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PhilamCare'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:
- Fasting Blood
Sugar (FBS)
- Blood Urea
Nitrogen (BUN)
- Cholesterol
- Creatinine
- Triglyceride
- Low Density
Lipoprotein (LDL) and High Density Liproprotein (HDL)
- Treadmill
Test
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