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Know Your Philhealth Maternity Benefits

Giving birth can be quite expensive as it can cost you anywhere from to P5,000 to P200,000. To assist mothers, Philhealth offers a variety of benefits bundled in their Maternity Care Package.

As a Philhealth member, you are entitled to Php 6,500 if you give birth in a hospital. If you give birth in a non-hospital facility, you will receive Php 8,000. The amount is broken down for different purposes:

P6,500

1. Professional fees for accredited doctors, and fees for facilities mothers use for delivery and postpartum care, and reproductive health, breastfeeding and newborn screening counselling.
2. Room and board at the hospital or medical facility
3. Necessary medicines
4. Laboratory fees, supplies, and other additional procedures
5. Labor, delivery, and recovery room fees

P1,500 (for non-hospital birth)
1. Necessary medicines
2. Lab tests and additional procedures
3. Immunization for tetanus
4. Doctors’ professional fees, as long as you have official receipts

Philhealth also has benefits for mothers who give birth via cesarean section. They receive a fixed amount of Php 19,000. Php 11,400 is for medical fees while the remaining Php 7,600 is for doctors’ fees. However, this only applies to your first normal birth delivery. In addition, they cover complicated vaginal delivery at Php 9,700; breech extraction at Php 12,120; and vaginal birth after C-section (VBAC) at Php 12,120.

How To Avail These Benefits?

1. For Employed members, the requirement is at least three months of contributions within the 6 months immediately before availment.
2. For Individually Paying members, a total of 9 months’ contributions must be made within the 12 months prior to availing it.
3. For sponsored and OFW members, this benefit may be enjoyed as long as the date of availment falls within the membership validity period.

In addition, you must submit the following to a Philhealth office within 60 days of being discharged from the hospital:

1. Latest copy of your PhilHealth Member Data Record (MDR)
2. PhilHealth Claim Form 1 (CF1), filled out and signed by your employer. You can get this form at Philhealth branches, your chosen birth hospital or healthcare facility, or your employer.
3. Proof of premium payment. Employees need to submit the Certificate of Premium Payments with OR numbers.
4. PhilHealth ID and a valid ID.
5. Claim Form 2 (CF2) filled out by your doctor or health care provider. The hospital usually provides this form.
6. Marriage certificates

Reference/s:

  1. https://www.philhealth.gov.ph/
  2. https://www.smartparenting.com.ph/pregnancy/labor-and-childbirth/philhealth-maternity-care-package-a00041-20190806-lfrm
  3. https://ph.theasianparent.com/philhealth-maternity-benefits