1. Member must present a copy of the COC together with valid identification at identified PhilCare-accredited hospital.
2. Hospital personnel will facilitate the approval of availment by reaching our contact center to verify membership eligibility and health coverage. The final medical diagnosis is the basis for PhilCare’s approval of coverage. Please note that the coverage of this health plan is based on the final medical diagnosis of a Dengue case. The initial presentation of symptoms may indicate Dengue for which a PhilCare In-Patient Letter of Authorization (LOA) may be issued. However, this may be invalidated and revoked if it is shown in the course of medical treatment that the case is not related to Dengue illness.
3. If the final diagnosis is not Dengue, reactivation of benefits is allowed. PhilCare Customer Care Representative will process the reactivation of the plan.

By buying, registering or availing coverage of any of the above products, I certify that I have read, understand and agree to these Terms and Conditions. I would receive the soft copy contract along with the Certificate of Coverage that includes the full details of the product that I have purchased including its terms and conditions. I may also opt to request for a full contract by sending an email to [email protected]. If I disagree with these Terms and Conditions and I have not registered the product, I can request for a refund, subject to the PhilCare Returns & Refund or Replacement, or Cancellation Procedures ( https://shop.philcare.com.ph/return-refund-terms ).

I certify that the information given and to be given by me or on my behalf is true and correct and that any material misrepresentation or falsity therein shall be construed as an act to defraud PhilHealthCare Inc. (PhilCare), and serves as sufficient ground for any and all of the following actions: the rejection or cancellation of my application or membership, non-coverage of medical expenses at accredited providers, collection of receipt from me in case of payment of medical expense advanced by PhilCare. I hereby authorize PhilCare to inquire about and investigate all declared information from whatever sources PhilCare may consider appropriate.

I agree that receipt of the corresponding membership fees by PhilCare does not constitute acceptance of my application until the corresponding application has been approved. For PhilCare Agapay and PhilCare Rush, approval of application is seven (7) calendar days from notice of successful registration. Coverage shall automatically begin, regardless of the status of receipt of notice advising the member of successful registration and coverage period. Any incident, illness or condition that occurs prior to the start of coverage, even if it continues up to or past the Effectivity Date, will not be covered.

I agree to the co-pay feature of this product. PhilCare shall cover the remaining bills of the coverable case up to the plan’s benefit limit when the co-pay amount has been paid by the member.

I agree to the coverage of illnesses as stated in the general exclusions applicable to health care coverage found in http://shop.philcare.com.ph/non-covered-illnesses-and-diseases . PhilCare shall have the final decision to determine coverage of illness based on but not limited to registration date, start date of coverage, final diagnosis, general exclusions, evaluation of the case as emergency in nature, hospital billing, and professional fees.

I hereby agree to PhilCare in retrieving and processing any and all medical information drawn or obtained pursuant to its services based on my coverage, provided, that (a) such information shall only be utilized in accordance with lawful and official business purposes of PhilCare; (b) such information shall not be disclosed to non-essential personnel or entities; and (c) all reasonable efforts shall be taken to maintain the confidentiality of said information.

By buying, registering or availing coverage of any of the above products, I certify that I have read, understand and agree to these Terms and Conditions. I would receive the soft copy contract along with the Certificate of Coverage that includes the full details of the product that I have purchased including its terms and conditions. I may also opt to request for a full contract by sending an email to [email protected]. If I disagree with these Terms and Conditions and I have not registered the product, I can request for a refund, subject to the PhilCare Returns & Refund or Replacement, or Cancellation Procedures (https://shop.philcare.com.ph/return-refund-terms).

I certify that the information given and to be given by me or on my behalf is true and correct and that any material misrepresentation or falsity therein shall be construed as an act to defraud PhilHealthCare Inc. (PhilCare), and serves as sufficient ground for any and all of the following actions: the rejection or cancellation of my application or membership, non-coverage of medical expenses at accredited providers, collection of receipt from me in case of payment of medical expense advanced by PhilCare. I hereby authorize PhilCare to inquire about and investigate all declared information from whatever sources PhilCare may consider appropriate.

I agree that receipt of the corresponding membership fees by PhilCare does not constitute acceptance of my application until the corresponding application has been approved. For ER Shield and ER Vantage Plus, and Health Vantage approval of application is seven (7) calendar days from notice of successful registration. For Dengue Assist, approval of application is automatic thirty (30) calendar days from notice of successful registration. Coverage shall automatically begin, regardless of the status of receipt of notice advising the member of successful registration and coverage period. Any incident, illness or condition that occurs prior to the start of coverage, even if it continues up to or past the Effectivity Date, will not be covered.

I agree to the coverage of illnesses as stated in the general exclusions applicable to health care coverage found in https://shop.philcare.com.ph/non-covered-illnesses-and-diseases. PhilCare shall have the final decision to determine coverage of illness based on but not limited to registration date, start date of coverage, final diagnosis, general exclusions, evaluation of the case as emergency in nature, hospital billing, and professional fees.

I hereby agree to PhilCare in retrieving and processing any and all medical information drawn or obtained pursuant to its services based on my coverage, provided, that (a) such information shall only be utilized in accordance with lawful and official business purposes of PhilCare; (b) such information shall not be disclosed to non-essential personnel or entities; and (c) all reasonable efforts shall be taken to maintain the confidentiality of said information.