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Pioneer Hospikaya

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Ano ang HospiKaya?

Bukod sa iyong PhilHealth Benefits,ang HospiKaya ay Health Plan Insurance na pinoprotekatahan ang local workers against financial loss dahil sa mahalna pagpapagamot.

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Features

Affordable HMO

Affordable HMO

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Accessible

Accessible

  • Check your benefits thru online
  • 420 + Accredited Hospital/Clinic
  • 5 Partnered Clinics

Unlimited Consultation

Unlimited Consultation

  • Home Medical Assistance
  • Walk-In Consultation (Partners Clinics)

Emergency & Laboratory Benefits

Emergency & Laboratory Benefits

Cashless Medical Services

Cashless Medical Services

Pioneer HOSPIKAYA Health Card (Front)

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Schedule of Benefits

In-Patient Hospitalization

Annual Benefit Limit (ABL)

  • Php 60,000.00 / Php 90,000.00 / Php 120,000.00

Maximum Benefit Limit (MBL)

  • Php 30,000.00/Illness/confinement/year
  • Php 20,000.00/maximum of 2 confinement dueto accident/year

Room Type

  • Ward

Hospital Income Benefit (HIB)
Per illness per covered confinement

  • Php 300.00 per day max. of 4 days

Reimbursement of Prescriptive Medicines
Per covered confinement

  • Php 1,000.00
In-Patient Hospitalization Annual
Out-Patient Benefits

In-Patient Hospitalization

Unlimited Consultation (In Accredited Partner Clinics)

  • 24/7 Telephone Medical Assistance
  • Walk-In

Out-patient Benefits (In Accredited Non-Partner Hospitals/Clinics)

  • Php 10,000.00 per year but not exceed Php 2,500.00 per quarter.

Covered Laboratory & Diagnostic Procedures
Annual Physical Exam

  • After six (6) months of continuous membership

Eligible Dependents

Unlimited Consultations

  • 24/7 Telephone Medical Assistance

If Single

  • Parents Below 65 years old

If Married

  • Legal Spouse and all children ages 5-21 years old
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Financial Assistance Add Ons Benefit
(Available in Plan 4 ONLY)

Financial Assistance Add Ons Benefit (Available in Plan 4 ONLY)

Natural Death

  • Php 50,000.00

Accidental Death & Dismemberment (ADD)

  • Php 50,000.00

Unprovoked Murder & Assault (UMA)

  • Php 50,000.00

Critical Illness (CI)

  • Php 20,000.00