The Group
Hospitalization Plan (GH) is a reimbursement plan that
provides for payment for actual, necessary, reasonable and
customary hospital expenses incurred for confinement as as
result of sickness or injury based on a defined schedule of
benefits. The plan allows the member-patient to choose
his/her own doctor and hospital.
| Minimum No.
of lives |
25 |
| Benefits |
Basic
Medical
Major Medical
Maternity
Out-patient
Dread Disease |
| Eligible
Dependents |
Spouse
Children
Parents
Siblings |
| Premium |
Customized
accdg to client's profile |
SPECIAL
HOSPITAL ARRANGEMENT
Members may avail of medical treatment in accredited hospitals
without initial cash out through a Letter of Authority. Member
may choose his own doctor.
|
|
J covers pre-existing conditions right from the start!
J allows you to choose your own doctors and hospitals. In
effect lahat ng doctors and hospitals are accredited!
J does not add stress during times of distress!
J
is easy to understand!
J
provides coverage for specific medical services such as
hospital, surgical, physician and diagnostic x-ray and
laboratory test. The employee is reimbursed starting with the
first peso of expenses.
J
provides separate maximum benefits for every unrelated
sickness or injury; benefits under certain conditions, even to
group-members who are separated due to disability; and
surgical benefit even if there is no hospital confinement.
J
reimburses actual cost charged by the hospital for operating
room, X-ray, laboratory examinations, drugs, medicines and
dressings administered, blood transfusion, anesthesia and its
administration and other similar medical services up to the
limit agreed upon.
J
pays for the professional fee charged by the surgeon for
performing an operation
J
pays for daily charges of attending physician for in-hospital
visits or treatment during confinement
OUT-PATIENT PLAN
A flexible Third Party Administration plan where member pays
for service fees, not premium. |
