DESCRIPTION:
Philcare Vida Care Premiere is a prepaid HMO / health insurance for senior citizens (60 years old and above) that covers multiple-use benefits for unlimited medical and dental consultations to all Philcare accredited physicians nationwide and unlimited laboratory and diagnostics procedures available at Philcare-owned clinics only. This also covers a single-use benefit up to Php20,000 for outpatient emergency care for viral, bacterial illnesses, and treatment of injuries resulting from accidents (except for stroke) in 500+ Philcare accredited hospitals nationwide
Age Eligibility and Validity
Philcare Vida Care Premiere is a prepaid HMO / health insurance for senior citizens (60 years old and above) and is valid for 1 year upon activation date. The benefit starts 7 days after the activation date. This Certificate of Coverage is non-transferable once activated.
Benefit Coverage
Outpatient Care Benefits:
- One (1) year unlimited medical and dental consultations to all PhilCare accredited physicians nationwide.
- One (1) year unlimited OP laboratory and diagnostics procedures available at Philcare-owned clinics except for Physical Therapy.
- Consultation for Pre-existing conditions is covered. Exceptions include cases related to all forms of behavioral disorders, developmental or psychiatric disorders and psychosomatic illness whether acquired or congenital.
Outpatient Emergency Care and Hospitalization Care Benefits:
It covers the following up to 20K ABL:
- Doctor's fees
- Laboratory and diagnostics procedures
- Special modalities of treatment as medically necessary during ER and subject to P5,000 inner limit
- Medicines (except vaccines) as medically necessary during ER, subject to standard inner limits
- Diagnostics and therapeutic procedures as medically necessary during ER
Availment Procedure
Emergency Availment:
- Simply present this voucher together with valid identification to the emergency room personnel at the identified PhilCare-accredited hospital.
- ER personnel will facilitate the approval of your availment thru reaching our contact center to verify your membership eligibility and health coverage. The final medical diagnosis is the basis for PhilCare’s approval of coverage
- Once approval has been provided, a request for cancellation of approval to reactivate membership is not allowed.
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, ensure to call the dentist first for available schedule.
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:
IMPORTANT NOTES: