Dear Ma'am/Sir
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Dear Ma’am/Sir: We are pleased to submit our offer for the Comprehensive Health Care MediCard Select Package for your family/______/__________. The accompanying proposal includes in depth information on: Hospitalization / In-patient Emergency Care Out-patient Care Dental Health Care Preventive Health Care MediCard has over 30 years of experience in providing quality healthcare across a range of industries and have helped many of its customers manage their healthcare. As the only HMO founded and run by doctors, you are assured that the plan we offer you is recommended and approved by our industry experts on board. MediCard stands tall – it has more than 43,000 accredited medical professionals in more than 1,000 accredited hospitals and clinics that serve its more than 700,000 members across the archipelago. Add to that the prestige of being the first HMO in the country that is ISO-certified and has taken steps to advance its Quality Management Systems so you are gu aranteed of quality healthcare. MediCard continues to play a role as an innovator and a leader in providing solutions to your needs so you can channel your a dministrative’ s time and efforts to other more productive areas. MediCard is the first to introduce the E-corporate portal that lets you check your employees’ membership information, enroll new members, view utilization and more. MediCard is also the first to introduce MyPocket Doctor, a telemedicine facility offered to its members that allows cons ultation with a doctor via video or phone call anytime, anywhere MediCard is the first to offer occupational health services and corporate staffing for onsite clinics MediCard has its own network of free -standing clinics and pharmacies for total managed he althcare On top of these, MediCard has a high renewal persistency rate among its satisfied clients. We hope that you will find our proposal convincing and that the package meets your requirements. Should you need further cla rification, please call the undersigned at 8864-0907. Thank you for allowing us the opportunity to present our offer. We look forward to the pleasure of servicing the health care needs of your family. Sincerely, Noted by: JOSEPHER M. GILVERO RANDY V. VERDE Membership Consultant – MediCard Select Senior Assistant Sales Director- Sales and Business Development II MediCard Philippines, Inc. MediCard Select Program – Individual/Family/SME A. Membership Eligibility a. Principal Member For Individual Account: Any person at least 18 years old up to 99 years of age For Family Unit/SME Account: Any person at least 18 years old up to 60 years of age b. Qualified Dependent Members for Family Unit/SME Account Legal Spouse up to age 60 For Married Principal Members Legitimate and/or legally adopted children, 30 days old up to 60 years of age who are not gainfully employed and unmarried Parents up to age 60, unemployed and dependent on the Principal Member For Single Principal Members Brothers and sisters, 30 days old up to 60 years of age, who are not gainfully employed and unmarried Children, 30 days old up to 60 years of age, who are not gainfully employed For Single Parent Principal Members and unmarried Notes: All members must be below 60 years and 6 months old and younger upon enrollment No hierarchy to follow B. Preventive Healthcare Services The Preventive Health Care Services will be provided to MEMBERS by designated MediCard Medical Service Units Health Care Benefits Coverage/Limit 1. Annual Physical Examination (APE) to include* Covered Covered a. Complete Blood Count b. Urinalysis (urine examination) Covered c. Fecalysis (stool examination) Covered d. Chest X-Ray Covered e. Electrocardiogram (for _________________) Covered f. Pap Smear (for _______________________) Covered g. Eight Blood Chemistries: Fasting Blood Sugar, Total Cholesterol, Uric Acid, Covered under APE; for members 30 years old and above Creatinine, BUN, HDL, LDL and Triglycerides h. Anti-flu vaccines Covered under APE; for members below 30 years old 2. Management of Health Problems Covered 3. Routine Immunization (___________cost of vaccines) Covered 4. Counseling on Health habits, diets and Family Planning Covered 5. Record keeping of medical history Covered *APE may be conducted at any MediCard-free standing clini MEDICARD SELECT PROGRAM – INDIVIDUAL/FAMILY/SME Page 2 MediCard Philippines, Inc. List of MediCard Free Standing Clinics: 1. MediCard Lifestyle Center - Makati – 51 Paseo de Roxas Avenue corner Senator Gil Puyat Avenue, Makati City 2. MediCard Philippines, Inc. - Makati – 2129 G/F King's Court Bldg. II, Don Chino Roces Avenue, Makati City 3. MediCard Philippines, Inc. – Ortigas Clinic – Unit 105, Parc Royale Condominium, Julia Vargas Avenue, Ortigas Centre, Pasig City 4. MediCard Philippines, Inc. – Sta. Rosa - 2nd Floor Humana Wellness Center, Tagaytay Highway, Brgy. Don Jose, Sta. Rosa, Laguna 5. MediCard Philippines, Inc. – Centris - Unit E, F, G Two Cyberpod Centris, Eton Centris, EDSA corner Quezon Avenue, Quezon City 6. MediCard Philippines, Inc. - Cavite Clinic - G/F MediCard, Anabu Kostal, Anabu II D, Aguinaldo Highway, Imus, Cavite 7. MediCard Philippines, Inc. – Alabang Filinvest Clinic – 3/L Festival Supermall, Corporate Avenue, Filinvest, Alabang, Muntinlupa City 8. MediCard Philippines, Inc. – Calamba Clinic – Unit 1 G/F, Adenson Building, Brgy. Parian, National Hi-way Calamba, Laguna 9. MediCard Philippines, Inc. – Fairview Clinic – Unit 31 E & F LF Building, Commonwealth Avenue corner Camaro Street, Fairview, Quezon City 10. MediCard Philippines, Inc. – Clark - 2nd Floor, SM City Clark, Manuel A. Roxas Highway, Clark Freeport, Pampanga 11. MediCard Philippines, Inc. – Cebu Clinic – Unit 204 and 704, FLB Corporate Center, Cebu Business Park Mabolo, Archbishop Reyes Avenue, Cebu City 12. MediCard Philippines, Inc. – McKinley – G/F Morgan Executive Suite, McKinley Hill, Bonifacio Global City, Taguig 13. MediCard Philippines, Inc. – Sta. Lucia – G/F Sta. Lucia East Grand Mall, Marcos Highway corner Felix Avenue, Cainta, Rizal 14. MediCard Philippines, Inc. – Lipa Clinic – G/F RDC Plaza, J.P. Laurel Highway (in front of Lipa Medix Medical Center), Lipa City, Batangas 15. MediCard Philippines, Inc.- Uptown Bonifacio – LG05, Lower Ground Floor, One Uptown Residences, 9th Avenue corner 36th Street, Bonifacio Global City, Taguig C. Out-patient Care Services** Out-patient Services will be provided to MEMBERS in any MediCard accredited hospital/clinics Health Care Benefits Coverage/Limit 1. Referral to specialists Covered 2. Regular consultations & treatment (___________ Covered prescribed medicines) 3. Eye, Ear, Nose & Throat treatment Covered 4. Treatment of minor injuries and surgery not requiring confinement Covered 5. X-ray and laboratory examinations prescribed by MediCard physician Covered 6. Physical Therapy / Speech Therapy Covered 7. Laser treatment of Glaucoma & Retinal Detachment Up to ____________ 8. Cataract Extraction including phacoemulsification); Up to ____________ ___________ cost of lens 9. Cauterization of warts (including facial warts) Up to ____________ 10. ________ of anti-rabies, anti-venom, anti-tetanus Up to ____________ 11. Tuberculin Test (_________ screening) Up to ____________ 12. Pre & Post natal consults Covered; including labs 13. Sclerotherapy (_______________ sclerosing agent) Up to ____________ 14. Chronic Dermatoses (__________________) Covered 15. Scabies (________________________) Covered MEDICARD SELECT PROGRAM – INDIVIDUAL/FAMILY/SME Page 3 MediCard Philippines, Inc. Health Care Benefits Coverage/Limit 16. Allergy Testing Up to ____________ **Inclusive of operating room charges, professional fees and other incidental expenses relative to the procedure D. Dental Care Services MEMBERS may avail of the following dental care services from any of the accredited dental clinics: Health Care Benefits Coverage/Limit 1. Oral prophylaxis (_________________) Covered 2. Consultations and oral examinations Covered 3. Tooth extractions Covered; __________surgery for impacted or ankylosed tooth 4. Temporary fillings Covered 5. Gum treatments for cases like inflammation or bleeding Covered and adjustment of dentures 6. Recementation of loose jackets, crowns, in-lays and on- Covered lays 7. Treatment of mouth lesions, wounds and burns Covered 8. Emergency out-patient dental treatment Covered 9. Temporomandibular Joint (TMJ) consultations Covered 10. Restorative and Prosthodontic consultations Covered 11. Dental Nutrition & Dietary Counseling Covered 12. Dental Health Education Covered 13. Prenatal & Postnatal consultations Covered 14. Light cure fillings Covered 15. Deep scaling Covered 16. Root canal Covered 17. Dental X-ray Covered E. In-patient Care Services The following hospitalization (In-Patient) services shall apply when MediCard physicians prescribe the hospitalization of MEMBERS in any MediCard Accredited Hospitals: Health Care Benefits Coverage/Limit 1. No deposit upon admission Covered 2. Room and board Regular Private Open 3. Use of operating theatre and Recovery Room Covered 4. Services of MediCard specialist like anesthesiologists, Covered internists, surgeons, etc. MEDICARD SELECT PROGRAM – INDIVIDUAL/FAMILY/SME Page 4 MediCard Philippines, Inc. Health Care Benefits Coverage/Limit 5. Services and medications for general/spinal anesthesia or other forms of anesthesia deemed necessary for a surgical Covered procedure 6. Fresh whole blood (including screening/ processing), and Covered intravenous fluids 7. X-ray and laboratory examinations Covered 8. Administered