DESCRIPTION:

PhilCare Dengue RX Family of Four prepaid HMO is a health plan that covers a multiple-use benefit up to Php 30,000 for hospitalization due to Dengue. Accepted in more than 500 PhilCare accredited hospitals nationwide.

Age Eligibility and Validity 

PhilCare Dengue RX Family of Four prepaid HMO is for Two (2) kids ages 20 years old and below and Two (2) Adults with ages 21 years old to 64 years old . This PhilCare prepaid HMO is valid for 1 year upon activation date. PhilCare prepaid HMO coverage starts 30 days after the activation date. This PhilCare certificate of coverage is non-transferrable once activated.

PhilCare Dengue RX Family of Four Benefit Coverage:

Inpatient Care Benefits:

PhilCare Dengue RX Family of Four prepaid HMO provides you a multiple-use benefit up to Php 30,000 for hospitalization due to Dengue. Accepted in more than 500 PhilCare accredited hospitals nationwide including six (6) major hospitals (Makati Medical Center, St. Luke’s Medical Center in QC and Global, Asian Hospital, The Medical City, Cardinal Santos Medical Center) and classified hospitals (Manila Adventist and Notre Dame de Charles Hospital).

PhilCare Dengue RX Family of Four prepaid HMO is inclusive of the following benefits:

• Room and board: (Member Preference)
• Doctors’ fees
• Laboratory and diagnostic procedures according to the algorithm set by DOH for the Dengue case
• Medical supplies and medications

Other Additional Benefits (this benefit is provided by a third party- life insurance provider):

• P10,000 accidental death and disability coverage

Availment Procedure 

PhilCare prepaid HMO Hospitalization Availment:

1. Member must present a copy of the COC together with valid identification at identified PhilCare-accredited hospital.
2. Hospital personnel will facilitate the approval of availment by reaching PhilCare HMO contact center to verify membership eligibility and health coverage. The final medical diagnosis is the basis for PhilCare’s approval of coverage. Please note that the PhilCare coverage of this health plan is based on the final medical diagnosis of a Dengue case. The initial presentation of symptoms may indicate Dengue for which a PhilCare In-Patient Letter of Authorization (LOA) may be issued. However, this may be invalidated and revoked if it is shown in the course of medical treatment that the case is not related to Dengue illness.
3. If the final diagnosis is not Dengue, reactivation of benefits is allowed. PhilCare Customer Care Representative will process the reactivation of the plan.

HOW TO ACTIVATE YOUR PHILCARE PREPAID HMO?

After purchase, you need to register your PhilCare prepaid HMO e-card voucher before you can use it.

CONTACT OUR SOLUTIONS PARTNERS TO HELP YOU: 

• Health Insurance: advisor@insurancepartner.ph
• Facebook:  /InsurancePartner.PH/
• Instagram:  /InsurancePartner.PH/
• PhilCare Registration Site
• www.insurancepartner.ph

IMPORTANT NOTES:

• See FAQs for more details.
• Check the list of Non-Covered Illnesses and Diseases COVID-19 is excluded
  The Certificate of Coverage is issued in lieu of the policy, as this encompasses the full details of the product purchased, including its terms and conditions. To request for a full policy contract, please send an email to order@philcare.com.ph and advisor@insurancepartner.ph, once the product has been registered successfully.