Pregnant Minors Should Become Philhealth Members

If your daughter is under 21 years old, unmarried and unemployed, she is qualified as your Philhealth dependent.  Your Philhealth membership can help cover her medical needs. She does not need to register for Philhealth membership.

girl for pregnant minors

Pregnant Minors

But if your daughter is pregnant, unmarried, and the father of her baby is not a Philhealth member, then you need to help her register to become a Philhealth member.

Why?  So that in case your daughter’s baby needs special newborn care or additional medical treatment, her baby will be covered by her Philhealth membership.

Philhealth Coverage for Teenager’s Baby

Your minor daughter can be your dependent, but her baby (your grandchild) cannot be your dependent.
There have been parents commenting on our blogs regarding the cases of their dependent daughters whose newborn babies needed special medical care. These babies were not covered by Philhealth because their teenage mothers were not Philhealth members. Para ma-cover ang apo ninyo (anak ng minor daughter ninyo), help your pregnant daughter register with Philhealth.

Reference: Philhealth Circular No. 022-2014, Social Health Insurance Coverage and Benefits for Women About to Give Birth

V.7. “Pregnant women who are dependents of their parents should enroll as principal members, either through Point of Care Enrollment (POC) or at a PhilHealth Local Health Insurance Office (LHIO) or PhilHealth Regional Office (PRO) with proof of pregnancy, so that their children shall likewise have social health insurance coverage.”

Minor’s Delivery of Baby in a Hospital for Philhealth Coverage

Remember also that Philhealth DOES NOT cover any delivery at a clinic or non-hospital by a member under 19 years old at the time of delivery. Kelangan na ang mga pregnant minors ay sa hospital manganganak para ma-qualify sa Philhealth coverage. Ina-advise na sa hospital manganak ang mga pregnant minors kasi mataas ang risk na magkakaroon ng difficulties o complications sa delivery. Kung kelangan ng immediate surgery o cesarean section (CS), magagawa agad kasi nasa loob na ng hospital at delivery room. Kung sa clinic manganak, maaring hindi maagapan agad kung merong complications.

Reference: Philhealth Circular No. 022-2014, Social Health Insurance Coverage and Benefits for Women About to Give Birth

IV. 4. Only low risk normal vaginal deliveries shall be compensable in non-hospital facilities. “Low risk” refers to absence of active complications and any maternal or fetal factors that will make the pregnancy at risk for complications.
Hence, the following conditions listed in PhilHealth Circular 20, s 2008 shall not be reimbursed in non-hospital facilities:
a. Maternal age below 19 years old at the date of delivery;
b. to l. (other conditions)

Enhanced Newborn Care Package

Ask about your baby’s Philhealth newborn care package. Your baby is entitled to this benefit if you are a Philhealth member who has paid the correct number of monthly premiums.  It consists of newborn care services and tests that will  help improve the overall health of the baby. It will also enable medical professionals to detect early signs of illnesses and do necessary steps for treatment or preventive interventions. This benefit has been increased from 1,750 pesos to 2,950 pesos.  

This newborn care package includes the following:

1. Immediate drying of the baby
2. Early skin to skin contact
3. Timely cord clamping
4. Non-separation of mother/baby for early breast feeding initiation
5. Eye prophylaxis and Vitamin K administration
6. Weighing of the baby
7. First dose of hepatitis B Vaccine 
8. First dose of BCG Vaccine
9. Newborn Screening Test is a blood test done on the newborn 24 to 72 hours after birth. It enables early detection and management of several congenital disorders, which may lead to mental retardation or death if untreated.
10. Newborn Hearing Screening Test is a test done on the newborn to detect congenital hearing loss.

Reference: PhilHealth Circular No. 2018-00214 — Enhancement of Newborn Care Package

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