Products and Services
Executive Plan

 

Executive Plan


P
hilamCare's health care packages for the corporate executive -- the Executive Private and Executive Suite - answer the need of corporate clients to offer their high-level executives the advantages of having high benefit limits and the freedom to choose their own doctor.

The Executive Plan not only includes a wider range of health care coverage but also the special services and amenities executives need.

Excellent Caring that makes A Lot of Difference

 

• Access to Makati Medical Center

• Open Room and Board

You can avail of a room and board with no daily limit as long as it is a private room accommodation.

• Very High Coverage for Dreaded Diseases

Under the executive plan, you can get as much as P1 million per dreaded disease.

• Point-of-Service (POS) Option Benefit*

You can avail of services of non-affiliated doctors and/or non-affiliated hospitals in the Philippines for their hospitalization benefits, whether emergency or non-emergency. For out-patient benefits, you may go directly to an affiliated specialist even without prior authorization from PhilamCare. General medical consultation and laboratory or diagnostic exams however must be done in a PhilamCare clinic.

*In any of the above cases where the services were rendered by a non-affiliated provider or or there was no prior authorization fro PhilamCare, you will have to advance the payment to the doctor and the hospital. You may also be charged by the doctor according to the doctor's private fees. You shall then be reimbursed 80% of the health care expenses that you incurred but not to exceed 80% of what PhilamCare would have paid had you been treated by an Affiliated Physician in an Affiliated Hospital.

• New Modalities of Treatment

PhilamCare offers full coverage of the cost of new modalities of treatment such as Laparoscopic Cholecystectomy, Lithotripsy, Magnetic Resonance Imaging (MRI) and Nuclear/Radioactive Isotope Scans.

* The availment of Laparoscopic Cholecystectomy or Lithotripsy is limited to only once per contract year. When you choose these newer modalities of treatment, PhilamCare shall no longer be liable for the cost of further traditional mode of treatment/diagnostic tests for the the same illness should they be necessary.

• Care in Foreign Territories

Emergency Care

If you are confined or treated in a hospital outside the Philippines due to an emergency. PhilamCare shall reimburse you up to 80% of the reasonable and coverable charges for medical care and services which are incurred as a result of such emergency. However, this should not exceed what PhilamCare would have paid had you been treated by an Affiliated Physician in an Affiliated Hospital in the Philippines or P50,000.

Non-emergency Care

You shall be entitled to non-emergency treatment in any of the registered medical facilities in the U.S. which is included in the U.S.-based network of health care providers that has been contracted by PhilamCare, provided that it is determined by the Medical Director or the Medical Services Officer of PhilamCare, that there is no professionally acceptable treatment for the said illness or condition available in the Philippines.

• More Procedures for the Annual Physical Examination

Your Annual Physical Examination shall be more thorough and shall include the following additional procedures:

  1. Fasting Blood Sugar (FBS)
  2. Blood Urea Nitrogen (BUN)
  3. Cholesterol
  4. Creatinine
  5. Triglyceride
  6. Low Density Lipoprotein (LDL) and High Density Liproprotein (HDL)
  7. Treadmill Test