Coverage

IT'S GOOD TO BE PREPARED

SUDDEN ILLNESS

EMERGENCY HEALTH CONDITIONS

  • Heart Attacks
  • Poisoning
  • Loss of consciousness or respiration
  • Convulsions

Scope of Coverage

Scope Amount
Use of E.R. for Emergency Cases
(One-time use only)		 Php 20,000.00
Damage to Properties due to Fire & Lightning Php 1,000.00
Damage to Properties due to Earthquake Php 5,000.00
Death due to Accident Php 5,000.00
Total Permanent Disability due to Accident Php 5,000.00
Bereavement Assistance for Death due to causes other than Accident Php 1,000.00

QUALIFIED EMERGENCY CONDITIONS / SITUATIONS

Emergencies shall refer to sudden and unexpected onset of illness or injury which at the time of occurrence reasonable appears to have potential of causing immediate, permanent disability or death; or which requires the immediate alleviation of severe pain and discomfort.

Defined to be existing when a delay in treatment of a patient would lead to significant increase in the threat to life, or to the potential loss of a body part; and/or shall include any of the following warning signs:

  • Bleeding that will not stop
  • Breathing problems (difficulty of breathing, shortness of breath)
  • Sudden changes in mental status (such as unusual behavior, confusion, difficulty arousing)
  • Chest pains
  • Choking
  • Coughing up or vomiting blood
  • Syncope (fainting) or loss of consciousness
  • Sudden onset head and/or spine injury
  • Severe or persistent vomiting
  • Introduction in vitro, and/or direct bodily exposure to poisonous and/or toxic substances
  • Sudden injury due to motor vehicle accidents, burns, smoke inhalation, near drowning, a deep large wound, etc.
  • Sudden and severe pain anywhere in the body
  • Sudden dizziness, weakness, or change in vision
  • Sudden and severe abdominal pain or pressure
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