All about Philhealth II

[agatha19]

question mga sis, diba pag employed 3 months lang contribution? sa bernardino they're asking for 9 months. tama ba yun?

[vainwriter]

ang alam ko rin 3 months lang sa employed sis. print mo siguro yung nasa website under employed members tapos pakita mo sa kanila. also call philhealth for clarification

[Akosiding]

Hello GT!

Bago lang po ako dito. Ask ko lang due ko na po kasi this march. Yung philhealth ko 3monts contribution lang po nung employed ako june-aug2012 then para nga po macontinue pa rin yung paghulog, sept-march2013 individually paying na ako. Entitled po ba ako sa benefits? Total of 10 months po ang contribution pero pag based naman na po sa status 6months lang as individually paying (so hindi qualified). Counted ba ang contributions ko nung employed? Kung hindi naman. Lets say ang case is 2years akong employed at nakapagcontribute from june2010-aug2012 then nagpalit din ng status parang same case din ang difference yung 2nd, 2 years ang contributions. Hindi pa rin pasok sa 9premiums so kahit 2years ang contributions hindi pa ren makakaavail? Parang everytime na magpapalit ng status magbabago din ang start ng pagcount sa contributions? Pano po ba ang qualification? Based sa status o sa monthly contribution?

[freelancer_babe]

^ as long as you are paying, dapat talaga entitled ka sa benefits.

Hindi sa employment status ang basehan. Ang basehan ay yung mga contributions na ginawa mo whether naging employed ka, self-employed or voluntary ka.

[shenggay]

Mga sis, nalilito din ako dito sa philhealth. Kasi i was employed last year from feb to sept. tapos, stop ang hulog ko ng oct-dec. nabuntis ako ng Dec, so nag-voluntary ako ngayon for the whole year. Entitled ba ako sa benefits? Last week ng august ang EDD ko. Thanks!

[MrsLuluyz]

due date is first week of april or even earlier. i already paid my philhealth for jan-june 2013. tapos june - dec 2012 me contributions din naman ako. june to august ako employed. sept to june 2013 - voluntary. i got married nun november 2012, hindi ko pa rin na change to married name yung philhealth ko. okay lang kaya yun? although hindi ako bed rest ngayon, hindi ako magkatime na pumunta sa philhealth na ibang branch kasi malayo, mahihirapan ako byahe or pila. sa galleria lingkod center ako nagpupunta kaso ilang weeks na silang offline. at nagagawa ko lang yun pag me kasama ako. okay lang kaya yun.

[vainwriter]

ang alam ko rin 3 months lang sa employed sis. print mo siguro yung nasa website under employed members tapos pakita mo sa kanila. also call philhealth for clarification

sis agatha19 i stand corrected. confirmed with my hospital na 9months daw required to avail pregnancy related cases. same applies sa newborn care package. cant avail newborn care pag di qualified ang momy sa maternity benefits too

[Akosiding]

^ as long as you are paying, dapat talaga entitled ka sa benefits.

Hindi sa employment status ang basehan. Ang basehan ay yung mga contributions na ginawa mo whether naging employed ka, self-employed or voluntary ka.

sis! Tama ka. Kagagaling ko lang sa philhealth kanina entitled daw ako kailangan ko lang ng certificate of contributions saka yung mga receipts, kaya pala yung sa email sabi hindi ako entitled kasi nung nagverify ako dito sa regional office olongapo hindi pala naideclare nung company yung july, august payment ko. Pero yung inemail din sakin galing main office magulo. Haha. Anyways, buti solve na kailangan ko na lang ng proof ng contributions. Bottomline is there should be 9monthly contributions for pregnancy related cases within 12month period prior to confinement regardless of membership status.

[Yui_21]

ask ko lang how much ang cover ng maxicare for maternity? maximum contribution yung company namin...thanks

[Mommy Dea]

Hi all, I'm giving birth anytime this month, but last January lang pala ako na-add as dependent ng husband ko sa PhilHealth niya. I've been working online na for more than a year so 2011 pa yung last kong contribution.

Pwede ko ba ma-avail yung PhilHealth ng husband ko kahit late nang naapply? Thanks.

[-charm-]

^^sis it depends sa package ng company nyo sa maxicare. May iba kasi na walang coverage ang panganganak. May iba naman na full coverage yung maternity. Better to ask your HR.

[agatha19]

Bakit ganon yung sa bernardino 9 months ang kailangan kahit employed? Called Philhealth call cente a couple of times before ako manganak, they said 3 months contribution lang need. :-(

[Yui_21]

ay sorry mali yung tanong ko..lol! sis i meant philhealth.. magkano cover ng philhealth? and depende ba sa delivery (cs or normal)? thanks sis charm for answering!

[ikaela]

due date is first week of april or even earlier. i already paid my philhealth for jan-june 2013. tapos june - dec 2012 me contributions din naman ako. june to august ako employed. sept to june 2013 - voluntary. i got married nun november 2012, hindi ko pa rin na change to married name yung philhealth ko. okay lang kaya yun?

MrsLuluyz, exact same situation tayo. Fully paid Philhealth. Due to give birth first of April or earlier. Got married last year but have not updated my Philhealth status yet.

I think hindi naman tayo idedeny ng coverage kasi nga fully paid naman tayo. Naiba lang yung status. I've put my maiden name/married name IDs, my marriage contract, and my proofs of payment in my hospital bag -- I think that should be enough. Actually, ayoko palitan pa yung name & status ko sa Philhealth kasi based on my last experience, the hospitals where I am try to deny Philhealth coverage at the teensiest loophole. 'Di lang nila mabasa ng maayos yung payment date, gusto na nila i-deny agad. WTF di ba.

[freelancer_babe]

sis! Tama ka. Kagagaling ko lang sa philhealth kanina entitled daw ako kailangan ko lang ng certificate of contributions saka yung mga receipts, kaya pala yung sa email sabi hindi ako entitled kasi nung nagverify ako dito sa regional office olongapo hindi pala naideclare nung company yung july, august payment ko. Pero yung inemail din sakin galing main office magulo. Haha. Anyways, buti solve na kailangan ko na lang ng proof ng contributions. Bottomline is there should be 9monthly contributions for pregnancy related cases within 12month period prior to confinement regardless of membership status.

Thanks for the update sis. Mukhang employer mo pala ang may problem. Hehe.

Really is worth it to double check. Such things happen also in Pagibig and SSS - pag hindi naremit ng employer di magrereflect.

At least entitled ka na. You could enjoy Philhealth benefits at the fullest. Laking tulong yan. 

[MrsLuluyz]

@ikaela - sabay pa tayo ng due, feeling ko nga holy week ako manganganak eh. haha! yeah that's what i did too. nilagay ko lahat ng receipts ko plus yung hiningi ko sa company na proof of payments ko before i resigned.

anyway, i was finally able to update my status na din. thank god at online na ulit ang philhealth sa lingkod pinoy center ng galleria at na iupdate ko na both status of my hubby and mine, at nakapag name change na ako. i got a new MDR and ID na din, saglit lang, wala pa yata 10 minutes na asikaso na ako. bilang lang ng daliri ang nag papaayos dun, buti na lang me photo copy  na ako ng marriage certificate ko at di ko na kailangan pang pumila sa national para magpacopy. no need to worry na about my philhealth! ako lang din nag ayos ng philhealth status ng hubby ko, ni hindi binasa yung authorization letter na dinala ko. hehe.

i suggest kung hirap kayo pumunta sa mga philhealth mismo, go to lingkod pinoy na lang mas maikli pila dun.

[-charm-]

Sis yui, cs ako pero around 10k lang ang binawas ni philhealth sa hospital bill ko. Yung sa pf naman ng doctors, hindi ko alam kung paano yung computation nila pero nilalagay na lang nila sa cf2 form kung magkano yung babayaran ng philhealth sa kanila.

[ikaela]

@ikaela - sabay pa tayo ng due, feeling ko nga holy week ako manganganak eh. haha! yeah that's what i did too. nilagay ko lahat ng receipts ko plus yung hiningi ko sa company na proof of payments ko before i resigned.

Sige na nga, mag-update na din ako ng Philhealth status. Haha. Iisa lang kasi Philhealth where I am, for sure mahaba pila. Sana same day ko lang din magawa lahat -- update status, change name, update dependents, and get the MDR. By the way, did you make yourself a dependent of your husband or did you do it the other way around?

Feeling ko din holy week ako manganganak. Yung OB ko pa naman mahilig magbakasyon kapag holy week. Ayoko naman magpa-schedule ng much more expensive induced labor or CS just to accommodate her. Oh well.

[Yui_21]

^^thanks sis charm! will be admitted na din kasi sa thurs since ayaw talaga magstart labor ko..:p magpa cs na lang ako kasi 40 weeks na ko sa monday eh with gdm ako..

[leangelove]

@ sis charm  -bakit 10k lang? kala ko fixed na ang philhealth deductions? kapag normal, nasa 6,500 and then kapag cs nasa 19k..