|
 Home
Life Insurance
Health Insurance
Education Plan
Pension Plan
Property Insurance
News and Articles
What's New
Contact
Site Map
Small
Group Plan
Schedule
of Benefits
Membership
Fees
Clinics
Affiliate Hospitals
Guidelines
Requirements
|
PhilamCare Small Group Health Insurance Benefits (5
- 19 employees)
In-patient Services
-
Services of physicians, surgeon or
specialist, including surgery
-
Room and board, according to type of plan
-
General nursing services
-
Use of operating and recovery rooms
-
Anesthesia and its administration
-
Drugs and medication for use in the hospital
-
Dressings, plaster casts and other medical
supplies
-
Laboratory tests, x-rays, and other
diagnostic services
-
Transfusion of blood and other blood
elements
-
Dialysis up to the maximum limit of the plan
-
Confinement in the intensive care unit up to
the maximum limit of the plan 
Unlimited Consultations
One hundred percent (100%) coverage of doctor's
professional fees and laboratory if availed at PhilamCare full
service out-patient clinics and/or within PhilamCare network of
affiliated physicians and hospitals.
Annual Physical Examination
-
Review of medical history
-
Physical examination
-
Chest X-ray
-
Urinalysis
-
Fecalysis
-
Complete Blood Count (CBC)
-
ECG for members 35 years old and above
-
Pap Smear for female members 35 years old
and above.
Preventive Health Care
-
Administration of vaccine (except the cost
of the vaccine and procedures to determine members' susceptibility
to the vaccine)
-
Advice on diet, exercise, and other health
habits
-
Periodic monitoring of health problems
-
Family planning counseling
-
Wellness program
Emergency Benefits
A member may seek treatment in any hospital in an
emergency case here or abroad. PhilamCare will reimburse as much as
100% of what it would have cost PhilamCare had the member been
treated by an affiliated doctor in an affiliated hospital or P15,000
whichever is less.
Optional Benefits: Dental Services
-
Annual dental examination
-
Simple tooth extraction
-
Annual oral scaling and polishing
-
Treatment of pain, lesions, wounds and burns
-
Gum treatment except alveolectomy and
gingivectomy
-
Re-cementation of fixed bridges, crowns,
jackets, inlays and onlays
-
Temporary filling
Group Yearly Renewable Term Life (GYRT)
Accidental Death and Dismemberment (AD
and D)
Total and Permanent Disability Income
(TPDIB)
-
Pays a monthly income in case of total and
permanent disability
-
Total permanent disability may be due to
bodily injury or illness
-
Unpaid balance earns 8% interest per annum
-
Payment period extends to 60 months.
Copyright
2003
© BCBuddy.com. All
rights reserved. Legal
Restrictions
|
