31/08/2025
ALAM MO BA? pwede mong gamitin ang ₱7,000 annual medical allowance (In compliance with E.O 64 with budget circular #2024-6- issued by the DBM, ) para sa HMO-type benefits mo?
Introducing 👉 Kaiser National HealthCare Shield! Ang pinaka-responsive at reliable na HMO plan for government groups!
https://1838lf.imgcorp.com/kaiser-ltc/nationalhealthshield
FIVE-POINT HEALTHCARD BENEFITS
1. PREVENTIVE HEALTH CARE
Package of Annual Physical Examination (APE) at Kaiser Designated Clinics. (For Principals only) Complete Blood Count
Urinalysis (Urine examination)
Fecalysis (Stool examination)
Chest X-Ray
Electrocardiogram (adults age 40 and above, or if prescribed)
Pap Smear (Women age 40 and above, or if prescribed)
2. IN-PATIENT CARE
No deposit upon admission (for surgical cases, please contact KAISER)
Room and Board = According to plan package
Operating room and Recovery room = Maximum Benefit Limit
Administered medicines = Maximum Benefit Limit
X-ray and laboratory examinations = BASED ON KAISER ACCREDITED UNITS
Services of Kaiser Specialists like anaesthesiologists, internists, surgeons, etc. = Maximum Benefit Limit
Services and medications for general/ spinal anaesthesia or other forms of anaesthesia necessary for a surgical procedure Intravenous fluids and transfusion of fresh whole blood = Maximum Benefit Limit
ICU confinements = Maximum Benefit Limit
Maximum Benefit Limit (MBL) - the maximum amount payable per illness per member per year; inclusive of consultations, diagnostic procedures, and hospitalization
3. OUT-PATIENT CARE
In the event that the assured member suffers illness or injury not requiring confinement in a hospital, Kaiser shall provide:
a) Referral to specialists
b) Regular consultations and treatment (except prescribed medicines)
c) Laboratory & X-ray examinations
d) Treatment of minor injuries and surgery not requiring confinement
e) Eye, ear, nose & Throat treatment
f) Once a month pre and post natal consultation.
4. EMERGENCY CARE
During an emergency case, a member who is in a critical condition caused by an illness or injury, the following benefits are:
a) Physician s services
b) Medicines utilized during treatment or for immediate relief
c) Casts, dressings and sutures
d. Oxygen and intravenous fluids
e) X-ray, laboratory and other diagnostic examinations directly related to the emergency management of the patient
5. DENTAL CARE (for Principals only)
The Member shall be entitled to dental services administered by an accredited service provider. The dental benefits shall cover the following services:
a) Consultation and Dental Examinations
b) Dental Nutrition and Dietary Counselling
c) Dental Health Education
d) Restorative and Prosthodontic planning
e) Simple tooth extractions
f) Temporary filling-unlimited (as needed)
g) Annual prophylaxis (mild cases only)
h) Simple tooth Adjustment of Dentures
i) Recementation of loose crowns, in-lays and on-lays
j) Permanent filling up to 2 surfaces only
FINANCIAL CARE ASSISTANCE (for Principals only)
KAISER INTERNATIONAL HEALTHGROUP INC. agrees to give/ provide, in the event of death or injuries through natural causes or accidental means, the heirs and/or assigns of any member who is enrolled in this health care program.
Provided that the death or injury results from:
(a) causes that are covered and are not under the exclusions or uncovered pre-existing conditions as stated in the KAISER Membership Contract
(b) total annual premium for the year contract should have been paid at the time of availment, otherwise, all remaining unpaid premium will be deducted from the amount of assistance.
Natural Death = 10,000
Accidental Death = 20,000
Loss of Both Hands = 10,000
Loss of Both Feet = 10,000
Loss of Both Sight = 10,000
Loss of One Hand and One Foot = 10,000
Loss of One Hand and One Sight = 10,000
Loss of One Foot and One Sight = 10,000
Loss of One Hand or One Foot = 5,000
Loss of Sight of One Eye = 5,000
ADDITIONAL BENEFITS
Should an accredited physician / specialist prescribe or require any of the following and / or procedures, these limits will apply; per procedure per member per year.
Dialysis = Maximum Benefit Limit
Chemotherapy = Maximum Benefit Limit
Radiotherapy = Maximum Benefit Limit
Laparoscopic Surgery (including Hospital bill and professional fee) = 50,000/member/year
Lithotripsy = 50,000/member/year
Angiography (e.g.coronary,cerebral retinal, pulmonary, GI, etc) Myelogram = 5,000
Electromyography, Nerve Conduction Velocity Studies Pulmonary Perfusion Scan = 5,000
Tests involving use of Nuclear Technologies (e.g. Radionuclide Ventriculography/ Thallium stress testing/ Radionuclide/
Thyroid scan, etc.), Nuclear technologies such as Pyrophosphate, Scintigraphy, Positron Emission Tomography, Radio Isotope Scanning, etc.) = 5,000
24-Hour Holter Monitoring, 2-D Echo and Doppler = 5,000
Treadmill Stress Test = 5,000
Bone densitometry scan (Dexascan) = 5,000
Orthopedic Arthroscopy = 5,000
Endoscopy including one of video = 5,000
Adrecortical Function (e.g. Primary Aldosteronism, Cushings Disease) = 5,000
Plasma/Urinary Cortisol, Plasma Aldosterone, etc. = 5,000
Mammography (breast cancer) and Sonomammogram = 5,000
Laboratory/ ancillary services for conditions whose pathogenesis or subsequent clinical improvement not yet fully established in Medical Science = 5,000
Anti-nuclear antibody (ANA), C-Reactive protein (Rheumatic and its complications), Lupus cell exam = 5,000
New modalities and/or diagnostic and treatment procedures for conditions with established etiologies and its use is only as alternative to the conventional methods = 5,000
Radioactive Iodine Therapy = 5,000
Genetic/Immunologic studies = 5,000
Active immunization for dog bites, venom, anti- tetanus = 10,000
Congenital Illness = 10,000
Physical Therapy = Up to 10 sessions
, message us TODAY for appointment and discussion. :)
