Ages 15 days old to 65 years old can enroll for a health plan with Medicare Plus Inc. In case, you are not in the age bracket, you can contact our health plan agents at customerservice@medicareplus.com.ph to discuss possible health plans that may be available to you.
You can search for accredited hospitals, clinics, or doctors at our Accredited Providers’ Page.
Pre-existing conditions are not covered during the first year of membership under the contestability period. A known pre-existing illness/condition and its complication prior to application and when occurred during the first year of coverage after the effective/reinstatement date shall be considered Pre-existing and subject to EXCLUSION of coverage.
Treatment of pre-existing conditions and its complications under the care of our affiliated hospital/clinic and Physician is covered within MAXIMUM BENEFIT LIMIT on your second year of membership except those that come out during contestability period.
Examples for Pre-existing conditions:
Pregnancy, and pregnancy related cases, congenital & physical deformities, behavioral disorders, development or psychiatric disorders, psychosomatic illnesses, pre-existing Hepatitis B and sexually transmitted diseases are not covered.
You will need to submit the following documents within thirty (30) days from the date of consultation/treatment/discharge:
1.Duly accomplished Medicare Plus Claim Form
2.Medical / Doctor’s Certificate
3.Official Receipts – provisional receipt is not acceptable
Reimbursement is processed and released within thirty (30) working days upon receipt of complete requirements at Medicare Plus office.
Incremental and excess charges shall be billed to the member after 24 hours up to the time of discharge during involuntary room upgrading. Incremental costs apply to laboratory, diagnostic procedures, use of operating/delivery and recovery rooms, medicines and medical supplies charged at a higher cost due to socialized pricing being practiced by hospitals.
You may cancel your membership within fifteen (15) days from effective date of your Health Assure Plus contract in case you disagree with the contract conditions after receiving it and no medical availment has been made prior to termination of membership.
Membership ID and Health Assure Plus contract must be surrendered to Medicare Plus otherwise, no premium refund shall be allowed.
The P300.00 enrollment processing fee is not included in the premium refund.
Yes, individuals with pre-existing conditions are also eligible for a Medicare Plus plan.
All individuals aged 2 months old and above are eligible for a plan.
For Individual Plans, you need to provide 2 valid IDs and an accomplished Signed Application Form (SAF).
For Corporate Plans, your company needs to provide us with a DTI or business permit and a master list.
We accept cash, gcash and credit card payments.
Same benefits and coverage, the only difference is the rate.
Yes, we cover 2 months old and above for Individual Plans.
Yes, senior citizens are also eligible for a Medicare Plus plan.
Medicare Plus is a Health Maintenance Organization duly registered with the Securities and Exchange Commission and duly licensed to offer health insurance by the Insurance Commission (IC) with license number/registration number HMO-2020-23-R.
We are a member of the Association of Health Maintenance Organization of the Philippines (AHMOPI) and accredited by Procurement Service – PhilGEPS.
We are aware that finding the best healthcare plan might be confusing, so we have Medicare Plan Advisors to assist you. Please let us know if you would like one of our Medicare Plan Advisors to call you to address any concerns you may have.
