Optional Dental Benefits ABOUT PHILCARE
PhilhealthCare, Inc. (PhilCare) is a pioneer among health maintenance organizations
(HMO) in the Philippines. PhilCare continues to lead the industry by advancing the
Avail of optional dental packages. Choose from 3 packages.
concept of holistic health and wellness among Filipinos through PhilCare360 and
technology-enabled customer experience. We offer a wide range of health care plans -
from basic to comprehensive coverage to serve the different requirements of
Package [Link]Standard Package
Package individuals, group, and enterprise accounts. Our extensive suite of products covers
hospitalization, out-patient and emergency healthcare needs across a nationwide
network of hospitals, clinics and physicians. With PhilCare's excellent care and
Annual dental examination and consultations
wellness offerings, we are the preferred health partner of more than 400,000 members
Emergency out-patient dental treatment to be availed at and 1,500 corporate clients.
accredited dental clinics only
Oral Prophylaxis once a year (light cases only)
Simple tooth extractions Get what you need!
Restorative and prosthodontics treatment planning
Temporary fillings - unlimited as needed Our website gives you quick access to our products, services, specialized
apps, and expert information for your health needs.
Desensitization of hypersensitive teeth
Simple adiustment of dentures [Link]
Recementation of loose crowns, inlays and onlays
Dental Nutrition and dietary counseling Download the HeyPhil 2.0 app for free! Available at App Store
Dental Health education
and Google Play.
Temporo mandibular joint consultation
Gum treatment for cases like inflammation or bleeding
HeyPhil 2.0 is PhilCare's mobile app and cognitive voice assistant. It uses
Availment in PhilCare's Dental Network artificial intelligence technology to help members find doctors and
clinics/hospitals. It also has features like BMI and calorie calculator;
Package
Packag[Link] Package 1 + 2 surfaces for light-cure dental filling generation of LOAs, and gives access to member information and exclusive
rewards.
Packag[Link] Package 2 + 1 additional prophylaxis
Package
Access your perks!
With Member Gateway, a personal portal found in our website, you gain
access to all the perks available to all PhilCare members, including the virtual
PhilCare Health Care Agreement means to consult PhilCare health professionals.
Activate your healthcare!
Filipinos get reliable, effective, and dedicated healthcare access at SHOP
HealthPRO provides benefits and services to members subject to PhilCare, a dedicated e-commerce site for health services. At the site,
terms and conditions under this agreement. customers can avail of prepaid "sachet-type" customized health insurance.
[Link]
Please note the following reminders:
Entry age is from 15 days old up to 60 years old, renewable up to
65 years old.
Medical examination is required for new enrollees 50 years old and Electronic Application System by PhilCare
above.
This program is subject to provisions under General Exclusions With EASyPhil, you can now enjoy hassle-free
transactions! You can now apply for a healthcare plan
and Limitations. online. Just go to the link below or scan the QR code
PhilHealth is required. to access.
Accomplished PhilHealth form needs to be submitted prior to
discharge from hospital. Otherwise, members have to pay for the [Link]
PhilHealth portion.
Those without PhilHealth coverage may decide to get a PhilCare
PhilhealthCare, Inc.
PhilHealth Rider. This takes care of possible PhilHealth coverage.
5F STI Holdings Center
6764 Ayala Avenue. Makati City
Contact Center Hotline: (02) 8462-1800
Outside Metro Manila (toll-free for PLDT/Smart): 1-800-1888-3230
[Link]
OUR PROGRAM HEALTHPRO Benefits HealthPRO
Maximum Benefit Limit (MBL)
Type of Benefit Limit
per Illness per year
HealthPRO is a premium, comprehensive health plan with
Living a healthy and balanced life is a commitment in the right more benefits and services including PhilCare Travel Assist. • Direct access to more than 600 PhilCare
Out-patient / accredited Clinics
direction. PhilCare's own brand on Health and Wellness, called • Includes The Medical City Satellite
Clinic Access
PhilCare360, provides its members with a well-rounded • No access to Healthway Clinics
experience through health plan packages specific to members'
• More than 500 hospitals nationwide
varying needs and budget. These programs are recommended • Access to Asian Hospital and Medical Center,
for individuals 15 days to 65 years of age.* Hospital
St. Luke's Global, St. Luke's Quezon City, Makati
Access Medical Center, Cardinal Santos Medical Center,
and The Medical City
Comprehensive Individual health care has 4 components:
Special Modalities
Mostly up to MBL
of Treatment
Benefits Plan 150 Plan 300
• Speech therapy P10,000/member/year
• Passive and active vaccines for treatment of tetanus
Room Type Semi-Private Open Private Open Additional
and animal bites
Benefits (including globulin P20,000/member/year)
• Standard admission kit
Preventive Health Care Maximum Benefit Limit
Emergency Care in
includes an Annual Physical Exam. (Per illness per member
Php 150,000 Php 300,000 Non-Accredited • 80% of hospital and professional fees based on PhilCare
per year) Hospital within the rates
• Up to P30,000/case
Philippines and
abroad
PhilCare Travel Emergency Worldwide Assistance
Pre-Existing Conditions (PEC) coverage:
Assist Program
Out-patient Health Care gives a. First Year
• Review of medical history
access to primary care, with a Semi-Private Plan Private Plan • Chest X-ray
• Urinalysis Fecalysis
primary care physician providing Annual Physical • Complete blood count
consultation, diagnosis, and 5,000 ABL 10,000 ABL Exam • Electrocardiogram for members 35 years old and
above or if indicated
treatment. • Pap smear for female members 35 vears old and
above or if indicated
b. Second Year onwards (Renewal)
Ambulance Nationwide coverage for hospital-to-hospital
Semi-Private Plan Private Plan Coverage transfer by ambulance
Life Insurance P100,000
Dread 5,000 ABL 10,000 ABL
In-patient Health Care
Accidental Death
covers patient hospitalization for Non Dread ABL ABL & Dismemberment P100,000
more intensive treatment. Mental Health • Mental Health Screening (1 month access)
Services • Mental Health Counseling (1 session)
Added Value Services if availed in PhilCare-owned clinics:
• 15 days to 60 years old
Membership
Coverage for Pre-Existing related consultations in excess of set inner limits • *Renewable to 65 years old
Free Medical Certificate
Emergency Care is covered at more
than 500 hospitals nationwide, Preferential discounts of up to 15% on procedures for Pre-exisitng related
conditions in excess of set inner limits
regardless of PhilHealth affiliation.
Patients may also seek reimbursement
for emergency care received while
overseas. Know more about PhilCare HealthPRO by visiting
[Link]
*Entry age up to 60 years old, renewable up to 65 years old. You may also reach us at ifg@[Link].
ifg@[Link].
