PHP 5000 All Other Procedures Up to the preexisting conditions limit but please refer to the expiring contract for full details Emergency Care Accredited Hospital Up to MBL NonAccredited Hospital ID: 1045029
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1. Other ProceduresOther modalities of treatment and/or diagnosis for which there are no comparable conventional or traditional equivalents : PHP 5,000All Other Procedures : Up to the pre-existing conditions limit but please refer to the expiring contract for full detailsEmergency CareAccredited Hospital : Up to MBLNon-Accredited Hospital : Accredited facility in close proximity:Reimbursable up to 80% of the total hospital bills including professional fees based on relative value scale (RVS) for INTELLICARE accredited hospitals, but not exceeding PHP 30,000No accredited facility in close proximity:Reimbursable up to 100% of the total hospital bills inclusive of professional fees based on relative value scale (RVS) for INTELLICARE accredited hospitals but not exceeding the MBLHospitals Abroad : Reimbursable as per INTELLICARE’s relative value scale (RVS) as INTELLICARE would have paid had the member been confined and treated in a non-accredited hospital/clinic up to PHP 30,000Ambulance Services : PHP 3,000 per conductionRoom Upgrade Provision, in case of non-availability : First 24 hoursCoverage by Illness TypePre-Existing Conditions : Up to MBL for existing principals and dependentsUp to PHP 20,000 on year 1 for new dependentsCongenital Conditions : PHP 20,000 per year, principals onlyScoliosis, Slipped Disc, Spondylosis, Spinal Stenosis, Spinal Injuries : Up to pre-existing condition limitAIDS : Not coveredCOVID-19 : Covered in spite of pandemic/epidemic exclusionSports-Related Injuries : PHP 10,000 per member per year Plan RidersMaternity Coverage : Not coveredTeleconsultatio : via Medgate PhilippinesAnnual Physical ExamCoverage : Basic 5 + ECG/Pap Smearfor those 35 years and olderAvailment : at Aventus clinics