Maternity Reimbursement Checklist

Normal Spontaneous Delivery (NSD)

1. Certified true copy or authenticated copy of duly registered birth certificate
2. In case the child dies or stillborn, duly registered death or fetal certificate
3. Maternity notification form duly stamped and received by SSS

Caesarean Delivery

1. Certified true copy or authenticated copy of duly registered birth certificate
2. In case the child dies or stillborn, duly registered death or fetal certificate
3. Maternity notification form duly stamped and received by SSS
4. Certified true copy of operating room record

Miscarriage or Abortion (D&C)

1. OB history certified by the attending physician
2. D & C report for incomplete abortion
3. Pregnancy test before and after abortion with age of gestation
4. Histopath report in case of complete abortion
5. Maternity notification form duly stamped and received by SSS