Scribd Logo
Upload

Welcome to Scribd!

  • LRDC 2019 Medical Plan (Same Design As 2018) : Dreaded Disease Coverage (Employee Only)

    Uploaded by

    natshomhe
    13 views1 page
    The LRDC 2019 Medical Plan provides HMO coverage under Plan B. It has an annual benefit limit of 300,000 and per illness coverage limit of 80,000. Coverage includes room and board up to 45 days at open private hospitals, surgical expenses up to 40,000, and physician visits at the provider's rate for up to 45 days. The plan also provides outpatient coverage up to 20,000 annually and maternity benefits with limits of 85,000 for c-sections and 40,000 for normal deliveries. Employee premiums range from 250 to 629.17 per pay period depending on coverage level.

    Original Description:

    Original Title

    2019_Main_Plan_B.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The LRDC 2019 Medical Plan provides HMO coverage under Plan B. It has an annual benefit limit of 300,000 and per illness coverage limit of 80,000. Coverage includes room and board up to 45 days at open private hospitals, surgical expenses up to 40,000, and physician visits at the provider's rate for up to 45 days. The plan also provides outpatient coverage up to 20,000 annually and maternity benefits with limits of 85,000 for c-sections and 40,000 for normal deliveries. Employee premiums range from 250 to 629.17 per pay period depending on coverage level.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    13 views1 page

    LRDC 2019 Medical Plan (Same Design As 2018) : Dreaded Disease Coverage (Employee Only)

    Uploaded by

    natshomhe
    The LRDC 2019 Medical Plan provides HMO coverage under Plan B. It has an annual benefit limit of 300,000 and per illness coverage limit of 80,000. Coverage includes room and board up to 45 days at open private hospitals, surgical expenses up to 40,000, and physician visits at the provider's rate for up to 45 days. The plan also provides outpatient coverage up to 20,000 annually and maternity benefits with limits of 85,000 for c-sections and 40,000 for normal deliveries. Employee premiums range from 250 to 629.17 per pay period depending on coverage level.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    LRDC 2019 Medical Plan

    (same design as 2018)

    Type HMO

    Plan B
    Annual Benefit Limit 300,000
    Per Illness Coverage Limit 80,000
    Room and Board per day for 45 days
    (on top of PhilHealth Coverage) Open Private
    Miscellaneous Hospital Services As Charged
    Surgical Expense Benefit, per Schedule of
    Operations, subject to RUV up to 40,000
    Anaesthesiologist's Fee, 50% of eligible Surgeon's up to 20,000
    Physician's visit, per day up to 45 days Provider's Rate
    Specialist Fee Benefit, per day up to 45 days Provider's Rate

    Major Benefit Assistance (Employee & up to the balance of ABL


    Dependents)
    MBA is part of the ABL. First 10k
    will be shouldered by the
    employee then 80/20 sharing on
    the remaining amount
    DREADED DISEASE COVERAGE
    Plan B
    (EMPLOYEE ONLY)
    Annual Coverage Limit 100,000

    Co-Insurance 90/10
    OUT - PATIENT COVERAGE Plan B
    Annual Coverage, Family Unit 20,000
    Inclusive of:
    Prescribed Meds (family unit) separate fund
    - Maintenance meds limit for f.u. (part of separate fund
    Consultation Fee / Lab Charges As Charged
    Dental Benefit separate fund
    Optical Benefit (employee only) 1,500
    Immunization for children fr 0-12 yo 1,500
    Additional Prescribed Meds 10,000
    - Maintenance meds limit for f.u. (part of meds) (4,000.00)
    Dental Benefit 1,500
    Special Modalities of Treatment 125,000
    Co-Insurance 80/20 for meds and dental only

    MATERNITY BENEFIT Plan B


    Cesarean Section MBL of 85k only
    Normal Delivery/ Miscarriage MBL of 40k only
    Note: Inner limits will still apply but MBA will not
    kick-in in excess of MBL
    2019 ANNUAL PREMIUM (EE
    Plan B
    Share)
    Family Unit (with Mat) 15,100.00
    Family Unit (No Mat) 12,500.00
    Solo (with Mat) 7,000.00
    Solo (No Mat) 6,000.00

    2019 PER PAYROLL PREMIUM (EE Share) Plan B


    Family Unit (with Mat) 629.17
    Family Unit (No Mat) 520.83
    Solo (with Mat) 291.67
    Solo (No Mat) 250.00

    You might also like