S80 — VIP Rates
Rev. 25
1 January 2017,
. MEDICARD PHILIPPINES, INC.
MediCard sesoornice ror, the word cote Bung, 380 Sen. ciPuyat Avene, Makati chy 1200
VIP PROGRAM
oaaE Regular Private Regular Private large Private Sue upto 6000]
Dreaded Disease Lint # 200,000 250,000, —P 300,000 500,000
‘Additional init for aecidents | 50,000 P 100,000, 150,000 7 200,000
Dre-evstng condltions coverage
in-patient & Outpatient [P5000 [F000 55 000 720,000
Free Consultations at MediCard owned Clinics from the following primary care physicians & specialists:
1) General Surgeon 4) Obstetrician Gynecologist
2} Pediatrician 5} Family Medicines
3) General Practitioner 65) lncermal internist,
‘Above consults will not be charged to the members! Maximum Benefit Limit
amber aka aT eT erator exams] Laboratory eaniations]_labororyexminaors| labor exrinatns
camatins een fr coains | pep okaneaum | "upto 20%ascoon | apro.ox aacoum | ptostx dren
Emons wnch oe rotcores, | MatwntyAeited | _waterniyneed | —_Maeniyneaved | _waternyRetes
Ontepa hs, members can vai [borate &utasound| barat utreround | borate ueseued | labrtery dure sound
of dcaunt on” boratery | uptos0¥ascoum | "oprosoRascout | upiosom acount | upto3Ox dicunt
Enger Cre TG Tato | Ta pto— | ToT To) TOOT apo
screed cy diesdevauanslint | drsdevauenetnt | denied dueelimt | dreded dsese it
harper means 700 zi 050 ceo
Pot of es Bee =
Scolision at | 10coaionrat | —conatonsat | nied onaatow
Out-patient consultation P 250/consultation P 300/consultation P-350/consultation at P350/consultation |
OE cn somuptarsaco | soxuptor qa | somwptovz000 | _s00x uptoP 20000
InpstertAeprovedhowmat son upcopanace | somuptorsoave | sonwpioo 7000 | _sokuptoP 100000
Professional fees TO%MAV upto DDL_| _75%MRVuptoDDL__| 80% MRVupto DDL 100% MAV up to DDL
PANES SAtBED
beste checkup rinchoeset: | Pus chtect wo 2) |
fivedeaselnka | pranvenciace | expanoeo Aiinyrunctons | "“edneytnctons |
ier Frcs Uhr urcon
Gabetertencons | Dobetsrunctors
er ene
Damond Feel] Oaand ea Semon] —Ouand Peed REA | —Bamond rel |
yada 8 ody ‘Gueony | yFacal@sesons)” | Bsentonsead) | seins aca!
Tewtacor | (sens Reval or
Theemotit(2sessons)_| Theme Seen)
TT Sanaa wear Tee] —Vogn cies upto | —Yoprchwvarvpto | — Vous cauesup oJ Yowocsesup to
conte "or cecone Ssestont_|1monh snlmted cas | 2 nats nme ses
ST weenneosement7 | coeraan Mescard | Comredatwedicard | coveredatMedCard | Covered at MedCard
: Minas Comer” | “Uiesie enet | Use Caner ties Cntr
OT Gee of Meares
Centr = Fnss ere
(rowed they hove own | covered covered comed conned
pesonal ter ot
pecanal tarer wil be
prod wa cha)
7 tie of edard Cae
Gener =conference room | One-time Twieeuaveer | Twe(nayent | Thee (tne year
[maximum of 4 hours)$80 - Vip Rates
Rev.25
1 January 2017
. MEDICARD PHILIPPINES, INC.
MediCard _ ssoornce:9 oc, the wor conve ing, 30 Sen, i Payot Aan, Makati Cy 200
‘Coverage for sipped dsc 75,000 10,000 P20,000 730,000
Brann oral Brannual oral Brannual ort Brannval orl
prophylaxis prophylaxis prophylaxis prophyianis
4} Dental Standard pus) Light cue iting (2 Light eure filing (2 Ligne cure filing
surface) surfaces) (6 surfaces)
Root canal upto P 5,000 |
HU Assst America Covered Covered Covered Covered
i Lifeline Rescue Covered Covered Covered Covered
‘With AHMC, MMC, SLMC (Quezon City & Global City), TMC & CsMe
“Annual ‘Annual Annual ‘Annual
Principal Member Only 25379 30,096 05,733 66983 |
Principal + 1 Dependent 45,908. 34,391 82,493 120,666, |
Principal +2 Dependents e769 75.224 136,657 |
Principal+ 3 Dependents 38.266 94.982 151,896 |
Principal + 4 Dependents 311,31, 316,839 168,756, |
“in excess of 4 Deps. (per dep) 22517 23,582 25,565 J
PREMIUM FOR 61-65 YEARS OLD:
“anual “anna nwa anual
Frincpal ember Onl 32,993 “38.25 734 109432
"*MtediCard Relative Value
notes:
‘+ Non-PhilHeaith members (e.9. parents below 60 and unemployed, etc) sholl pay the Phlhealth portion of ther total hospito bills during
confinement.
+ Executive check-ups are for principal member plus one (1) dependent only (provided that dependent enrolled is Eighteen (18]yeors old and above}
+ Medical evaluation for enrollees age 41 and above is woived.
‘+ Medica, surgical, haspital and professional services expenses NOT EXPLICITLY COVERED under this Agreement must be settled by the member
upon discharge from the hospital. f MediCard will advance the payment, member shall pay MedlCara the advanced amount within seven (7} days
{from receipt ofthe statement of account with an administration fee of 15%. if settlement isnot made within seven (7) days, a penalty of 2% per
‘month of the amount owing will be imposed until the debt fs satisfied. MediCard has the option to suspend the 1D card ofthe member(s) involved
nti fll settlement is made.
+ Above rates are inclusive of VAT.
AHMC Asin Hospitol ond Medical Center me Mokoti Medical Center
SUMC St Luke's Medical Center -Quezan City & Global City t™ec The Medical City
SMC Cardiol Sontos Medical Center