DESCRIPTION:

Mind Care Counseling provides a one-time (1) teleconsultation with a PhilCare Physician and one-time (1) virtual counseling session with a Mind Care Counselor through the HeyPhil DigiMed app. It includes a mental health screening survey, viewing of results, counseling activities, and more.

Age Eligibility and Validity 

Mind Care Counseling is for age 18 year old and above.

Benefit Coverage 

Mind Care Counseling provides a one-time (1) counseling session with a MindCare counselor through the HeyPhil DigiMed app. It covers mental health screening survey, viewing of results, counseling activities for cases like insomnia, domestic abuse, family conflict, and more. It also covers one-time (1) teleconsultation with a Family Medicine Specialist, Internal Medicine, or General Practitioner.

HeyPhil Mind Care Counseling:

• One (1) Mind Care counseling session with MyGolana coachers and counselors
• Fifty (50) minutes of counseling time
• Mental health screening survey and viewing of results
• Counseling activities as deemed appropriate by our Counselors

Coverable Cases:

It can be used for mental and emotional wellness check for persons with any of the following experiences/conditions/feelings/circumstances not needing urgent care:

• General anxiety
• General depression
• Stress management
• Loneliness
• Unmotivated
• Frustration
• Anger management issues
• Fear
• Family conflict/-conflict management (marital/relationship fatigue)
• Gender issues
• Domestic violence
• Self-esteem
• Blended families
• Bullying
• Dealing with HIV
• Insomnia
• Phobias
• Grief
• Relational Problems

EDUCATIONAL/OCCUPATIONAL PROBLEMS:

• Housing/landlord issues
• Finance
• Neighbor discord
• Lack of food/adequate drinking
• Low income/poverty issues

SOCIAL ENVIRONMENT RELATED PROBLEMS:

• Phase of life
• Living alone
• Acculturation adjustment
• Social exclusion/rejection

Limitations

• This voucher provides access to HeyPhil Mind Care Coaches and Counselors only.
• The 50-minute counseling session is done purely online.
• Any cases needing psychiatric consultations requiring in-person check-up for proper assessment of more appropriate treatment will be advised to visit a clinic. These pertain to severe cases of mental disorders including (but not limited to):
  1. Severe anxiety
  2. Severe depression
  3. Suicidal cases
• Online diagnosing of disorders and prescribing of medicines are not covered
• The product benefit is not applicable to any of the following cases:
  1. A person who is advised or is currently under psychiatric care
  2. A person who is mandated by relevant authorities to undergo psychotherapy
  3. Emergency/crisis situations such as:
     • Indication of repeated suicidal ideation
     • Indication of harm to self or others
     • Previously diagnosed psychopathology with violent tendencies
     • Actual emergency event (in the imminent act of committing suicide/harm)

HeyPhil DigiMed Online Consulation:

1. One (1) medical tele-consultation through HeyPhil DigiMed with any of the following physicians:
   • Family Medicine Specialists
   • Internal Medicine
   • General Practioner
2. Issuance of medical assessment and prescription
3. Endorsement for lab tests/procedures to clinics if necessary
4. Referrals for specialty consult if necessary
5. Interpretation of laboratory test results
6. Consultations for pre-existing conditions not requiring emergency attention

Coverable Cases:

This can be used for several outpatient (OP) conditions requiring primary care consultation not needing visualization and physical assessment of the doctor. Primary care is provided by physicians specially trained for and skilled in comprehensive first contact, and continuing care for persons with any undiagnosed signs, symptoms or health concert not limited by problem, origin and organ system. This includes several conditions such as (but not limited to):

• Respiratory conditions: allergies, asthma, bronchitis, cold or cough, sinusitis or rhinitis, pharyngitis, laryngitis, tonsillitis
• Cardiovascular conditions for follow up check-up: hypertension, medicine refills
• Gastrointestinal Issues: diarrhea and vomiting, GERD, dyspepsia
• Skin Conditions: allergies, rashes, insect bites, skin swelling/inflammations, cellulitis
• Other conditions/infections: acne breakouts, arthritis, boils (pigsa), conjunctivitis, ear infections, fever, mild injuries, sprains and strains, UTI and bladder infections, general pediatric conditions requiring initial consultation

Limitations:

The exceptions of this health plan are medical conditions which require in-person medical check-up for proper visualization of the case and physical exam for assessment of more appropriate treatment. These medical cases include but not limited to:

• Emergency related cases
• Maternity-related cases
• Dental consultations
• Mental health related conditions
• Medical conditions related to all forms of behavioral disorders
• Developmental or psychiatric disorder and psychosomatic illness whether acquired or congenital
• Dermatology-related cases
• Illnesses needing treatments from a medical specialist (e.g. severe cases of chronic illnesses)
• "Fit to work" assessments requiring medical certification

Availment Procedure 

HeyPhil Mind Care Online Counseling Procedure

1. Download the HeyPhil DigiMed application through Play Store (for android phones) or App Store (for IPhones)
2. Click Need Online Mental Counseling or Medical Consultation? Click Here found at the bottom part of the app screen.
3. Go to With Reference No? Click Here found at the upper part of the app screen.
4. Fill out the Patient Profile then click submit.
5. Select Mind Care tab.
6. Member will be redirected to the Mind Care platform. Agree to the Terms and Conditions by ticking the checkbox.
7. Answer the short survey and see the results.
8. Member can then proceed to set an appointment by clicking on the Make Appointment button.
9. Select your preferred date, time and counselor.
10. Log-in on your scheduled appointment and proceed with your mental health counseling.

HeyPhil DigiMed Consultation Procedure:

1. Download the HeyPhil DigiMed application through Play Store (for android phones) or App Store (for IPhones)
2. Click Need Online Mental Counseling or Medical Consultation? Click Here found at the bottom part of the app screen.
3. Go to With Reference No? Click Here found at the upper part of the app screen.
4. Fill out the Patient Profile then click submit.
5. Enter your Chief Complaint or the reason why would you like to seek for medical consultation.
6. Attach a photo of your most recent doctor’s prescription or laboratory test results if available, otherwise, proceed to read and agree with the terms and conditions in availing a digital consultation.
7. Click the Request Consultation to queue your digiconsult request with one of our DigiMed doctors.
8. Stand by for your DigiMed Doctor’s call until the submitted chief complaint and copies of prescription and laboratory test results have been assessed. Please be reminded that your DigiMed Doctor calls from an unregistered number in your contact list.
9. Engage with a medical tele-conferencing with your DigiMed Doctor.
10. Check on the medical assessment and prescription sent to your registered email.
11. Rate and send your feedback about your HeyPhil DigiMed consultation experience.

IMPORTANT NOTES:

• See FAQs for more details.
• Check the list of Non-Covered Illnesses and Diseases
  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.