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Author Topic: Philhealth Qs related to pregnancy and delivery  (Read 197272 times)

lizzie555

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Re: Philhealth Qs related to pregnancy and delivery
« Reply #345 on: December 07, 2013, 05:47:52 pm »

may nakapag avail na ba dito ng para sa IPM/voluntary? yung may Individual Policy Contract sa philhealth. Yung 3months na hulog lang pwede na (pero babayaran mo ng advance yung next year. yung sa halip na 9months/12months, kahit 3monthsin the last 6 months lang. http://www.philhealth.gov.ph/circulars/2012/circ61_2012.pdf
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chekai

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Re: Philhealth Qs related to pregnancy and delivery
« Reply #346 on: March 23, 2014, 03:30:55 pm »

@MomVEH: if CS yung gamit po, fix na P19thou yung magagamit nyo from PhilHealth. Package po yun, wala pong P30,000 na package under sa delivery. Yung sinasabi siguro ng friend nyo is yung case na if ang package is worth say, 15,000 for a pneumonia then ang nagastos nyo lang sa hospital is only P11,000 so dalawa yung magiging effect nyan:
  1. wala ka nang babayaran ni piso sa hospital since yung package is P15,000.00

  2. PhilHealth will pay the exact package amount of p15,000 sa hospital so may kita nga ang hospital ng P4,000.

So what you will do is:
 1, if may mga resibo ka sa mga medicines na nabili mo sa labas ng hospital (which i usually practiced kasi jack up masyado presyo ng meds sa hospital pharmacy), keep mo lang yun.

 2. Punta ka PhilHealth office to monitor if nabayaran na ba ng PhilHealth ang hospital. Kunin mo yung check #, and date of issuance. Better if kuha ka na rin kopya ng BPN (benefit payment notice)

 3. Balik ka sa hospital the pakita mo yung details ng check # and BPN kasama mga OR's ng mga meds na nagamit mo during your confinement.

Ibabalik ng hospital mga nagastos mo outside, whichever is lower sa remaining P4,000.00



@lizzie555: Yes, nagissue before ng circular ang PhilHealth about availment ng maternity kahit 3 months within 6months lang ..but I'd suggest, better tawag ka sa office to verify kasi what I heard a month ago, parang nasuspend pa yung implementation ng nasabing circular (3months within 6months)
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lizzie555

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Re: Philhealth Qs related to pregnancy and delivery
« Reply #347 on: March 23, 2014, 06:04:15 pm »

yes, i already went to the nearest philhealth office and confirmed  pwedeng 3months lang contribution within the last 6 months basta individually paying member.
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KtheaG

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Re: Philhealth Qs related to pregnancy and delivery
« Reply #348 on: April 21, 2014, 09:07:23 pm »

hi mga mommies!

do anyone here gave birth already to their 5th child and had used their philhealth for it?


kindly advise.


thanks po!
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lizzie555

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Re: Philhealth Qs related to pregnancy and delivery
« Reply #349 on: April 22, 2014, 09:23:21 am »

naku hanggang 4th child lang ang pwede. kahit kunwari hindi ka nakakuha ng benefits ng philhealth sa ibang kids mo, basta pag 5th child na, hindi na pwede. kahit 4 miscarriages lang, yung 5th, hindi na pwede. nasa website ng philhealth
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KtheaG

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Re: Philhealth Qs related to pregnancy and delivery
« Reply #350 on: April 22, 2014, 08:36:31 pm »



thanks, mommy lizzie555! :)
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KtheaG

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Re: Philhealth Qs related to pregnancy and delivery
« Reply #351 on: April 24, 2014, 11:55:32 pm »

"naku hanggang 4th child lang ang pwede. kahit kunwari hindi ka nakakuha ng benefits ng philhealth sa ibang kids mo, basta pag 5th child na, hindi na pwede. kahit 4 miscarriages lang, yung 5th, hindi na pwede. nasa website ng philhealth"

- - - - - - -

sis lizzie555, nagtanong ako sa previous OB ko na sya din magpapaanak saken this July through scheduled CS..sabi niya, pag CS daw, it's always covered.. :)  yun palang sinasabi mo na hanggang fisrt four deliveries lang, eh under Natural Spontaneous Delivery Program yun ng Philhealth. Pero thanks pa din sa input  mo. ;)
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venicehyen

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Re: Philhealth Qs related to pregnancy and delivery
« Reply #352 on: July 03, 2014, 09:48:39 am »

Hi, mga ilang months po kaya bago makuha yung reimbursement ng philhealth after birth? thanks
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satchie

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Re: Philhealth Qs related to pregnancy and delivery
« Reply #353 on: July 04, 2014, 11:52:51 am »

Hi mommy, depende kung gaano kabilis na-process nung hospital yung claim mo. From experience nung nagkasakit mommy ko yung over-payment naming we only received it after 12 months. ;)
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pinklover17

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Re: Philhealth Qs related to pregnancy and delivery
« Reply #354 on: July 11, 2014, 11:11:48 am »

hi sissies ask ko lang hm ma less ng philhealth if nsd?  thanks in advance.  :)
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Casie

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Re: Philhealth Qs related to pregnancy and delivery
« Reply #355 on: August 21, 2014, 10:45:03 am »

Hi po! I just want to ask, kasi wala pa po akong Phil Health, manganganak na ako sa January next year. If mag-avail po ako nung Voluntary, pwede ko po ba hulugan yun ng 9 months ng isang hulugan lang agad para ma-avail ko siya pag manganganak na ako, or dapat talaga 9 months?

Thanks po! Gulong gulo na po kasi ako e.
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gharz412

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Re: Philhealth Qs related to pregnancy and delivery
« Reply #356 on: August 22, 2014, 03:32:14 pm »

pwede sis. Annual pay tawag dun. Hindi naman ganun kahirap yung sa philhealth. :D
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hunniemarie

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Re: Philhealth Qs related to pregnancy and delivery
« Reply #357 on: August 23, 2014, 01:26:18 am »

hi po, ang hulog ko po sa philhealth is from july-dec2014. ang due date ko po either 1st or 2nd week ng december2014. magagamit ko pa din po ba ang philhealth ko?  thank you.  :)
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ms_morikawaii15

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Re: Philhealth Qs related to pregnancy and delivery
« Reply #358 on: September 05, 2014, 07:03:29 pm »

Hi mommies! Tanong ko lang po! Baka my nakakaalam! Kung normal delivery po at Kung sakali po ba na sa mga maternity clinics or lying ins ko mapili manganak, magagamit ko parin po ba benefits ko from philhealth? Sa sss naman po kc diba sure basta updated hulog moh, thank u po.. :)
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julietgeslani

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Re: Philhealth Qs related to pregnancy and delivery
« Reply #359 on: September 06, 2014, 03:31:45 pm »

Hi mommies! Tanong ko lang po! Baka my nakakaalam! Kung normal delivery po at Kung sakali po ba na sa mga maternity clinics or lying ins ko mapili manganak, magagamit ko parin po ba benefits ko from philhealth? Sa sss naman po kc diba sure basta updated hulog moh, thank u po.. :)

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Hi mommy ms_morikawaii15,
Depende po sa maternity/lying clinic kung saan po kayo manganganak. Usually, these clinics offered packages for philhealth or non-philhealth patient. ASk nyo po ang clinic kung may ganun sila.

I'm from Pampanga and just gave birth last 8/29 - and yes, na-avail ko yung PhilHealth package ng maternity clinic, although merun silang required #s of visit or consultation prior to your delivery.

Hope this helps.
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