Philcare
Benefit Guidelines
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Benefit Guidelines
HMO > Benefit Guidelines > Philcare
Please send us an email request for a product orientation. Kindly provide the details below so we can forward your request to the trainer. The orientation will be conducted via a virtual Zoom meeting.
Required Details:
Company Name:
Date:
Time:
We look forward to assisting you!
You can request your LOG or LOA through the Online Portal or the Hey Phil.
1. Online Portal
Log in to the portal using the link below:
👉Philcare Member Portal
2. Hey Phil App
Download the Smile App using the link below:
👉 Download Hey Phil App (Google Play)
Please be advised that Dental Network-affiliated dentists do not accept walk-ins. An appointment must be booked in advance. Kindly refer to the affiliated dentist list for available providers.
Call your preferred Dentist
Full Name:
Preferred Dentist:
Preferred Date & Time:
For further inquiries, please contact client care team.
Note: Lead time for the issuance of letter of endorsement is 3 weeks to 1 month so please submit the requests a month before the date of your preferred APE schedule
Fill up this form and forward to the Viber Account of Philcare Customer Support
Full Name:
Birth Date:
Preferred Clinic: (refer to the list of accredited clinics)
Date of Request:
Send these details through:
Philcare Customer Service Email:
Call Pacific Cross Customer Service Hotline to expedite the request after sending the files and details
Landline: (02) 8462 1800
Globe: 0917 592 1800
Smart: 0998 562 1800
To avail of DigiMed services, you may call the following:
•(+63)2462 1800 - Customer Service Hotline
•+ 800 1888 3230 - Toll Free outside Metro Manila
Files needed:
Claim Reimbursement Form (download)
Original official receipts of all hospital bills
Original receipts of professional fee/s of the doctor
Statement of Account (SOA)
Itemized Breakdown of Charges
Admitting History Report, Clinical Abstract, Medical Certificate (for inpatient)
Histopath/Surgical Report (if applicable)
Police Report in case of accident and medico legal cases
Send us an email:
TO: clientservicing@philcare.com.ph
CC: clientcare@idealifeph.com; admin@idealifeph.com; Marla.Pascual@philcare.com.ph; Stephanne.Forcado@philcare.com.ph; Charlyn.Macam@philcare.com.ph
SUBJECT: Claim | Full Name
BODY:
Hi Client Care Team,
I would like to request for a claim. Kindly see attached files for your reference.
Thank you.
Masterlist (download)
Input the complete details of all employees and their dependents (if applicable)
In Desired Action Code, input A (stands for additional)
Dependents (if applicable)
Heirarchy Rule (if a dependent bypassed the heirarchy rule, please provide either proof of coverage for the bypassed dependent or a death certificate)
Married
Legal Spouse who is not more than 65 years old
Natural born or legally adopted children age 15 days to 21 years old
Single
Common law spouse
Must provide affidavit of co-habitation
Each individual is required to submit a Certificate of No Marriage (CENOMAR)
Same sex partner
Must provide affidavit of co-habitation
Each individual is required to submit a Certificate of No Marriage (CENOMAR)
Parent who is not more than 65 years old
Sibling age 15 days to 21 years old
Single Parent
Common law spouse
Must provide affidavit of co-habitation
Each individual is required to submit a Certificate of No Marriage (CENOMAR)
Same sex partner
Must provide affidavit of co-habitation
Each individual is required to submit a Certificate of No Marriage (CENOMAR)
Natural born or legally adopted children age 15 days to 21 years old
Submit the masterlist (in pdf and excel) to file the request
CC: clientcare@idealifeph.com; admin@idealifeph.com
SUBJECT: Inclusion Request | Company Name
BODY:
Dear iDealife,
We would like to submit our inclusion request. Thank you.
Activation of the coverage is effective immediately after the acknowledgement of the customer service.
Premium for included members will be pro-rated.
Masterlist (download)
Input the complete details of all employees and their dependents (if applicable)
In Desired Action Code, input C (stands for cancelled)
Submit the masterlist (in pdf and excel) to file the request
CC: clientcare@idealifeph.com; admin@idealifeph.com
SUBJECT: Deletion Request | Company Name
BODY:
Dear iDealife,
We would like to submit our deletion request. Thank you
3. If the member has no utilization in any kind aside from APE, the company will receive a pro-rated refund in form of credit note or in cash.
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