g MEDICARD PHILIPPINES, INC. MediCard MA0 oFFice:5° For, The World Centre Builing, 330 Sen. Gl Puyat Avenue, Makati Cty 1200, INDIVIDUAL & FAMILY RATES (Room Category) Without AHMC, MMC, SLMIC-QC, SLMC-Global City, TMC & CSMC. ‘WARD ‘SEMI PRIVATE. Limit for Dreaded Disease 50,000.00 60,000.00) “ANNUAL "ANNUAL, Principal Member only P 10,739 P 12,089 Principal +1 dependent 19,468 22,688 Principal +2 dependents 28,696 33,769 Principal +3 dependents 37,990 44,849 Principal + 4 dependents 47,161 55,930 Tess of deendons pr dere) 3234 Ti 08r With MMC, SUMC-OC, TMC & CSMC; without SLMC-Global City SEMI PRIVATE w/o AHMC SMALL PRIVATE w/ AHMIC Lienit for Dreaded Disease 100,000.00 120,000.00 ANNUAL ANNUAL Principal Member only P 18,850 P 21,508 Principal + dependent 34,133 39,625, Principal +2 dependents 50,315 57,428 Principal +3 dependents 66,491 75,230 Principal + 4 dependents 82,663 93,031, ln ences of desndents (per dependent) 16,172 37,801 Nore ‘© Non-Phiteath members (eg. porents below 60 and unemployed, et) shall pay the Phihecith portion oftheir toto hospital ils tring confinement (© Medio, surge hosptal and profesional services expenses NOT EXPLICITLY COVERED under this Agreement must be settled by the ‘member upon dschorge fom the Nesta. If ediCard wl agvonce the payment, member shol poy Medord the advanced amount within seven (7) days rom receipt ofthe statement of axcount wth an administration fee of 15%, If setdement snot made within ‘seven (7 days, «penalty of 2% per month ofthe amount owing wil be imposed unt the debts satisfied, MediCord has the option to ‘suspend the 1 card ofthe member(s) invlved until fl settlement is mode, © Above tes ore inchsve of VAT. ‘AHN Asin Hospital and bedico Center nanae ‘Mokot! Medico Center SSLMC-QC St. uke's Medea! Center-Quezen Cty Tc The Medical Cty (CSMC——Cardinl Santos Mecical Center SUNMC-Globo! Cty St. Luke's Meda! Center Global Cty MEMBERSHIP EUGIBILTY PRINCIPAL MEMBER: Company o selemployedindvdval 18 years ld up to age 60. DEPENDENTS + For Married Principal Member ‘© Thelega spouse at last 18 years ol upto age 60 * chikcen 30 days up to 21 years of age unmarried and unemployed and ving under te same rot asthe principal member ‘© For Single rincial Member ‘Parents upto age 60, unemployed and dependent upon the prndpal member 1 Brthars an sisters, 30 days upto 21 years of age wha are not gainfully employed, unmarried and are ving under the same oof a the prindlpal member For Single Parent Principal Mersber Children, 30 days upto 22years of age unmaried and unemployed and ining under the same oof 2s the principal member nrolles age 41 ond above are required to undergo medica evaluation and pay a minima fee of P 480.00 ct any MEDICard stond-olne cis. “The choice ofenroling dependents must flow a hierarchy. Ths means thatthe spouse ist must be enrolled followed by the eldest child, second hid and soon for married personnel, For single perscneel, the parents must be enrle frst flowed by eldest brother/sster and s0 on, 0 —raiual& aril Rates | Rov. 28] May 2018