HMO Benefits Room Type MBL Annual Premium Others

Maxicare (Option 1) - All outpatient
consultations and
outpatient procedures
as long as medically
necessary
- Emergency Care
- Dental Care
- In-Patient Care (Subj. to
MBL & Room Type)
- Pre-Existing Condition
- Diagnostic / Therapeutic
with Specific Limits
(i.e. PT up to 12 sessions
per year , Dialysis)
Regular Private Gold 110,000 Php16,864.00 Excluding 9 Major
Hospitals
- Asian Hospital &
Regular Private Gold 150,000 Php 17,440.00 Medical Center, - The
Medical City,
- St. Luke's Medical
Center - Quezon City,
St.
- Luke's Medical Center
- Global City,
- Makati Medical
Center,
- Cardinal Santos
Medical Center,
- Cebu Doctors
Hospital,
- Chong Hua Hospital
- Davao Doctors
Hospital

- Annual Check-Up (ECG

& Paps Smear)
HMO Benefits Room Type MBL Annual Premium Others
Maxicare (Option 2) - All outpatient Regular Private Gold 110,000 Php21,641.00 Including 9 Major
consultations and Hospitals
outpatient procedures - Asian Hospital &
as long as medically Regular Private Gold 150,000 Php 22,640.00 Medical Center, - The
necessary Medical City,
- St. Luke's Medical
- Emergency Care Center - Quezon City,
St.
- Dental Care - Luke's Medical Center
- Global City,
- In-Patient Care (Subj. to - Makati Medical
MBL & Room Type) Center,
- Cardinal Santos
- Pre-Existing Condition Medical Center,
- Cebu Doctors
- Diagnostic / Therapeutic Hospital,
with Specific Limits - Chong Hua Hospital
(i.e. PT up to 12 sessions - Davao Doctors
per year , Dialysis) Hospital

- Annual Check-Up (ECG

& Paps Smear)
HMO Benefits Room Type MBL Annual Premium Others
Maxicare (Option 3) - All outpatient Regular Private Gold 110,000 Php22,660.00 Including 9 Major
consultations and Hospitals and Healthway
outpatient procedures - Asian Hospital &
as long as medically Regular Private Gold 150,000 Php 23,478.00 Medical Center, - The
necessary Medical City,
- St. Luke's Medical
- Emergency Care Center - Quezon City,
St.
- Dental Care - Luke's Medical Center
- Global City,
- In-Patient Care (Subj. to - Makati Medical
MBL & Room Type) Center,
- Cardinal Santos
- Pre-Existing Condition Medical Center,
- Cebu Doctors
- Diagnostic / Therapeutic Hospital,
with Specific Limits - Chong Hua Hospital
(i.e. PT up to 12 sessions - Davao Doctors
per year , Dialysis) Hospital

- Annual Check-Up (ECG

& Paps Smear)
HMO Benefits Room Type MBL Annual Premium Others
Medicard (Option1) - Out Patient Health Care Regular Private Gold 100,000 Php16,835.00 Including the following
Hospitals with Pre-Existing
- Emergency Care Conditions up to Php5,000
Regular Private Gold 120,000 Php 17,235.00 - Asian Hospital &
- Dental Care Medical Center, - The
Medical City,
- In-Patient Care/ - St. Luke's Medical
Hospitalization Center - Quezon City,
(Subj. to MBL & Room St.
Type) - Luke's Medical Center
- Global City,
- Preventive Health care/ - Makati Medical
Annual Check-Up (ECG Center,
& Paps Smear) - Cardinal Santos
Medical Center,
HMO Benefits Room Type MBL Annual Premium Others
Medicard (Option 2) - Out Patient Health Care Regular Private Gold 100,000 Php20,062.00 Including the Following
Hospitals without Pre-
- Emergency Care Existing Conditions except
Regular Private Gold 120,000 Php 20,462.00 SLMC-GC
- Dental Care - Asian Hospital &
Medical Center, - The
- In-Patient Care/ Medical City,
Hospitalization - St. Luke's Medical
(Subj. to MBL & Room Center - Quezon City,
Type) St.
- Makati Medical
- Preventive Health care/ Center,
Annual Check-Up (ECG - Cardinal Santos
& Paps Smear) Medical Center,
HMO Benefits Room Type MBL Annual Premium Others
CocoLife - Out Patient Health Care Regular Private 100,000 Php16,438.54 Including all CocoLife
(Current HMO) Accredited Hospitals with
- Emergency Care Pre-Existing Conditions
Regular Private 120,000 Php 20,246.23
- Dental Care

- In-Patient Care/
Hospitalization
(Subj. to MBL & Room
Type)

- Life and Accident

Insurance