DESCRIPTION:
This health plan allows you to avail unlimited consultation services for one (1) year from a PhilCare-accredited network of pediatricians and dentists nationwide.
Age Eligibility and Validity
Philcare Unli-CONSULT for Adults prepaid HMO is for age 18 to 64 years old and is valid for 1 year upon activation date. Benefit starts 3 days after activation date. This Certificate of Coverage is non-transferable once activated.
Benefit Coverage
Philcare Unli-CONSULT for Adults prepaid HMO * gives you a one (1) year unlimited medical consultations to PhilCare-accredited with 9,600+ PhilCare-accredited pediatricians nationwide and dental consultations with PhilCare’s network of dentists. ** The Coverage is inclusive of the following benefits:
Dental Service:
- Annual Dental Examination and Consultation
- Unlimited orthodontic or aesthetic consultation
- Gum treatment for lesions, wounds, and burns, except alveolectomy and gingivectomy
- Relief and/or prescription for acute dental pain
- Diagnosis of oral disease, restorative and prosthodonctic treatment planning
- Dental nutrition and dietary counseling
- Dental health education through Chairside Instruction
- First aid treatment/emergency treatment
- Unlimited temporary fillings
- Re-cementation of loose crowns, inlays, onlays, and fixed bridges
- Simple repair and adjustment of denture
- Simple tooth extraction/unlimited simple extraction of an unsavable tooth
- Desensitization of hypersensitivity teeth
- Annual prophylaxis (light cases only)
Exclusions:
Pre-existing conditions are covered. The only exceptions are maternity-related cases and cases related to all forms of behavioural disorders, developmental or psychiatric disorder and psychosomatic illness whether acquired or congenital. **
Availment Procedure
Consultation Availment
- For medical consultations, create a self-issued Letter of Authorization (LOA) and personalized membership card at Consultations page. Present LOA, personalized membership, card and 1 valid ID with picture to chosen medical specialist.
- For dental consultations, download and print the personalized membership card at Consultation page and present this with one (1) valid ID of the cardholder on the day of availment.
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:
- 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.