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SELECT PREPAID

INSURANCE PLANS
Affordable plans that will allow you to avail of
cash assistance for emergencies, dengue and
prescribed medicines.

With Pacific Cross, you’ll have peace of mind that


comes from knowing that you and your loved ones
are protected in every way.
We offer you our Select Prepaid Insurance Plans
Get yours today and avail of cash assistance for medical emergencies,
dengue and prescribed medicines.

Select ER
Enjoy cashless medical treatment or cash assistance worth
PHP 5,000 and PHP 20,000 (depending on the card variant
bought) for emergencies due to illness or accident.

Select DengueGuard
Receive cash assistance worth PHP 10,000 for
medically diagnosed Dengue. No hospitalization
required.

Select MedSecure
Reimburse up to PHP 2,000 worth
of prescribed medicines post-
hospitalization.

Pacific Cross | Select Prepaid Insurance Plans Page 2 of 8


Overview | Plan Benefits
Please read your Policy for the full terms, conditions and limitations.

• Get coverage for medical • Enjoy cash assistance worth • Avail of one-time
treatment for emergency PHP 10,000 for medically reimbursement for the
condition as Out-Patient or diagnosed Dengue. actual amount of prescribed
In-Patient in any hospital. • Available to persons of all medicines, vitamins and
• Available to persons age 15 ages. supplements of the Insured
days old up to 65 years old • Symptoms for Dengue Person as part of a follow-
upon registration. should have occurred after up care within 90 days post
• Gives you the option to 15 days from the date hospitalization.
avail of no-cash-outlay of activation in order to • Hospitalization should have
emergency out-patient successfully avail of this occurred after 15 days from
treatment using our benefit. date of activation.
accredited network • Symptoms, consultations • Available to persons age 15
of hospitals, or file and laboratory tests related days old up to 60 years old
your eligible claims for to Dengue should have upon registration.
reimbursement in the event occurred after 15 days from • Motor vehicular accidents
that you choose not to go the date of activation in are covered provided that
to an accredited medical order to successfully avail the incident happened
provider. of this benefit. during the coverage period
• Receive a lump sum • Hospitalization is not plus 15 days from date of
cash assistance for required. Medical activation.
emergency cases leading to document/s indicating • The reimbursement can
confinement regardless of proof of contracting amount up to PHP 2,000.
the incurred amount. Dengue is needed.

Premiums
Select ER Select DengueGuard Select MedSecure
(In Philippine Peso) (In Philippine Peso) (In Philippine Peso)

Maximum Benefit Limit (MBL) ₱ 20,000.00 ₱ 5,000.00 ₱ 10,000.00 ₱ 2,000.00


Premium
₱ 1,199.00 ₱ 499.00 ₱ 325.00 ₱ 549.00

ISSUE AGE
Select ER Select DengueGuard Select MedSecure
15 days old to 65 years old Available to persons of all ages 15 days old to 60 years old

Pacific Cross | Select Prepaid Insurance Plans Page 3 of 8


Important Notes

• Pre-Existing Conditions • Coverage will begin • Coverage will begin


(PEC) are covered, with 15 calendar days after 15 calendar days after
7 calendar days waiting successful registration. successful registration.
period upon sucessful • Use of Select DengueGuard • Pre-Existing Conditions
registration. is subject to one-time (PEC) are covered, with
• For Select ER Out-patient availment for one (1) 15 calendar days waiting
availment, it is required that Dengue case, per coverage period upon purchase of
the client is accommodated year. Select MedSecure.
for treatment in the • Coverage will be exhausted • Use of Select MedSecure
Emergency Room after one (1) year of non- is subject to one-time
Department of a hospital. usage or immediately upon availment of all medicines,
• Use of Select ER is subject approval of eligible claims, vitamins and supplements
to one-time availment for whichever occurs first. prescribed within 90 days
one (1) emergency case/ • Multiple purchases are immediately following the
condition at a time. allowed. However, only one discharge from Hospital
• Coverage will be exhausted (1) Select DengueGuard can Confinement of a covered
after one (1) year of non- be registered and activated illness as a follow-up care.
usage or immediately upon per individual at a time. • Coverage will be exhausted
approval of eligible claims, after one (1) year of non-
whichever occurs first. usage or immediately upon
• This benefit can be used on approval of eligible claims,
top of your PhilHealth and/ whichever occurs first.
or any other HMO/Medical • Multiple purchases are
Plans. allowed. However, only one
• Multiple purchases are (1) Select MedSecure can
allowed but can register be registered and activated
the succeding coverage per individual at a time.
after two (2) months or 60
days interval period from
prior availment.

Pacific Cross | Select Prepaid Insurance Plans Page 4 of 8


Step-by-Step Guide in Buying
a Pacific Cross Select Prepaid Insurance Plan Online

1
Go to
https://www.medexpress.com.ph
and click on Order Online button.

2
Choose your preferred option
on how you want your order to
be served. Indicate your City
and/or Barangay.

3
Search for the product.
In the blank field, type in
“PACIFIC CROSS”.

Choose your preferred prepaid

4
insurance plan, decide on the
number of plans you want to
purchase, and click on Add to
Basket.

5
After checking your order/s,
click on Checkout.

6
Indicate your mobile number
in the Mobile No. field.

7
Provide your Personal
Details.

There are other ways to get


a Pacific Cross Select Prepaid

8 Choose your preferred Insurance Plan, you can also


Payment Option. buy via over the counter at
select MedExpress Drugstores
or call the MedExpress Call

9
Check order details and click Center through telephone
on Submit to confirm your
purchase. number +63 2 8333-3333.

Pacific Cross | Select Prepaid Insurance Plans Page 5 of 8


FREQUENTLY ASKED QUESTIONS
Q: What is the eligibility age in order to avail of a Select Prepaid Insurance Plan?
A: For Select ER, issue age is 15 days old to 65 years old, while for Select MedSecure issue age is 15 days old
to 60 years old. For Select DengueGuard, no eligibility age is required.

Q: Can I use my Select Prepaid Insurance Plan immediately right after successful registration?
A: No. An Activation Period will follow upon successful registration. For Select ER, 7 calendar days waiting
period will be observed. For Select MedSecure and Select DengueGuard, 15 calendar days waiting period
will be applied.

Q: Can I buy more than one (1) Select Prepaid Insurance Plan and register all under my name?
A: The Client may purchase more than one (1) prepaid insurance of the same product from other Pacific
Cross partners. However, only one (1) prepaid insurance of the same product can be registered and
activated per Individual at a given time. For Select ER, the Client may only register the second prepaid
insurance under his/her name 60 calendar days after the claim has been approved. If the claim is denied,
the prepaid insurance will still remain to be active.

Q: I already used my previous prepaid insurance, can I still buy and register for the same Select Prepaid
Insurance Plan?
A: No. For Select ER, the Client may only register the second prepaid insurance under his/her name 60
calendar days after the claim has been approved. For Select MedSecure and Select DengueGuard, once
the claim has been approved or the Policy expires, the second prepaid insurance can be registered
immediately after the previous policy.

Q: Will I be able to utilize the remaining balance of my coverage if my availment did not reach the maximum
benefit limit?
A: No. A Select Prepaid Insurance Plan is subject to one-time use only. Coverage will be terminated once
claim is approved. For Select MedSecure, it is suggested that receipts are collated for one-time submission
for a particular confinement. An initial submission of receipt will be considered as a one-time use already,
even if the succeeding receipts are related to the same illness.

Q: How do I file a claim?


A: Please submit the necessary claims requirements to Pacific Cross Customer Services team via e-mail
claims@pacificcross.com.ph.

Q: What are the requirements when filing for a claim?


A: A completely filled out and submitted Notification of Claim (NOC) Form together with the submission
of necessary Claims Requirements as outlined in the NOC Form. A copy of the NOC Form is available at
www.pacificcross.com.ph.

Q: Can I submit photocopy/ies of Official Receipt/s (OR) only?


A: For Select ER Out-Patient with claims worth PHP 10,000 and below the maximum benefit limit, an original
O.R. is not required. For Select ER Out-Patient with claims worth above PHP 10,000 and with an O.R. amount
higher than PHP 10,000, original O.R. is required. For Select MedSecure, original O.R. is not required.

Q: What happens to my coverage if my claim was denied?


A: If the claim was denied, the Select Prepaid Insurance will remain active within its validity period.

Q: Where can I inquire about the status of my claim?


A: Please get in touch with the Pacific Cross Customer Services team via e-mail client_services@pacificcross.
com.ph or call the Pacific Cross Hotline at +63 2 8230-8511.

Q: How will I receive my claims reimbursements?


A: Pacific Cross will credit the approved claims reimbursement of the Client to his/her nominated bank account.

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EXCLUSIONS
Please read your Policy for the complete list of exclusions.

1. Confinement required wholly for executive check-ups, routine medical examinations or


check-ups or Confinement purely for diagnostic purposes, hearing test or any service
and treatment that are deemed unnecessary by the Company to the physical and
mental conditions involve.

2. Screening and treatment of congenital, heredo-familial, developmental abnormalities,


birth defect and complications arising therefrom.

3. Screening and treatments for Sexually Transmitted Diseases (STD), Acquired


Immunodeficiency Syndrome (AIDS), AIDS-Related Complex (ARC), Erectile Dysfunction
Syndrome and all complications arising therefrom.

4. Pregnancy related expenses and screening, childbirth, surgical delivery, miscarriage,


abortion including its complications, pre-natal or post-natal care as well as nursing care
for a newborn child.

5. Psychotic, mental or nervous/anxiety disorders, degenerative brain disorder including


any neuroses and their physiological or psychosomatic manifestations.

6. Injury or Illness arising directly or indirectly out of excessive consumption of alcohol,


misuse or irrational use of drugs/medications, solvent/substance or any addicting and
habit-forming drugs which cause complications that will require treatment or medical
intervention. Excessive consumption of alcohol is characterized by the Insured Person’s
alcohol level being above the normal range of such alcohol test.

7. Treatments or services arising from suicide, attempted suicide or intentionally self-


inflicted Injury.

8. Natural Catastrophes; Injuries or Illness arising out of epidemics including military/


paramilitary epidemics which are declared by any local, regional or international agency
or organization authorized to address health issues in the local and national geographical
area or country.

9. Injury or disease arising out of duties of employment or professions with physical hazard.

10. Participating in, but not limited to, the following activities including the practice and
actual competition: Auto racing, professional sports, Contact Sports, winter sports
except recreational skiing within authorized tracks, racing other than foot racing,
motorcycling (except daily use for transportation on a paved road), dressage, skydiving,
parasailing, hang gliding, flying (other than as a fare paying passenger on a duly licensed
commercial aircraft), caving, rock or mountain climbing (with or without the use of
ropes or other equipment), bungee jumping, polo, steeplechasing, hitchhiking, sport
diving, non-Recreational Scuba Diving as defined in the Policy, or any hazardous activity,
unless declared to and accepted by the Company.

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Our Companies
Pacific Cross Insurance, Inc. and
Pacific Cross Health Care, Inc.

Pacific Cross is EXCELLENCE.


We are committed to bringing nothing but
the best to our clients. Our decisions are based on
an intricate understanding of our clients’ needs,
demands and expectations. We strive to create
and innovate programs that will best serve our
To learn more,
customers.
call +63 2 8230-8511 or
Pacific Cross is STABILITY.
visit www.pacificcross.com.ph
We are one of the leading and most financially
stable companies in the industry today. Our To buy online, please visit
Premiums Earned in recent years put us in the top www.medexpress.com.ph
10 non-life insurance companies in the Philippines.
HEAD OFFICE
Pacific Cross Center, 8000 Makati Avenue, 1200 Makati City,
Pacific Cross is EXPERIENCE. Metro Manila, Philippines
We draw from over 70 years of experience in Tel. No.: +63 2 8230-8511 Fax No.: +63 2 8230-8572
the insurance industry. Our actions are guided by E-mail: info@pacificcross.com.ph
a deep insight brought about by the knowledge we CEBU
have gained through the years. Units 102 & 202, Avagar Building,
No. 09 Escario corner Molave Streets,
Lahug, Cebu City
Pacific Cross is CUSTOMER SERVICE. Tel. Nos.: +63 32 233-5812, +63 32 233-5816,
We are rooted in a commitment to ever +63 32 416-4468
improving customer service. We aim to be Fax No.: +63 32 233-5814
E-mail: cebu@pacificcross.com.ph
continuously progressive and professional. Our
commendable track record and competent support CLARK
2nd Floor, The Medical City Clark, 100 Gatwick Gateway,
staff ensure that you are given immediate and
Clark Global City, Clark Freeport Zone,
excellent service at all times. Pampanga, 2023, Philippines
Mobile Nos.: +63 917 174-0149, +63 956 759-6256,
+63 928 348-1907
Pacific Cross is a PARTNERSHIP OF TRUST. E-mail: markanthony_gabriel@pacificcross.com.ph,
We build and value enduring relationships. We kevin_ilagan@pacificcross.com.ph
consistently prove that we are worthy of the highest
DAVAO
confidence — by our strict standards, the integrity 2nd Floor, Left Wing, Door No. 6 Matina Town Square,
of our promises and the results we deliver. In the Mac Arthur Highway, Matina, Davao City
event of a crisis, we assure you that Pacific Cross Tel. No.: +63 82 297-7314 Telefax: +63 82 297-7151
E-mail: davao@pacificcross.com.ph
will be your friend and ally.

We also have Agency Offices in:


Luzon: Cavite | Laguna | Manila | Naga | Palawan | Pampanga | Taguig
VisMin: Bacolod | Bohol | Butuan | Cagayan de Oro | Dumaguete | General Santos
V07.21

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