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OPTION 1: WITH ACCESS TO ALL AFFILIATED PROVIDERS EXCLUDING SIX (6) MAJOR HOSPITAL*
Room & Board MBL* o Annual Fee w/o o Semi-Annual o Quarterly Fee
Rider Fee w/o Rider w/o Rider
Suite up to 4,000 400,000 P18,144.00 P9,707.04 P4,989.60
OPTION 2: WITH ACCESS TO ALL AFFILIATED PROVIDERS INCLUDING SIX (6) MAJOR HOSPITAL*
Room & Board MBL* o Annual Fee w/o o Semi-Annual Fee o Quarterly Fee
Rider w/o Rider w/o Rider
Suite up to 4,000 400,000 P24,505.60 P13,110.50 P6,739.04
Notes:
In compliance to BIR, rates provided above are inclusive of applicable 12% EVAT; If VAT Exempt,
pls. provide a copy of the VAT Exempt Certification
Rates provided are based on the minimum of 20 to maximum of 150 employees only, per
company and based on the assumption that 100% of eligible employees are being enrolled in
the HMO program.
With coverage for Pre-existing Conditions up to MBL
Non-Medical Requirement;
*MBL works on a per illness, per injury, per member, per year
Optional access to Six (6) Major Hospitals: Asian Hospital and Medical Center, St. Luke's Medical
Center(QC), Makati Medical Center, The Medical City and Cardinal Santos Medical Center
including SLMC Global
Rates excludes access to Philippine Orthopedic Institution, Notre Dame Hospital, Manila
Adventist, Marikina Valley and Healthway clinics
OPTION 1: WITH ACCESS TO ALL AFFILIATED PROVIDERS EXCLUDING SIX (6) MAJOR HOSPITAL*
Room & Board MBL* o Annual Fee w/o o Semi-Annual o Quarterly Fee
Rider Fee w/o Rider w/o Rider
Suite up to 4,000 400,000 P23,755.20 P12,709.03 P6,532.68
OPTION 2: WITH ACCESS TO ALL AFFILIATED PROVIDERS INCLUDING SIX (6) MAJOR HOSPITAL*
Room & Board MBL* o Annual Fee w/o o Semi-Annual o Quarterly Fee
Rider Fee w/o Rider w/o Rider
Suite up to 4,000 400,000 P32,614.40 P17,448.70 P8,968.96
Notes:
In compliance to BIR, rates provided above are inclusive of applicable 12% EVAT; If VAT Exempt, pls.
provide a copy of the VAT Exempt Certification
Rates provided are based on the minimum of 20 to maximum of 150 employees only
Rates provided for dependents are based on the required 75% participation based on the total
employee’s headcount.
With coverage for Pre-existing Conditions up to MBL
Direct Access – For Out-patient, In-patient and emergency members can avail in accredited
providers of Philcare.
Non-Medical Requirement;
*MBL works on a per illness, per injury, per member, per year
Optional access to Six (6) Major Hospitals: Asian Hospital and Medical Center, St. Luke's Medical
Center(QC), Makati Medical Center, The Medical City and Cardinal Santos Medical Center including
SLMC Global
***Rates excludes access to Philippine Orthopedic Institution, Notre Dame Hospital, Manila
Adventist, Marikina Valley and Healthway clinics
Rates includes access to Fortmed Clinics and TMC Satellite except Healthway Clinics.
Rates are provided based on the assumption that company is under the category of “Group A
accounts”; otherwise, rates are subject for actuarial’s review and re-cost
Additional Php2,400.00 (VAT Exclusive) or Php2,688.00 (VAT Inclusive) for non Philhealth Members
(must be declared upon enrolment).
COVERAGE ANNUAL
SEMI ANNUAL QUARTERLY
FEE
10,000 100.80 53.93 27.72
*Note:
Group Life and AD&D coverage is only applicable for employees below 65 years old. Dependents are not
entitled to the Life Insurance Rider. AD&D requires Group Life coverage