As of 1 February 2010
| CORE BENEFITS(In-Patient & Emergency) |
| Select Plus |
| Child - 20 | P 4,066 | P 6,555 | P 10,727 | P 22,367 |
| 21-40 | P 7,314 | P 12,271 | P 20,164 | P 32,996 |
| 41-50 | P 9,650 | P 16,886 | P 30,582 | P 45,610 |
| 51-65 | P 12,056 | P 21,108 | P 43,791 | P 56,888 |
| OPTIONAL BENEFITS |
| Out-Patient Benefits |
| (Blue Cross pays 80% of reasonable, normal and customary fees. Reimbursement only.) |
| Child - 20 | P 5,733 | P 11,835 |
| 21-40 | P 5,385 | P 11,442 |
| 41-50 | P 7,824 | P 18,592 |
| 51-65 | P 9,773 | P 24,209 |
|
| Dental Plan |
| Adult (19 - 65 yrs old) | P 3,808 | P 2,232 |
| Child (15 days - 18 yrs old) | P 2,770 | P 1,623 |
Premiums are applicable to:
(1) Individual policies, or Families with less than 4 members, or Groups with less than
4 employees
(2) Group Accounts with at least 4 employees, or Families with at least 4 members (all
members should enroll)
|
| Additional Personal Accident Coverage |
| Coverage for accidental death. Occupational Class I (Standard Risk). |
| P 500,000 | P 835 | P 835 | P 835 | P 835 |
| P 1,000,000 | P 1,670 | P 1,670 | P 1,670 | P 1,670 |
Premiums of other occupational classifications are available upon request.
|
Notes:
1. Premiums are in Pesos and inclusive of all applicable taxes.
2. Premiums are available in annual and semi-annual(except for Personal Accident & Annual Physical Exam)modes of payment.
3. Premiums may change subject to the results of medical evaluation of application form.
4. Members mean Principal and eligible Dependents.
5. Group Discounts apply to New Business only.
