For
emergency situations, you will be required to pay for the cost of
your treatment/confinement if such treatment/confinement is in a
non-affiliated hospital and/or by a non-affiliated physician. In
these cases you may apply for reimbursement of your expenses:
1. Secure the
prescribed claim form either from our PhilamCare U.N. office or
at the PhilamCare clinic in Makati. Fill up the appropriate blanks.
Ask your attending physician to make a medical account of your treatment
on the "Attending Physician's Report" portion of the claims form.
2. Request for
reimbursement should be submitted to PhilamCare's Claims Department
within 6 months from the date of your discharge from the hospital.
Request must be in duplicate on the prescribed claim form to which
should be attached the following documents:
-
Original
official receipt(s) of all payment(s) made to the hospital,
medical center or clinic pertinent to the confinement.
-
Original
official receipt(s) of all payment(s) made to the doctor(s).
-
Original
statement of accounts ; and
-
Original
charge slips. If none, itemized breakdown of charges.
-
Admitting
History Report for inpatient calls
- Operative
record including the histopathological report if surgical procedure
was performed.
3. We can process
your application for reimbursement only when all requirements have
been submitted and hospitalization bills are sent to us by the hospital.
We may request additional medical information pertinent to the evaluation
of your claim. Our Claims Department will inform you of any additional
requirements, if any, that you will have to comply with.
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You may check the status of your claim from Membership Relations
Department after 10 working days from submission of complete
forms and documents.
Please
call our 24-hour Nurse Call Service for any of your
medically related inquiries or problems. The number is 892-88-41.
You may also call the Membership Relations Department during
office hours at 523-60-02 locals 758, 759 and 760. |
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