|
• 100% coverage on out-patient medical consultation.
As a PhilamCare member, you are entitled to an unlimited number of medical consultations with PhilamCare out-patient clinic doctors and affiliated medical specialists. PhilamCare shall cover 100% of any professional fee incurred. • Worry-free laboratory examination Necessary laboratory examinations will be covered 100% by PhilamCare if done in any PhilamCare full service out-patient clinic or when referred to any full service hospital or affiliated hospital by PhilamCare physician. • Complete annual physical examination As soon as your coverage takes effect, you will be entitled to a complete physical examination. This examination includes. - Review of medical history
- Physical examination
- Chest X-ray
- Urinalysis
- Stool examination
- Complete blood count
- ECG for members 35 years old and above
- Pap smear for female members 35 years old and above.
• Preventive health care programs entitles you to specialized services such as: - Administration of vaccine ( except cost of the vaccine and procedures to determine your susceptibility to the vaccine)
- Advice on diet, excercise and other health habits
- Periodic monitoring of health problems
- Family planning counselling
- Wellness program
• Convenient NO DEPOSIT admission Absolutely no cash outlay when you check-in at our full service and affiliated hospitals. PhilamCare will cover 100% of your room and board entitlement, necessary hospitalization services of affiliated hospitals and professional fees of affiliated doctors. • Hospitalization benefits include: - Room and board according to your plan
- Professional fees of physicians, surgeons or specialists, including surgery
- Drugs and medication for use while confined
- X-ray, laboratory tests and other diagnostic procedures
- Use of operating room and recovery room
- Dressing, plaster casts and other medical supplies
- Anesthesia and its administration
- Transfusion of blood and other blood elements
- Oxygen and its administration
- Dialysis up to the maximum plan limit
- General nursing services
- Confinement in the intensive care unit (ICU) up to the maximum plan limit
No maximum limit on benifits for ordinary illnesses. Provided you stay within your plan package, there is no maximum limit to the confinement benefits you and your family may receive in cases not requiring ICU confinement and in cases of ordinary (non-dreaded) diseases. • Outstanding selection of clinics, hospitals and specialists within and outside Metro Manila PhilamCare is specially proud of its modern out-patient full service clinics that provide immediate diagnosis and treatment; its over a hundred first-rate affiliated hospitals that provide prompt, quality service; and its over 3,500 specialists - all certified by their specialty board. • Partial reimbursement of expenses in a non-affiliated hospital on emergency cases Yes! You may seek treatment in any hospital in the event of an emergency whether here or abroad. PhilamCare will reimburse as much as 100% of what it would have cost PhilamCare had you been treated by an affiliated doctor in an affiliated hospital or P12,500 whichever is lesser. • Full Coverage for the entire family You can be a PhilamCare family. If you enroll your dependent/s each qualified member of your family will be issued a PhilamCare membership card which will entitle them to enjoy the same benefits as you - the principal member. For an individual planholder, an unenrolled dependent may avail of four (4) FREE consultations at any PhilamCare clinic in Metro Manila within the year of the agreement. • Optional benefits Dental service - annual dental examination
- annual oral scaling polishing
- simple tooth extraction
- treatment of pain, lesions, wounds and burns
- gum treatment except alveolectomy and gingivectomy
- recementation of fixed bridges, crowns jackets, inlays, onlays
- temporary filling
- consultation
• P10,000 term life and P10,000 accidental death and dismemberment insurance coverage.
• No medical examination needed You and your family members shall not be required to undergo a medical examination unless it is deemed necessary by our PhilamCare physician who evaluates your application form. | 
Secured Login Option (https)
