Your Guide
Treatment


PhilamCare, as with any other service-oriented company, will require that you follow specific procedures in your availment of health care benefits.

 

I. OUT-PATIENT TREATMENTS

1. Proceed to any one of PhilamCare's out-patient clinics. A list of these clinics is attached to your health care kit. Call our 24-hour nurse call service (8928841- Makati Clinic) and verify the time which these outpatient clinics are open.

2. Present your PhilamCare membership card.

3. You will be examined, diagnosed and treated by our physician.



If a special diagnostic or laboratory examination is not
available at our clinic, or a specialist is not available in the clinic,
or hospitalization is recommended by our outpatient clinic physician,
you will be issued a referral letter. These special diagnostic exams,
specialist evaluation or non-emergency hospitalization will be covered
by PhilamCare only if the required referral letter has been issued
prior to the health care service. (exception : POS Option)
  

 

II. SPECIALIST'S CONSULTATION AND LABORATORY EXAMINATION

Present your referral letter together with your PhilamCare membership card to the specialist or appropriate laboratory personnel for the necessary laboratory examination.

In Metro Manila, our main clinics (Makati and U.N., Ortigas, Quezon City, and Las-Pinas), free-standing clinics (Quezon City and Ortigas), and hospital-based clinics (U.S.T. Hospital and Capitol Medical Center) are authorized to issue referral letters. However, hospital-based clinics are limited to outpatient consultations within the hospital. In some provincial areas where we do not have clinics, Hospital Coordinators in provincial affiliated hospitals are authorized to issue referral letters.

 

III. HOSPITALIZATION

1. For hospitalization, present your referral letter and PhilamCare membership card to the Admitting Section of the hospital and request them to notify the PhilamCare hospital coordinator and a PhilamCare affiliated attending physician.

2. You will be admitted in the hospital according to the room accommodation of your plan unless you request otherwise. In case of a more expensive room, you will be required to pay the difference in room and board and ancillary charges.

3. Before you are discharged, secure a duly accomplished Medicare/ECC form from the company wherein you are employed. Accomplish and submit this form to the hospital Accounting or Credit & Collection Department .

 


 
Most Corporate Health Care Agreements are integrated with
benefits under Medicare and/or Employees Compensation Commission (ECC) and as such, benefits to which you are entitled under Medicare/ECC shall be made deductible in the computation of benefits under the Agreement. PhilamCare is therefore under no obligation to pay or advance the costs of such benefits under Medicare/ECC. Refer to your HRD manager if you fall in this category.
  

4. In case there are extra charges not covered by PhilamCare, you are required to pay for these bills before discharge. Otherwise, simply sign the bill and you may be discharged. Please check the accurateness of the bills before you sign these documents.


 
Please call our 24-hour Nurse Call Service for any of your
medically related inquiries or problems. The number is 892-8841.
You may also call the Membership Relations Department during office hours at 523-6002 locals 758, 759 and 760.