How to Avail Women About to Give Birth Benefits from PhilHealth?

Women about to give birth may get themselves PhilHealth benefits. All women who will give birth are entitled to be covered by Social Health Insurance, and may avail the Maternity Care Benefits.

It is mandatory for PhilHealth to give financial risk protection to all, so all of the expecting mothers who are not yet member of PhilHealth must enroll immediately to PhilHealth as soon as they know that they are pregnant to be automatically eligible to be covered by the benefits. Inactive members must also update their premium contribution to qualify for the benefits.

Women About to Give Birth Benefits
Photo by Philippine Health Insurance Corporation FB

Women About to Give Birth Benefits Requirements:

Pregnant women who are not yet covered by PhilHealth

  • Submit duly accomplished PhilHealth member registration form
  • Proof of being pregnant (Ultrasound result, medical certificate signed by physician or midwife)
  • PSA/Birth certificate
  • PHP 3,600 (payment for annual premium contribution)

Those who are already enrolled to PhilHealth

  • Must update their premium payments

Pregnant Minors

  • Should enroll as primary members regardless if they are already qualified defendants/not. To ensure that their new born will be covered.

For expectant mothers who are assessed and classified under C-3 to D segments of the population, the Point-of-Care enrolment scheme shall apply in participating PhilHealth-Accredited government health care institutions.

Maternity Care Package

Included in the Maternity Care Package (MCP) are health services during antenatal period, normal delivery and post-partum period, including follow-up visits within 72 hours and one (1) week after delivery. The MCP is worth PHP 6,500 if availed of in an accredited hospital and PHP 8,000 when availed of in accredited birthing homes, maternity clinics, infirmaries or dispensaries.

PhilHealth also stressed that women should have pre-natal consultations at the earliest time and requires at least four (4) pre-natal visits during the course of pregnancy to detect and manage danger signs and complications of pregnancy and reduce risk of perinatal death.

Normal Spontaneous Delivery Package

On the other hand, the Normal Spontaneous Delivery Package (NSD) covers essential health services for normal, low-risk vaginal deliveries and post-partum period. The package is worth PHP 5,000 for in-hospital availment and PHP 6,500 if availed of in accredited birthing homes, maternity clinics, infirmaries or dispensaries.

Other deliveries such as Caesarean section, complicated vaginal deliveries such as breech extraction are also covered if done in accredited hospitals.

In addition, the newborn baby is entitled to the Newborn Care Package (NCP) which includes Newborn Screening Test, Newborn Hearing Test and provisions of essential newborn care. Total worth of the NCP is PHP 1,750.

PhilHealth emphasized however, that this privilege given to women about to give birth, shall only be availed of once without penalties.

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