternity Benefits
If you’re pregnant but not a Philhealth member yet, I suggest you register now! You may do so through their electronic registration via My Philhealth Portal or by personally filing an application in one of the Philhealth branches both locally and abroad.
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2. Timely payment of monthly contributions
Just because you’re a Philhealth member doesn’t mean you automatically qualify for maternity benefit. Your contributions should be updated to meet the minimum requirements.
Employed, self-employed, or voluntary members are required to pay at least 9 months worth of contributions in the 12 months before delivery date including the confinement month.
Note: Payments made during your confinement at the hospital are not considered as valid payment for the purpose of this claim.
You may check your payments online through their Member’s Inquiry Portal.
3. What are the Philhealth Maternity Benefits?
Pregnant? Yes!
Already a Philhealth member? Yes!
Are your contributions up-to-date? Yes!
Then, congratulations! You are now qualified to avail of the Philhealth Maternity Benefit Packages, as follows:
a. Maternity Care Package (MCP)
The MCP covers health care services during pregnancy, labor, childbirth, and even follow-up visits. The coverage is P8,000 if you give birth in a small non-hospital facility like a lying-in clinic or maternity clinic. However, if you give birth in a hospital, your MCP package is P6,500.
b. Normal Spontaneous Delivery (NSD)
This package covers normal low-risk vaginal deliveries and follow-up visits. The coverage is P6,500 if you give birth in a non-hospital facility like lying-in clinics or maternity clinics. Should you give birth at a hospital, the coverage is P5,000.
c. Other Deliveries Covered by Philhealth
Philhealth maternity benefit also covers mothers who give birth via Caesarian section (P19,000), complicated vaginal delivery (P9,700), Vaginal Delivery After C-section (P12,120), and breech extraction (P12,120).
d. Newborn Care Package (NCP)
The NCP ensures that newborns have access to healthcare services in the first hours of life. This package amounting to P1,750 covers newborn screening test, newborn hearing test, and other essential newborn care services.
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4. How to file your Philhealth Maternity Claims
Be sure to prepare the following documents for an expeditious processing of your Philhealth maternity claims:
- Updated Member Date Record (MDR)
- Completely filled out Philhealth Claim Form
- Photocopy of valid ID
- Supporting documents like marriage certificate
- Official Receipts of your Philhealth contributions
Should you have further questions, you may contact Philhealth directly at (02) 441-7442 or send them an email at actioncenter@philhealth.gov.ph. You may also send them a message on their Official Facebook Account.
You may also contact me through my Facebook Page or Instagram Account.
It’s best to settle your SSS and Philhealth requirements early, mommies – for a carefree and enjoyable pregnancy. Cherish those kicks and may we all have a safe delivery! God bless!
Can I use my husband’s philhealth card instead?
Hi Jennylord,
Yes! If you’re married, you automatically become your husband’s dependent. But, I suggest you check your husband’s records if it has already been updated (to married status and you as his spouse).
Good day ! 8 months pregnant na po ako, And my EDD is Aug 30 kung maghuhulog po ako this month ng 9 months (1800) para maavail ko po ung philhealth ko ! Makakaavail pa po ba ako ! Thanks po sa pag response
Hi po mam, tanong ko lang po kung qualified ako mag avail ng philhealth benefit, matagal na po yung last contribution ko sa philhealth nung nag work pa ako 2008, 2009-2018 unemployed po ako, balak ko po mag voluntary member pra sana magamit yung philhealth maternity benefit aabot po kaya ako, due date ko na po dec 2018, etong aug. 2018 ko plang itutuloy hulog ma avail ko p po yung philhealth benefit? If ever po yung philhealth maternity benefit yun po ba yung idededuct sa hospital sa bill? Or ma claim po after manganak? Thank you po in advance
Hi mommy krystal. I’m 4months pregnant. Ask lang po sana kasi I still dont get it, lahat po ba ng packages ng philhealth maternity benefits ay magagamit mo once na qualified ka. Sa lying in clinic ko po kasi planong manganak and everytime po nagpapacheck up ako nagbabayad ako ng P100. Pano po ba makakatulong yung philhealth sakin? Thank you
Hi,
Just want to confirm, if I gave birth via CS, should I be getting all 3 benefits A,C and D?
Also, how soon should I submit the requirements to Philhealth? Should I submit it by myself or should my employer do it for me like SSS?
Thanks, 🙂
Hello, So for Cesarian it’s really 19K plus the 1750 for newborn or that would depend on the total bill and the hospital? Is the 1750 processed along with the maternity package or you have to file that separately? Thanks much for your input.
can i have my refund even if my baby is late register she don’t have yet her birth certificate until now..my philhealth have completely contribution but i can’t avail
Hi Hazel. Can you be more specific? Wala pang birth certificate si baby? Pero nakapagclaim kayo ng philhealth benefit before kayo lumabas sa hospital?
Can i ask if its ok if my wife will gave birth thos october 2018 but shes last payment is july 2018. But she get started monthly payment on philhealth last july 2016. Is tbis can consider ? Can you hrlp me please?
Dec 22 ang due date ko and quarterly naghuhulog yung company namin so hanggang August lang ung posted na contri ko though tuloy tuloy naman sya. Paano kaya un? Baka sa January pa ung next update ng contributions namin baka hnd ko ma avail 🙁
Hi Kim. You don’t have to worry kasi for you to qualify for maternity benefit, kailangan lang makabayad ka ng at least 3 monthly contributions from July 2017 to June 2018. Go ahead and file for maternity notification na, mamsh!
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hi may tanong po ako magkano lang ang mabayad sa philhealt pag ceasarian case
Hi Danilo. In my case, my bill was deducted by 19,000 because of C-section. 😀
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Hi my sister in law gave birth November 4, 2018 via CS delivery. The hospital staff require us to have at least 9 mons contributions. We present the certification from my sister in law’s company. Indicated in the certification that from Dec 2017 – July 2018 only 8 mons contribution was posted. Based on your blog indicates 3-6 mos contribution before delivery date will qualify for the benefit, but the staff requires to pay at least Aug 2018 – Sept 2018 for her to qualify in the philhealth benefits. Does we need to pay for the month of Aug-Sept or we need to clarify for 3-6 mons contribution? Hoping for your immediate response. Thank you.
Hi Lyn, I published my post on Philhealth maternity benefit last May 2018. Per confirmation, a new policy on eligibility was passed starting October 1, 2018 saying “a member should have paid at least nine (9) months’ worth of premiums in the twelve (12) months preceding the confinements including the confinement month of the patient.” So sorry I wasn’t able to update my post on time.
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ask ko lang po if may makukuha po ba kaming cash dito or ung ospital na mismo ang bahala sa mga gastusin pag nilakad na namin ung phil health po ng nanganak? slmat po..
Paano po kung di pa kasal? Can I still avail the benefits?
Yung OR po, yung company ko po nagbabayad ng monthly contribution. So payslip ko po yung OR dito?
Thanks.
Will I get the same maternity benefit if I will use the philhealth of my husband? Or is it less than the amount if you are just a dependent? Thank you.
i delivered via cs last january 18 2018…nung mag inquire kme s philhealth nbyran n daw nila ang refund namin thru auto debit,pero reply ng hospital wla p cla ntatanggap n byad ng philhealth,mlpit n mag 10 mos wla p rin ang refund namin
Hi Maricel. Sorry, I can’t help you mamsh. I suggest you get in touch with Philhealth as well as the hospital to clear things out. I am not in any way associated with Philhealth kasi. I only published this to inform mommies-to-be that there is a maternity benefit they can avail of. Update mo ko, mamsh. 😀
Hi Lucy. If you have no valid ID with your married name yet, you may present your current ID (with maiden name). Just bring your marriage certificate, old passport, and birth certificate. 😀
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naku d kasi continous ung philhealth ko and due date q is april 1 last sept. 2017 pa ang payment ko di ko n ba maavail un 🙁
Hi Star, last October 2018 may new regulation si Philhealth na at least 9 months contribution before confinement. I suggest you get in touch with Philhealth directly para macheck ung account mo or baka pwede ka pa magbayad for the previous quarter.
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hi mamsh! ask ko lang po kasi due date ko is by january 8 2019..but possible manganak din by decemeber 2018..I have contribution last Jan. 2018 pa and recent is for oct, nov and dec2018. eligible po kaya ako for the maternity benefit? ano po ba irerequire for maternity notification? ang gulo po kasi nung nakausap ko sa branch dito samin..
Hi Kym. If manganganak ka sa January, you’re required to have paid at least 3 monthly contributions from October 2017 to September 2018. So, paid ba yung October 2017 to January 2018 mo, mamsh? Because if yes, qualified ka for maternity benefit. Regarding naman sa maternity notification, you just need to present your proof of pregnancy (ultrasound result) and a valid ID. They will be the one to provide the MAT1 form. 😀
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Manganganak nako ako this December. Pwede pa po ba ihabol un ? Ndi po kami kasal kaya ung Phil health kopo magagamit q.
Hi Jobelle, you need to have updated premium payments. Also, hihingin nila yung official receipt ng payments mo. Let me know kung anong months ka nakapagbayad sa Philhealth, mamsh. 😀
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Ano mga requirements kapag ndi kasal ?
Hi po. Manganganak na po ako this December. Nakapunta na po ako sa SSS branch na notify na sila about sa pregnancy ko po. May hinihingi lng po sila na 3 requirements galing sa dati kong agency. So COE nlng po ang kulang ko. Pwede kopo kaya ihabol un kahit nanganak na po ako ???
Hi Jobelle, yes you may submit that kapag magffile ka na ng reimbursement. 😀
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This year po hanggang April po ung hulog nung sa agency ko . So may to dec ang binayaran ko 1600 po ang binayad kopo. Binigyan po ako ng MDR tska receipt po. Yun daw po ipapakita sa clinic para mabawasan ung babayaran po namin.??
Hi madam.. I resigned last june 2018 and i will give birth this dec. 2018, pwd ko pa b magamit ung phil.health ko? Updated naman hulog ng company ko nung employed pa ko, almost 4years ako sknla..
Hello mommy krystal tanong ko lang po, ofw ako hinulugan ko ngaun december 2018 to december 2019 ang delivery date ko is on June noon 2019 maka avail po ba ako ng maternity? Thanks and Godbless.
Hi there momsh!
Regarding this: “a member should have paid at least nine (9) months’ worth of premiums in the twelve (12) months preceding the confinements including the confinement month of the patient.
So Im giving birth on Either last week of may 2019 or 1st week of June 2019.
Yesterday I updated my quarterly contribution sa Philhealth. I am paid from Oct 2018 until June 2019.
So does this mean I am covered and marerecieve ko na ang philhealth benefits on June pag nanganak nako?
Thanks
Hi pwede po magtanong? Paano pag preterm labor at 31weeks po. Magkano po ba macocover ng philhealth? Tsaka nasa nicu po yung baby.
hello…my due is on january 2019.. and ang contribution ng husband ko is from january 2017 – sept 2018..
ok lng kya n ndi ko na hulugan ang month ng oct-dec 2018 since nhulugan nman nmin ang philhealth ng asawa ko within the 12 month period bago ako manganak???i hope you can reply soon..thank you!!
hello po need po ba na 2400 ang bayaran kung ang expected due date ko ay ngayong january ? naghulog po ako ng 600 good for 3months last december 2018 then pinapabalik po ng january para sa susunod na hulog , 2400 daw po ang kylangan ko byaran . hindi po ba pwedeng half year or 9months nalang yung hulugan ko this january ?
Hi Shiera, 2019 na kasi e. Ganun ang policy nila. Ang mangyayari is payment yung 2400 for the whole year of 2019.
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Hi mommy, kung manganganak ako sa September dapat ba ang hulog ko is mula December 2018 or January 2019 to Sepetember 2019? Wala pa kasi akong hulog kahapon ko lang nalaman na buntis ako. Thank you!
Hi Mamsh. If Sept 2019 ang due date mo, dapat nakapagbayan ka ng 3 months from April 2018 to March 2019. So, pwede ka pang magbayad for Jan to Mar 2019. 😀
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Hello po,,, Feb. 16,2019 po yung due ko, I know I am qualified to avail my Philhealth Maternity benefit po, peru d ko lang po alam how. kailangan ko po bang magfile before due date po? or hihingi po ba ako nga Form from my Agency para ibigay sa hospital for my bills or yung hospital na yung magprocess nun? Im confused po.
Jan 29 po yung duedate ko may last payment was december 2017 and my latest payment was Jan 8 for the month of jan-march magagamit ko pa ba yung maternity benefits?
Hi Desiree. Your qualifying period is from October 2017 to September 2018. If you paid at least 3 months during this period, you are qualified for maternity benefit. 😀
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hi ask ko lang i resigned last June, and last payment sa philhealth ng company ko dati is July, now instead of paying my contributions , i plan sana na gawin na lang akong dependent ng husband ko, sa april na ang due date ko, is it possible na maging dependent na lng ako ni hubby? may need ba i apply na form? thanks!
Hi Jacquilyn. Unfortunately, you won’t be able to avail the maternity benefit if you’re just a dependent. You have to be a member kasi your baby will become your dependent kapag nanganak ka na. You will have to pay for the whole year’s worth of contributions amounting to P2,400. Godbless!
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Mommy Krystal,
5 and half months preggy po ako ngayon but not yet a philhealth member. Sa May po ako manganganak. If kukuha po ako ng philhealth ngayon, makakakuha po ba ako maternity benefits?
Hoping for your reply. Have a good day!
Hi Lovely. Yes, you may go to any Philhealth branch and register to become a member. Tapos you will be required to pay for the whole year amounting to P2,400. After that, pwede mo na syang magamit kapag manganganak ka na. Godbless! 😀
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Hi, naghulog po ako from January 2018-Sept 2018 hindi ko po nbyaran ung Oct 2018 pero employed po ako from november2018-=january2019. qualified pa po kaya ako for availment? Thankyou
Hi Vel, when is your due date?
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hi po ask ko lang po due date q po sa feb 10 2019, tapos kaka update q lang po nung october 2018 to september 2019 bale nag 1 year advance po ako.last hulog q po kasi is last 2016 pa po .magagamit ko po ba yung philhealth q sa panganganak ko salamat po
Hi po.. manganganak ako sa march 2019, at my hulog ako nung JULY 2018 TO MARCH 2019, covered na po ba ako o need ko pa hulugan ang buong year ko? un kasi ang sabi nung lying in sakin.. magbyad daw ako ngaun buong taon..
Hello… Nanganak ako nitong last dec 28 2018.. Ang contribution ko is March April May and July… Qualified b ako makakuha ng maternity benefit???
Hi Mariel. Yes, qualified ka for maternity benefit. Although, nakapagfile ka ba ng maternity notification bago ka manganak? Yun kasi ang requirement ni SSS e.
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hi po kakaupdate ko lng po nung dec. n additional beneficiary ng asawa ko .tpos last oct. 2018 till now ulit po nahuhulugan ung philhealth nia po. Im pregnant po ngaun at ang EDD is on June 2019 po. magagamit po ba nmen ung philhealth nia sa June dis year? thanks
Good day!
Ask ko lang po ,i give birth ths coming last week of april 2019..pwede ko pa po ba ma avail ung benifits if mag huhulog ako ng 2400 for a whole year before my due date ?
Thank you.
Hi Fatima, yes! That’s how it works if hahabol ka ng payment. Dapat for the whole year na. 😀
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Ok po thank you mamshie krystal😊!
Hello po my ask ko lng po if maapektuhan or hndi ko po ba mggmit ung ph card ko kung kasal ako then ngkaanak po ako sa ibng lalaki. Magagamit ko po b ito??
Pano po e avail “Newborn Care Package (NCP)” maam?
Ask ko lng kasi maaga ko inasikaso ang philhealth ko para wala na sanang problema incase na manganak ako peru nung pinakita ko na sa lying in na papanganakan ko hnd nila tinatanggap ang certification ko dahil hanggang december lang ang applicable month nya then date paid ng january mababalewala lang ba ang philhealth ko pinapakuha pa ko ulit ngayun peru hnd na ko pwd mag asikaso ulit kasi kabwanan ko na at any time pwd na ko manganak ?
Hi Po, ask ko lng Po Kung pede p Po maka habol ung aswa ko, KC Po baka 1st wik Po Ng April or 2nd wik Po manganak n sya… Pano Po b gagawin para maka habol p Po ?
Hi Raymond. She has to register as a member of Philhealth and pay 1 year’s worth of contributions amounting to P2,400.
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Hi po. Ask ko lang po , Im 5 mons pregnant po and expected due ko po ay july25-august 9 2019 ,Hindi po ako member ng philheatlh gusto ko po sana mag apply inaalala ko po kung eligible pa po ang case ko since 3 mons nlng po yung natitirang month bago ako manganak. Ano po ma is suggest nyo na dapat ko pong gawin. Salamat.
Hi Bhabie. We settled this via DM na, right? 😀
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hello po..ano yung mga forms/requirements na need ipasa sa branch before ka manganak?.
ultrasound and mdr form lang po ba?
thank you..
Hi. If not married, can I still claim the benefits? And if yes, I can get both the MCP and NCP, right? The other two if I’m CS nalang.
Hi mommy! Nagbayad po ako sa philhealth last october 2018-march 2019 then april 2019-september 2019. Magagamit ko po ba yung philhealth ko duedate ko po ngayong May. Thankyou!
Hi po.mamsh krystal!
Ask ko lang po if ang last hulog ko po sa philihealth is 2013 dahil nanganak din ako non and nagclaim ng benefits, then nastoo na po ako nakahulog after. Ngayon pong 2019 ive found out na pregnant po ulit ako and nag update ako ng payment ko this day may 10 up to december 2019 na. Ang due date ko is december 2019 po. Maaavail ko pa ba ung benefit o hindi na? Thanks po sa sagot
Hi momsh!
Ask ko lang if last contribution ko is 2013 nagamit ko rin kasi for maternity benefits. Then na stopped na ko mag hulog after. Then ngayon i found out na preggy ako. 2 months na po ngayon and expected due date ko is december. Nakapag hulog ako sa philhealth ng may 2019 to december 2019. Qualified pa po ba ako non? Thnks po sa reply
hi mommy krystal, ask ko lang po, due date ko is december 1st week, dati na akong member ng philhealth at nalagyan pa ng previous employer ko last 2013, the following years ay voluntary na ang membership ko since i am unemployed. nung nag file na ako ng philhealth maternity this june 6, pinagbayad lang ako sa cashier ng april 1 to dec 31 which 1800. does that mean i can avail the maternal benefit kahit hindi ako nagbayad ng 2400 in total? and san ko isusubmit ang mga requirements both para for maternal and baby benefits
Hi po. 5 months pregnant na po ako. 3 years na po ako sa company ko. Ask ko lang po ang requirements para maavail ang philheath maternity benefit o yung employer ko na po ang mag aayos for me. Godbless po:)
Hi Rona. Please coordinate with your HR because sila na ang mag-aayos nyan for you. Dapat magbibigay ka na lang ng requirements plus pirma dito and pirma doon.. 😀
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Hello po.
Ittanong ko lang. Kasi manga2nak na po ako ngaung october2019,balak ko po snang maging beneficiary nlng ng asawa ko. Possible pdn po b na mkahabol kami? Na ngaung june plng iuupd8 yung phlhealth nia? Ano po kayang pwedeng gawin?
Hi Sha. Ikaw dapat ang Philhealth member, kasi si baby ang magiging beneficiary mo.. God bless and have a safe delivery!
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Hi po mam krystal,
Ask ko lang about philhealth dependent po ako ni husband april 2018 po siya ng start sa contribution nya until now updated naman po siya sa pagbayad.
Ang concern ko po ngayon is eligible po kaya ako mkapag avail ng benefits khit dependent lng ako ni husband? Due ko na po 2 weeks frm now 😁
Sana masagot mo po ako 🙏🏽
Hi Mabie, I asked Philhealth and they said required ka raw maging member because si baby ang magiging dependent mo. So, I suggest pumunta ka sa Philhealth and sort things out, momsh. Habang di ka pa nanganganak. 😀
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I am a philhealth member, and I am 8 months pregnant. I only have 4 months premium contribution this year starting Feb-May 2019. Am I still eligible for the said benefit? If not, what should I do then.
Hi! how to claim MCP if you’re employed?
hi po,
pag pareho po ba na may work si husband and wife hindi na pwede i file si wife as dependent ni husband sa philhealth?
Hello po. I am 4 months pregnant right now and my due date will be on January 29th 2020. Will you advice me to be a member this year or do I have to wait next year, January to pay the whole year instead?
hai mam ask ko lang po kung magkanu babayaran q kung kukuha ako ng bagung philhealth q kc lastweek nagpunta q ng philhealth kukuha sna ng MDR kc manganganak aq diz sept.may philhealth na po aku dati 2013 ko po kinuha nanganak po aku sa panganay q nung 2017 ngamit ko po hangang 2018 kc naconfine xa nun pero nung pumunta po aku lastweek sa philhealth para kumuha ng MDR 2018 padin po binigay kc nd ndaw aku na update anu po gagawin q ei manganganak na this sept.thank u po
Hello po mommy. Ask ko lang po if i can avail philhealth benefits if late register po yung birth certificate ni baby. Abroad po kasi partner ko and april pa siya makakauwi. Due date ko po kasi this september 2019. Maaavail ko pa ba or kelangan po ng Birth Certificate ni baby?
Magagamit ko po ba yung hilhealth kapag nanganak ako sa december or maleless manlang po ba yung magiging bulls ko sa hospital even mag 4 3months at lang ako sa work thankyou
Hi po ask kolang kc d aq nkpaghulog ng oct to dec 2019 ngaun dec25 nalaman ko buntis pla aq makaavail paba aq ng philhealth if bayaran q january yo dec2020..tanx po sa sagot