PhilHealth increases coverage for maternity cases

The Philippine Health Insurance Corporation (PhilHealth) is increasing its benefits for normal spontaneous deliveries done in all accredited hospitals and lying-in clinics in the country. This will be effective starting November 1, 2009. This was the information disclosed by Dr. Rey B. Aquino, PhilHealth President and CEO.

Through Circular No. 39 series of 2009, to increase the coverage from P4,500 to P6,500 per Resolution No. 1282 series of 2009.

Under the new compensation rate, PhilHealth will pay up to P2,500 each to the hospital and the professional while P1,500 shall cover prenatal care services if giving birth in hospital facilities. In non-hospital settings such as lying-in centers and birthing homes, P5,000 goes to the facility while P1,500 goes to prenatal care.

To avail of the benefit, Individually Paying Members (IPMs) should have at least nine (9) months of paid premiums within the immediate twelve (12) months prior to the month of availment while employed members and IPMs enrolled under the KASAPI (Kalusugang Sigurado at Abot-kaya sa PhilHealth Insurance) shall be required at least three (3) months of paid contributions within the immediate six (6) months prior to actual availment. (PhilHealth)

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