LABORATORIES & CLINICS

Transcription

1 LABORATORIES & CLINICS

2 This ValuCare HANDBOOK belongs to Home No.: Office No: Mobile No.: v 2

3 Dear Valued Member, Thank you for choosing ValuCare to assist you with your healthcare needs. We have prepared this handbook to provide you with the basic information about your healthcare benefits. This will serve as your guide to understand better your health plan, its limitations and procedures of availment. Should you have any questions regarding the information written in this handbook, we will be more than glad to be of service to you. You may reach us through the numbers listed herein. We at ValuCare commit to give you only the quality healthcare that you deserve! By the EVP & COO 3

4 TABLE OF CONTENTS Page BENEFITS AND AVAILMENT PROCEDURE OUT-PATIENT SERVICES.. 16 IN-PATIENT SERVICES PREVENTIVE HEALTH EMERGENCY SERVICES STANDARD DENTAL BENEFITS NON-NETWORK EMERGENCY REQUIREMENTS FOR REIMBURSEMENT PRE-EXISTING CONDITION (P.E.C.) MAXIMUM COVERAGE BENEFIT (M.C.B.). 27 GENERAL EXCLUSIONS AND LIMITATIONS. 27 STANDARD EXCLUSIONS AND LIMITATIONS. 29 PHILHEALTH INTEGRATED VC HEALTH PLAN 34 VALUCARE CUSTOMER SERVICE

5 LIST OF ACCREDITED HOSPITALS AND CLINICS Page NATIONAL CAPITAL REGION Caloocan City 38 Las Piñas 38 Makati 40 Mandaluyong.. 40 Manila.. 41 Marikina.. 43 Muntinlupa. 44 Parañaque.. 45 Pasay.. 45 Pasig 46 Quezon City.. 47 San Juan.. 50 Taguig 50 Valenzuela. 50 5

6 Page PROVINCIAL HOSPITALS Abra Agusan del Norte Aklan Albay Baguio-Benguet Basilan Bataan Batanes Batangas Bohol Bukidnon Bulacan Cagayan Camarines Norte Camarines Sur Capiz Catanduanes Cavite Cebu Cotabato Davao City Davao del Norte

7 Davao del Sur General Santos City Ifugao Ilocos Norte Ilocos Sur Iloilo Isabela La Union Laguna Lanao del Norte Leyte Misamis Occidental Misamis Oriental Negros Occidental Negros Oriental North Cotabato Nueva Ecija Nueva Viscaya Occidental Mindoro Oriental Mindoro Palawan Pampanga

8 Pangasinan Quezon Rizal Romblon Sorsogon South Cotabato Sultan Kudarat Surigao del Norte Surigao del Sur Tarlac Tawi-Tawi Western Samar Zambales Zamboanga City 80 Zamboanga Sibugay Zamboanga del Norte Zamboanga del Sur

9 LABORATORIES & CLINICS NATIONAL CAPITAL REGION Caloocan City 87 Las Piñas 87 Makati 88 Malabon 90 Mandaluyong 90 Manila 91 Marikina 93 Muntinlupa. 94 Parañaque.. 94 Pasay. 95 Pasig 96 Quezon City 97 San Juan 102 Taguig. 102 Valenzuela 102 9

10 PROVINCIAL LABORATORIES AND CLINICS Agusan Del Norte 120 Aklan Aurora. 104 Baguio Benguet Batangas Bohol Bulacan Cagayan Cagayan de Oro Capiz 114 Cavite Cebu Davao General Santos City Iloilo. 114 Isabela. 104 La Union. 104 Laguna Legazpi City. 114 Leyte

11 Lucena Naga Negros Occidental 115 Negros Oriental. 117 Palawan. 113 Pampanga Pangasinan. 104 Rizal 112 Surigao del Norte Surigao del Sur 120 Tarlac Zambales. 106 Zamboanga del Norte. 118 REHAB. CLINIC DIALYSIS CLINIC. 122 LAPAROSCOPY CENTER LITHOTRIPSY CENTER DIAGNOSTIC IMAGING CENTER. 124 EYE CENTER HEARING CARE CENTER

12 DENTAL PROVIDERS NATIONAL CAPITAL REGION Caloocan City 128 Las Piñas Makati 130 Malabon 135 Mandaluyong 136 Manila 137 Marikina 141 Muntinlupa. 142 Parañaque 145 Pasay 147 Pasig. 148 Quezon City. 151 San Juan. 160 Taguig. 161 Valenzuela

13 PROVINCIAL DENTAL PROVIDERS Agusan del Norte 162 Agusan del Sur Aklan 162 Antique Aurora Bacolod Baguio. 163 Batangas 163 Bukidnon Bulacan 165 Cagayan de Oro Cagayan Valley. 168 Camarines Norte. 168 Camarines Sur Cavite Cebu. 170 Davao Dumaguete. 174 General Santos. 174 Iligan City Ilocos Sur. 174 Iloilo

14 Isabela Laoag La Union Laguna Legaspi Masbate. 181 Mindoro Misamic Occidental 181 Naga 181 North Cotabato 182 Nueva Ecija Occidental Mindoro Olongapo Pampanga 183 Pangasinan. 184 Quezon Province. 184 Rizal. 185 South Cotabato 189 Tacloban 189 Tagaytay City. 189 Tagum City Tarlac Zamboanga del Sur

15 Value Care Health Systems, Inc. (ValuCare) is a Managed Care Company belonging to the Health Maintenance Organization (HMO) industry. Established by a selected group of medical practitioners, ValuCare s commitment is to provide its members Quality Healthcare with Compassion through a comprehensive outpatient consultation and hospitalization benefits package accessed via its network of healthcare providers and facilities. The Comprehensive Healthcare program includes: Out-Patient Services In-Patient Services Emergency Care Services Annual Physical Examination Wellness Program Dental Care (Optional) Financial Assistance (Optional) BENEFITS AND AVAILMENT PROCEDURE To avail any of the benefits enumerated, declare that you are a ValuCare member to the accredited provider and/or present your ValuCare Card together with another valid ID with photo. 15

16 I. OUT-PATIENT SERVICES Consultations with ValuCare Coordinators Referrals to Accredited Specialist Treatment of minor injuries, (i.e. lacerations, minor burns, sprains, etc.) Dressings and sutures for wound, castings (except fiberglass) Minor surgical procedures not requiring confinement Laboratory, X-ray and diagnostic procedures Pre and/or Post-Natal Consultations with accredited OB-Gynecologists OUT-PATIENT Availment Procedures: 16

17 STEP 1: Present your ValuCare card with another valid ID with photo. STEP 2: Plan Coordinator will refer you to a specialist STEP 3: If accredited specialist requests for any diagnostic or therapeutic procedure, return to the ValuCare Coordinator to get approval. (Procedures costing more than P1,000 need approval from the Medical Services at the ValuCare head office). Note: ValuCare Coordinators are NOT available 24/7 at hospitals/clinics. Check their schedules from the hospital/clinic or from the ValuCare Customer Service Hotlines. II. IN-PATIENT SERVICES Room and Board based on the members plan Professional Fees of the attending physicians, surgeons and anesthesiologist Use of the Operating Room/Recovery Room, ICU/CCU Standard Nursing Services Oxygen and/or inhalation therapy Blood transfusions, including human blood elements Dressings, sutures and casts (except fiberglass) Necessary drugs/medicines while confined Laboratory & Diagnostic procedures Therapeutic procedures 17

18 IN-PATIENT Availment Procedures: STEP 1: Secure admitting orders from ValuCare. STEP 2: Proceed to the Admitting Section of the ValuCare accredited hospital and present the admitting order and ValuCare card together with another valid ID with photo. STEP 3: ValuCare head office will be notified of your admission. A ValuCare Liaison Officer will issue the Letter of Authorization (LOA) after proper verification of your eligibility and coverage. ValuCare Member may also call & notify ValuCare of Admission STEP 4: UPON DISCHARGE File PhilHealth together with all other requirements. Check Hospital Charge Slips Settle disapproved, excess or incremental charges not covered by ValuCare (if any) 18

19 Excess in Room and Board and Incremental Rate Charges Excess in Room and Board means the actual difference in room rates for transfer to a Room and Board accommodation higher than the planholder's room category. Incremental Rate Charges means the adjustment in charges for hospital ancillary services, professional fees, medicines, operating room and supplies resulting from the transfer by a planholder to a Room and Board Accommodation not included in his enrolled program and higher than his allowable benefit. It shall be computed as follows: Thirty Percent (30%) shall be charged on top of the Original Charges to a Room and Board accommodation higher than the planholder s allowable benefit from Ward to Private from Private to Suite Fifty Percent (50%) shall be charged on top of the Original Charges to a Room and Board accommodation higher in category than the planholder s allowable benefit from Ward to Suite from Semi-private to Suite Computation for excess in charges and incremental cost is as follows: 1. Excess in Room & Board 2. Incremental on hospital charges: - 30% 3. Incremental on professional fees: Medical Case P 100 per doctor per category per day Surgical Case Based on difference by multiplying factor 4. Disapproved charges Incremental Charges (Hospital Bill less (sum of R&B & disapproved charges )) x 30% 19

20 Example: Total Hospital Bill - P 50,000 Room & Board - P 10,000 Disapproved charges - P 350 P 39,650 X 30% Incremental charges P 11, Excess in Room & Board = P 500 x 5» P 2, Incremental on hospital charges» P 11, Incremental on professional fees * Surgeon s Fee» P 3,000 Anesthesiologist s Fee» P 1, Disapproved Charges» P 350 TOTAL» P 18,745 *Incremental Charges on PF is based on Surgeon s fee of P10,000 (RUV of 100) 20

21 III. PREVENTIVE HEALTH Administration for vaccines (excluding cost of vaccines) Family planning and counseling Medical management of health problems; health education, counseling on diet and exercise Annual Physical Examination (APE) Physician s Assessment Chest X-ray Fecalysis (stool exam) Urinalysis (urine exam) Complete Blood Count (CBC) ECG for adults 35 y/o and above Pap smear for females 35 y/o & above NOTE: All APE should be coordinated with the ValuCare APE Unit at tel nos & or through your company s HR Department, PRIOR TO AVAIL- MENT. IV. EMERGENCY SERVICES Consultation at emergency room Medications used for immediate relief of symptoms Dressings and sutures for wound, casts (except fiberglass supplies) Diagnostic examinations Other medical services related to the emergency management deemed necessary to the treatment of the case. 21

22 EMERGENCY Availment Procedures: EMERGENCY Availment Procedures: STEP 1: Proceed to Emergency Room of ValuCare accredited hospital/clinic and present your ValuCare card together with another valid ID with photo STEP 2: ER personnel will render proper treatment STEP 3: a. For emergency cases leading to confinement, follow in-patient procedure b. b. For emergency cases that does not require confinement: Sign necessary documents Check Hospital Charge Slips Settle charges not covered by ValuCare (if any) Note: ValuCare does not cover non-emergency conditions managed at the Emergency Room. 22

23 STANDARD DENTAL BENEFITS Any number of consultations with an accredited dentist; Treatment of dental related pain excluding cost of prescribed medicines; Simple Oral Prophylaxis once a year; Simple tooth extractions, except surgery for impactions; Gum treatment excluding the cost of prescribed medicines; Recementation of jacket crown, inlays and onlays; Treatment of lesions, wounds and burns; Temporary fillings; Annual dental examination; Adjustment of dentures; Relief and/or prescription for acute dental pain; Emergency desensitization of hypersensitive teeth; Orthodontic consultation; and Aesthetic dental consultation. Note: Above dental services can be availed with prior appointment with the accredited dentist. Medicines prescribed by the dentist are not covered and for the account of the Planholder. VI. NON-NETWORK EMERGENCY Emergency cases in areas without accredited providers and official business trip outside Philippine territory may be reimbursed depending on the amount stipulated in the Healthcare Agreement. 23

24 VII. REQUIREMENTS FOR REIMBURSEMENT In-Patient Out-Patient 24 Original official receipt (Hospital bill & Professional Fee) Statement of account/charge slip Itemized breakdown of hospital charges Medical certificate/clinical abstract Police report (Motor vehicle accident or medico-legal case) Operative record/histopathological Report Reimbursement Form (duly filled-up) Original official receipt Itemized breakdown of hospital charges Medical certificate Police report (Motor vehicle accidents or medico-legal cases) Reimbursement Form (duly filled-out) Note: Gather all the documents for reimbursement and submit to ValuCare office within 30 calendar days if within Metro Manila, or 60 calendar days if outside Metro Manila, from the date of discharge/availment. Failure to do so shall invalidate the claim. VIII. PRE-EXISTING CONDITION (P.E.C.) It is an illness or injury or any adverse medical condition that is considered to have been in existence prior to the effective date of the planholder s coverage in any of the following cases: When any professional advice or treatment has been obtained for such illness or injury prior to the said effective date of coverage; Such illness or injury is evident to the planholder before the effective date of his/her membership; The natural history of such illness or injury can be clinically determined to have started prior to the effective date of coverage.

25 PRE-EXISTING CONDITIONS The following, among others, are considered Pre-existing Conditions: (a) Acquired hernias; (b) Benign new growths or tumors ( like sebaceous cysts, lipoma, Epidermal inclusion cysts etc.); (c) Bronchial Asthma; (d) Buergher s disease; (e) Chronic ENT conditions requiring surgery (Nasal Polyposis, Chronic Otitis Media, Vocal Fold Polyp/ nodules); (f) Eye disorders like cataracts and glaucoma; (g) Fatty liver; (h) Gallbladder diseases like cholecys titis, cholelithiasis; (i) Gastric & duodenal ulcers; (j) Gynecological conditions (endometriosis, myoma, ovarian cysts); (k) Hemorrhoids and anal fistula; (l) Hypertension, atherosclerosis, dyslipidemia; (m) Neurological disorders like Paralysis; (n) Osteoarthritis, gout, hyperuricemia; (o) Peptic Ulcer Disease; (p) Primary Koch s Infection/ Tuberculosis; (q) Prostate diseases like benign prostatic hypertrophy; (r) Thyroid disease (Nodular Nontoxic Goiter, Hypothyroidism, Hyperthyroidism); (s) Varicose veins; (t) Any dreaded disease, if present upon enrolment. 25

26 The following, among others, are considered dreaded diseases: (a) Cerebrovascular Accident (stroke); (h) Diabetes Mellitus and its complications; (b) Central Nervous System lesions (Poliomyelitis / Meningitis / Encephalitis / neurosurgical conditions); (c) Cardiovascular Disease (Coronary / Valvular / Hypertensive Heart Disease / Cardiomyopathy) ; (d) Chronic Obstructive Pulmonary Disease (Chronic Bronchitis / Emphysema), Restrictive Lung Disease; (e) Liver Parenchymal Disease(Cirrhosis, Hepatitis (except Type A), New growth); (f) Chronic Kidney / Urological disease (Urolithiasis, Obstructive uropathies, etc.); (g) Chronic Gastrointestinal Tract Disease requiring bowel resection and/or anastomosis; (j) Malignancies and Blood dyscrasias ( Cancer, Leukemias, Idiopathic Thrombocytopenic Purpura); (k) Complications of an apparent ordinary illness including MODS and SIRS (e.g. sepsis due to pneumonia, typhoid ileitis, cerebral malaria, etc.); (l) Single or multiple organ dysfunction and failure (MODS and MOF); (m) Conditions that may require dialysis; (n) Chronic pain syndrome (greater than six weeks); (o) Any illness other than the above which would require Intensive Care Unit confinement. 26

27 COVERAGE OF PRE-EXISTING CONDITIONS For Individual/Family Account 1st Year No coverage. After 12 months and upon renewal, said pre-existing illness will be covered based on the following schedules: 2 nd Year 50% of ABL (Aggregate Limit) 3 rd Year 100% of MCB (per illness/year) However, for kidney & gallstones cases, coverage shall be up to 75% of MCB (Aggregate Limit); unless the case falls under the provisions on exclusions and limitations clause. No coverage for dreaded diseases and conditions except for cases acquired during the effectivity of membership. 4th and succeeding years 100% of MCB (per illness/year) for all medical cases. Corporate Account PEC coverage may vary depending on the Healthcare Agreement. IX. MAXIMUM COVERAGE BENEFIT (MCB) ValuCare planholders are protected by a Maximum Coverage Benefit (MCB). The MCB is automatically replenished the following year upon renewal giving the planholder FULL BENEFIT COVERAGE every year. Coverage is always subject to Pre-existing Conditions provisions, exclusions and limitations, antecedent expenses. X. GENERAL EXCLUSIONS AND LIMITATIONS ValuCare does not cover the following as part of the Standard Health Service Agreement. However, any item/s included in a member s program supersedes the item in question. Non-Transferability of Benefits The healthcare benefits under this Agreement are personal to the planholder. Under no circumstance whatsoever shall they be transferred or assigned to another person. 27

28 Philhealth Benefits Philhealth Members Benefits under Philippine Health Insurance Corporation (PHIC) shall first be deducted before applying any of the benefits due a planholder under this Agreement. Hence, planholders who are members of Philippine Health Insurance Corporation (PHIC) and/or ECC shall, before discharge, submit to the admitting hospital all documents necessary to avail themselves of the benefits under the said medical insurance program. Failure to do so shall make the planholder liable for any unclaimed Philippine Health Insurance Corporation (PHIC) and/or ECC benefit. ValuCare is therefore under no obligation to pay or advance the cost of the benefit under Philhealth. Non-Philhealth Members ValuCare planholders who are not members or beneficiaries of Philhealth shall be liable to pay the applicable Philhealth portion of the hospital expenses and professional fees.. Deed of Subrogation A planholder shall be entitled to the Emergency Care services described in Annex B for injuries sustained in a motor vehicle accident caused by the willful act or negligence of a third party provided that the planholder, or his legal guardian (if the Plan holder is a minor), executes a Deed of Subrogation assigning to ValuCare whatever rights or causes of action that he or his ward may have against the third party or his insurer by reason of the said accident, up to the extent of the value of the services ValuCare has so rendered. No Liability ValuCare shall not be liable for any defaults, failures to assist, or delays in the delivery of services herein provided which are due to causes beyond its control, including, but not limited to, acts or any order of government, fires, floods, epidemics, complete or partial destruction of hospital or medical facilities, civil disturbances, strikes and other labor disputes, unduly severe weather, or incidents of war. ValuCare shall, however, continue to exert its best efforts to provide healthcare services to the Member insofar as circumstances will allow. 28

29 Refusal to Comply with Treatment ValuCare shall have no obligation to continue providing healthcare coverage to planholders who refuse to comply with any treatment or procedure recommended by a ValuCare accredited physician. ValuCare is also under no obligation to continue providing healthcare coverage to planholders who refuse to be discharged from confinement after his/her attending ValuCare physician has recommended the discharge. Hospital Policy Hospital care services shall be subject to the rules and regulations of the Accredited Hospital. XI. STANDARD EXCLUSIONS AND LIMITATIONS No healthcare benefits shall be paid for the following: a) Service from Non-ValuCare accredited physicians and / or non-valucare accredited Hospitals and other health / medical providers, including adverse medical conditions arising from the same except those stipulated under the provisions on emergency care services; b) Convalescent Care or Rehabilitation Care - A care to help restore a person s ability to function as normal as possible after a disabling illness or injury which do not require confinement to a hospital/institution; Custodial or Intermediary Care - Non-medical care furnished primarily to provide room and board but skilled nursing care is not; Domicilliary Care - A level of care for persons requiring minimal attention that is provided in a planhololder s residence; medical Confinements which are for purely diagnostic purposes except as specified in this Agreement; 29

30 c) Diagnostic work-ups, treatment and operations, to treat congenital deformities and abnormalities (e.g., herniorrhaphy to treat indirect inguinal hernia); d.) Diagnostic examinations and treatments for cosmetic purposes, and / or treatment of illnesses resulting from cosmetic procedures, except reconstructive surgery necessary to treat a functional defect resulting from an accident injury; e) Weight reduction programs, surgical operation or procedure for treatment of obesity, including, but not limited to, gastric stapling; f) Maternity care and other conditions resulting from and related to pregnancy; g) Physical Examinations and Psychological testing necessary for employment, school, insurance or licensing purposes; h) Experimental medical procedures or alternative medicines, such as but not limited to acupuncture, acupressure reflexology and chiropractic's; i) Services to diagnose, work up, treat and / or reverse infertility or fertility, virility / potency (erectile dysfunction); j) Organ transplantation and related laboratory examination, and its complications; k) Purchase or lease of medical equipment, oxygen and oxygen dispensing equipment except during covered in-patient care; l) Corrective appliances, artificial aids, surgically implanted internal and external prosthetic devices; m) Speech Therapy for congenital and developmental disorders; n) Psychiatric and / or psychological illnesses and conditions including neurotic and psychotic behavior disorders; Anxiety disorders; Hyperventilation Syndrome o) Prescribed out-patient or take home medicines; 30

31 p) Treatment of injuries or illness resulting from war, or any combat related activities while in Military service; injuries resulting from riots, strikes, and other civil disturbances; injuries or illnesses resulting from attempted suicide or selfdestruction, regardless of whether planholder was sane or insane; diagnostic examinations & treatment of infectious disease declared as epidemic by the Department of Health of the Philippines; q) Treatment of illnesses and injuries attributable to the Planholder's own misconduct, domestic violence, assault, gross negligence, alcoholic intoxication, illegal drug use, intemperate or chronic use of drugs or alcoholic liquor (e.g., hepatic cirrhosis secondary to alcoholism), sexually transmitted diseases like AIDS, gonorrhea and syphilis, condylomata, herpes and their attendant complications, participation in the commission of a crime whether consummated or not, violation of a law or ordinance, and unnecessary exposure to any imminent danger or hazard to health; r) Dental cases and illnesses, including its complications; oral surgery for purposes of beautification; s) Treatment of injuries or illnesses caused by directly or indirectly by participation in any hazardous sport or activity which includes, but is not limited to, BASE jumping, bunjee jumping, gliding, hang gliding, high wire, sky jumping, skydiving, sky surfing, ballooning and sky flying; land sports including martial arts (judo, karate, taekwondo), gymnastics, boxing, wrestling, horseback riding, polo, paintball, mountain or indoor climbing, rock climbing, motor sports (car racing, motorbike racing), adventure racing, aggressive inline skating, BMX, extreme motocross, extreme skiing, freestyle skiing, land and ice yachting, mountain biking, mountain boarding, outdoor climbing, caving or spelunking, sand boarding, skateboarding, speed biking, speed skiing, scootering and street luge; water sports including barefoot water skiing, cliff diving, free-diving, jet skiing, open water swimming, powerboat racing, round the world yacht racing, scuba diving, snorkeling, speed sailing, surfing, wakeboarding, whitewater kayaking, windsurfing; among others. 31

32 t) Treatment of injuries sustained in a motor vehicle accident where planholder is not at fault, if the planholder or his guardian fails or refuses to execute the Deed of Subrogation specified in Article 6.3; u) Corrective eye surgery for error of refraction such as myopia, astigmatism and hyperopia; v) Allergy testing, desensitization treatment and related materials w) Professional fees of medico-legal officers; x) Congenital and genetic disorders, developmental disorders, sleep and eating disorders; and metabolic conditions like but not limited to Crigler-Naijar syndrome, cystinosis, diabetes insipidus, Fabry, fatty acid metabolism disorders, galactosemia, Gaucher glucose 6-phosphate dehydrogenase (G6PD), Hurler- Scheie, Hunter hypophosphatemia, lactic acidosis, mucopolysaccharidosis, Niemann-Pick, organic acidemias, purine phenylketonuria (PKU), Pompe, porphyria, Pseudo-Hurler, pyruvate dehydrogenase deficiency. y) job-related illnesses and injuries. of workers obtained in any of the following hazardous workplaces: (i) where the nature of work exposes the workers to dangerous environmental elements, contaminants or work conditions including ionizing radiation, chemicals, fire, flammable substances, noxious components and the like; (ii) where the workers are engaged in construction work, logging, firefighting, mining, quarrying, blasting, stevedoring, dock work, deep-sea fishing and mechanized farming; (ii) where the workers are engaged in the manufacture or handling of explosives and other pyrotechnic products; (iv) where the works use are exposed to power driven or explosive powder actuated tools; and (v) where the workers are exposed to biologic agents such as bacteria, fungi, viruses, protozoas, nematodes and other parasites. 32

33 z) Slipped disc, spondylosis, scoliosis, spinal stenosis; neurological diseases like multiple sclerosis, demyelinating disease, Guillain Barre Syndrome, Parkinson s disease, Alzheimer s disease, Myasthenia Gravis, epilepsy, congenital seizure disorders and other autoimmune-neurologic diseases; aa) Dermatological care for aesthetic purposes such as but not limited to electrocautery, laser treatment or chemical treatment for skin tags, xanthelasma, milia, keloids, scars, etc.; Psoriasis and vitiligo; bb) Circumcision, except to correct phimosis; cc) Gamma globulins, immunoglobulin (e.g. rabies hormonal therapy; immunoglobulin) interfere on and dd) Screening tests; ee) Vaccines (except anti-tetanus, anti-rabies, and anti-venom, if with coverage); ff) Hyperalimentation (parenteral nutrition); gg) Molecular genetic/chromosomal diagnostic examinations. hh) Collagen diseases, including Systemic Lupus Erythematosus, Scleroderma, dermatomyositis, polymyositis; 33

34 XII. PHILHEALTH INTEGRATED VALUCARE HEALTH PLAN The plan is integrated with Philhealth. Filing of Philhealth is required prior to discharge for the following: Admissions more than 24 hours Philhealth compensable out-patient minor medical/surgical procedures Endoscopic procedures Cataract Extraction Chemotherapy Radiotherapy Dialysis Lithotripsy Note: Please keep the acknowledgement receipt for future reference. Philhealth portion will be paid thru our clinic. Billing section of hospital or coordinator s clinic for hospital not giving outright deduction for outpatient cases. 34

35 XIII. VALUCARE CUSTOMER SERVICE All questions or concerns of members about the medical services and benefits shall be directed to the ValuCare Head Office. Members should give complete information so that the Medical Liaison Officers or the Account Management staff or Administrative Personnel can assist in the immediate resolution of the concern. TRUNK LINE (connecting to all departments) (02) /7 CUSTOMER SERVICE HOTLINES (toll free) (02) ; (02) SMS Services CUSTOMER CARE (02) (02) ; (02) address: 35

36 VALUCARE DEPARTMENT NUMBERS: Network/Provider Services (02) ; (02) (02) loc Business Development (02) ; (02) (02) ; (02) Account Management (02) to 52 Underwriting (02) to 36 Billing and Collection (02) to 42 Claims (02) ; (02) to 57 Reimbursement (02) ; (02) APE Unit (02) ; (02) Accounting (02) to 76 36

37 List of Accredited Hospitals and Clinics As of May 2014 DISCLAIMER This list is subject to change without prior notice. Before visiting any of these hospitals/clinics, members are encouraged to confirm/verify the updated list thru the ValuCare website ( or call the Customer Service Hotline (02) ; (02)

38 ACCREDITED HOSPITALS ACCREDITED HOSPITALS NATIONAL CAPITAL REGION (NCR) CALOOCAN CITY MARTINEZ MEMORIAL HOSPITAL (2) 198 A. Mabini st., Maypajo Caloocan City to 63 PLAN COORDINATORS & SCHEDULE: Dr. Santos Del Rio Jr. Family Med. 9am-12nn M-Sat./ New Bldg., G/F MCU-F.D. TANCHOCO MEDICAL FOUN- DATION HOSPITAL (3) Samson Road, Cor. EDSA, Caloocan City ; ; to 45 Dr. Delia Lim Family Med. /Adult Plan Coor Monday & Wednesday 9am-11pm Dr. Catherine Gironella Pedia Plan Coor. Mon. to Fri. 11-1pm, Rm. 7 NODADO GENERAL HOSPITAL (2) Area A. Camarin, Caloocan City ; (0917) MEDILINK: Cashier (OP/IP) NORTH CALOOCAN DOCTORS HOSPITAL, INC. (2) L31 B10 Quirino Highway, Bankers Village 2 Caloocan City SAN LORENZO GENERAL HOSPITAL HEALTH MANAGEMENT CO., INC. (1) #24 Brgy. 170 Zone 15, Deparo, Caloocan City, Tel no.: LAS PIÑAS ALABANG MEDICAL CLINIC ( Talon Branch) (2) Alabang Zapote Rd., cor Mendoza St., Talon, Las Piñas City ; MEDILINK POS: Information (OP/IP) Please proceed to Industrial Department CHRIST THE KING GENERAL HOSPITAL, INC. (2) 130 Real St., Pamplona Uno Las Piñas City ; Pls. proceed to HMO Dept. PLAN COORDINATOR: Dr. Juliana Gonzales IM-General Dr. Leonida Trinidad Anesthesiology TTH PM 38

39 ACCREDITED HOSPITALS E. ZARATE HOSPITAL (2) 16 J. Aguilar Ave., Talon 1, Las Piñas City M.M ; Pls. proceed to HMO Dept. DR. E. ZARATE GEN. HOSPITAL INC. 5 Crystal St., Golden Acres, M. Alvarez Ave., Talon V, Las Piñas City M.M ; Pls. proceed to HMO Dept. LAS PIÑAS CITY MEDICAL CENTER (3) 1314 Marcos Alvarez Avenue, Talon 5, Las Piñas City ; ; MEDILINK POS: Admitting /HMO (OP/ IP), ER (OP/IP) Pls. proceed to the HMO Department PLAN COORDINATORS: Dr. Esmeralda dela Rosa Internal Med. T-TH-S / 10-12nn Industrial/HMO Dept.: Local 101 Ground Floor, 8am-5pm Everyday Dr. Florentina Ty Pedia. Mon to Fri 8-5pm Dr. Angelo Alcala IM-Cardiology Rm Mon,Wed,Fri 4-6pm Dr. Erickson Viola Pedia-General Rm Mon-Sat 8-10am Dr. Normelita Zalamea Rm. 315 On Call LAS PIÑAS DOCTORS HOSPITAL (3) GP Aguilar Ave. Pulang-Lupa II, Las Piñas City (in front of Southville International School) ; MEDILINK POS: E R (OP/IP), Business Office (OP/IP) MEDILINK POS: Information (OP/IP) Dr. Corazon Soqueño Pediatrics 1pm-3pm M-Sat. / 3rd Flr. Dr. Nestor Jogie Arroyo Please proceed to HMO Dept. UNIVERSITY OF PERPETUAL HELP DALTA MEDICAL CENTER (3) Pamplona Las Piñas, Metro Manila ; MEDILINK POS: Admitting (OP/IP), Emergency Room (OP/ IP) Dr. Manolo Lee Internist 10am-2pm MWF; 2pm-4pm Tues. / Rm.407 4pm-6pm MWF / Rm.207 MAB Dr. Lorna Dideles Pedia. 7am-9am M-Sat. / Rm. 407 MAB 39

40 ACCREDITED HOSPITALS MAKATI MAKATI MEDICAL CENTER (3) Amorsolo cor. Dela Rosa St., Makati City MEDILINK POS: Admiting (OP/IP), Emergency Room (OP) IN-PATIENT PLAN COORDINATORS & SCHEDULE: Dr. Thomas Dy - IM / Surgeon 9am-12nn M-Sat.; 3pm-6pm M-F MEDILINK POS: (OP) Rm. 254 / Tel. No Dr. Jose Sanchez IM/ Cardio. 11am-2pm MWSat.; 4pm-6pm TThF MEDILINK POS: (OP) Rm. 257 / Tel. No Dr. Federico Leelin IM/ Gastro. 10am-12nn MWF; 2pm-5pm TTh. MEDILINK POS: (OP) Rm. 319 Dr. Rosario Paguntalan - Pedia. 10am 1:30pm M-F; 10am-3pm MEDILINK POS: (OP) Sat. / G/F 12B Dr. Rita Josephine Dolendo-Pediatrics MB M-Sat except W 9-12nn, 1-5pm; W 1-5pm ST. CLARE S MEDICAL CENTER, INC.(3) 1838 Dian St., Palanan, Makati City MEDILINK POS: (OP/IP) Dr. Araceli P. Jo. 3pm-5pm MWFSat.; TTh 10-12nn Rm. 401 MANDALUYONG DR.V.R. POTENCIANO MED. CENTER (3) 163 EDSA, Mandaluyong City to 21 / MEDILINK POS: Accounting (IP), Emergency Room (OP/ IP),Industrial (OP//IP) Dr. Russelini Magdaong - IM / Gastroenterology 1pm-3pm MWF / Rm.405 Dr. Cynthia Aquino - Pediatrician 4pm-6pm MWF / Rm.207 Dr. Mario Lopez-De Leon IM / Cardio. 12nn-3:30pm M-Sat. / Rm. 319 Magdaong, Rossellini R. (IM-Gastroenterology)/1pm to 3pm M-W / rm. 405 MEDILINK POS: (OP) 40

41 ACCREDITED HOSPITALS MANILA AMISOLA MATERNITY HOSPITAL (2) 1068 Hermosa St., Manuguit, Tondo Manila Fax. No (for OB-Gyne & Pedia Cases only) Dr. Salome Amisola OB-Gynecology 10am-1pm Fri & Sat.;Rm. OPD Section CHINESE GENERAL HOSPITAL (3) 286 Blumentrit St., Sta. Cruz Manila MEDILINK POS: Admitting (IP), Emergency Room (OP) Dr. Lawrence Gotamco Surgery 10am-12pm M-Sat.;Rm.MAB 618 MEDILINK POS: (OP) Dr. Josefina Chua Pediatrician 9am-12nn M-Sat. / Rm. C2 Dr. Patricia Tan OB-Gynecology¹2pm- 6pm M-Sat / Rm.A-28 Old Bldg. Dr. Samuel Ang Surgery 12nn-2pm M-Sat.except Friday/ Rm.N19 MEDILINK POS: (OP/IP) Dr. Wilson Tan de Guzman IM/Cardio. 1pm- 4pm M-F/ Rm.N18 DE OCAMPO MEMORIAL MEDICAL CENTER (3) 2921 Nagtahan St., Sta. Mesa Manila Pls. proceed to HMO Dept. PLAN COORDINATOR: Dr. Aloysius Timtiman Mon-Fri. 9-12nn/2-4pm;Sat.8-1pm MANILA DOCTORS HOSPITAL (3) United Nations Ave., Manila MEDILINK POS: Credit & Collection(IP/OP), Emergency Rm. (OP), Pre-Paid (OP) Dr. Socorro Garcia Family Med. 8am-2pm M-F/ Pre-paid Dept. Dr. Celerina Silverio Internist 9am-12nn; 2:30pm-4:30pm M-F except MEDILINK POS: (OP) Wednesday afternoon/ Rm.603 Dr. Ramon Arcadio Pediatrician 4pm-6pm M-S except Wed. / Rm.411 MEDILINK POS: (OP/IP) Dr. Justo Marino C. Cammayo; Mon to Fri Except Thurs. 8-10am; For issuance of LOA Please proceed to Hi-Precision Kalaw MARY CHILES HOSPITAL, INC. (3) 667 Gastambide St., Sampaloc, Manila to 54 MEDILINK POS: Information (OP/IP) Dr. Rolando A. Florendo Surgery 10am - 12nn By. appt Dr. Luz Escano Pedia. 11nn 4pm M-Sat. / Rm. 248 MAB Dr. Arceli Jo room

42 ACCREDITED HOSPITALS MARY JOHNSTON HOSPITAL (3) 1221 J. Nolasco St., Tondo Manila Dr. Harry Supan - (Surgeon) M-F 10-3pm MEDILINK POS: (OP) Rm. 150 Dr. Bylinda Lim Pediatrician 1pm 4pm MWF; 9am-12nn TThSat. / Rm. 129 Loc. 227 MEDICAL CENTER MANILA (3) 1122 Gen. Luna St., Ermita, Mla MEDILINK POS: Admitting(IP), ER (OP/IP) Dr. Benito Chua - (Gen. Surg. / Plan Coor ) M-F 2:30pm -6:00pm; Sat. by appt. RM 316 METROPOLITAN MEDICAL CENTER (3) 1367 Masangkay St., Sta. Cruz, Manila MEDILINK POS: ER (OP/IP) Dr. Erwin del Rosario Internist 9am-12nn TThSat. Loc. 2043/ Rm.243 Dr. Ruben Gawki Gen. Surgery M-F 10:00am-12:00nn; 2:00pm-5:00pm; Sat.2:00pm-5:00pm Dr. Jayvee Gutierrez (IM-Pulmonology) Tues, Thurs & Sat 2-6pm Dr. Helen Buenvenida (Pediatrics) Mon to Fri 10-12nn OUR LADY OF LOURDES HOSPITAL (3) 46 P. Sanchez St., Sta. Mesa, Manila MEDILINK POS: Admitting (OP/IP) ER-Pedia (OP) Dr. Isabel Savillo-IM 10am-1pm M-Sat. except Th Rm. 418 New Bldg. Dr. Jill Buensuceso-IM 1:30-3:30pm MThF; Sat. 4-6pm Rm.407 MAB Dr. Herminia Carandang Pediatrician 11am-3pm M-Sat. except Wed. Rm. 419 New Bldg. Dr. Ruben Ibañez Pediatrician 10am-12nn M-Sat. Rm.308 MAB PERPETUAL SUCCOR HOSPITAL & (2) MATERNITY, INC. 836 F. Cayco St., Sampaloc, Manila Pls. proceed to the HMO Department PLAN COORDINATORS: Dr. Celerino O. Bernas-Adult & Pedia Coordinator Mon-Sat 10-12nn PHILIPPINE GENERAL HOSPITAL (3) Philippine General Complex, Taft Ave. Manila Dr. Scarlett Mia S. Tabuñar 8am-5pm M-Fri. Emergency Medicine 42

43 ACCREDITED HOSPITALS UNIVERSITY OF SANTO TOMAS HOSPITAL, INC. (3) España Blvd. Sampaloc Manila MEDILINK POS: Billing (OP/IP), Credit & Collection (OP/IP),E.R. Dr. Iluminada Lerma Meneses Pedia. M-Sat Except Tues 2-6pm / Rm.113 Dr. Aurora Bauzon Pedia. 10am-12nn M-F; Sat. 10am-1pm Rm Dr. Rafael Bantayan Family Medicine 9am 12nn Mon-Fri. Rm. 431 MAB (for OPD patients only) ST. JUDE HOSPITAL AND MEDICAL CENTER (3) Dimasalang cor. Don Quixote St., Sampaloc Manila PLAN COORDINATOR: Dr. Policarpio B. Joves, Jr. Family Medicine Pls.proceed to Dept. of Family Medicine YGEIA MEDICAL CENTER (2) 2081 President Quirino Ave., Pandacan, Manila to 65 fax MARIKINA GARCIA GENERAL HOSPITAL (2) # 49 Bayan Bayanan Ave., Marikina Heights, Concepcion, Marikina City ; / Fax. No MEDILINK POS:Information (OP/IP) Dr. Nestor Garcia Family Medicine 8am 5pm M-F/ OPD JESUS IMMACULATE CONCEPTION HOSPITAL(2) Katipunan Ave., Marikina Heights Subd. Concepcion, Marikina City MEDILINK POS:Admin. Office tele Fax: Plan Coordinator &Sched: ZuluetaEditha C. (Pediatrics-General) MWF 12:30-5 PM; TThSat 10:30-5PM MARIKINA VALLEY MEDICAL CENTER(3) Sumulong Highway cor. Aguinaldo St., Marikina City Plan Coordinator &Sched: Julian, Joel G. (Pediatrics-General)/ Tues 10-12nn ; Wed & Fri 1-3pm/ rm. 309 MEDILINK POS:HMO Office SDS MEDICAL CENTER (2) Katipunan Ave., cor. Pio del Concepcio, Marikina City ; 7078 MEDILINK POS:HMO Office Dr. Minda Siasoco Internal Medicine 4pm 6pm MWF/ OPD 43

44 ACCREDITED HOSPITALS ST. ANTHONY MEDICAL CENTER OF MARIKINA (3) 32 Sta. Ana Ext cor. Betelnut St., San Roque, Marikina City ; Pls. proceed to HMO Dept. PLAN COORDINATORS: Dr. Elmer Garcia STA. MONICA GENERAL HOSPITAL (2) 138 A. Bonifacio Avenue, Tañong Marikina / / MARIKINA ST. VINCENT GENERAL HOSPITAL (2)\ # 35 Bayan Bayanan, Concepcion, Marikina City ; MEDILINK POS: OP/IP PLAN COORDINATORS: Dr. Loraine Escarcha Pedia Dr. Edgardo Deoduco -OPD Dept. 1. DEODUCO, EDGARDO O. - (Anesthesiology-Pain Management)/M-F/ 2. MERCADO, EDMUNDO - (Surgery- General)/M-F 10-5pm; Sat 9-12nn/ Rm. HMO OFFICE ST. VICTORIA HOSPITAL (2) #444 J.P Rizal St. Marikina City MEDILINK POS: ER OP/IP ; ; PLAN COORDINATOR: Dr. Efren C. Reyes Adult Plan Coor. / Surgery MUNTINLUPA ALABANG MEDICAL CENTER (3) Alabang Zapote Road, Alabang Village ; (Present VC-ID to Information) MEDILINK POS: Information 44 (OP/IP),ER (OP/IP) Dr. Anita Ty Pedia. Coordinator 1pm-5pm M-Sat. / Ground Flr. ALABANG MEDICAL CLINIC (2) (Clinic Systems Inc.) Main CSI 297 T. Montillano St Alabang, Muntinlupa ; Fax No MEDILINK POS: Information (OP/IP) Please proceed to Industrial Department ALABANG MEDICAL CLINIC ( Muntinlupa Branch) (2) #1 National Rd. Putatan Muntinlupa ; ; MEDILINK POS: Information (OP/IP) Please proceed to Industrial Department BEATO-CAUILAN HOSPITAL Villa Carolina I Subd., National Highway, Tunasan Muntinlupa City Pls. proceed to Emergency Room ASIAN HOSPITAL AND MEDICAL CENTER (3) 2205 Civic drive Filinvest Corporate city, Alabang Muntinlupa City to 02 Fax PLAN COORDINATOR :RM309 Dr. Maximo S. Abuel Pedia Coor. Mon. Sat nn Dr. Malen M. Gellido Adult Coor. Surgery Onco. Mon.3-6/Wed 4-6 /Sat 3-6 by appointment Dr. Gabriel Natividad Adult Coor. Surgery Onco. Tues, Thurs, Sat

45 ACCREDITED HOSPITALS MEDICAL CENTER MUNTINLUPA, INC.(3) 338 National Rd. Putatan Muntinlupa ; Fax.No MEDILINK POS: Billing (OP/OP), OPD (OP/ IP), ER(OP/IP) Dr. Esmeralda dela Rosa Adult Coor. 3pm-5:30pm TTh / OPD 2 nd Flr. Dr. Zenaida Buendia - Pediatrician 8am-12nn TThSat. 10am-12nn; 5pm-7pm MWF/ Rm. 335 PARAÑAQUE MEDICAL CENTER PARAÑAQUE (3) Dr. A Santos Ave., Sucat Road, Parañaque OLIVAREZ GENERAL HOSPITAL (3) Dr. A.Santos Ave. Sucat Rd., Parañaque Metro Manila ; ; ; Accounting (IP) MEDILINK POS: Information (OP/ IP), Dr. Lorna Palogan - IM / Infectious Dse. 11am-2pm M-Sat. / Rm.102 Dr. Neal Orteza Pediatrician 9am-12nn; 3pm-5pm M-F except Wed. 9am-12nn Wed.& Sat./ Pedia. Clinic PARAÑAQUE DOCTORS HOSPITAL (3) 175 Doña Soledad Ave., Betterliving, Subd., Parañaque Metro Manila MEDILINK POS: Information (OP/ IP), Dr. Ronaldo C. Callera Schedule: TTH 10-12nn Room 625 Please proceed to HMO Dept. PROTACIO MEDICAL SERVICES, INC (Protacio Hospital) Quirino Ave. Tamblo, Parañaque city SOUTH SUPERHIGHWAY MEDICAL CENTER (3) Km.17, South Superhighway, Parañaque, Metro Manila ; Fax No MEDILINK POS: Cashier (OP/IP) Dr. Jose Rabe Family Medicine 9am-10am M-F PASAY MANILA ADVENTIST MEDICAL CENTER 1975 Donada St., Pasay City MEDILINK POS: Company Section (OP/ IP),Admitting (OP/IP) Dr. Eliezer Alcoriza Internal Medicine Mon-Fri 9-12nn; Mon, Wed 1-3pm; Tue, Thurs 2-4pm 45

46 ACCREDITED HOSPITALS SAN JUAN DE DIOS EDUCATIONAL FOUNDATION,INC. (3) 2772 Roxas Blvd. Pasay City MEDILINK POS: Emergency Rm. (OP/IP), CREDIT & COLLECTION (OP/IP) Dr. Marceliano Aquino - IM / Gastro. Schedule: Mon, Wed & Fri 10-12nn MEDILINK POS: (OP) Dr. Jocelyne Aquino Pediatrician 3pm-6pm M-Fri Rm.33 Sat 2-4pm Dr. Ramon Arcadio - Pedia. 10:30am -12nn MWFSat./ Rm.11 PASIG MISSION HOSPITAL PASIG(2) Km. 17 Ortigas Ave., Extension, Rosario, Pasig City ; Pls. proceed to Information PLAN COORDINATOR: Dr. Dominador Pedracio MOTHER REGINA HOSPITAL (2) #2 Ruby St. Doña Juana Subdivision, Rosario, Pasig City ; MEDILINK POS:Admin. Office Dr. Purisima Barbosa Adult Coor./OB-Gyne Mon-Sat 11 am onwards SABATER GENERAL HOSPITAL (2) Caruncho Ave., San Nicolas, Pasig City PLAN COORDINATOR: Dr. Rodolfo Sabater SALVE REGINA HOSPITAL, INC. (2) Marcos Hi-way, dela Paz, Pasig City ; ; 4847 PLAN COORDINATOR: Dr. Ronaldo V. Mendoza - IM Pulmonology ST. CHRISTIANA MATERNITY HOSPITAL (2) 3338 Magsaysay Avenue, Karangalan, Village, Manggahan, Pasig City ; ST. CAMILLUS MEDICAL CENTER (3) 116 E.Amang Rodriguez Ave., Pasig City ; to 42 Telefax THE MEDICAL CITY (3) Meralco Compound, Meralco Ave., Ortigas, Pasig City ; ; MEDILINK POS: Admitting (IP), Emergency Rm. (OP/IP), Industrial Clinic (OP/ IP), ValuCare Clinic PLAN COORDINATOR Dr. Marie Christine Yu (Pedia General) Dr. Rommel Tolentino IM-Nephrology (In-Patient Only) HOLYLIFE HOSPITAL (2) Lot 2 B-4 Pres. Quezon St., Lifehomes Subd., Rosario, Pasig City ;

47 ACCREDITED HOSPITALS MEDILINK POS: Information PLAN COORDINATOR: Dr. Jesus Acantilado - Pediatrics QUEZON CITY BERNARDINO GENERAL HOSPITAL I (3) 680 San Bartolome, Quirino Highway, Novaliches, Quezon City ; ; MEDILINK POS: Cashier (OP/ IP) BERNARDINO GENERAL HOSPITAL II (2) Blk 1 Lot 2, North Olympus, Zabarte Road, Kaligayahan, Novaliches Quezon City ; MEDILINK POS: Cashier (OP/ IP) CAPITOL MEDICAL CENTER (3) Sct. Magbanua Cor. Panay Ave., Quezon City MEDILINK POS: Admitting (OP/IP), Emergency Rm. (OP) Dr. Cesar Quiambao IM General 2pm-5pm M-F / RM 305 Dr. Agnes Calleja Pedia General Mon.tues.Wed.Sat nn/Rm.408 Dr. Amelia C. Bulmer IM Allergology Mon-Fri 8-11:30 am; Sat. 8:12nn/RM412 COMMONWEALTH HOSPITAL AND MEDICAL CENTER Lot 3&4 Blk. 3 Neopolitan Business Parl, Regalado Highway, Quezon City , ; Pls. proceed to HMO Dept. DELOS SANTOS MEDICAL CENTER (3) 201 E. Rodriguez Ave., Quezon City MEDILINK POS: Admitting (OP/ IP), Emergency Rm. (OP) Dr. Clara Rivera Internal Med. 9am-12nn TTh; 2pm-5pm Fri. / Rm. 243 Dr. Wilhelmino Villanueva- Pediatrics 10am-12nn M-Sat / Rm. B 18 DR. FE DEL MUNDO MEDICAL CENTER 11 Banawe St., 113 Quezon City ; Pls. proceed to HMO Dept. PLAN COORDINATOR: Dr. Marietta M.Diaz Pedia (Neurology) DR. JESUS DELGADO MEMORIAL HOSPITAL (3) 7 Kamuning Rd. Quezon City MEDILINK POS: Admitting (OP/IP) Dr. Asuncion Victoriano IM / Nephro. 10am-12nn M-Sat. / Rm. M-6 Dr. Helen Benitez- Pedia 10am-1pm MWF; 10am-12nn TTh 4pm-6pm;11am-6pm Sat. / Rm. M3 47

48 ACCREDITED HOSPITALS FAIRVIEW GENERAL HOSPITAL (2) Lot 20 Fairview Ave., cor. Mercury st., Brgy. Fairview, Capitol District, Quezon City FEU-NRMF MEDICAL CENTER (3) Regalado Ave., Fairview Quezon City / MEDILINK POS: ER (OP/ IP) Dr. Aldwin A. Yaneza Surg. Adult Coor 9am-12nn M-Sat.; 1pm-4pm MWF MEDILINK POS: (OP) ¹Rm. 506 MAB / Dr. Lerm Aguinaldo Pedia. Coor. 9am-12nn M-F; 2pm-4pm TThSat. MEDILINK POS: (OP) Rm. 410 / Tel. No J.P. SIOSON GENERAL HOSPITAL AND COLLEGES, INC. (2) 75 Bukidnon St., Bago Bantay, Quezon City ; (Pls. proceed to HMO Dept.) METRO NORTH MEDICAL CENTER AND HOSPITAL (3) 1001 Mindanao Avenue cor. Congressional Avenue, Quezon City ; Please proceed to HMO Office NATIONAL KIDNEY & TRANSPLANT INSTITUTE (3) East Ave., Quezon City ; ; ; (0917) MEDILINK POS: Admitting (IP) Dr. Gloria Cristal-Luna IM/Oncology 3pm-5pm M-Th; 10am-12nn Sat. Rm. 17 / Loc NODADO GENERAL HOSPITAL (1) #23 Zabarte Subdivision Brgy. Kaligayahan, Novaliches, Quezon City NOVALICHES GENERAL HOSPITAL (3) 793 Quirino Hi-way Gulod, Novaliches Quezon City ; ; LUNG CENTER OF THE PHILS. (3) Quezon Ave., Quezon City Loc. 318 (Pls.proceed to Plan Coor.) Dr. Guillermo Barroa Jr. Gen. Surgeon 10am-1pm M-F/ Rm Ms. Fina Espinosa-Secretary 10am-5pm MWF; 10am-4pm TTh PACIFIC GLOBAL MEDICAL CENTER (3) Lot 11B Mindanao Avenue, Brgy. Talipapa, Novaliches, Quezon City Please proceed to HMO Office 48

49 ACCREDITED HOSPITALS PHILIPPINE HEART CENTER (3) East Ave., Quezon City ;: to 50; (0917) (for Cardio-Vascular Cases ONLY ) MEDILINK POS: Cashier (IP) Dr. Ramoncito Tria. Cardio. 1pm-3pm M-F except Wed. / Rm. 427 MEDILINK POS: OP/IP Dr. Lam Sun Lao Cardio. 2pm-5pm M-F / Rm. 614 Q.C. ST. AGNES GENERAL HOSPITAL (3) 241 Roosevelt Ave., San Francisco del Monte, Quezon City ;11 Pls. proceed to HMO Dept. SAN LORENZO GENERAL HOSPITAL HEALTH MANAGEMENT CO., INC. (1) Quirino Highway, Pasong Putik, Novaliches, Quezon City ; MEDILINK POS: Business Office (OP/ IP Dr. Eduardo Noveloso - Surgeon ST. LUKES MEDICAL CENTER (3) #279 Rodriguez St., Quezon City ; 0301; 0199 MEDILINK POS: Admitting(IP), Emergency Rm. (OP) Dr. Samuel Ang Surgery 5-7pm M-F / Rm / South Tower FOR OPD CONSULTATION PLS. PROCEED TO: VALUCARE CLINIC (OP/IP) SCHEDULE: ValuCare Clinic Rm South Tower 8am-6pm M-F Cathedral Heights Bldg., 8am-4pm Sat ; loc UERM MEDICAL CENTER (3) Aurora Bvld., Quezon City MEDILINK POS: Business Office (OP/IP), Admitting (OP/IP) Dr. Henry Yañez Internal Medicine 1:30pm 4pm M-F / Rm. 218; Dr. Jose B. Salazar Pediatrician 10am-12nn M-Sat except Tues / Rm. 103 UNITED DOCTOR S MEDICAL CENTER(3) España Rotonda cor., #6 N. Ramirez St., Quezon City MEDILINK POS: Admitting (OP/IP), ER () Dr. Marie Grace Sulit IM-Cardio. 2pm-5pm M-Sat./ Rm. 945 Dr. Maynardo Imperio IM 8am-12nn M-F/ Rm.1024; MEDILINK POS: Admitting (OP/ IP) WORLD CITI MEDICAL CENTER (3) (formerly Quezon City Medical Ctr.) 960 Aurora Boulevard, Quezon City ; ; MEDILINK POS: Admitting (IP/OP), HMO Industrial (OP/IP), Emergency. Rm. (OP/IP) Dr. Ma. Luisa Afable - Adult Plan Coor. 9am-12nn TTh / Rm 201 Dr. Marieleise Afable Pediatrics Plan Coor. 9am-12nn MWSat., 9am-3pm F / Rm

50 ACCREDITED HOSPITALS UROLOGY CENTER OF THE PHILIPPINES (2) 62 Magninoo St., Diliman, Quezon City ; ; to 19 VILLAROSA HOSPITAL (2) 11 Salalilla Project 4, Quezon City SAN JUAN CARDINAL SANTOS MEDICAL CTR. (3) Wilson St., Greenhills San Juan MEDILINK POS: Admitting (IP/OP), Industrial (OP/IP); Emergency Rm. (OP) Dr. Samuel Ang Surgeon 5pm-7pm TTh / Rm. 208 Dr. Jose Y. Garcia Jr, - IM Nephro. RM 150, Mon-th 6:30 9:30 pm Dr. Aaron Q. Agdamag (Surgery- Laparoscopic) /Mon, Wed & Fri by appointment/ Rm. B6 OUT-PATIENT COORDINATORS: Dr. Merle Recto IM-Gastroenterology ¹10am-12nn TTh; 8am-10am Sat./ rm.101 Dr. Gina Tecson IM-Gastroenterology 9am-12nn M-F/ Rm. 225 Dr. Willy Mejia Pediatrician 10am-12nn M-Sat. except Wed. Rm. 124 Dr. Marciano Tiu Pediatrician 4pm-6:30pm M-F/ Rm. 134 TAGUIG ST. LUKE S MEDICAL CENTER GLOBAL CITY (3) 32 nd St., Fort Bonifacio Global City, Taguig City Dr. Samuel Ang-Surgery 2pm-6pm Wednesday/ Rm CRUZ-RABE MATERNITY AND GENERAL HOSPITAL 57 General Luna St., Tuktukan Taguig city / FAX: VALENZUELA FATIMA UNIVERSITY MEDICAL CENTER, INC. (3) 120 McArthur Highway Valenzuela ; ; MEDILINK POS: Information (OP/IP) Dr. Donato Ting IM 10am-12nn M-F / Ground Floor SANCTISSIMO ROSARIO GENERAL HOSPITAL 2 Espiritu St., Marulas, Valenzuela ; PLAN COORDINATOR Dr. Serafin David Serapio IM PROVINCIAL HOSPITALS CORDILLERA ADMINISTRATIVE REGION (CAR ) ABRA DR. PETRONILO V. SEARES HOSP. (2) Penarubia St., Bangued Abra (074) ; PLAN COORDINATOR: Dr. Hubert Seares Surgeon Pls. proceed to HMO Dept. 50