– Administration of immunization (excluding cost of vaccines)
– Family planning and counseling
– On-going records of medical history
– Medical Management of health problems, health education, counseling on diet and exercise
– Wellness programs/ lecture/seminars based on topic of choice
Annual Physical Examination (APE)
– Medical History
– Physician’s Assessment
– Chest X-ray
– Fecalysis (stool exam)
– Urinalysis (urine exam)
– Complete Blood Count
– ECG for 35 y. o. & above
– Pap smear for female 35 y. o. & above
– Consultations & treatments with plan coordinators
– Referrals to accredited specialists
– Dressings, sutures, & casts (except fiberglass supplies)
– Treatment of minor injuries (i.e. laceration, minor burns, sprain, etc.)
– Minor surgical procedures not requiring confinement
– Pre/post-natal consultation with accredited OB-gynecologists
AVAILMENTS PROCEDURES
Step 1
Proceed to ValuCare (VC) accredited hospital/clinic
Step 2
Present VC card to Plan Coordinator for consultation
Step 3
Plan Coordinator will refer patient to specialist when necessary
Step 4
Return to Plan Coordinator to get request for any procedure
– Room and board based on member’s plan
– Professional fees of the attending physicians, surgeons & anesthesiologist
– Standard nursing services
– Use of the operating room/recovery room, ICU/CCU
– Oxygen and inhalation therapy
– Blood transfusions, including human blood products except gamma globulins
– BDressings, casts and sutures (except fiberglass supplies)
– All drugs, medicines and injectables while confined including IV fluids, anesthesia & its administration
– Prescribed X-rays, laboratory exams & diagnostic procedures
– Admission kit
AVAILMENTS PROCEDURES
– Doctors & hospital services– Medications used for immediate relief of symptoms
– Standard nursing services
– Dressings and sutures for wound; casts (except fiberglass supplies)
– Prescribed X-rays, laboratory exams & diagnostic procedures
– Other medical services related to the emergency management which are deemed necessary to the treatment of the case.
– Emergency care in areas without accredited hospitals reimbursable up to
– Maximum Coverage Benefit (MCB) based on VC Relative Units globulins;
1. Non-accredited hospitals
2. Foreign territories while on official business trip
– reimbursable up to P30,000
– 80% of applicable hospital bills
– 100% of PF based on ValuCare Relative Values
– Doctors & hospital services– Emergency cases at medical facilities not accredited by ValuCare may be reimbursed up to P30,000
– Emergency cases on official business trip outside Philippine territory may be reimbursed up to P 30,000
1. 80% on Room & Board, based on the member’s plan
2. 80% on medicines, laboratory/diagnostic procedures
3. 100% of the physicians fee, based on ValuCare rates
– PERSONALIZED ACCESS TO LABORATORY SERVICES
Blood tests requiring fasting done at HOME or at the OFFICE at no extra cost.
*NOTE: PALS is initially available in Metro Manila area only.
