PhilHealth Maternity Tool
PhilHealth Maternity Benefits Checker
Estimate your possible PhilHealth hospital deduction and prepare the CSF and CF1 forms you may need before billing or discharge.
PhilHealth helps reduce the hospital or facility bill · SSS maternity benefit is a separate cash benefit
Independent maternity tool · 2026 case-rate estimates · Final deduction confirmed by hospital billing
Check your PhilHealth maternity estimate
Answer the questions below. We will show the estimate and the documents to prepare.
1 · Membership
Select your PhilHealth membership type
2 · Maternity care
What maternity care do you need?
PhilHealth is applied to the hospital or facility bill. The exact deduction is confirmed by the facility and the case filed.
CS delivery uses the hospital estimate.
3 · Result
Your PhilHealth estimate and checklist
What this result means
PhilHealth helps reduce the hospital, lying-in, or facility bill. The final deduction depends on the facility, diagnosis, procedure, accreditation, and the case submitted to PhilHealth.
Your SSS maternity benefit is separate and is normally a cash benefit.
Documents to prepare
Check each item as you prepare it.
CF2: This is a provider form and is handled by the hospital or doctor.
Facility requirements: The hospital or lying-in clinic may request additional documents, an updated MDR, payment proof, or its own forms.
Checked 0 item(s).
Optional
Need extra financial flexibility before discharge?
PhilHealth may reduce the facility bill, but deposits, medicines, transport, balance billing, or baby expenses can still come first. You can check the available UnionBank credit-card offer.
Check UnionBank Credit Card OptionsAffiliate link. Approval and terms are subject to UnionBank. We do not collect your bank application details.
Continue to your SSS maternity result
Your PhilHealth estimate is separate from your SSS cash benefit. Return to the SSS calculator to review both.
Your estimate is saved on this device and included in the return link so the SSS calculator can read it.
This helper prepares an estimate and documents. The hospital billing desk confirms the actual PhilHealth claim, package, and deduction.
What the PhilHealth maternity benefit does
PhilHealth maternity coverage is applied to the hospital, lying-in, or facility bill when the claim is accepted by the facility. It is different from the SSS maternity benefit, which is normally paid as a cash benefit.
SSS maternity benefit
A separate cash benefit based on SSS qualification and contributions.
PhilHealth maternity deduction
A hospital or facility bill deduction based on the case, facility, and accepted claim documents.
What to ask the hospital or PhilHealth desk
Before discharge or final payment, ask whether the PhilHealth maternity deduction can already be applied to your bill.
“Pwede po ba ma-deduct ang PhilHealth maternity benefit ko before discharge or final payment?”
Why prepare CSF and CF1?
The Claim Signature Form (CSF) and Claim Form 1 (CF1) contain member, patient, employer, and claim details used in the facility's PhilHealth process. Preparing them in advance can help reduce encoding mistakes, but the hospital or clinic may still review the forms and require signatures or additional information.
After PhilHealth
Keep the two benefits separate: PhilHealth reduces the medical bill, while SSS maternity benefit is the cash-benefit side.
Open SSS Maternity CalculatorIndependent guide: This website is not affiliated with, endorsed by, or operated by PhilHealth. We provide preparation tools and estimates; the accredited facility and PhilHealth confirm the final case rate, claim requirements, and deduction.