MediCard
Aoilou
Prescribad by
Meciard defines Pre-Existing Conaition (PEC) ary illness, injury ot any adverse medical condition shal be considered
re-eisting if during the entire peied pric and within the twelve months fom the efectvty date of a member's program:
2. Any professional advice or consultation and /or treatment was made given 26 a result of such ines, injury or adverse
medical condi, or
The member was aware or should reasonably have been aware ofthe signs and symptoms of such ines, injury or
adverse medical condition: of
The pathogenesis or onset of such illness, injury or adverse medical condtion has been started during the
Contestabilty period for membership 2s determined by Med Cara's Medical Director or accredited physicians
“The folowing are some example of illnesses that automatically considered PEC if consultation or treatments sought
‘within the fst 12 months ofthe coverage:
4. Hypertension
2. Goter(Hypo!Myperthyroidism)
3. Bronchial asthma/Alergy/Urticaria
4 Tuberculoss
5 Cataracts/Glaucoma
6. ENT conditions requiring surgery
7. Chronie CholecysttisiCholelthiasis (gall ladder stone
8. Acquired hernias
19. Prostate Disorder
410, Hemorrhoids and anal fitu'se
11, Benign Tumors
4121 Uterine Myoma, Ovarian Cyst. Endometriosis.
13, Buergers Disease
14, Varicose Veins
15. ants,
16, Migraine Headache
17. Gastritis, Duodenal and Gastric ulcer
NOTE : All limits mentioned are subject tothe Pre-Existing Condition limit, if applicable, based on the given.
dagnosis,
(Our individualFamily plan PEC provisions are as follows:
7 year of Membership | NO PEC Coverage (Contestabily Perea)
|[2year of continuous | Up to P5,000iInessimemberivear, provided tat the pathogenesis or onset of such ness,
| membership onwards | injury or adverse medical conditon started prior to or duting the 1" year of membership,
l otherwise upto DDL.
VIP Program
[_—-Ragular Private (200K) Regular Private (250K) Large Private Suite up to 6000)
T year ot | 1
Membership | 5,000 | 10,000 16,000 20,000
yearof | Upto | were Unio Ubis
Continuous | PS,000ilInessimemberivear, | P10,000iliness/memberlyear, | P1S,000/linessimemberivear, 0inessimemberivear
membership | provided that the
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| fines, my or acer
| modealardtenstanespror
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Provided thatthe pathogenesis
fronset of such ines, inury
ot adverse medial condition,
Started prorto or during the 1
year of membership, otherwise
up to DDL.
Drovided thatthe pathogenesis
fr onset of such ness, injury
‘or adverse medical cnaltion
Started prior to or during the 1%
year of membership, othenvise
upto DDL.
Provided thatthe pathogenesis
Sr onset of such ess, injury
‘or adverse medical condition
Started prior fo or during the 1*
year of membership, otherwise
up to DDL
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‘Turking 4.0909 / Fx oe 10855 840 toe
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