14/06/2013
HEALTH CARE PROGRAMS ESPECIALLY TAILORED
FOR YOU AND YOUR LOVED ONES
A loved one's well-being is always of utmost importance to us. A visit to the doctor, a laboratory test, illness that requires hospital admission are just some of the things we all have to face in our lives.
PhilCare's Classic Standard Program answers your need for health care and in-patient services that include out-patient care services, emergency treatment, preventive health care and in-patient services. These services are predetermined and can be availed of for an agreed period so you can manage your costs.
The Classic Elite Program allows you to access top rate hospitals such as Cardinal Santos Medical Center, Makati Medical Center, St. Luke's Medical Center (Quezon City) and The Medical City, EXCEPT Asian Hospital and Medical Center and St. Luke's Medical Center-Global City.
BENEFITS:
CLASSIC / CLASSIC ELITE
Plan Variant Diamond Emerald Pearl
Daily Room Rate P 1,400 P 1,000 P 900
Annual Benefit Limit
(one limit for all illness per year)
P 120,000 P 65,000 P 55,000
P 250,000 P 85,000 P 75,000
P 500,000 P 100,000 P 90,000
Note: This health care program does not cover pre-existing and congenital conditions
Annual Physical Examination (APE) at PhilCare or designated clinics
> Review of Medical History
> Physical Examination
> Chest X-ray
> Urinalysis
> Fecalysis
> Complete Blood Count (CBC)
> ECG for aged 35 & above
> Pap Smear for all females aged 35 & above
Preventive Health Care
> Administration of vaccine (excluding cost of vaccine & determination of susceptibility)
> Consultations and advice on diet, exercise & healthful habits
> Periodic monitoring of health problems
> Family planning counseling
Out-patient Services
> Consultations, including specialists'evaluation
> First aid treatment of injury or illness
> Emergency medicine for the immediate relief of symptoms
> Necessary x-ray, laboratory and other diagnostic exams
> Minor surgery not requiring confinement
> Eye, ear, nose and throat (EENT) care
> Pre-natal and Post-natal consultations at PhilCare clinics
In-Patient Services (Hospitalization)
> Services of a Physician including surgical services
> Room and Board according to the type of room accommodation and subject to the maximum rate of
Daily Room and Board as stated in the Member's Benefit Schedule
> General Nursing Service
> Use of operating room and recovery room
> Anesthesia and its administration
> Drug and medication during confinement
> Confinement in Intensive Care Unit up to the maximum benefit limit
> Other services deemed medically necessary such as but not limited to:
o Oxygen and its administration
o Dressings, plaster casts and other medical supplies
o Laboratory tests, x-rays and other necessary diagnostic services
o Blood and other blood elements transfusion including screening and cross-matching subject to
General Exclusions.
o Dialysis, chemotherapy and similar treatment procedures except occupational therapy up to the
maximum benefit limit.
P 100,000 Term Life Insurance
P 100,000 Accidental Death & Disablement
Optional Dental Benefits
Package 1 - (Standard Package)
> Annual dental examination and consultations
> Emergency out-patient dental treatment to be availed at accredited dental clinics only
> Oral Prophylaxis once a year (light cases only)
> Simple tooth extractions
> Restorative and prosthodontics treatment planning
> Temporary fillings - unlimited as needed
> Desensitization of hypersensitive teeth
> Recementation of loose crowns, inlays and onlays
> Dental Nutrition and dietary counseling
> Dental Health education
> Pre-natal check of teeth and gums
> Temporo mandibular joint consultation
> Gum treatment for cases like inflammation or bleeding
Package 2 - Package 1 + 2 lightcure surfaces
Package 3 - Package 2 + 1 additional Prophylaxis
ENROLLMENT FEES: (additional cost per member)
Diamond Emerald Pearl
Individual P 250
P 250 P 250
Family P 420 P 420
P 420
DENTAL FEES: (additional cost per member)
Package 1
Package 2
Package 3
Annual P 240 P 440 P 520
Semi Annual
P 120
P 220 P 260
Quarterly
P 60
P 110 P 130
Monthly
P 20 P 40 P 45
