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PhilamCare's
health care packages for the corporate executive -- the Jr. Executive
Plan 250 and 150 - 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 Jr. Executive
Plan not only includes a wider range of health care coverage but
also the special services and amenities executive 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.
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. This means that you may avail of hospitalization
benefits even without authorization from PhilamCare as long as the
hospitalization is prescribed by a qualified physician.
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 there was no prior authorization from 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.
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