ENHANCED CORE 10 PLAN PROPOSAL

September 24, 2022

Mr. Mr Estrella

Dear Sir,
PROPOSAL INVALID. Please fill out all the required fields correctly

Our Vision
Families that are assured of the
proper health care when they need it.

Our Mission
To provide the best health care
for Filipino families today and tomorrow.

I. PLAN DESCRIPTION
Plan Name F
Policy Type No Insu
 Birthdate Mar
Age
Age Range 40 to

III. SCHEDULE OF BENEFITS

Payi
Policy Year 1 2

Member's Age 47 48

Max. Coverage per year 40,000 45,000

Max. Daily Room Rate 500 600

IV. HEALTH CARE BENEFITS
1. Medical Expense Benefits (MEB)
A. Hospitalization Benefits
(in CARITAS-accredited hospitals)
Room and board
Services of an accredited physician or specialist
Laboratory tests, X-ray and other indicated diagnostics
Use of surgical or medical equipment and facilities
Administration of anesthesia and/or oxygen
Transfusion of hospital-provided blood products
Dressing, plaster of paris, and other medical supplies
Prescribed drugs and other medication used during confinem
B. MEB Outpatient Services
Treatment of minor injury or illness
Minor surgery (not requiring hospital facilities)
Eye, ear, nose, and throat treatment
C. Emergency Care (Notify Caritas within 24 hours)
D. Special Diagnostic Procedures
X-ray
Basic Mammography
Ultrasound
Treadmill test
2D Echocardiography with Doppler
Electromyelography (EMG)
Computed Tomography (CT) Scan
Nuclear Imaging
Magnetic Resonance Imaging (MRI)
Other procedures deemed appropriate by CARITAS
 Mr Estrella's Benefits
Medical Expense Benefits for 10 years 600,000
Membership Privileges

Outpatient 132,000
APE 18,929
Preventive Health Care 19,000
Dental Care 69,000
Dependent's Consults 24,000
Total Membership Privileges for 10 years 262,929
Total Benefits 862,929
All for a Total Contract Price of only 165,85

The Rates, Terms, and

orrectly.

II. CONTRACT PR

e CONTRACT P
ed it.
SPOT CASH
e
rrow.
ANNUAL
SEMI-ANNUA
F/5 units QUARTERLY
No Insurance Benefit
 9 1975 *Excep
47
40 to 49 years old

Paying Period
3 4 5 6
49 50 51 52

50,000 55,000 60,000 70,000

700 800 900 1,100

Page 1 of 2
 2. Membership Privileges (MP)
A. MP Outpatient Services
Up to twelve (12) consultations per year
Up to ten (10) pre/postnatal consultations per pregnan

s B. Annual Physical Exam (APE)

Taking of medical history
Medical examination
Chest X-ray (PA)
Complete Blood Count (CBC)
onfinement Fasting Blood Sugar (FBS)
Urinalysis and Fecalysis
Electrocardiogram (ECG) ( for 35 y.o. and above)
Pap Smear (for 35 y.o. and above)
C. Preventive Health Care
Periodic monitoring of health problems
urs) Consultation on diet, exercise, and other healthful hab
Counselling on family planning
Flu and Pneumonia immunization, excluding cost of d
or vaccines
Enrollment in company-sponsored health seminars
D. Dental Care
Up to four (4) consultations per year
Annual oral prophylaxis, (after at least three (3) month
from the date of effectivity of this agreement)
Tooth extraction excluding surgery for impaction
Temporary filling or recementation
Treatment of oral pain and lesions
00,000.00

132,000.00
18,929.00
19,000.00
69,000.00
24,000.00
262,929.00
62,929.00
165,850.00

This proposal is generated on September 24, 2022

rms, and Conditions are subject to change depending on the date when this proposal le

Page 2 of 2
T PRICE & INSTALLMENTS

CT PRICE 165,
SH 149,

33,
NUAL 17,
RLY 9,
Except for Spot Cash, add P200.00 Policy Fee on the first payment.

Bonus Period
7 8 9 1
2 53 54 55 5

000 70,000 70,000 70,000 70,

00 1,100 1,100 1,100 1,1

 E. Other Services

24/7 medical hotline assistance

Discounts on non-covered health services at
regnancy Clinica Caritas branches
Up to four (4) medical consultations per year for one
(1) pre-designated dependent, who is qualified as
such under the SSS Law (RA 8282)

e)

ful habits

ost of drugs

nars

months

n
 Sincerely,

nieves
Health Counselor
09150371912
Ayala Branch

posal letter was generated

Version 9 as of June 1, 2021

65,850
49,465

33,170
17,915
9,290
 10
56

70,000

1,100