🎯 Gov’t Employees: Gamitin ang ₱7,000 Medical Allowance nang Tama!
Alam mo bang pwede mong gamitin ang ₱7,000 annual medical allowance (EO 64 s.2024) para sa HMO-type benefits?
Introducing 👉 Kaiser National HealthCare Shield — ang pinaka-responsive na HMO plan for government groups with 500+ members!
✅ Pre-existing & dreaded diseases covered
✅ Major hospitals included
(St. Luke’s, Makati Med, The Medical City, etc.)
✅ Preventive, outpatient, inpatient, emergency & dental care
✅ No cash-out during hospitalization
✅ Up to ₱75,000 coverage per illness per year
✅ With financial assistance in case of accident or death
🛡️ Kaiser International HealthGroup – “Your First Name in Healthcare.”
📌 Available through government coops, unions, and associations.
📲 Message us now para sa FREE proposal and presentation!
Our Five-Point HealthCard Program
Package of Annual Physical Examination (APE) at Kaiser Designated Clinics. (For Principals only)
- a. Complete Blood Count
- b. Urinalysis (Urine examination)
- c. Fecalysis (Stool examination)
- d. Chest X-Ray
- e. Electrocardiogram (adults age 40 and above, or if prescribed)
- f. Pap Smear (Women age 40 and above, or if prescribed)
No deposit upon admission (for surgical cases, please contact Kaiser)
| Room and Board | According to plan package |
|---|---|
| Operating room and Recovery room | Maximum Benefit Limit |
| Administered medicines | Maximum Benefit Limit |
| X-ray and laboratory examinations | Maximum Benefit Limit |
| Salists like anaesthesiologists, internists, surgeons, etc. | BASED ON KAISER ACCREDITED UNITS |
| Services and medications for general/spinal anaesthesia or other forms of anaesthesia necessary for a surgical procedure | Maximum Benefit Limit |
| Intravenous fluids and transfusion of fresh whole blood | Maximum Benefit Limit |
| ICU confinements | Maximum Benefit Limit |
Maximum Benefit Limit (MBL) – the maximum amount payable per illness per member per year; inclusive of consultations, diagnostic procedures, and hospitalization
In the event that the assured member suffers illness or injury not requiring confinement in a hospital, Kaiser shall provide:
- Referral to specialists
- Regular consultations and treatment (except prescribed medicines)
- Laboratory and X-Ray examinations
- Treatment of minor injuries and surgery not requiring confinement
- Eye, ear, nose and throat treatment
- Once a month pre and natal consultationt
During an emergency case, a member who is in a critical condition caused by an illness or injury, the following benefits are:
- a. Physician ’s services
- b. Medicines utilized during treatment or for immediate relief
- c. Casts, dressings and sutures
- d. Oxygen and intravenous fluids
- e. X-ray, laboratory and other diagnostic examinations directly related to the emergency management of the patient
The Member shall be entitled to dental services administered by an accredited service provider. The dental benefits shall cover the following services:
- a. Consultation and Dental Examinations
- b. Dental Nutrition and Dietary Counselling
- c. Dental Health Education
- d. Restorative and Prosthodontic planning
- e. Simple tooth extractions
- f. Temporary filling-unlimited (as needed)
- g. Annual prophylaxis (mild cases only)
- h. Simple tooth Adjustment of Dentures
- i. Recementation of loose crowns, in-lays and on-lays
- j. Permanent filling up to 2 surfaces only
KAISER INTERNATIONAL HEALTHGROUP INC. agrees to give/provide, in the event of death or injuries through natural causes or accidental means, the heirs and/or assigns of any member who is enrolled in this health care program. Provided that the death or injury results from:
| COVERAGE | CATEGORY |
|---|---|
| 10,000.00 | Natural Death |
| 20,000.00 | Accidental Death |
| 10,000.00 | Loss of Both Hands |
| 10,000.00 | Loss of Both Feet |
| 10,000.00 | Loss of Both Sight |
| 10,000.00 | Loss of One Hand and One Foot |
| 10,000.00 | Loss of One Hand and One Sight |
| 10,000.00 | Loss of One Foot and One Sight |
| 5,000.00 | Loss of One Hand or One Foot |
| 5,000.00 | Loss of Sight of One Eye |
Should an accredited physician / specialist prescribe or require any of the following and / or procedures, these limits will apply; per procedure per member per year.
| Dialysis | Maximum Benefit Limit |
| Chemotherapy | Maximum Benefit Limit |
| Radiotherapy | Maximum Benefit Limit |
| Laparoscopic Surgery (including Hospital bill and professional fee) | 50,000/member/year |
| Lithotripsy | 50,000/member/year |
| Angiography (e.g.coronary,cerebral,retinal, pulmonary, GI, etc) | P5,000.00 |
| Myelogram | P5,000.00 |
| Electromyography, Nerve Conduction Velocity Studies | P5,000.00 |
| Pulmonary Perfusion Scan | P5,000.00 |
| Tests involving use of Nuclear Technologies (e.g. Radionuclide Ventriculography/ Thallium stress testing/ Radionuclide/ Thyroid scan, etc.), Nuclear technologies such as Pyrophosphate, Scintigraphy, Positron Emission Tomography, Radio Isotope Scanning, etc.) | P5,000.00 |
| 24-Hour Holter Monitoring, 2-D Echo and Doppler | P5,000.00 |
| Treadmill Stress Test | P5,000.00 |
| Bone densitometry scan (Dexascan) | P5,000.00 |
| Orthopedic Arthroscopy | P5,000.00 |
| Endoscopy including one of video | P5,000.00 |
| Adrecortical Function (e.g. Primary Aldosteronism, Cushings Disease) | P5,000.00 |
| Plasma/Urinary Cortisol, Plasma Aldosterone, etc. | P5,000.00 |
| Mammography(breast cancer) and Sonomammogram | P5,000.00 |
| Laboratory/ancillary services for conditions whose pathogenesis or subsequent clinical improvement not yet fully established in Medical Science | P5,000.00 |
| Anti-nuclear antibody (ANA), C-Reactive protein (Rheumatic and its complications), Lupus cell exam | P5,000.00 |
| New modalities and/or diagnostic and treatment procedures for conditions with established etiologies and its use is only as alternative to the conventional methods | P5,000.00 |
| Radioactive Iodine Therapy | P5,000.00 |
| Genetic/Immunologic studies | P5,000.00 |
| Active immunization for dog bites, venom, anti- tetanus | P10,000.00 |
| Congenital Illness | P10,000.00 |
| Physical Therapy | Lip to 10 sessions |
II. TERMS
PRE-EXISTING CONDITION
All pre-existing conditions shall be deemed covered by KAISER.
PHILHEALTH
This is a PhilHealth integrated Health Plan. All members are required to have PhilHealth Coverage. Those without PhilHealth membership or those who do not claim PhilHealth benefits when hospitalized (in-patient/out-patient) shall pay the PhilHealth benefit portion.
ELIGIBILITY
The PRINCIPAL is at least 18 years old up to age 65.
EFFECTIVITY DATE: Effective date for GROUP/CORPORATE ACCOUNT, unless specifically provided within the corporate healthcare agreement, is based on the following:
| DATE OF RECEIPT OF APPLICATION/ | ENROLLMENT EFFECTIVITY DATE |
|---|---|
| 11 TO 25 OF THE MONTH | 1st OF THE FOLLOWING MONTH |
| 26 TO 10 OF THE MONTH | 16th OF THE FOLLOWING MONTH |
New enrollees who are approaching the age of ineligibility must be enrolled at least six (6) months, counting from the date of effectivity, up to the date that the enrollees become ineligible for them to be accepted as members. All pre-existing condition/dreaded disease limits will be computed on a prorated basis (i.e if age of eligibility is up to 60 years old, only applicants who are 6 months younger than 60 yrs old will be accepted for membership).
* Exclusions and Limitations of the plan included in the memorandum of agreement will apply.
III: RATES
MAJOR HOSPITALS
- MMC Makati Medical Center
- CSMC Cardinal Santos Medical Center
- SLMC Saint Luke Medical Center
- AHMC Asian Hospital Medical Center
- TMC The Medical City
- Cebu Doctors Hospital
- Chong Hua Hospital
- UC Medical Hospital
KAISER HEALTHCARD CORPORATE RATES
| Plan includes Major Hospitals | Annual | Benefit Limit |
|---|---|---|
| SEMI PRIVATE up to HEALTH 800 | Php 7,000 | Php 75,000 |
Effective rates as of 02.01.2025 . The Company reserves the exclusive right to change, update and revise prices at any given time.
FOR GOVERNMENT INSTITUTIONS (MINIMUM OF 500 MEMBERS)
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Please do not hesitate to contact us anytime if you have any questions or clarifications. If you need any assistance on processing your registration. We are happy to serve you!
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Other ways to get in touch:
ADDRESS
IMG Financial Center - 9/F King's Court Bldg. 1 (ROOM 918), 2129 Chino Roces Avenue, Makati City
PHONE/ VIBER/ WHATSAPP
Kristine Joy: 09352659356
Lovern: 09174828028
EMAIL
kristinejoysegundo@outlook.com