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Benefit Out-patient Necessary Consultations Pre and Post Natal Consultations Eye, ear, nose and throat care

Treatment of Minor Injuries Minor surgery procedures Routine laboratory tests Cauterization of warts Sclerotherapy Botox (not for beaufication) Allergy Turbeculosis test Physical/Occupational therapy

Maxicare MBL MBL MBL MBL (10k/eye) MBL MBL 1000/member 5000/member N/A 2500/member 600/member N/A

Fortunecare Covered Covered (in accredited facilities only) Covered Covered Covered Covered 2500/member (genital warts not covered) 5000/member 5000/member 2500/member 600/member

Medicard Covered Covered Covered Covered N/A Covered N/A N/A N/A N/A N/A

Covered with limit of N/A 12 sessions/member Stroke patients only; N/A 10000/member N/A N/A

Speech therapy Dressings, casts, cutures In-Patient Hospital Room and Board Room Upgrade if unavailable Ambulance Services of accredited physicians Nursing services Drugs and medication RBC, whole blood packed, etc. Use of operating and recovery room Anesthesia Laboratory tests Oxygen Dressing ICU No admission deposit in accredited hospitals Related medical management activities for the patient Immunization

10000/member MBL

Subject to room limit up to 24 hours MBL MBL MBL MBL MBL MBL MBL MBL MBL MBL MBL MBL MBL

Covered N/A MBL Covered Covered Covered Covered Covered Covered Covered Covered Covered Covered Covered N/A N/A

Covered N/A N/A Covered Covered Covered Covered 20000/ member Covered Covered Covered Covered Covered Covered 5000/ member Covered

Assistance in administrative requirements

N/A

N/A

Covered

Procudures and Modalities A Immunological and Special Laboratory Examinations Hepatitis N/A ANA N/A Thyroid N/A Anti-Toxoplasma, Anti-Rubella, etc. N/A SLE test, FAT Widal test, ASO Titer, etc. N/A Urine/blood culture N/A 24-hour protein determination N/A Troponin N/A Glycosylated Hemoglobin N/A Prostate Specific Antigen N/A B Special and Computer-Based Diagnostic Procedures 100% of total cost subject to MBL Stress Testing (All types) N/A CAT Scan 100% of total cost subject to MBL Nuclear Imaging Total Body Scan, Bone Scan, Renal Scan, Pulmonary Scan, Thallium Scan, Thyroid Scan N/A N/A Echocardiography 100% of total cost subject to MBL Flourscein Angiography N/A Breast Scintigraphy 100% of total cost subject to MBL Electromyelography 100% of total cost subject to MBL Electroencephalography 100% of total Chest, abdominal, thyroid, renal, breast, or cost subject to pelvic ultrasonography MBL 100% of total cost subject to MBL 3D Imaging 100% of total cost subject to MBL Mammography

Covered Covered Covered Covered Covered Covered Covered Covered Covered Covered

Covered N/A N/A Covered N/A Covered N/A N/A N/A N/A

Covered Covered Covered N/A Covered Covered Covered Covered Covered N/A Covered N/A Covered N/A Covered N/A Covered N/A N/A N/A N/A N/A N/A N/A

MRI

Pap smear Electrocardiogram C Others Chemotherapy Radiotherapy Dialysis Arthroscopic Knee Surgery

100% of total cost subject to MBL 100% of total cost subject to MBL N/A

Covered N/A

N/A N/A

Covered Covered

Laparoscopic Pelvic Operation

Laparoscopic Cholecystectomy Extracorporeal Shockwave Lithotrispy (ESWL)/Lithotripsy Endoscopic Retrograde CholangioPancreatography (ERCP) Functional Endoscopic Sinus Surgery Laser Therapy (for DM patients only) Transurethral Microwave Therapy Other Laparoscopic, Endoscopic and Arthroscoic Procedures Angiogram, Angioplasty, Coronary Bypass Surgeries

MBL MBL MBL 6 sessions subject to MBL 100% of total cost subject to MBL 100% of total cost subject to MBL N/A 100% of total cost subject to MBL N/A N/A 25000/member N/A 100% of total cost subject to MBL 100% of total cost subject to MBL 5000/member 100% of total cost subject to MBL 5000/member 5000/member N/A 5000/member 5000/member

Covered Covered Covered 25000/member 25000/member

Covered Covered Covered N/A N/A

40000/member 40000/member 40000/member 40000/member 40000/member 25000/member Covered Covered

N/A N/A N/A N/A N/A N/A N/A N/A

Covered 5000/member 5000/member 5000/member 5000/member 5000/member 5000/member 5000/member

N/A N/A N/A N/A N/A N/A N/A N/A

Conventional Hemorrhoidectomy Scalpel, Stapled or Laser Hemorrhoidectomy

24 Hour EEG Monitoring 4D Ultrasound for Medical Cases CT Pulmonary Angiography Esophageal Manometry Intensified Modulated Radiotherapy Mammotone

Photodynamic Therapy Positron Emission Tomogrpahy Counseling and Recording Other special diagnostic procedures ACCIDENTS Congenital and Hereditary Illnesses Chronic Dermatoses Provoked and unprovoked assault Philhealth Work-related cases Motor vehicle accidents Scoliosis Hepatitis vaccines Anti-rabies, anti-venom and anti-tetanus ANNUAL CHECK-UP Routine DENTAL CARE Annual oral dental examination Emergency Dentral treatment Annual oral prophylaxis Simple tooth extractions Restorative and prosthodontic treatment planning Temporary fillings Desensitization of hypersensitive teeth Simple adjustment of dentures Recementation of loose crowns Dentral nution and dietary counseling Pre-natal check of teeth and gums Temporo mandibular joint consultation Gum treatment Permanent Lightcure Fillings Consultations Treatment of mouth lesions, wounds and burns INSURANCE Financial Assistance Death Entire sight of both eyes

5000/member 5000/member N/A N/A

5000/member 5000/member N/A Covered

N/A N/A Covered N/A

Covered Covered MBL MBL MBL MBL MBL MBL MBL

Varied MBL MBL Inclusive 20000/member 20000/member 20000/member Not covered 18000/member limit

Covered Covered Covered Covered Covered Covered Covered Covered Covered

Covered Optional Additional Fee Covered Covered Covered Covered Covered Unlimited Covered Covered Covered Covered Covered Covered Covered 2 teeth/year Covered Covered

Covered

Covered Covered Covered Covered Covered Covered Covered Covered Covered Covered Covered Covered Covered Not covered N/A N/A

N/A N/A Covered Covered N/A Covered N/A N/A Covered N/A N/A N/A Covered N/A Covered Covered

Optional Not mentioned Additional Fee 25000/member Not mentioned 100% amount of Not mentioned insurance

Not mentioned Not mentioned Not mentioned

Both Hands/Feet One Hand/Foot Either Hand/Food or sight of one eye Arm at or above the elbow Leg at or above the knee One hand at or above the wrist One foor at or above the ankle Hearing of both ears Sight of one eye Four fingers and thumb of one hand

100% amount of Not mentioned insurance 100% amount of Not mentioned insurance 100% amount of Not mentioned insurance 70% of insurance Not mentioned 60% of insurance Not mentioned 50% of insurance Not mentioned 50% of insurance Not mentioned 50% of insurance Not mentioned 50% of insurance Not mentioned 50% of insurance Not mentioned

Not mentioned Not mentioned Not mentioned Not mentioned Not mentioned Not mentioned Not mentioned Not mentioned Not mentioned Not mentioned

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