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Mind Care Plus

Available

₱3,000.00

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DESCRIPTION:

PhilCare Mind Care Plus prepaid HMO allows you to have one (1) telemed session with a psychiatrist via PhilCare Member Gateway. Get access to virtual mental healthcare for concerns like schizophrenia, PSTD, delusional disorder, and other non-emergency psychiatric services.

 

Age Eligibility and Validity 

PhilCare Mind Care Plus prepaid HMO is for age 18 years old to 65 years old.

Benefit Coverage 

PhilCare Mind Care Plus prepaid HMO is a single-use psychiatric consult plan availed through PhilCare Member Gateway. It covers a 50-minute telemed consultation with a psychiatrist for mental concerns like schizophrenia, PTSD, delusional disorders, and the like. This Certificate of Coverage is valid within one (1) year upon purchase. If cancellation is made less than 24 hours from the scheduled appointment, benefit shall already be considered utilized.

  • A referral to mental or medical health facilities or other medical or mental health professionals
  • Psychiatric evaluation and management; medical prescription if necessary
  • Endorsement for lab tests/procedures to clinics if necessary

Coverable Cases:

PhilCare Mind Care Plus prepaid HMO covers online consultations for the following cases not needing urgent care. These are cases that may not need visualization and physical assessment of the Psychiatrist:

  • Mental and behavioral disorders due to psychoactive substance use (e.g. alcohol, opioids)
  • Schizophrenia, schizotypal and delusional disorders
  • Mood (affective) disorders (e.g. bipolar disorder, depression)
  • Neurotic, stress-related, and somatoform disorders (e.g. phobias, PTSD, pain disorders)
  • Behavioral syndromes associated with physiological disturbances and physical factors (e.g. eating/sleep/sexual disorders, postpartum depression)
  • Disorders of adult personality and behavior (e.g. gender identity disorder, kleptomania)

Limitations

The exceptions of this health plan include the following psychiatric services, programs, and facilities:

  • Medical certificate for medico-legal purposes
  • Psychologic tests and interpretation
  • Medicines
  • Short-term and long-term hospitalization and partial hospital care in a mental health facility (facility-based services)
  • Acute withdrawal symptoms
  • All services related to the following conditions:
    1. Mental disorder caused by cerebral dysfunctions (e.g. dementia)
    2. Mental retardation caused by incomplete development of the mind
    3. Disorders of psychological development (e.g. dyslexia, autism)
    4. Behavioral and emotional disorders with onset usually occurring in childhood and adolescence (e.g. ADHD)
  • Dependency recovery services and substance abuse/chemical dependency program
  • Medical treatment of illnesses or injuries, or otherwise self-induced
  • Counseling services and treatment related to religious counseling, marital/relationship counseling, vocational or employment counseling, learning disabilities/mental retardation, and sex therapy
  • Programs where the primary focus of the program is educational in nature rather than treatment
  • Any psychiatric conditions and treatments not listed as covered

 

Availment Procedure 

Request for an appointment procedure

  1. Visit Member Gateway.
  2. Click the “DigiMed PLUS or Mind Care PLUS Consult? Click Here” link and enter the reference number indicated in the email notification. Input the patient’s basic information and submit.
  3. Accomplish and sign the Consent Form.
  4. Answer the Self-reporting Questionnaire and the PHQ-9 Questionnaire and submit.
  5. Wait for the call from our Medical Team to schedule an appointment. An email notification shall be sent to the patient to confirm the appointment details with the Psychiatrist.

Video Teleconsultation Procedure (On the day of consultation):

  1. Log in 10 mins before your appointment.
    a. Log in to your account thru PhilCare Website or simply click the link provided in the email or SMS notification.
  2. Click on the “DigiMed PLUS or Mind Care PLUS Consult? Click Here” link.
  3. Click on “Upcoming Appointment” link on the lower portion of the screen.
  4. Proceed with the online consultation at the time of the appointment.
  5. Click the Join Call button on the homepage. Do not forget to switch on the camera and microphone before joining the call.
  6. Engage in the medical video teleconsultation with your psychiatrist.

 

HOW TO ACTIVATE YOUR PHILCARE PREPAID HMO?

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

CONTACT OUR SOLUTIONS PARTNERS TO HELP YOU: 

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