2012




APE



      7pg
Purple Cow 2012
        Benefits
                                                     2
       3 Major Employee Benefits
                   LIFE – ACCIDENT – HEALTH



                               3a. MEDICAL HMO
1. LIFE INSURANCE
                               3b. Optional DENTAL HMO

                               3c. Optional APE
2. ACCIDENT INSURANCE
                               3d. WELLNESS PROGRAM
Purple Cow 2012
                Benefits
                                                                                     3
                         Benefit Summary
                               LIFE – ACCIDENT – HEALTH
1. Life = 5x MBL                              13. Access to Big 5 Hospitals & Healthway
2. Terminal Illness = up to 50% of 5x MBL     14. 100% Pre-Existing Conditions coverage
3. Total & Perm. Disability Income = 5x MBL   15. 100% Congenital Conditions coverage
4. Accidental Death = 5x MBL                  16. 100% Special Procedures coverage
5. Murder = 5x MBL                            17. Benefits on top of Philhealth
6. Accidental Disablement = __% of 5x MBL     18. Pooled Employee utilization
7. Assault = __% of 5x MBL                    19. Separate Dependent utilization
8. Medical = HMO buffet of benefits           20. Optional Dental = HMO buffet of benefits
9. Combined inpatient & outpatient limits     21. Optional APE = choice of mobile or clinic
10. Max. Benefit Limits per disability per year 22. Free Wellness Program
11. HMO patient for no-cash-out               23. Same benefits for Dependents
12. Private patient for HMO reimbursement     24. Access through Social Media
Purple Cow 2012
                      Benefits
                                                                                                                  4
      3c. Optional Annual Physical Exam
              VARIOUS (mobile or clinic)                                          EXCLUSIONS
1. Physical examination                                        1. APE procedures not included in the Basic 5 APE plan

2. Chest X-Ray
3. CBC                                 Basic 5
4. Urinalysis
5. Fecalysis
+The Annual Physical Exam (APE) is a diagnostic tool,
 not a cure for sickness or accident. Results can serve as
    a baseline for referral to specialists who can authorize
tests and/or prescribe further treatment.
+By appointment only, 30 days in advance.
+Pay as you go, so you don’t lose it if you don’t use it
(don’t pay in advance, as payment is not transferable).
+Call Lala Perido at GRA to help design, source, price
& schedule your APE during the year [888-0001 x835].           Optional APE: +/- P400 or P500 (for mobile or clinic APE)

              Optional APE benefits are covered on top of Medical HMO benefits
Purple Cow 2012
       Competitive Advantages
                                                   5
            Why Purple Cow?


3 Major Employee Benefits in 1 Plan:
  You get Group Life, Accident & Health
    (medical HMO, optional dental HMO,
optional APE, and Wellness) – all in 1 plan.

             (Unlike most HMO plans)
You get all the Employee Benefits you will ever need
Purple Cow 2012
         Competitive Advantages
                                                    6
              Why Purple Cow?


    Optional Annual Physical Exam:
  You can order a Basic 5 APE or customize
  your APE; you can choose a nearby clinic
   for your staff or request a mobile APE.

               (Unlike some HMO plans)
You can decide if you want an APE, and if so, what kind
Purple Cow 2012
               Summary
                                                                                  7
          ♠ What’s in it for…Employees?
       EE Features              EE Benefits
A complete Employee Benefits package You get more financial security from
that can make you financially secure Purple Cow than from any other HMO
Life INS, Accident INS, Medical HMO,         You won’t need to get any more
Optional Dental HMO & Optional APE           insurance benefits for yourself
Nationwide Medical & Dental networks,        You can use any accredited hospital
inclusive of all major hospitals & clinics   or clinic for medical or dental treatment
Choice of doctor as a Private Patient for You can see your own doctor and get
insurance reimbursement at HMO rates reimbursed the rate of an HMO doctor
100% Pre-Existing, 100% congenital,          You are covered for existing illnesses,
& 100% Special Procedures coverage           natal conditions, & special procedures
Employee Benefits on top of Philhealth       You get full HMO + Philhealth benefits
Access to benefit information through        You can take charge of your own
C3 on www.purplecow.ph & Facebook            health, and know before you go
1 health card for every employee             You can avail anytime, anywhere

Purple cow 2012 (ape button)

  • 1.
  • 2.
    Purple Cow 2012 Benefits 2 3 Major Employee Benefits LIFE – ACCIDENT – HEALTH 3a. MEDICAL HMO 1. LIFE INSURANCE 3b. Optional DENTAL HMO 3c. Optional APE 2. ACCIDENT INSURANCE 3d. WELLNESS PROGRAM
  • 3.
    Purple Cow 2012 Benefits 3 Benefit Summary LIFE – ACCIDENT – HEALTH 1. Life = 5x MBL 13. Access to Big 5 Hospitals & Healthway 2. Terminal Illness = up to 50% of 5x MBL 14. 100% Pre-Existing Conditions coverage 3. Total & Perm. Disability Income = 5x MBL 15. 100% Congenital Conditions coverage 4. Accidental Death = 5x MBL 16. 100% Special Procedures coverage 5. Murder = 5x MBL 17. Benefits on top of Philhealth 6. Accidental Disablement = __% of 5x MBL 18. Pooled Employee utilization 7. Assault = __% of 5x MBL 19. Separate Dependent utilization 8. Medical = HMO buffet of benefits 20. Optional Dental = HMO buffet of benefits 9. Combined inpatient & outpatient limits 21. Optional APE = choice of mobile or clinic 10. Max. Benefit Limits per disability per year 22. Free Wellness Program 11. HMO patient for no-cash-out 23. Same benefits for Dependents 12. Private patient for HMO reimbursement 24. Access through Social Media
  • 4.
    Purple Cow 2012 Benefits 4 3c. Optional Annual Physical Exam VARIOUS (mobile or clinic) EXCLUSIONS 1. Physical examination 1. APE procedures not included in the Basic 5 APE plan 2. Chest X-Ray 3. CBC Basic 5 4. Urinalysis 5. Fecalysis +The Annual Physical Exam (APE) is a diagnostic tool, not a cure for sickness or accident. Results can serve as a baseline for referral to specialists who can authorize tests and/or prescribe further treatment. +By appointment only, 30 days in advance. +Pay as you go, so you don’t lose it if you don’t use it (don’t pay in advance, as payment is not transferable). +Call Lala Perido at GRA to help design, source, price & schedule your APE during the year [888-0001 x835]. Optional APE: +/- P400 or P500 (for mobile or clinic APE) Optional APE benefits are covered on top of Medical HMO benefits
  • 5.
    Purple Cow 2012 Competitive Advantages 5 Why Purple Cow? 3 Major Employee Benefits in 1 Plan: You get Group Life, Accident & Health (medical HMO, optional dental HMO, optional APE, and Wellness) – all in 1 plan. (Unlike most HMO plans) You get all the Employee Benefits you will ever need
  • 6.
    Purple Cow 2012 Competitive Advantages 6 Why Purple Cow? Optional Annual Physical Exam: You can order a Basic 5 APE or customize your APE; you can choose a nearby clinic for your staff or request a mobile APE. (Unlike some HMO plans) You can decide if you want an APE, and if so, what kind
  • 7.
    Purple Cow 2012 Summary 7 ♠ What’s in it for…Employees? EE Features EE Benefits A complete Employee Benefits package You get more financial security from that can make you financially secure Purple Cow than from any other HMO Life INS, Accident INS, Medical HMO, You won’t need to get any more Optional Dental HMO & Optional APE insurance benefits for yourself Nationwide Medical & Dental networks, You can use any accredited hospital inclusive of all major hospitals & clinics or clinic for medical or dental treatment Choice of doctor as a Private Patient for You can see your own doctor and get insurance reimbursement at HMO rates reimbursed the rate of an HMO doctor 100% Pre-Existing, 100% congenital, You are covered for existing illnesses, & 100% Special Procedures coverage natal conditions, & special procedures Employee Benefits on top of Philhealth You get full HMO + Philhealth benefits Access to benefit information through You can take charge of your own C3 on www.purplecow.ph & Facebook health, and know before you go 1 health card for every employee You can avail anytime, anywhere