ER PLUS BENEFITS

In Patient (IP) / ER Cases

When hospital confinement due to an emergency is deemed necessary, the member shall be entitled to the hospitalization benefits listed below in the maximum amounts specified hereunder:

In Patient (IP) / ER Cases up to Plan Limit (25,000 ABL)

Inner Limits (in case of confinement):

  • Physician’s Fee - P200.00/visit (31 days)
  • Surgical Fee - P4,000.00 (maximum)
  • Anesthesiologist Fee - P1,200.00 (maximum)
  • Operating Room - P1,200.00 (maximum)
  • IP Medicines - P1,100.00 (maximum)
  • Laboratory & Diagnostics - P1,100.00 (maximum)

Out Patient / ER Cases (deductible from ABL)

Medical Cases
Member is entitled up to P2,500.00 per case, maximum of P5,000.00 per year

Accidental Cases
Member is entitled up to P10,000.00 maximum limit

The coverage is as follows:

  • Emergency room fees
  • Professional services
  • Medicine & supplies given at the ER (excluding take home medicines)
  • Laboratory Examinations requested at the ER

Note: Excluding medico legal fees