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"Pare-pareho
lang ang package 'nyo with other HMOs.
Ano ang ipinagkaiba nyo sa kanila?" |
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"I-CARE
has one of the best if not the best standard package in
the industry. I-CARE also covers some conditions that
are not covered by others. There are also many
HMOs who came and are gone. This is where I-CARE has the
most competitive edge in the industry - STABILITY.
I-CARE is a subsidiary of the oldest and
only mutualized Filipino life insurance
company,
INSULAR LIFE ASSURANCE
COMPANY, which has been in the
business for more than 99 years.
Click
here to find out why you should choose
I-Care. |
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"We
are a group/company scouting for an HMO provider.
Why do you ask for a list of employees, nag-ca-canvass
pa lang kami? |
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I-Care's
corporate/group rates depend on the age profile of the
group. We have no standard rate for group
accounts. Hence the need for the list of
employees. The list being required does not have
to contain the names of the employees. The most
important data is the date of birth or age of the
employees. All information you will submit will be
strictly confidential. |
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What kind of
"private " room does your
Private Plan covers? |
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All our Private Room plan is "open type".
If for example you enrolled under Private, whatever kind of private room is available
during you confinement, it will be your room
accommodation. Kung P1,500 yung private
room then it is going to be your room.
Kung 3,000 so be it. However, in
hospitals with different kinds and rate
of private rooms, the
"step-ladder" rule shall apply,
where you have to start from the lowest
available. |
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" Hindi
na kailangan yan, meron na kaming
PHILHEALTH." |
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This is one of the
most common misconception about
Philhealth. Philhealth benefits are
limited, usually about 30% of your
hospital bills. You will have to shoulder
the 80% of the bill. And besides,
PHILHEALTH has no outpatient benefits.
Kung magpa-check-up ka, hindi covered ng
PHILHEALTH, hospitalization lang ang
covered nila. If you are a member of
PHILHEALTH and have no means to pay big
hospital bills you will have to settle
with a government hospital sa ward
section. With I CARE, pwede ka sa private
room without having to pay for anything. |
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"Ano
naman ang mangyayari sa
Medicare/Philhealth ko? |
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I-CARE Corporate or Group Plan is
integrated with PHILHEALTH and/or ECC.
Therefore, benefits under PHILHEALTH and/or ECC to
which the member is entitled to shall be deducted
from the claim cost in the computation of benefits
under the program, unless otherwise agreed upon.
I-CARE shall pay all hospitalization bills in
excess of PHILHEALTH benefits. On the other
hand, our Family/Individual is NOT integrated with
benefits under PHILHEALTH or ECC. If the member
is entitled to such benefits, he/she should file for
reimbursement directly with PHILHEALTH or ECC.
Meaning, under Family/Individual, I-CARE will shoulder
everything and it is up to the member to file for
benefits claim with PHILHEALTH. |
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"Ano ba
ang PEC o Pre-existing condition?" |
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Pre-existing
condition or PEC is any illness that you
may have during the time of your
enrollment whether you are aware of it or not. Ito ay hindi covered during
the first year of membership. However, it
will be covered kung mag-re-renew ka sa
susunod na year. The only condition is
that you should declare/disclose it during your
enrollment. Kung hindi mo i-declare,
ma-de-deny ang availment mo for such
illness. |
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"Wala
akong panahon magbasa. Atsaka ang bagal
nitong ISP ko. Padalhan 'nyo na lang ako
ng quotation. |
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O sige, click ka
dito! |
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"What
if I don't get hospitalized within the
year of my plan? Sayang lang ang ibinayad
ko!" |
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Hindi ba mas
mabuti yong hindi kayo naospital? That
means you're healthy! And we wish to
assure you that hindi sayang yong
ibinayad ninyo. You see, this health care
package covers cases which do not require
hospitalization. Pati
'yung mga check-up covered rin. Kaya wala kang worry about paying for other fees,
like CBC, urine test, and all other
laboratory expenses.
Please click here
to see our out-patient benefits. |
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"Marami
kami! Isang buong kumpanya. Meron ba
kaming discount 'dyan? |
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Of course! Our
group plan rates are very competitive and
are lower than the regular rates. Also
you can also have your dependents
covered, asawa, anak, magulang, kapatid
(Huwag lang kapitbahay). The more the
merrier!
Kung gusto mong
group plan quotation click ka dito.. O kaya
click ka dito to see our Group
Plan page |
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Kung
magpunta ako sa abroad, covered pa rin ba
ako? |
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We do not have
accredited hospitals abroad. |
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Puwede ba
yung anak/baby ko lang ang e-enroll ko? |
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Kung meron ka nang
HMO membership sa ibang HMO puwedeng
mag-enroll yung anak mo lang. Pero kung
wala ka pang HMO, kailangan both the parents should enroll para
makapag-enroll din yung anak. |
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Pa'no yun
kung kaming magkapatid gustong
mag-enroll? Ako 27, s'ya ay 23. |
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No problem! Puwede
kayong mag-enroll pareho both as
principal |
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Puwede bang
open yung hospital or doctor? Yun bang kahit saan
ko gusto? |
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Under HMO practices, availments should be with an
accredited hospital and accredited doctor. While you may
go to any doctor or hospital you like, availments
through them are not covered under the program |
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Marami kami.
Isang buong angkan. Gusto namin i-waive
'nyo yung "Pre-existing
condition". |
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Puwede yan.
Pre-existing condition is covered after
one year of membership. |
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Meron ba
kayong maternity benefits? |
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Subject to special arrangements maternity
benefits can be covered under "group
plan" or "corporate" with at
least 25 female employees. However, pre-natal
check-up and counseling is covered. |
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Kung
mag-enroll ako ngayon at magbayad,
covered ba ako agad? |
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Processing time
is at least one
week. Upon approval, you may start using your benefits.
Under a corporate arrangement, effectivity is upon
mutual agreement. |
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"O sige
na nga, kumbinsido na 'ko. Ano ngayon ang
gagawin ko?" |
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All you have to do
is contact us at 782-22-20 or
0917-8192590 for details on how to enroll. Or you
may email us at sales@icare.net.ph |
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"What
are the requirements kung mag-e-enroll? |
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You just
have to fill up application form and summary of
benefits. YOU SHOULD DISCLOSE YOUR
PRE-EXISTING CONDITION ON THE APPLICATION FORM. A MEDICAL CERTIFICATE STATING THE STATUS OF
YOUR PRE-EXISTING CONDITION AND THE MEDICATION TREATMENT
BEING DONE MAYBE REQUIRED. |
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"If my doctor
is holding clinic in an accredited
hospitals, but he is not an accredited
doctor will I-Care cover consultations
with him? |
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I-Care has a pool of doctors and
specialists equally good as your doctor. In the first
place if your doctor is not accredited, he will not
honor your health card. |
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