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MEMBERSHIP FEES
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ANNUAL PREMIUM
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AGE BRACKETMEDICARD VIPMAXICAREiCare (Formely known as Inlife)PHILCAREVALUCAREPACIFIC CROSS
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Regular Private
200,000		Regular Private
250,000		Large Private
300,000		Suite
500,000		Semi Private -
Silver 100,000		Regular Private -
Gold 150,000		Regular Private -
Platinum 200,000		Large Private -
Platinum Plus 250,000		Ward
75,000		Semi Private
100,000		Private 120,000Suite 250,000Semi Private
150,000		Regular Private
300,000		Open Private
200,000		Regular Private
150,000		Semi-Private
120,000		Semi-Private
90,000		Ward
60,000		Open Private
200,000		Regular Private
150,000		Semi-Private
120,000		Semi-Private
90,000		Ward
60,000		SELECT PLUS & SELECT STANDARD
WARD
1,000,000		SELECT PLUS & SELECT STANDARD
SEMI-PRIVATE
1,500,000		SELECT PLUS & SELECT STANDARD
PRIVATE 2M
2,000,000		SELECT PLUS
PRIVATE 3M
3,000,000		SELECT PLUS
PRIVATE 5M
5,000,000
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15 Days old - 5 Y.OPrincipal Member Only:
Php25,379

Principal + 1 Dependent:
Php45,908

Principal + 2 Dependent:
Php67,649

Principal + 3 Dependent:
Php88,266

Principal + 4 Dependents
Php111,131

In Excess of 4 Dependents (Per Dep):
Php22,517		Principal Member Only:
Php30,096

Principal + 1 Dependent:
Php54,391

Principal + 2 Dependent:
Php75,224

Principal + 3 Dependent:
Php94,982

Principal + 4 Dependents
Php116,839

In Excess of 4 Dependents (Per Dep):
Php23,542		Principal Member Only:
Php45,733

Principal + 1 Dependent:
Php82,493

Principal + 2 Dependent:
Php99,287

Principal + 3 Dependent:
Php115,212

Principal + 4 Dependents
Php132,875

In Excess of 4 Dependents (Per Dep):
Php25,841		Principal Member Only:
Php66,943

Principal + 1 Dependent:
Php120,666

Principal + 2 Dependent:
Php136,697

Principal + 3 Dependent:
Php151,896

Principal + 4 Dependents
Php168,756

In Excess of 4 Dependents (Per Dep):
Php26,655		 27,843.00 37,573.00 42,443.00 72,403.00 24,73532,34240,26256,02733,54458,20633,98922,25016,71815,75313,62628,891118,91314,21013,39011,582 9,993 12,423 18,093 19,146 20,375
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6 - 10 23,199.00 29,415.00 34,001.00 59,282.00 15,74818,54123,06932,49826,07440,762
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11 - 15 19,632.00 24,201.00 27,365.00 48,852.00
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11 - 1719,41034,104
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11 - 2011,39214,08617,54724,611
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16 - 20 18,674.00 23,159.00 25,271.00 47,322.00
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21 - 25 18,674.00 22,623.00 26,364.00 47,055.00 10,518 16,726 28,228 29,889 31,827
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18 - 3020,07034,765
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21 - 3011,72214,31717,87727,603
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26 - 30 21,245.00 26,542.00 29,152.00 48,852.00 11,463 18,164 30,977 32,803 34,933
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31 - 35 22,884.00 32,009.00 34,553.00 58,543.00 13,09716,75920,11032,04723,49841,944 12,093 18,884 32,514 34,433 36,671
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36 - 40 27,866.00 42,014.00 45,522.00 73,603.00 18,59722,71028,94341,21024,80250,613 13,143 20,322 35,024 37,093 39,507
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41 - 45 41,774.00 53,800.00 61,893.00 93,488.00 23,54730,47638,93252,03435,89666,69635,68823,36317,55416,54114,30730,33519,85914,29114,06012,161 15,243 23,802 40,262 42,645 45,425
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46 - 50 50,006.00 64,494.00 83,525.00 111,362.00 25,21932,64341,58254,66344,59379,352 18,393 26,769 48,143 50,999 54,331
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51 - 55 50,020.00 67,461.00 101,796.00 125,647.00 31,55538,08849,66766,08153,99591,370 20,493 29,803 54,514 57,752 61,530
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51 - 6337,38824,47518,39017,32814,98931,78020,80415,63214,72912,711
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56 - 5939,77248,56064,72688,708
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56 - 60 55,571.00 78,660.00 115,275.00 138,743.00 76,507106,238 26,793 39,043 70,543 74,743 79,643
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60 - 64Not Applicable44,76659,85777,508124,150Not ApplicableNot Applicable
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61 - 6532,99339,12571,344104,432Not Applicable97,770
(Renewal)		135,990
(Renewal)		 33,356 48,668 88,043 93,293 99,418
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66Not ApplicableNot Applicable 49,762 72,731 131,793 139,668 148,856
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67 54,513 79,699 144,463 153,098 163,173
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68 59,343 86,783 157,343 166,751 177,727
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69 64,173 93,867 170,223 180,404 192,281
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70 69,003 100,951 183,103 194,057 206,836
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71 75,828 110,961 201,303 213,349 227,402
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72 82,653 120,971 219,503 232,641 247,968
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73 89,478 130,981 237,703 251,933 268,534
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74 96,303 140,991 255,903 271,225 289,100
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75 103,128 151,001 274,103 290,517 309,666
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76 - 80 109,428 160,241 290,903 308,325 328,650
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81 - 85 119,928 175,641 318,903 338,005 360,290
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86 - 100 139,668 204,593 371,543 393,803 419,773
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Pre-Existing Condition5,000/illness10,000/illness15,000/illness20,000/illness1st Year Membership:
Non Dreaded and Dreaded Conditions covered up to Php5,000/illness

2nd Year Membership:
*Dreaded Conditions Covered up to Php5,000/illness

*Non Dreaded and Acquired Conditions Covered up to Maximum Benefit Limit		1st Year Membership:
Non Dreaded and Dreaded Conditions covered up to Php10,000/illness

2nd Year Membership:
*Dreaded Conditions Covered up to Php10,000/illness

*Non Dreaded and Acquired Conditions Covered up to Maximum Benefit Limit		1st Year Membership:
Non Dreaded and Dreaded Conditions covered up to Php15,000/illness

2nd Year Membership:
*Dreaded Conditions Covered up to Php15,000/illness

*Non Dreaded and Acquired Conditions Covered up to Maximum Benefit Limit		1st Year Membership:
Non Dreaded and Dreaded Conditions covered up to Php20,000/illness

2nd Year Membership:
*Dreaded Conditions Covered up to Php20,000/illness

*Non Dreaded and Acquired Conditions Covered up to Maximum Benefit Limit		Pre-Existing Conditions are not covered on the First Year. Covered up to MBL on the 2nd Year.Covered up to 10,000 Annual Benefit Limit1st year - Private Rooms - 10% of MBL (agregate),
2nd year – Private room 50 % of MBL (aggregate limit)
3rd year – Private Rooms – 100% of MBL, 70% on Kidneys and Gallstone
Kidney and Gallstone
4th year and succeeding years – Private Rooms – up to MBL (per illness per year)		1st Year - Ward - Not covered
2nd year - Ward- 40% of MBL (aggregate limit)
3rd year - Ward - 80% of MBL (aggregate), 50% on Kidney and Gallstone
4th yearWard – 100% of MBL, 70% on Kidney and Gallstone 		1st year - Private Rooms - 10% of MBL (agregate),
2nd year – Private room 50 % of MBL (aggregate limit)
3rd year – Private Rooms – 100% of MBL, 70% on Kidneys and Gallstone
Kidney and Gallstone
4th year and succeeding years – Private Rooms – up to MBL (per illness per year)		1st Year - Ward - Not covered
2nd year - Ward- 40% of MBL (aggregate limit)
3rd year - Ward - 80% of MBL (aggregate), 50% on Kidney and Gallstone
4th yearWard – 100% of MBL, 70% on Kidney and Gallstone 		Pre-Existing Conditions unless such have been declared and approved by the Company
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Eligibility30 Days old up to 65 years old15 Days old to 60 years old0 to 64 years old6 months to 60 years old. Renewable up to age 6545 days old to 63 years old. Renewal up to age 656 months old to 100 years old
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Effective Date of CoverageSubmission of App forms and Payment from 11th to 25th effective date is 1st of the following month.
Submission of App forms and Payment from 26th to 10th effective date is 16th of the same month.		Effectivity will be after 7th calendar days from the Date of Payment or OR DateThis may either be 1st or 16th of the month after receipt and evaluation of the application; receipt of the initial deposit for membership fees; and/or after underwriting requirements, if any, have been complied with by the Applicant and upon delivery of the Agreement during the lifetime and good health of the Member.Should applicant be able to comply with the requirements with approved status and able to settle total membership fees from 11th to 25th of the current month, membership will take effect on 1st of the following month.

Should the applicant be able to comply with the requirements with approved status and able to settle total membership fees from 26th of the current month to 10th of the following month, membership will take effect on 16th of the month. 		Payment date
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In-PatientCovered subject to PEC LimitCovered subject to PEC LimitCoveredCovered subject to PEC LimitCovered subject to PEC LimitCovered subject to PEC Limit
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Out-PatientCovered subject to PEC LimitCovered subject to PEC LimitCoveredCovered subject to PEC LimitCovered subject to PEC Limitnot applicanle
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EmergencyCovered subject to PEC LimitCovered subject to PEC LimitCoveredCovered subject to PEC LimitCovered subject to PEC Limit6,0007,0008,0008,0008,000
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DentalCoveredDental Benefit is optional for an additional fee of Annual fee: Php387/memberOptional Rider with additional of php370/memberOPTIONAL: Additional of Php270Covered
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Annual Physical ExaminationNot ApplicableBasic 5 Routine; Clinic-based:
● History and Physical Exam
● BC (Complete Blood Count)
● Routine Urinalysis
● Routine Fecalysis
● Chest X-ray (PA and Lateral)		Covered:
Taking of Medical History
Physical Examination
Chest X- Ray
Laboratory Examination (CBC, Urinalysis, Fecalysis)
ECG (for members 35 years old and up)
Pap Smear (for female members, 35 years old and up)		Covered:
Taking of Medical History
Physical Examination
Chest X- Ray
Laboratory Examination (CBC, Urinalysis, Fecalysis)
ECG (for members 35 years old and up)
Pap Smear (for female members, 35 years old and up)		The APE can be availed (Annual mode: upon full payment of the membership fees / Semi-Annual: on the 6th month) after the effective date of the Agreement. APE shall be conducted at any ValuCare Designated Clinics for walk-in and NEW WORLD LABORATORY, INC

1. Physician's Assessment
2. Chest X-ray
3. Complete Blood Count (CBC)
4. Urinalysis (U/A)
5. Stool Exam (Fecalysis)
6. Electrocardiogram
7. Pap smear 		Taking of medical history;
Comprehensive physical examination;
Complete blood count;
Chest X-ray;
Stool analysis;
Urinalysis;
Lipid Profile;
Blood Urea Nitrogen (BUN);
Fasting Blood Sugar (FBS);
Serum Glutamic Pyruvic Transaminase (SGPT);
Creatinine;
Uric Acid;
Electrocardiogram (ECG) for clients 35 years old and above and
Pap smear for female clients 35 years old and above
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Executive Check UpPrimary PackageExpandedExpanded Plus choice of: Kidney,Liver,Thyroid,Diabetes FunctionsExpanded Plus choice of two (2): Kidney,Liver,Thyroid,Diabetes FunctionsNot ApplicableNot ApplicableNot ApplicableNot ApplicableNot ApplicableNot Applicable
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Financial AssistanceNot ApplicableLife coverage with Accidental Death & Dismemberment up to Php50,000OPTIONAL:
Ward - 10,000
Php36.50

Semi Private - 15,000
Php54.75

Private - 25,000
Php91.25

Suite - 50,000
Php182.50		Life Insurance: 100,000

Accidental Death & Dismemberment: 100,000		Annual Physical Examination (APE) - All members are entitled to the following
APE procedures per year and scheduled by ValuCare to accredited provider.
1. Physician's Assessment
2. Chest X-ray
3. Complete Blood Count (CBC)
4. Urinalysis (U/A)
5.Stool Exam (Fecalysis)
6. Electrocardiogram (35 yrs old above)
7. Pap smear (35 yrs old above)		Annual Physical Examination (APE) - All members are entitled to the following
APE procedures per year and scheduled by ValuCare to accredited provider.
1. Physician's Assessment
2. Chest X-ray
3. Complete Blood Count (CBC)
4. Urinalysis (U/A)
5.Stool Exam (Fecalysis)
6. Electrocardiogram (35 yrs old above)
7. Pap smear (35 yrs old above)		P25,000 applicable for (16 year old to 60, renewable till age og 65 years old)
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Access to HospitalsNationwide Access with Access to Major Hospitals:
*Asian Hospital
*Makati Medical Center
*St.Lukes Global
*St. Lukes Quezon City
*The Medical City
*Cardinal Santos Medical Center		Nationwide Access with Access to Major Hospitals:
*Asian Hospital
*Makati Medical Center
*St.Lukes Global
*St. Lukes Quezon City
*The Medical City
*Cardinal Santos Medical Center		Nationwide Access with Access to Major Hospitals:
*Asian Hospital
*Makati Medical Center
*St.Lukes Global
*St. Lukes Quezon City
*The Medical City
*Cardinal Santos Medical Center		Nationwide Access with Access to Major Hospitals:
*Asian Hospital
*Makati Medical Center
*St.Lukes Global
*St. Lukes Quezon City
*The Medical City
*Cardinal Santos Medical Center		With access to MMC, SLMC, CSMC, DDH, and TMC except AHMCWithout access to MMC, SLMC, CSMC, DDH, AHMC and TMC Nationwide Access with Access to Major Hospitals:
*Asian Hospital
*Makati Medical Center
*St.Lukes Global
*St. Lukes Quezon City
*The Medical City
*Cardinal Santos Medical Center
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Access to ClinicsNationwide Access with Access to Medicard Owned ClinicsNationwide Access with Access to Maxicare Owned ClinicsNationwide AccessNationwide AccessNationwide Access except AHMCNetwork without access to MMC, SLMC, CSMC, DDH, AHMC and TMC Nationwide Access except AHMC
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