ValuCare

Benefits and Availments

Ensures that our Service meets and exceeds your expectations

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TO KNOW MORE ABOUT THE BENEFITS AND AVAILMENTS, CLICK THE ITEMS BELOW

– 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

  • NOTE: Procedures more than P1,000 are for approval.

– 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

– 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

AVAILMENTS PROCEDURES
  • Step 1
  • Proceed to Emergency Room (ER) of ValuCare (VC) accredited hospital & present VC card
  •  
  • Step 2
  • ER personnel will render proper treatment
  •  
  • Step 3.1
  • For admissions: Follow In-Patient procedures
  •  
  • Step 3.2
  • For non-admissions, upon discharge from ER:
    – Sign necessary documents
    – Check Hospital charge slips
    -Settle charges not covered by ValuCare, if any
 

– 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

– Reimbursements will be based on the schedule below:

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.