PLAN VERIFICATION
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INDIVIDUAL AND FAMILY RATES
SEMI PRIVATEINDIVIDUAL AND FAMILY RATES
Without AHMC, MMC, SLMC-QC, SLMC-Global City, TMC & CSMC
PLAN RATES
Without AHMC, MMC, SLMC-QC, SLMC-Global City, TMC & CSMC |
|
WARD |
SEMI PRIVATE |
Limit for Dreaded Disease |
P 50,000 |
P 60,000 |
|
ANNUAL |
ANNUAL |
Principal member only |
P 10,739 |
P 12,049 |
Principal +1 dependent |
P 19,468 |
P 22,688 |
Principal +2 dependents |
P 28,696 |
P 33,769 |
Principal +3 dependents |
P 37,930 |
P 44,849 |
Principal +4 dependents |
P 47,161 |
P 55,930 |
In excess of 4 dependents (per dep.) |
P 9,231 |
P 11,081 |
With AHMC, MMC, SLMC-QC, TMC & CSMC; without SLMC-Global City |
|
SEMI PRIVATE w/o AHMC |
SMALL PRIVATE |
Limit for Dreaded Disease |
P 100,000 |
P 120,000 |
|
ANNUAL |
ANNUAL |
Principal member only |
P 18,850 |
P 21,908 |
Principal +1 dependent |
P 34,133 |
P 39,625 |
Principal +2 dependents |
P 50,315 |
P 57,428 |
Principal +3 dependents |
P 66,491 |
P 75,230 |
Principal +4 dependents |
P 82,663 |
P 93,031 |
In excess of 4 dependents (per dep.) |
P 16,172 |
P 17,801 |
MEMBERSHIP ELIGIBILITY
PRINCIPAL MEMBER
Company or self-employed individual 18 years old up to age 60.
DEPENDENTS
For Married Principal Member
- The legal spouse at least 18 years old up to age 60
- Legitimate and/or legally adopted children above 30
days up to 21 years of age unmarried and unemployed and
living under the same roof as the principal member
For Single Principal Member
- Parents up to age 60, unemployed and dependent upon the principal member
- Brothers and sisters above 30 days up to 21 years of age who are not gainfully
employed, unmarried and are living under the same roof as the principal member
Enrollees age 41 and above are required to undergo and pay a minimal fee of P 650.00
medical evaluation at any MediCard free-standing clinic (please see list here: https://www.medicardphils.com/offices-and-clinics/).
The choice of enrolling dependents must follow a hierarchy. This means that the spouse first
must be enrolled followed by the eldest child, second child and so on for married personnel.
For single personnel, the parents must be enrolled first followed by eldest brother/sister and so on.
Note:
- Non-PhilHealth/Medicare members (e.g. parents below 60 and unemployed, etc.)
shall pay the corresponding portion during confinement.
- Medical, surgical, hospital and professional services expenses NOT EXPLICITLY COVERED under this Agreement, member must settle all billings upon discharge from the hospital. If MediCard will advance the payment, member shall pay MEDICard within seven (7) days of receiving of statement of account with an administration fee of 15%. If not settled within seven (7) days, a penalty of 2% per month of the amount owing until the debt is satisfied. MEDICard has the option to suspend the ID card of the member(s) involved until settlement.
- Above rates are inclusive of VAT.