SCHEDULE
OF BENEFITS
For
Outpatient:
Any
number of consultation with the designated Primary
Contact Physician (PCP) * Necessary diagnostic services
* Preventive Healthcare coverage * Emergency treatment
of injury or illness at any accredited hospital/clinic.
For
Inpatient:
Professional
Services * Hospital Expenses * Special Procedures
* Catasthropic/Dreaded Illness * Isolation Cases
OPTIONAL:
Complete Annual Physical Examination * Dental Benefits
* Term Insurance * Personal Accident Insurance * Daily
Income Benefit
SUMMARY
OF FEATURES
1.
In case of hospitalization, no need for immediate
cash; just present your CAP Health I.D. Card.
2.
Payment of maximum of 100 times Room & Board chosen
in case of covered illness requiring hospitalization.
3.
Hospital-based and not clinic-based: CAP Health Card
is accepted in 269 leading tertiary Hospitals and
Clinics in Metro Manila and provinces nationwide.
4.
Accepted by 270 Dentists nationwide
5.
Services rendered by more than 3,500 Primary Contact
Physicians and Specialists nationwide.
6.
Covers any number of consultations for outpatient
Cardholders.
7.
Covers emergency treatment and reimbursement of medical
expenses while on foreign travel.
8.
Has the largest service network nationwide.
|
Get
yourself and your loved ones
CAP HEALTH Coverage under
the wings of
THE AGILA PROGRAMS
|
 |
WHY
YOU CANNOT AFFORD TO GET SICK
WITHOUT A CAP HEALTH PRODUCT:
CONSIDER
THESE REALITIES:
| 1.
Cost of Outpatient Treatment |
|
a.
Consultation - P350 - 500 per consultation |
|
b.
Laboratory Test - ave. of P 3,000 per work up |
|
c.
Diagnostic test - ave. of P 4,000 per work up |
|
d.
Physical Therapy - ave of P 2,500 per 7-day session |
|
e.
Emergency Treatment - ave. of P 1,500 per treatment |
| 2.
Cost of Medicines |
|
Examples: |
Ave. of P 600 per course of antibiotics |
|
|
Anti-hypertensives
at P 25 per day lifetime treatment |
| 3.
Cost of Hospitalization |
|
Examples:
|
Medical
(simple) case - average of P 10,000 per confinement |
|
|
Surgical
(simple) case - average of P 25,000 per confinement |
It's
so easy to compute rates for yourself and the members
of your family as shown below:
APPLICABLE
RATES
|
AGES
|
ROOM
AND BOARD
|
|
|
600
|
800
|
1,000
|
1,200
|
1,500
|
2,000
|
2,500
|
| ANNUAL |
16d-2
|
7,579
|
9,674
|
11,041
|
13,297
|
15,434
|
19,536
|
23,130
|
|
03-10
|
5,346
|
6,825
|
7,781
|
9,381
|
10,888
|
13,783
|
16,318
|
|
11-20
|
3,642
|
4,636
|
5,291
|
6,373
|
7,397
|
9,363
|
11,085
|
|
21-30
|
4,676
|
5,969
|
6,812
|
8,205
|
9,523
|
12,054
|
14,272
|
|
31-40
|
5,039
|
6,432
|
7,340
|
8,841
|
10,262
|
12,989
|
15,379
|
|
41-50
|
6,948
|
8,869
|
10,122
|
12,191
|
14,150
|
17,911
|
21,206
|
|
51-59
|
15,012
|
19,163
|
21,870
|
26,341
|
30,573
|
38,700
|
45,819
|
|
60-65
|
20,977
|
26,777
|
30,560
|
36,807
|
42,722
|
54,077
|
64,025
|
| S-ANNUAL |
16d-2
|
4,017
|
5,127
|
5,852
|
7,047
|
8,180
|
10,354
|
12,259
|
|
03-10
|
2,833
|
3,617
|
4,128
|
4,972
|
5,771
|
7,305
|
8,649
|
|
11-20
|
1,925
|
2,457
|
2,804
|
3,378
|
3,920
|
4,962
|
5,875
|
|
21-30
|
2,478
|
3,164
|
3,610
|
4,349
|
5,047
|
6,389
|
7,564
|
|
31-40
|
2,671
|
3,409
|
3,890
|
4,686
|
5,439
|
6,884
|
8,151
|
|
41-50
|
3,682
|
4,701
|
5,365
|
6,461
|
7,500
|
9,493
|
11,239
|
|
51-59
|
7,956
|
10,156
|
11,591
|
13,961
|
16,204
|
20,511
|
24,284
|
|
60-65
|
11,118
|
14,192
|
16,197
|
19,508
|
22,643
|
28,661
|
33,933
|
| QUARTERLY |
16d-2
|
2,084
|
2,660
|
3,036
|
3,657
|
4,244
|
5,372
|
6,361
|
|
03-10
|
1,470
|
1,877
|
2,142
|
2,580
|
2,994
|
3,790
|
4,487
|
|
11-20
|
999
|
1,275
|
1,455
|
1,753
|
2,034
|
2,575
|
3,048
|
|
21-30
|
1,286
|
1,641
|
1,873
|
2,256
|
2,619
|
3,315
|
3,925
|
|
31-40
|
1,386
|
1,769
|
2,019
|
2,431
|
2,822
|
3,572
|
4,229
|
|
41-50
|
1,911
|
2,439
|
2,784
|
3,353
|
3,891
|
4,926
|
5,832
|
|
51-59
|
4,128
|
5,270
|
6,014
|
7,244
|
8,408
|
10,643
|
12,600
|
|
60-65
|
5,769
|
7,364
|
8,404
|
10,122
|
11,749
|
14,871
|
17,607
|
|
