A few weeks before the delivery date, my ever fastidious husbandry, has already asked his office to fill up and sign the Phil Health form required from employers and have his Member’s Data Record ready. Make sure your husband has already made you his dependent prior to giving birth.
We were happy to find out that this time, if you deliver in a Philhealth accredited hospital, the Philhealth benefits are automatically deducted from your bill. No more reimbursing or waiting for the check. In Medical City, where I gave birth, a Philhealth officer even came to our room to help us facilitate forms.
Since I delivered through a CS they deducted almost Php 19,000 on our hospital bill. As for normal deliveries, benefit is standardized at Php 6,500.
You will need to accomplish the following forms:
PhilHealth_ClaimForm1 -(to be accomplished and signed by member and employer)
PhilHealth_ClaimForm2 -(to be accomplished and signed by hospital)
PhilHealth_ClaimForm3 – (to be accomplished and signed by physician/doctor)
As for SSS, I have long discontinued payment and so didn’t get any benefit. Had I continued, SSS would have provided me a daily cash allowance of 100 per cent my average daily salary credit multiplied by 60 days for normal delivery or miscarriage, 78 days for caesarean section delivery. Php 30,000 (normal and miscarriage) and Php 39,000 (c-section) being the maximum benefit computed according to your contribution.
For detailed information on SSS maternity benefits, click SSS Maternity Benefit Part 1 and SSS Maternity Benefit Part 2. What is important to remember with SSS, is that you have to inform your employer or SSS about your pregnancy within 60 days of conception but not later than the date (underline: new input as of 5/3/2013) of delivery by accomplishing SSS Form Mat 1 and by submitting proof of pregnancy. Failure to observe the rule on notification may result to the denial of the maternity claim.
After you have given birth, submit your maternity reimbursement form from SSS (to your employer or to the nearest SSS branch) and the required supporting documents.
For Birth Certificate, hospital will ask you/ husband to fill up and sign the form. Make sure to bring your copy of your NSO certified marriage certificate. Hospital will be the one to process submission of form and should be ready in a month at the hospital’s local city hall.
Disclaimer: TheGoMom just accounted my experience with Phil-health and SSS. Please refer to Phil-health and SSS rules and guidelines for more accuracy. Or better yet, call them or your HR for clarification. Thank you.