PhilHealth Maternity Package and Free Hospitalization

PhilHealth Maternity Package and Free Hospitalization
PhilHealth Maternity Package and Free Hospitalization

Pregnancy is a wonderful moment in every women’s life, but bringing new life into the world can also be costly. Good thing there’s a universal health coverage provider here in the Philippines which is PhilHealth. It covers maternity care and new born benefits and offers free hospitalization.

Check out the following PhilHealth maternity benefits you are entitled to:

Maternity Care Package

PhilHealth’s Maternity Care Package (MCP) covers prenatal care, delivery, and postnatal care for both you and your baby. 

Members and eligible dependents are qualified to avail of this package. You can only use it up to your fourth delivery, provided you don’t have any history of three or more miscarriages.

PhilHealth provides P6,500 facility fee for deliveries within a hospital. The coverage increases to P8,000 for if you give birth in infirmaries, dispensaries, birthing homes, and maternity clinics.

The MCP is further divided into subtypes, which are as follows:

Antenatal Care Package

As part of the MCP, the Antenatal Care Package (ANC01) covers essential health services during pregnancy and before delivery.

To qualify, you should have at least four prenatal checkups, with the last one done during the third trimester of pregnancy. The facility and healthcare provider should also be PhilHealth-accredited.

PhilHealth provides P1,500 for prenatal care.

Normal Spontaneous Delivery Package

If you give birth to your baby via normal delivery, you can avail of the Normal Spontaneous Delivery Package (NSD01). It also covers the immediate post-partum period within the first 72 hours, as well as seven days after delivery.

PhilHealth covers P5,000 for birth in hospitals and P6,500 for deliveries in birthing homes or maternity clinics.

Other Methods of Delivery

But if you give birth through other methods, your PhilHealth coverage depends on your total bill.

PhilHealth typically covers P19,000 for Cesarean deliveries, P9,700 for complicated vaginal deliveries, P12,120 for breech extraction, and P12,120 for vaginal delivery after previous Cesarean section.

See also. How to Avail Women About to Give Birth Benefits from PhilHealth?

Newborn Care Package

PhilHealth’s benefits extend to your baby, too.

The Newborn Care Package includes newborn care, screening and hearing tests, hepatitis B and BCG vaccination, eye prophylaxis, weighing, and essential intrapartum and newborn care protocol. It’s worth P1,750, all covered by PhilHealth.

Unlike the MCP, this package has no limit to the number of births. However, it should be filed within 60 days after the delivery.

If you want to have a worryless delivery, try to enroll to PhilHealth Indigent membership. Under this new package of health services, indigents and sponsored members do not have to pay any amount PhilHealth will pay during hospital admission.

They called it Tamang Serbisyo sa Kalusugan ng Pamilya or Tsekap, the qualified indigents will get this benefits.

Indigent – as identified by the Department of Social Welfare and Development (DSWD), these are people who have “no visible means of income,” or whose income is not enough to sustain his/her family.

Sponsored – persons whose contributions are being paid for by government agencies, private entities, or another individual.

Regardless if it’s private or public hospital “the no balance billing” or free hospitalization will be applied, if you are DSWD qualified.

17 thoughts on “PhilHealth Maternity Package and Free Hospitalization

  • March 9, 2021 at 8:19 pm
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    How to apply.. my due date is april 2021 via CS and loss my job due to pandemic but i finished my contributions as voluntary up to april 2021..is there someone could help and discuss this..thanks in advance

    Reply
    • March 10, 2021 at 12:52 am
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      Hi ma’am. Are you asking about the zero hospital bill policy from Philhealth? As far as I know ma’am if you are currently a member of Philhealth, you are not allowed to be a member of Philhealth Indigency program. It is exclusive for those people who are not member of Philhealth from the start. Even so ma’am, you can still use Philhealth upon your delivery regarding if it’s CS or normal delivery, as long as the medical facility is accredited by Philhealth. If you want to try ma’am you can go to your respective barangay and ask about it, if you can be qualified to the Philhealth Indigency program (Tsekap)

      Reply
      • March 10, 2021 at 10:52 pm
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        Thank you po sa advice.

  • March 9, 2021 at 8:33 pm
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    Makakapag refund pa po ba ako if hindi na less philhealth ko nung nanganak ako? Di daw po pwede yung philhealth sa lying in na pinag anakan ko. 36,500 po bill ko. Thanks

    Reply
    • March 10, 2021 at 12:44 am
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      As far as I know po Ma’am if hindi Philhealth accredited ang Medical Facility hindi po sila magbibigay ng refund.

      Reply
  • March 9, 2021 at 10:14 pm
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    Paano po kaya makapag avail nito.

    Reply
    • March 10, 2021 at 12:49 am
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      Ma’am kung hindi pa po kayo nakakapagbayad ng Philhealth contribution eversince malaki po yung chance na pwede kayo maging member ng Philhealth Indigency program, punta po kayo sa barangay niyo then tanong niyo po sa mga baranggay officials paano makakuha ng indigent certificate and paano siya magagamit for Philhealth. Iba-iba po kasi ang policy nila ng pagkuha niyan kada lugar ma’am pero mas maganda mas maaga niyo po lakarin.

      Reply
  • March 10, 2021 at 8:55 am
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    Good day, ito po bang program ay para lamang sa mga indigent members. Pano po kaming mga first timer na manganganak, ano po ang covered samin ng Philhealth? First time ko pong magbubuntis, gusto ko po malaman if magagamit ko yung philhealth ko sa panganganak. Salamat.

    Reply
    • March 10, 2021 at 9:28 am
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      Hi ma’am. Ang zero bill policy po nila ay for indigent only. Sila po yung mga qualified by the DSWD na mga wala talagang kakayahan na magbayad and sila yung mga walang Philhealth from the start. Meron pa din naman kayong maleless ma’am basta updated ang payment niyo ng Philhealth, depende sa ospital/lying in na pupuntahan and sa type of delivery ang pagcover ng Philhealth sa payment. Basta, make sure ma’am na Philhealth accredited ang health facility na pagpapaanakan niyo.

      Reply
  • March 10, 2021 at 10:29 am
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    Hello po, matagal na po ako hindi nakakapahulog sa Phil health since 2017 Dec. And wala po akong work kaya hindi po ako nakakapag hulog.
    Pwde po kaya ako maging member ng philhealth indigency? Sana po maka reply po kayo. Salamat po.

    Reply
    • March 10, 2021 at 11:50 am
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      Hello Ma’am. If member na kayo before ng Philhealth, hindi na po possible na maging member kayo ng indigent. Ang binibigyan po kasi nila is yung mga walang kakayahan na magbayad and walang philhealth from the start. Better ask niyo po sa brgy niyo ma’am kasi iba iba po ng policy kada lugar, if hindi kayo qualified, baka pwede po yung asawa niyo.

      Reply
  • March 11, 2021 at 9:00 am
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    Hi ma’am may philhealth po ako pero last 2016 pa.po hulog. And kasal po ako bale yung philhealth ng asawa ko gagamitin ko dahil covered narin naman nya ako .ano po ba gawin ? Ano pong buwan dapat may hulog? May 2021 po ako manganganak.
    Kailangan ko po ba deactivate philhealth ko??
    Salamat po

    Reply
    • March 11, 2021 at 4:51 pm
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      Hi ma’am, basta po di na kayo nakabayad for a long period of time considered na po na inactive ang account niyo. As long as beneficiary kayo ng asawa mo na naka list sa Philhealth niya, walang wrong spelling sa name and may marriage contract kayo ma’am magagamit niyo Philhealth niya.

      Reply
  • March 11, 2021 at 3:09 pm
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    Hello po, itatanong ko lang po kase sponsored po ang status nang philhealth ko since 2017 sa first born ko nagamit ko sya sa pgh wala po kaming inilabas ni piso. Buntis po kase ako ngayong taon and ang due date ko po is July 2nd week. Paano po kaya yung status ko na sponsored cover pa rin po ba ako nang government kahit this year or need ko nang mag pa change tapos huhulugan ko po? Wala din po kase akong work now. Umaasa lang din po ako sa partner ko.

    Reply
    • March 11, 2021 at 4:49 pm
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      Ma’am better if magpacheck kayo ng status sa nearest Philhealth Office sa inyo, minsan po kasi iba-iba sila ng policy. Sayang naman po if sponsored pa din kayo, may need lang kayo ayusin or ipasa. Sayang yung pera na masesave niyo. Or if ever na hindi na, makapagbayad kayo habang maaga.

      Reply
  • May 10, 2021 at 11:47 am
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    Hello po .. ask ko lang po maam.. panu po sunod na process para sa philhealth indigency.. may barangay certificate Indigency na po ako. July 16 po ang kabuwanan ko.

    Reply
    • May 13, 2021 at 9:27 am
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      Hi mam. Approved by DSWD na po ba kayo? Yan po process mam.
      1. Download PhilHealth Member Registration Form or (PMRF)
      2. Tick FOR UPDATING on the upper right-hand corner of the PMRF
      3. Fill out PMRF as appropriate
      4. Submit properly filled out PMRF to the nearest PhilHealth Office
      5. Await printout of updated Member Data Record

      Reply

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