SERVICES

A Better Healthcare Coverage for Your Family

PangPamilya Community makes is easy to get Healthcare Coverage for you and your love ones in the Philippines. Your family is assured of professional care: the best return for your investment.

In-Patient Plan for PhilHealth Dependent

Room & Board, per day, max of 31 daysUp to PHP 2,000 per day
Physician’s Visit, per day, max of 31 daysUp to PHP 2,000 per day
Miscellaneous Hospital ExpenseAs Charged
Surgeon’s Fee, as per Surgical Schedule based on RUVAs Charged
Anesthesiologist Fee, 35% of Surgeon’s FeeAs Charged
Specialist Fee, max of 7 daysAs Charged
Ambulance FeePHP 2,500
Out-Patient Benefit
Consultation As Charged
Prescribed Basic Diagnostic ProcedureAs Charged
Annual Benefit Limit (Shared Limit for 1 Principal and 2 Dependents)PHP 200,000

Healthcare Benefits

In-Patient Benefit

  • Room & Board Accommodation up to the limit of the plan
  • General Nursing Service
  • Services of Physician/s, specialist/s, surgeon/s and anesthesiologist
  • Anaesthesia and its administration, dressing, plaster casts and other medical supplies
  • Use of Operating /Recovery Room
  • Transfusion of blood and other blood elements and other intravenous fluids
  • ICU confinements subject to maximum benefit limit
  • Prescribed laboratory examinations including complex diagnostic procedures such as but not limited to MRI, CT scan and ultrasound 
  • Chemotherapy, radiotherapy, physical therapy, speech therapy and dialysis – subject to the provision on “Pre-Existing Conditions”, Maximum Limit- Dread Disease” and “Special Procedures – New Modalities of Treatment” 
  • Other services necessary for the medical management of the patient while confined including Admission Kit. 
  • Note: PhilHealth should be filed prior to discharge 

Out-Patient Benefit

  • Unlimited number of medical consultations & follow-up consultations
  • Referral to accredited Specialist(s)
  • Administration of vaccine (except the cost of vaccine)
  • Prescribed laboratory/diagnostic examination
  • Emergency treatment and minor surgeries not requiring hospitalization
  • Including emergency (first) dose of anti-rabies, anti-venom and/or anti-tetanus

Preventive Care

  • Health habits and family planning counselling
  • Periodic monitoring of health problems
  • Wellness programs

Annual Physical Examination

  • Physical Examination
  • Complete Blood Count
  • Routine Urinalysis
  • Routine Fecalysis
  • Chest X-ray
  • ECG for enrollees over 35 years old and above
  • Pap smear for female employees 35 years old and above

Emergency Care

  • In any Accredited Hospital within the Philippines
    • All expenses directly related to the medical management of the illness and/or injury that resulted to the Insured’s emergency treatment shall be covered on a no cash-out basis
  • In Non-Accredited hospitals within the Philippines
    • Reimbursable 100% of the hospital bills & Professional fees based on standard rates
  • Outside the Philippines
    • Reimbursable 100% of hospital bills & Professional Fees based on the standard rates
  • Emergency Ambulance Services
    • Reimbursable up to Php2,500/conduction 

Financial Assistance

  • The Principal Insured (employee) is provided with a Life insurance coverage to serve as financial assistance for his designated beneficiaries as a result of his death;
    • Death due to natural causes (Php 25,000)
    • Death due to accident (PHP 50,000)

Dental Benefits

  • Oral examinations/diagnosis as needed
  • Annual Oral prophylaxis every six (6) months
  • Gum problem consultation and treatment
  • Simple tooth extraction
  • Temporary Fillings (Unlimited)
  • Re-cementation of loose jacket and crowns
  • Adjustments/repair of dentures
  • Oral hygiene instruction
  • Dental health education and consultation
  • Permanent light cure composite fillings

Protect Your Love Ones

Saan ka man sa mundo, healthcare coverage ng pamilya mo ay abot kamay.