http://www.healthphilippines.net/2013/07/individual-payor-eligible-philhealth-maternity-benefit/ Ask others too, My wife gave birth (ceasarean with ligation) September 4, 2013 in a public ospital with aprivate doctor and private room. They have prenatal checkups at the charity departments of public hospitals, and they give birth, either CS or normal, as charity cases. Some hospitals like to see the ORs. Authenticated marriage cert. Docs: updated MDR from Philhealth (with you written as dependent), premium receipt (if employed, cert of premium payments with OR nos. Yong sa myoma removal, hindi ko sure kung separate or kasama na sa 19k, although baka kasama na kasi the same operative session. Hi Mam,sa North Caloocan po kami nakalocate kaya NSO east ave. kami pumupunta pag mag file sa NSO. Thanks. Good day! Hi Kristine, did your submit your Philhealth to them and have they filed it with Philhealth? eCompareMo eCompareMo is the No. http://www.healthphilippines.net/2014/06/philhealth-maternity-benefit-individual-payor/, Hi Ma’am Nora, fix po ba dapat ang madeduct sa philhealth q? thanks. PhilHealth divides this amount in two parts: P11,400 for hospital and medical fees and P7,600 for doctors’ fees. 3k lang ang coverage for hospital cost for normal delivery sa level 4 hospital. I’ll give birth this dec. can I avail for my maternity benefit. If you’re not sure, call Philhealth 441-7442 or visit the nearest Philhealth and ask. 2015? About your husband, you can register your marriage cert with your local registrar, then update your MDR, so you can register your husband as your dependent (bring marriage cert from local registrar). Coverage is only 5k pesos (3k for hospital and 2k for PF). Hi mojik, yes, dapat nababawas agad. Hi Mary Ann, yes, you can avail as OFW by making sure that the date of your delivery is within the validity dates in your receipt. Required is payment of 9 of the 12 months BEFORE month of delivery. What if hulugan ko po isang bagsakan ung mga walang monthly contribution ko po, pwede po ba yon?! Puede namang mag-request ng another claim form 1 from your employer; yong updated na. If yes, you can use Philhealth in Nov or Dec. Here’s a list of accredited maternity clinics. How can i check this? Hello po 1st tym ko po mg apply at ggmit ng philhealth thanks reply miss nors. Bring your PF receipt. Ang Philhealth kasi ay nagagamit lang kapag paying patient ka, so that means sa Pay Department ka. Thanks po and god bless. Hi caijulian, thanks for coming back to write something. Hi Car, you can pay immediately as Individual Payor. To sum up, submit 2 sheets of Claim Form 1 (one for your delivery and one for your baby). Submit prenatal ORs worth at least 1500 pesos (together with maternity claim) to get 1500 refund from Philhealth. Hi Faye, the coverage for maternity PF is 2k, and this should have been deducted from the bill. currently working as CSR on a big company. nong october lang po ako naka kuha ng philhealth . At pwede ko b maavail din ung mga refunds if qualified na ako? hmm pwede ko po ba bayaran ng 1year yung phil health para po mapasok un phil health benefits? I’m Married June 1, 2013 and my due is on 1st week of October, until now hindi pa kami nakakapag change status ng husband ko, dahil pareho kaming may work. Hi angel, continue paying so you can avail. Ibinigay din siguro sa doctor yong 7600 kaya hindi na ibinigay sa iyo. PhilHealth Coverage. Meron kasing hospital na hindi satisfied sa certification ng employer lang. Submit your Philhealth docs before discharge. lang daw babayan, dba po 5thou.yong maternity package? thanks po. pwede po ba ma-reimburse sa philhealth ang binayad sa private doctor ng nanganak na member ng philhealth? manganganak po ako last wik of november 2014 or 1st wik po ng december 2014. need your reply po.. asap.. maraming salamat! And you can process it as his wife. Go to Philhealth with your ID, fill up member data form and then pay for Jan to Mar. I went to the Philhealth desk of the hospital and ask about Prenatal care benefit since normal delivery ang wife ko but they don’t know the prenatal care benefit of normal delivery and refuse to get our OR’s of prenatal checkup since they only know 5K for normal and 1750 for NBS. my Philhealth was paid from 2013 to oct.2013 by my company. I will be delivering my 4th baby this Feb via normal delivery. To be sure, pay also Oct and Nov. Hi may, individual payor ka ba? what status should i use? Thank you so much again. Hi bang, if you deliver in Dec, you should have paid July to Sep or Oct to Dec. hi, just wanna ask, for employed in private company how many months to avail for a maternity benefits? and what if I give birth at a lying in not philhealth accredited? Premium for Individual Payor is 200 pesos per month. so parang ang nabawas lang sakin eh 1500 lang?????? My ob gyne will surgically remove my ovaries and uterus next week…na dnc po ako last week.. Nagamit ko na po philhealth ko.magagamit ko po ba ulit ang philhealth ko sa tahbiso operation ko due next week? Our baby didnt also underwent into a new born screening because the hospital personnel told my wife that it is out of stock (we don’t know what does that mean. How can I still avail of the benefits? Hi jen, pay July to Sep asap as Individual Payor, if your employer did not pay these months. Will the benefits be automatically deducted upon paying for the total hospital bills? di ko man lang nabawi ang ginastos ko sa meds at doctors ko. ツ. My question is can we still avail prenatal care benefit even though we’re already discharged to the hospital? http://www.healthphilippines.net/2014/06/philhealth-maternity-benefit-individual-payor/ Makakaavail po kaya ako. because we havent paid it yet.. will do it tomorrow. thanks po. Up north, in my home province, I’m glad that the regional hospital and the local hospital there are okay. If your husband is employed, he gets cert of premium payment with OR nos. For pedia, the coverage is 1750, but if the pedia is not accredited, there’s no deduction. hello po .. due date ko po sa july ask ko lang po bayad po ako ng jan- june magagamit ko na po b un kung cs or normal and ganun parin po b ung bawas sa bills?? Thanks! hi, my name is rita. http://www.healthphilippines.net/2014/06/philhealth-maternity-benefit-individual-payor/, Hi Clarice, since many are asking this question, I wrote an article about it: Don’t count your month of delivery. Submit your docs to the hospital for Philhealth deduction. hi..philhealth, March to Sep is only 7 months. Ask Philhealth if you can avail if you pay 1 year in advance. You get your MDR and Philhealth card. hi good am, ask ko lang nawala kasi ung card ko and di ako nkapag byad ng contribution since 2012 manganganak ako this coming march pwede ba ako pmunta sa philhealth office at iupdate at byaran ng 1 year ung philhealth ko pwd ko b un gmitin kpag nanganak na ako? right now, im currently admitted at the hospital but already for discharge today. Yes Ms. If the 13k deduction from your bill covered hospital expenses, then, sad to say, you can no longer refund from the hospital because the 11400 Philhealth benefit for hospital costs and meds is already used up. Will PhilHealth declare it even if it’s different from my first husband’s surname? if we can have everything by tomorrow, will philhealth still process their part of contribution even if the bill is ready today? what are the needed documents for me to still pay monthly until December? tanong ko lang kanino mapupunta yung overpayment ng Philhealth regarding sa refund ng mga pasyente sa government hospital… example under the case ng cesarean. Am I still eligible to claim the benefits? thanks po in advance since you said at least 9-12 mos payment for self employed will be covered before the delivery, am i right po? Good morning. Take care and God bless din, Hi Mam Nors, ask ko lang po..kung pano kame makakatipid sa aming hospital bills, sabi kasi ng doctor namin kailanga naming maghanda ng at least 53k for cs operation… tanong ko lang po kung makakatipid po ba kami kung sa labas ng hospital kame bibili ng mga gamot at hindi kukuha sa pharmacy ng hospital mismo. !my boyfriend is paying philhealth since last yr for 3 months only coz nastop cya nang work,and now his back at work his paying it again, this july 2014 ulit yong start ng payment nya,now im pregnant and we are planing to get married maybe nov.2014 or jan 2015 na po,pwede po ba ako macover sa philhealth nya?and ano po need kong gawin pra macover after wedding? Thanks! thanks! I’m just waiting for a circular that says “for all individual payors.” Anyway, just pay Dec to Feb. Hi I was a member of Philhealth since 2010 and I resigned in my previous work las February 2013 and being employed again last May 2013, I am 7 months preggy now and my EDC is on December, my question is can I still use my philhealth even its my 2nd baby thru CS, I gave birth to my first baby last July 2012,and as per my OB I will undergo again CS for my second baby because its very risky in my part to give birth via ND. Ill give birth this coming september. Dianne. THANKS!!! Pag sa charity, bibilhin mo rin usually ang mga supplies and meds, pero libre ang mga doctors. It is a big help. I have a live-in partner and I’m two mos. Take care. Ask ko lang po sna ung procedures to avail philhealth deductions pra po makapagprepare ako before june. Yes, she’ll be eligible because payment of Philhealth premium for 3 of the 6 months before month of delivery is what’s required for employees. marerefund ko po ba yung icacash out ko? In most cases, the private hospitals will apply the VAT exemption and senior citizen discount first before the PhilHealth benefits. Hi yrma, submit your Philhealth documents upon admission, so 11400 will be deducted from your hospital expense, and the rest will be paid by your medical card. can i cover my child and husband? Hi elena, assuming na private hospital ito — I’m not sure kung papayag ang hospital na bibili kayo sa labas. Meron dapat 2k Philhealth payment for the doctor. Dapat kausapin mo beforehand ang OB about her PF and hospital costs so you can prepare. I will be giving birth via CS on March 2015 on my second child. Documents: MDR, premium receipt (orig and xerox), 2 sheets of claim form 1, your ID (any valid ID), Hi just want to asked how to claim newborn care package? Hi..good day….ask ko lang po kasi na sked po ako this first week of april via c section.im wonderi g lang po kasi some of people said if sa charity ward ka more or less 1k lang po babayaran but when i read some of the comments natakot ako kasi i do not have that kind of money…dependent ako nang asawa ko…what will i do please help….tnx…. Iba rin kasi ang Philhealth processing ng government hospital, dahil pasyente ang pinapabili ng gamot, so magtanung-tanong ka rin. Thanksomuch and God bless!! Need ko lang po talaga dahil sa laki ng gagastusin ko po sa panganganak ko. Pay 600 pesos to pay for Oct to Dec 2014 (200 pesos per month). But usually, in a public hospital, you buy your own meds and supplies, and you pay the doctor, as you’re a paying patient. I agree that the 5k assistance for normal delivery at a hospital is a pittance, compared to the actual hospital cost, but because of the high number of births, Philhealth has to allocate its funds. Which is better, use my own philhealth account or deactivate my account and be a dependent of my husband? of Contribution. Parang additional PF sa doctor. Pag Informal Sector ang category, puede na yong payment of the 3 months immediately before March 2014. gud pm po due po ako dis dec. at benfciary din ako ng husband ko slying in po ako manganganak hw.po covered ng philhealth.4th bby po.thanks. kaso pano po yung dec -april 2014 payments ko? Submit mo lang ang mga ORs (at least 1500 total) sa hospital together with claim forms para masama sa maternity claim. Thank u! *Pre-Natal: Php 1, 500, Intrauterine Device Insertion or IUD – Php2,000, Vasectomy (Unilateral or Bilateral) – Php4,000, Upper Respiratory Tract Infection (URTI) good day philhealth!thank you po s rply,yes po unemployed n po ako ngayon.I just dont get what you say about 3 month s requirement,you mean po ba dpat 9 months tlga yung hulog ko dapat. Thanks & God Bless.. Hi, will you get the same amount for CS regardless if you file the maternity benefits at the hospital (on or before delivery) or just reimburse it after? Pero kung andiyan ka na sa ospital, have your marriage cert (orig and xerox) to show to the hospital. ask ko lng po how will i go about using my philhealth benefits and what documents should i prepare if theres any. We paid 4,800 pesos, about $100, for our two year coverage with PhilHealth. just want to ask kung hw much mdededuct sa bill ko, ill hve a cervical biopsy tomorrow and the doctor said it will cost 15,000. thnks. Glai. Philhealth eligibility for maternity, Good pm. Hi jaizel, yes, you can avail. Sometimes though it takes more than 7 months. What type of proof do I need? But if this is a public hospital, usually you buy your own meds and supplies and you pay the doctor. im planning to give birth at st lukes global or makati med.. jan 2015.. thanks a lot! Can I get a refund from the hospital? They are under type Z are the farthest end of the spectrum. manganganak po ako ngaung august 2014, sa government hospital pero sa charity lang po, nag contribute po ako sa philhealth ng 3 mos so bale may-july ang contribution ko kase from employed to voluntary ako. By doing so, will i be qualified for the maternity benefit? Please ask others too. Hi Mae, bakit involved ang barangay hall? Before the change our family could have maintained coverage for 2400 PHP per year. If not OFW, update your member data so it will be changed to OFW. s hospital. Thanks! Want qo po sana sa private rooms and gamitin Philhealth ng Asawa qo. Yong 15k ba para lahat sa hospital expenses? IMPORTANT! ok Ms.Nors.. thank you.. I’ll try to go to a nearest Philhealth branch within this this week. then nag resign aq ng april kya nag individual paying ako bnyaran ko ang april to june 2013 ko…. And your lying clinic is not covered with philhealth can I also avail the maternity benefits because I’m a member? I also have pre-natal care from that clinic every month until I had given birth. Ang reality kasi dito Liezl is the lying-in can dictate their price. Hi, just want to ask, would i get the same amount whether i file my maternity benefits at the hospital (before or during delivery) and after delivery (within 60 days)? You can go and talk to the doctor and explain to her that you need the OR and you need to file with Philhealth so you can pay the money you borrowed. You will receive the prenatal check via registered mail. Pag ganito ang category, 3 contributions within 6 months before delivery lang ang kelangan. Ask Philhealth too. nanganak po aq sa lying in clinic pero patay po ng nailabas q. gusto q po sana mag apply for reimbusrement kaso need daw po ng waiver sa pinag paanakan kaso nung nag request aq s clinic ayaw nila aq bigyan ng waiver. our marriage was not registered as my husband had a problem with her birth certificate. May benefits pa den kaya ako makukuha kasi manganganak ako this year . hi….ask q lng po if i can still avail the philhealth benefits,i had my contribution january 2013 until july 2013 then na stop cya aug,sept. Level 1 has about 20 to 30 beds while level 2 has about 50 to 100 beds. *Moderate Risk Pneumonia: Php15, 000 Ask others too, I’m a member of philhealth and my 17-year-old daughter will give birth. Case rates (e.g., mastectomy, herniorrhaphy, thyroidectomy) for surgical procedures with laterality Seniors need to look for accredited clinics or hospitals. The bigest amount of the budget for a operation goes normally to the hospital. Second question if Im nor eligible already, if my husband will apply for Individual payor he will pay the whole year of 2013, can i used it on decemeber? Hi cris, you should have filed with the hospital and submitted your ORs, so the hospital can file with Philhealth. They said it would be 5 months before we get the notice, after which we can go to philhealth for reimbursement of medicines. Ask ko lang po if I can still avail the philhealth benefit if I will resign from my work 3 months prior I give birth? Puede mong bayaran ang July and August, pero 2 months lang ito, hindi mahabol. Magtanung-tanong ka pa, para sure. Hi lyn, pay Jan to Mar 2015 to be sure, because if you deliver in June, you only have 2 prior monthly payments — Apr and May. Good day! hi good day, can i avail philhealth this july as this july 2015 is my duedate coz im pregnant. Last ko sa work is August 02, 2014. There’s additional 1500 for prenatal expenses, but your prenatal care ORs worth at least 1500 should have been submitted to Philhealth together with the maternity claim. Thank you po…Godbless. hi i just wanna ask! Coverage is 5k if hospital and 6500 if lying-in. http://www.healthphilippines.net/2014/09/philhealth-documents-required-from-employed-member/. Or employee ka ba at meron kang HMO at HMO na ang nag-file ng claim? Coverage is 5k pesos. marriage cert is needed, right? The baby is out po when the one who should assist me arrived. ang tanong ko po sa kanila kung makano mababayaran ko lahat lahat kaltas na po philhealth sabi ng hospital 15,000 more or less kasi 5,000 po ang covered ng philhealth.. ganun po ba kalaki ang charging ng hospital? Hi mojikyap, if you’re still employed when you give birth, yes, that cert should be enough, but there are hospitals that want the latest, so get cert of premium payments until June. and ano po ba ang dapat kong gawin? matatanggalan dw po kc cla ng accredited..totoo po ba yun? Do you mean the 11,000 worth of medicines were bought by you, and separate from the hospital bill? i am an active member ng philhealth at naka schedule for a cs operation this August 8, 2014 sa jose reyes hospital. Are these fees regular???? I always thought that doctors do their work for passion, to protect life and not to rip of the poor people. Ask Philhealth about Informal Sector membership, para maka-avail ka sa requirement na 3 months lang. Hi!ask ko lang kng panu malaman kng level 1 un hospital or level 2-4. Not enough pa po kc salary nya dahil bago plang po sya dun and tight po ang budget namen. http://www.healthphilippines.net/2014/06/philhealth-maternity-benefit-individual-payor/, Hi April, many are asking this question, so I wrote a post: Ask q lng po kng pwede q pa po gamitin ung philhealth ng mr q manganganak po aq ngaung april 2014.,,nagamit po kc ng byenan for her 2 eye operation last january ung isang eye ngaung feb 10 nman po ung isa…magagamit q pa po ba philhealth ng mr q lalo po at cs po aq..salamat po. 150 pesos per month. There’s 1750 benefit for newborn care, if all procedures were performed. Hi tina, normal delivery ito? He is doing also other things not only c-sections and his working hours are daily at least 9-12 hours. Ask your hospital’s billing/collection dept. Wala nang direct filing with Philhealth, kaya dapat mag-submit ka ng Philhealth papers agad sa hospital. for Oct 2013 to Jan 2014. Ask ko lang po, new member ako from july 2013. h gusto ko po sana ipasuyo ipacheck s inyo if naprocess n po yung maternity at kung my narelease n po n cheke. Tnx po, Hi erica, yes you can avail. Hi Miszsuplada, yes, if your category is Employed or Informal Sector. No, the benefits are not doubled. tnx po. Usually rin, the more expensive the room, tataasan din ng doctor at anesthesiologist ang PF nila, pati na yong pediatrician for your baby. May mga nag-comment na rin dito na bawal na raw ang direct filing. 3rd quarter, pay for July to Sep. good day, my wife will be giving birth maybe 1st week of march this year, just correct me if i am wrong. Hi jane, yes, the same documents: updated mdr, id, claim form 1 signed by your HR or head, cert of premium payment and copy of payment receipt (rf1 or Me5). Hi cindy, you can use only one — your own Philhealth. http://www.healthphilippines.net/2014/06/philhealth-maternity-benefit-individual-payor/. i’m a private employee,feb2013 lang po nag start contributions ko and giving birth this july,can i still avail the philhealth benefit? Then by monday(09/08/14) po ako mgpaparegster sa philhealth mghuhulog dw po ako ng php600. I am his dependent, and i am going to give birth on Oct28 or on the 2nd week of november… His first quarter of contribution has started from june-august. Xerox your bill, ORs and benefit payment notice. Hi mam..tanong ko lang po.nanganak po ako last june 02,2013 until now po hindi parin namin nakuha ang refund namin..kaya nung ngtanong kami sa office ng philhealth ang sabi nila hindi daw nirecieved ng bryg. About benefit for 4th child, yes, the benefit is the same, except in cases when the first births occurred during the years when the maternity benefit was lower. Hi Zyrem, yong membership nio lang po ang magagamit, meaning isang 6500 lang. Check this: http://www.healthphilippines.net/2013/07/individual-payor-eligible-philhealth-maternity-benefit/, Hi ill just ask if im still entilted to the maternity benefit if i resigned from work last january 2013 and was not able to pay for my monthly contributions after that.. Hi Shena, if it’s in a hospital, the coverage is 5k. But since you haven’t received anything, call or visit Philhealth na lang. Bring your ID. Hindi ko alam kung bakit ganyan ang policy nila. I said “yet” because I’m still hoping for something. Theres something terrible wrong. of days allotted per member per year: 45 days for each member. sabi kasi ng friend ko..mas makakamura kame kung sa labas binibili ang mga gamot kasi malaki daw ang patong ng pharmacy ng hospital. Hi, What happens to the remaining P4k? Based ang sagot ko sa mga sinasabi ng mga nagco-comment dito. 2nd baby ko na po and i am not a philhealth member po though ung husband ko po ay member and beneficiary nya po kaming mag ina. Update your member data at Philhealth, so you can make sure your category is OFW and your gender is Female. Meron ka nang 10 months, so eligible ka na. Hi ms.nora, Im rose, can I avail of philhealth for my 4th baby? Hi Neth, doon sa 19k benefit for CS, 11400 is for hospital and 7600 is for PF. Has he paid Jan to June 2013? Can I use my Philhealth for her? :DD. Another is the failure of hospitals to implement the correct Philhealth coverage amounts. Z benefits . Hi anne, go to Philhealth (sister’s ID or birth certificate) and then ask if your sister can pay for 1 year in advance so she can avail. NORMAL DELIVERY at a Lying-in or Maternity Clinic: REMEMBER that both the doctor/midwife and the hospital/clinic should be Philhealth-accredited. Hi fadj, benefit amounts are the same for all types of members, whether for high-premium-payors or low-premium payors, and yes, it’s unfair. I don’t know if the hospital gives the 2k as additional to the OB later on. Did they accept your Philhealth documents before you were discharged? hi po! i gave birth last aug.31, 2013, CS po. You need to submit your Philhealth docs to the hospital. Hi Nors ! One of the mandatory contributions that every Filipino employee gets charged every month is PhilHealth. But you can also pay Sep to Nov to be sure. And Mam another concern, my end of contract is on Sept2013 and may expected delivery last week of sept. or 1st week of october.,and natawagan ko na po ang agency/employer ko na mahulugan nila ng sept. ang philhealth and sss ko. I resigned last mar 2013, and havent made any payments since, and is due to give birth on sept 2013. Hi juie, partially true. Wala akong trbho so sariling hulog ko po sa philhealth and d kmi kasal ng asawa ko kya d nya ko ma cover mangangank po ako by july cs po ako Hi Gretzel, yes, you can avail of Philhealth coverage. slamat. Im planning to pay this july,2014-july,2015. Like starting to pay now? Hi khate, pay your Philhealth premium as Individual Payor/Informal Sector in May to August. nong october lng po ako nakakuha ng philhealth . :) about po sa sinabi nyo na sabihin ko lang individual paying-informal sector dpat pa ba akong mag process nito or mag fill up ng form sa philhealth b4 my due. Ask ko lang, I will be delivering via CS on Dec 8, 2014. so will i be covered po? Hi mam nors, ill gve birth po dis coming may 2014 sa birthing homes malapit sa amin, 4k po dw lahat2 na mababayaran ko ask ko lng po sa 6500 po na benefit sa philhealth may mkukuha po ba ako na refund if 4k lng lhat na magagastos ko, khit na po thru deduction??
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