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Krismaine Maxicare Gold Healthluxe 150k InHealth Plan A Sprivate 100k.pdf
1. Maxicare Family Gold
100,000
Regular Private
Name Age Basic Fees Dental Rider Total Fee Basic Fees Dental Rider Total Fee Basic Fees Dental Rider Total Fee
Principal 29 18,505 387.00 18,892.00 9,993 209.00 10,201.70 5,181 108.00 5,289.40 MaxicareFamilyGold29
Dependent 3 26,856 387.00 27,243.00 14,502 209.00 14,711.24 7,520 108.00 7,627.68 MaxicareFamilyGold3
- - MaxicareFamilyGold
- - MaxicareFamilyGold
- - MaxicareFamilyGold
- MaxicareFamilyGold
Estimated Cost (per mode of payment) 46,135.00 24,912.94 12,917.08
Estimated Total Annual Cost 46,135.00 49,825.88 51,668.32
Notes:
1. Above computation was based on the data provided.
2. Above membership fees are inclusive of 12% VAT. Additional VAT that may be imposed at the time of transaction is to be shouldered by the member
3. Rates are valid to members which effective date falls from January 1, 2021 to December 31, 2021
4. Congenital illness, except physical therapy sessions and developmental disorders, shall be covered up to Php20,000 per member per year.
6. For family plan, enrollment of dependents will be based on hierarchy: Married: Spouse first, followed by the children eldest to youngest Single: Parents first, followed by the siblings eldest to youngest
7. MBL refers to Maximum Benefit Limit per illness (MBL) per contract year
Room & Board:
Maximum Benefit Limit:
ANNUAL SEMI ANNUAL QUARTERLY
5. 1st year of membership: Dreaded and Non-dreaded pre-existing condition is covered up to certain amount per illness/year.
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2. Philcare HealthLuxe 150,000
Maximum Benefit Limit: 150,000
Room & Board: Semi-Private
Name Age Basic Fees Dental Rider Total Fee Basic Fees Dental Rider Total Fee Basic Fees Dental Rider Total Fee
Principal 29 20,070 270.00 20,340.00 10,737 135.00 10,872.45 5,519 70.00 5,589.25 PhilcareHealthLuxe15000029
Dependent 3 35,544 270.00 35,814.00 19,016 135.00 19,151.04 9,775 70.00 9,844.60 PhilcareHealthLuxe1500003
- - PhilcareHealthLuxe150000
- - PhilcareHealthLuxe150000
- - PhilcareHealthLuxe150000
- - - - - PhilcareHealthLuxe150000
- - - - - PhilcareHealthLuxe150000
Estimated Cost (per mode of payment) 56,154.00 30,023.49 15,433.85
Estimated Total Annual Cost 56,154.00 60,046.98 61,735.40
Notes:
1. Above computation was based on the data provided.
2. Above membership fees are inclusive of 12% VAT. Additional VAT that may be imposed at the time of transaction is to be shouldered by the member
3. Rates are valid to members which effective date falls from January 1, 2021 to December 31, 2021. Rates may change without prior notice.
4. Dental Benefit - Standard Package 1
6. No coverage for Pre-existing condition for Philcare Health 360 and Health Pro. For Philcare Luxe there's a coverage of P10,000 for all pre-existing conditions per year.
7. Medical examination is required for new enrollees 50 years old and above. Reimbursable up to Php 2,250 for approved application
8. ABL refers to Total Annual Benefit Limit for all illnesses (ABL) per year.
9. MBL refers to Maximum Benefit Limit per illness (MBL) per contract year
10. As for Kids, ages 6 months to 9 years old, parents should be active HMO members. Kindly provide proof of membership (i.e. copy of the HMO Card)
5. This health card does not cover congenital or maternity cases or any procedures that is related to the said cases regardless if the client is aware or unaware of their conditions.
ANNUAL SEMI ANNUAL QUARTERLY
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3. Inhealth Persona Family Plan A
MBL: 100,000
Room and Board Semi-Private
Name Relationship Age Basic Fees Dental Rider Total Fee Basic Fees Dental Rider Total Fee Basic Fees Dental Rider Total Fee
Principal Principal 29 13,020 370.00 13,390.00 6,966 370.00 7,335.70 3,515 370.00 3,885
Dependent Dependents 15 days - 5 27,910 370.00 28,280.00 14,932 370.00 15,301.85 7,536 370.00 7,906
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-
-
-
-
Estimated Cost (per mode of payment) 41,670.00 22,637.55 11,791.10
Estimated Total Annual Cost 41,670.00 45,275.10 47,164.40
Notes:
1. Above computation was based on the data provided.
2. Above membership fees are inclusive of 12% VAT. Additional VAT that may be imposed at the time of transaction is to be shouldered by the member
3. Rates are valid to members which effective date falls from January 1, 2021 to December 31, 2021. Rates may change without prior notice.
4. 60-64 age group is applicable to renewing members only.
5. Primary Member: Eldest child whose both parents are either working abroad or have existing health coverage, 15 days to less than 18 years old.
6. Secondary Member: Eldest sibling of the primary member first down to the youngest, 15 days to less than 18 years old
7. For family plan with principal, enrollment of dependents will be based on hierarchy: Married: Spouse first, followed by the children eldest to youngest Single: Parents first, followed by the siblings eldest to youngest
ANNUAL SEMI ANNUAL QUARTERLY
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4. MedicardVIP
Dreaded Disease Limit: 200,000
Room & Board: Regular Private
Plan Holder Plan Basic Fees Dental Rider Total Fee
Principal Principal plus 1 45,908 inclusive 45,908.00 MedicardVIP200000Principal plus 1
inclusive - MedicardVIP200000
inclusive MedicardVIP200000
inclusive MedicardVIP200000
inclusive MedicardVIP200000
inclusive MedicardVIP200000
inclusive - MedicardVIP200000
inclusive MedicardVIP200000
inclusive MedicardVIP200000
inclusive MedicardVIP200000
MedicardVIP200000
Estimated Cost (per mode of payment) MedicardVIP200000
Estimated Total Annual Cost 45,908 45,908
Notes:
1. Above computation was based on the data provided.
2. Above membership fees are inclusive of 12% VAT. Additional VAT that may be imposed at the time of transaction is to be shouldered by the member
3. Rates are valid to members which effective date falls from January 1, 2021 to December 31, 2021. Rates may change without prior notice.
4. ECU is for Principal and 1 dependent only. The 2nd dependent may avail the ACU instead.
5. Pre-existing condition is covered at a certain limit depending on the chosen plan.
6. For family plan, enrollment of dependents will be based on hierarchy: Married: Spouse first, followed by the children eldest to youngest Single: Parents first, followed by the siblings eldest to youngest
7. DDL refers to Dreaded Disease Limit per illnesses per member per year.
ANNUAL
www.mariahealth.ph
Simple, easy access to healthcare