Checklist of Who Are Qualified for PhilHealth Maternity Benefit Application Process
WHO ARE QUALIFIED FOR PHILHEALTH MATERNITY BENEFIT – Here is a guide on the coverage of the benefit offer of the Philippine Health Insurance Corporation.
Are you one of the members of the Philippine Health Insurance Corp.? More popularly called PhilHealth, it has several benefit offers which includes the Maternity Benefit for qualified members who just gave birth to their bundle of joy.
Truth be told that while being a first-time parent or a parent to another child is exciting and breeds a new leaf of hope for the future, it can also be financially-challenging. Hospital procedures may cost you thousands and this is apart from the needs of the new-born child.
Meanwhile, if you are a member of PhilHealth, you have the Maternity Benefit that you can turn to for some financial support. It offers different Maternity Benefit packages for qualified members which include the following:
- Maternity Care Package
- Normal Spontaneous Delivery Package
- Caesarian Delivery
- Complicated Normal Delivery
- Breech Extraction
- Normal Delivery After C-Section
- Newborn Care Package
Who are qualified for the PhilHealth Maternity Benefit claim offer? It is important to know the qualifications set by the state-run health insurance institution under the offer.
Registered Member
Of course, the very first main consideration is that you must be a member of PhilHealth. If you have yet to apply for a membership but interested to do so, there are three (3) options that you can choose from:
- Through the PhilHealth Online Registration Facility
- Download the PhilHealth Member Registration Form, fill it out, and submit the accomplished form to [email protected]
- File your application personally at the branch office of PhilHealth nearest to you
Payment Contributions must be up-to-date
The member must have posted at least 3 months of contributions within 6 months before the delivery date.
Maternity Services from accredited facilities
The coverage of PhilHealth Maternity Benefits only covers maternity and newborn care services provided by hospitals, professionals, and non-hospital facilities accredited to the Philippine Health Insurance Corporation.
1-4 Childbirths
Another criteria in the checklist of who are qualified for PhilHealth Maternity Benefit Claim application states that only the first four (4) childbirths are covered. The 5th and succeeding childbirths are no long covered under the benefit offer.
Only Normal Deliveries in Non-Hospital Facilities
In the case of members who are planning to give birth in non-hospital facilities, only the normal deliveries and those that are at low risk for complications are covered by the Maternity Benefit offer.
Aside from the qualifications, there are also specific limitations that the Philippine Health Insurance Corp. has cited under its Maternity Benefit offer. It is best to know them as well in ensuring that your pregnancy will be covered under the offer.
