Philhealth Maternity Benefits 101

OK, so like any other mom you want to save costs on hospital bills and one way to cut costs is by using your Philhealth Maternity Benefit. There is a big deal of savings arranging your Philhealth benefit particulars 6 months prior to giving birth because it gives you more time to accomplish what you really need.

Do not make the mistake of asking Philhealth officers in the Que about how many months you need to pay for so you can avail of this benefit because I did and I was told there time and again to just have a payment made 3 months prior to my estimated due date only to find out a month before my EST DD, using my smarts and calling the actual birthing hospital's billing department  that I would need at least 9 months. It is a good thing that my company paid for our Philhealth and I was able to secure a certificate for these payments aside from my individual payments for the months April, May and June (yes you can pay 3 months ahead).

So this are the requirements to avail of the Philhealth Maternity Benefits of your local Hospital:

1.   Clear copy of  Member Data Record (MDR)

2.  Philhealth Claim Form 1 — You can also get this form from Philhealth or from some hospitals or clinics.   Fill this up and sign.

3.   Clear copies of Official Receipts of Philhealth contribution payments  (If employed, secure a certificate of contribution from your company HR, If individual paying submit a copy of your reciepts)

 9 months Payment is required.

4.  If you are a dependent of your husband, and you are not a declared dependent, submit a copy of your marriage certificate from NSO or from local civil registrar.

5.  Official receipts of Prenatal Care Payments —
Submit at least 1,500 pesos worth of receipts so you can avail of the Prenatal Care benefit.  (This can be an additional saver, just be sure that you had exams, ultrasounds, tests done in your birthing hospital.)

The following are the prenatal expenses that  are covered:

- Prenatal consultation
- Drugs and medicines used during prenatal period, such as anti-anemics, anti-infectives, vitamins, minerals and tetanus toxoid or tetanus immunization
Medicines should be in the Philippine National Drug Formulary (PNDF) list.
- Routine care tests, such as CBC, blood typing, urinalysis, glucose test, Hepatitis B surface antigen (HBsAg) test, Venereal Disease Research Laboratory (VDRL) test
- Ultrasound, glucose tolerance test and related tests when they are considered medically necessary
(source: http://www.healthphilippines.net/2011/11/philhealth-maternity-benefit-prenatal-care/) 

6.) Accomplish the CF 2 form as much as you can because the other things there are who knows what the hospital did because it is a healthcare provider form of sorts. 

7.) 2 valid Government ID's.

AND Make sure you have 2 copies of everything. One for you and one for the baby. :)