A scheme suitable for young professionals and families, has the perfect entry level hospital cover for you, to make sure all your needs are taken care of.
#Younger family
- Affordable
- Young and single
Different Levels of Cover
Suitable for individuals who wants an entry level hospital cover and basic outpatient cover
It’s a balance of both inpatient and outpatient at affordable rates, suitable for younger individuals who are just starting families.
Offers entry level hospital cover with extra benefits on the outpatient , suitable for a family who require more interms of the day to day use of medical care
Offers entry level hospital cover matched with the highest outpatient cover. Suitable for families who want peace of mind when it comes to day to day use medical care.
Benefits | Comprehensive Core | Comprehensive Plus | Comprehensive Extra | Comprehensive Max |
---|---|---|---|---|
Outpatient limit | N/A | P34,950 | P66,800 | P92,500 |
GP consultations - Physical visits | 5 visits per Family | 5 visits per beneficiary | 10 visits per beneficiary | Unlimited visits, subject to outpatient limit |
Additional GP Consultations | Not Covered | Not Covered | 4 visits per beneficiary | Unlimited |
Specialist consultations | Not Covered | 2 visits per beneficiary | 4 visits per beneficiary | 6 Visits per beneficiary |
Additional Specialist | Not Covered | Not Covered | 2 visits per beneficiary | 2 visits per beneficiary |
Antenatal Consultations | 4 Visits | 4 Visits | 4 Visits | 4 Visits |
Overall medicine limit | P5,000 | P5,550 | P11,900 | P19,750 |
Chronic Medication | Not Covered | P12,950 | P45,350 | P69,100 |
ARV medication | Not Covered | P12,950 | P12,950 | P12,950 |
Radiology and pathology | Basic tests | P22,600 | P36,000 | P46,250 |
Medical / surgical procedures : (Minor procedures in doctor’s rooms) | Not Covered | P7,200 | P12,350 | P18,500 |
Overall dental limit | 1 Basic dental check up | P21,050 | P46,250 | P56,550 |
Orthodontic treatment | Not Covered | P16,200 | P38,050 | P49,350 |
Optical overall limit | P200 per lens | P3,100 | P4,400 | P5,650 |
Allied Health Services | Not Covered | P5,150 | P13,350 | P18,500 |
Alternative Treatment | Not Covered | P2,550 | P2,550 | P2,550 |
Mental health helpline | Telephonic consultations | Telephonic consultations | Telephonic consultations | Telephonic consultations |
Overall limit | Up to P300,000 | Up to P300,000 | Up to P300,000 | Up to P300,000 |
Dread disease | Up to P252,000 | Up to P252,000 | Up to P252,000 | Up to P252,000 |
Hospitalisation | Up to P105,000 | Up to P105,000 | Up to P105,000 | Up to P105,000 |
Mental health hospitalisation (including drug and alcohol rehabilitation) | Up to P16,200 | Up to P16,200 | Up to P16,200 | Up to P16,200 |
Sub-acute care - as an alternative to hospital | Not Covered | Not Covered | Not Covered | Not Covered |
Maxilo facial | Up to P20,550 | Up to P20,550 | Up toP 20,550 | Up to P20,550 |
Normal delivery hospitalisation fees | P6,000 | P6,000 | P6,000 | P6,000 |
C-Section delivery hospitalisation fee | P21,000 | P21,000 | P21,000 | P21,000 |
Normal delivery Professional Fees | P3,660 | P3,660 | P3,660 | P3,660 |
Caesarean Delivery Professional Fees | P3,462 | P3,462 | P3,462 | P3,462 |
Anaesthetic fee for C-Section | P2,601 | P2,601 | P2,601 | P2,601 |
Subscriptions | From P519 | From P938 | From P1,368 | From P1,527 |