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This ValuCare HANDBOOK belongs to

____________________________

Home No.: __________________

Office No: ___________________

Mobile No.: _________________

E-mail: _____________________

05-2014v

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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!

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TABLE OF CONTENTS

Page

BENEFITS AND AVAILMENT PROCEDURE

OUT-PATIENT SERVICES ….…….……… 16

IN-PATIENT SERVICES ………..……….……… 17

PREVENTIVE HEALTH ………...…… 21

EMERGENCY SERVICES ………...… 21

STANDARD DENTAL BENEFITS ………..….. 23

NON-NETWORK EMERGENCY ….………..……. 23

REQUIREMENTS FOR REIMBURSEMENT ………... 24

PRE-EXISTING CONDITION (P.E.C.)………...……….. 24

MAXIMUM COVERAGE BENEFIT (M.C.B.) ….……… 27

GENERAL EXCLUSIONS AND LIMITATIONS …….… 27

STANDARD EXCLUSIONS AND LIMITATIONS ……. 29

PHILHEALTH INTEGRATED VC HEALTH PLAN…… 34

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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

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Page

PROVINCIAL HOSPITALS

Abra ……….………...………... 50

Agusan del Norte …………...………...………... 86

Aklan ………...………..………...………... 75 Albay ………...………...………... 73 Baguio-Benguet ………….………..………...………... 51 Basilan ………...…….. ………...………... 86 Bataan …….………..………...………... 56 Batanes ……….……..………….………...………... 53 Batangas ………..……….………... 62 Bohol ……….…….………... 76 Bukidnon ………..………...…... 81 Bulacan ………...………….………... 57 Cagayan………...………….………...……... 53 Camarines Norte………..…..………...…... 74 Camarines Sur ………...…………..………...…... 75 Capiz ………...………...…... 75 Catanduanes ………....………...…... 74 Cavite………...………..………...…... 64 Cebu ……….………..………...…... 77 Cotabato ………..………...…... 85 Davao City ………...………...…... 82

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Davao del Sur ………..…….……… 84

General Santos City ………..………...……… 84

Ifugao ………...…….………...……… 51 Ilocos Norte ………...………...……… 51 Ilocos Sur ………...……….………..……… . 51 Iloilo ……….……… ... 75 Isabela ……….…..………...……… 54 La Union………..……….…… . 52 Laguna ……….…..………...……… 67

Lanao del Norte ………..………...……… 81

Leyte ……….………...……… 79 Misamis Occidental …………..………...……… 81 Misamis Oriental ………..….………...……… 81 Negros Occidental………….…….………...……… 76 Negros Oriental ………...………..……… 79 North Cotabato……….………...……… 85 Nueva Ecija ……….………...……… 60 Nueva Viscaya ………...…..……… ... 54 Occidental Mindoro ………...….……… ... 72 Oriental Mindoro …………...………... 73 Palawan ………...……… ……… 73 Pampanga ……….……….……… ……… . 54

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Pangasinan ………...……….…...………...………. 52 Quezon ……….….…...………...………. 70 Rizal ………...….…...………...………. 71 Romblon ………...….…...………...………. 73 Sorsogon ……….…….…...………...………. 74 South Cotabato ………...………...………. 85 Sultan Kudarat ………..………...………..………. 86

Surigao del Norte……….………...……..……… …. 86

Surigao del Sur ………...………...………..………. 86

Tarlac ……….….…...………...………. 61 Tawi-Tawi……….….…...………...………. 86 Western Samar ………..….…...………..………. . 80 Zambales ………..………...……..………. …. 61 Zamboanga City ……… 80 Zamboanga Sibugay………..…...……..……….…. 80

Zamboanga del Norte ……….……...……..………. …. 80

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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

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PROVINCIAL LABORATORIES AND CLINICS

Agusan Del Norte ……… 120

Aklan ………...…… 114 Aurora………. 104 Baguio ………...…… 103 Benguet ………...…… 103 Batangas ………..…… 107 Bohol ……….……. 116 Bulacan ……….……. 104 Cagayan……….. 104 Cagayan de Oro ………... 118 Capiz ……… 114 Cavite………..…… 108 Cebu ………... 116 Davao ………...……. 119

General Santos City ………...….. 120

Iloilo ……….…… 114 Isabela……….…… 104 La Union………. 104 Laguna ………...… 110 Legazpi City ……….…… 114 Leyte ……….….. 118

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Lucena ………...…… 112 Naga ……….. 114 Negros Occidental ………… 115 Negros Oriental ………. 117 Palawan ………. 113 Pampanga ……….. 105 Pangasinan ………. 104 Rizal ……… 112

Surigao del Norte ………….. 120

Surigao del Sur ……… 120

Tarlac ……….. 107

Zambales ………. 106

Zamboanga del Norte……. 118

REHAB. CLINIC ………..…… 121

DIALYSIS CLINIC ………. 122

LAPAROSCOPY CENTER………..……… 123

LITHOTRIPSY CENTER...………..……… 123

DIAGNOSTIC IMAGING CENTER…….………… 124

EYE CENTER……….. 125

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DENTAL PROVIDERS

NATIONAL CAPITAL REGION

Caloocan City ………

128

Las Piñas ………..

129

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 ………

161

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PROVINCIAL DENTAL PROVIDERS

Agusan del Norte ……… 162

Agusan del Sur ……….. 162

Aklan……… 162 Antique ………... 162 Aurora ………... 162 Bacolod ……….. 162 Baguio ………. 163 Batangas ……… 163 Bukidnon ……….. 165 Bulacan ……… 165 Cagayan de Oro ……….. 167 Cagayan Valley ………. 168 Camarines Norte ………. 168 Camarines Sur...……….………... . 168 Cavite ……….. 168 Cebu ………. 170 Davao ……….. 172 Dumaguete………. 174 General Santos ………. 174 Iligan City ……….. 174 Ilocos Sur ……….… 174 Iloilo ………... 174

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Isabela ………..……….... 176 Laoag...………... … 176 La Union ………... 176 Laguna ………... 176 Legaspi ……….………... . 181 Masbate………. 181 Mindoro ………... … 181 Misamic Occidental……… 181 Naga ……… 181 North Cotabato ……… 182 Nueva Ecija…... ……… 182 Occidental Mindoro ……….. 183 Olongapo ……….. 183 Pampanga ……… 183 Pangasinan ………. 184 Quezon Province ………. 184 Rizal ………. 185 South Cotabato ……… 189 Tacloban ……… 189 Tagaytay City ……….……… 189 Tagum City ……….. 189 Tarlac ……….. 190
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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 consulta-tion and hospitalizaconsulta-tion 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.

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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
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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
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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 verifica-tion 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)
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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 planhold-er’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

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Example:

Total Hospital Bill -

P 50,000

Room & Board

-

P 10,000

Disapproved charges -

P 350

P 39,650

X

30%

Incremental charges

P 11,895

1.

Excess in Room & Board = P 500 x 5 » P 2,500

2.

Incremental on hospital charges

» P 11,895

3.

Incremental on professional fees *

Surgeon’s Fee

» P 3,000

Anesthesiologist’s Fee

» P 1,000

4. Disapproved Charges

» P 350

TOTAL

» P 18,745

*Incremental Charges on PF is based on Surgeon’s fee of

P10,000 (RUV of 100)

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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. 702-3358 & 702-3372 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.
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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 Emergen-cy Room.

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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.

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VII. REQUIREMENTS FOR REIMBURSEMENT

In-Patient

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) Out-Patient

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.

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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,

atherosclero-sis, 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,

Hypothy-roidism, Hyperthyroidism);

(s) Varicose veins;

(t) Any dreaded disease, if

present upon enrolment.

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The following, among others, are considered dreaded diseases:

(a) Cerebrovascular Accident

(stroke);

(b) Central Nervous System

lesions (Poliomyelitis /

Meningitis / Encephalitis /

neurosurgical conditions);

(c) Cardiovascular Disease

(Coronary / Valvular /

Hyper-tensive Heart Disease /

Car-diomyopathy) ;

(d) Chronic Obstructive

Pul-monary Disease (Chronic

Bronchitis / Emphysema),

Restrictive Lung Disease;

(e) Liver Parenchymal

Disease(Cirrhosis, Hepatitis

(except Type A), New growth);

(f) Chronic Kidney / Urological

disease (Urolithiasis,

Obstruc-tive uropathies, etc.);

(g) Chronic Gastrointestinal

Tract Disease requiring bowel

resection and/or anastomosis;

(h) Diabetes Mellitus and its

complications;

(j) Malignancies and Blood

dyscrasias ( Cancer,

Leu-kemias, Idiopathic

Thrombo-cytopenic Purpura);

(k) Complications of an

apparent ordinary illness

including MODS and SIRS (e.g.

sepsis due to pneumonia,

typhoid ileitis, cerebral

malar-ia, 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.

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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:

2nd Year – 50% of ABL (Aggregate Limit) 3rd 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.

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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 Phil-health shall be liable to pay the applicable PhilPhil-health portion of the hospital expens-es and profexpens-essional feexpens-es..

Deed of Subrogation

A planholder shall be entitled to the Emergency Care services de-scribed 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 con-trol, 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 inci-dents of war. ValuCare shall, however, continue to exert its best efforts to provide healthcare services to the Member insofar as circumstances will allow.

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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 medical attention that is provided in a planhololder’s residence;

Confinements which are for purely diagnostic purposes except as specified in this Agreement;

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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 reconstruc-tive 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;

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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 self-destruction, 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 miscon-duct, 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.

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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 syn-drome, cystinosis, diabetes insipidus, Fabry, fatty acid metabolism disorders, galactosemia, Gaucher glucose 6-phosphate dehydrogenase (G6PD), Hurler-Scheie, Hunter hypophosphatemia, lactic acidosis, mucopolysaccharidosis, Nie-mann-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 environ-mental 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, fire-fighting, 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.

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z) Slipped disc, spondylosis, scoliosis, spinal stenosis; neurological diseases like multi-ple 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 electrocau-tery, 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 immunoglobulin) interfere on and hormonal therapy;

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, derma-tomyositis, polymyositis;

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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.

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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) 702-3388

24/7 CUSTOMER SERVICE HOTLINES

1-800-1-888-1568

(toll free)

(02)702-3310; (02) 687-3219

SMS Services

0917-886-2892

0917-793-2273

0925-610-0301

CUSTOMER CARE

(02) 636-6315

(02) 637-9454; (02) 637-9455

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VALUCARE DEPARTMENT NUMBERS

:

Network/Provider Services

(02) 702-3368;

(02) 636-6316

(02) 702-3388 loc. 3407

Business Development

(02) 667-3525;

(02) 702-3345

(02) 702-3346;

(02) 702-3348

Account Management

(02) 702-3350 to 52

Underwriting

(02) 702-3331 to 36

Billing and Collection

(02) 702-3337 to 42

Claims

(02) 702-3354;

(02) 702-3356 to 57

Reimbursement

(02) 702-3353;

(02) 702-3355

APE Unit

(02) 702-3358;

(02) 702-3372

Accounting

(02) 702-3373 to 76

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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

(www.valucare.com.ph),

or call the Customer Service Hotline

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ACCREDITED HOSPITALS

NATIONAL CAPITAL REGION (NCR) CALOOCAN CITY

MARTINEZ MEMORIAL HOSPITAL (2)

198 A. Mabini st., Maypajo Caloocan City

 288-8861to 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

 367-2031; 365-4868; 367-2031 to 45 PLAN COORDINATORS & SCHEDULE: 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

 962-8021; (0917) 858-2602

MEDILINK: Cashier (OP/IP)

NORTH CALOOCAN DOCTORS HOSPITAL, INC. (2)

L31 B10 Quirino Highway, Bankers Village 2 Caloocan City

 961-5213

SAN LORENZO GENERAL HOSPITAL HEALTH MANAGEMENT CO., INC. (1) #24 Brgy. 170 Zone 15, Deparo, Caloocan City , Tel no.: 939-6042

LAS PIÑAS

ALABANG MEDICAL CLINIC ( Talon Branch) (2)

Alabang Zapote Rd., cor Mendoza St., Talon, Las Piñas City

873-6464 ; 874-2506

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

 873-0604; 873-1119

Pls. proceed to HMO Dept.

PLAN COORDINATOR: Dr. Juliana Gonzales – IM-General Dr. Leonida Trinidad – Anesthesiology TTH- 10-12PM

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E. ZARATE HOSPITAL (2) 16 J. Aguilar Ave., Talon 1, Las Piñas City M.M.

 871-1440; 874-6905

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.

806-2026; 806-0039

Pls. proceed to HMO Dept.

LAS PIÑAS CITY MEDICAL CENTER (3) 1314 Marcos Alvarez Avenue, Talon 5, Las Piñas City

800-5695; 800-5524; 800-5678

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. 602 - Mon,Wed,Fri 4-6pm Dr. Erickson Viola – Pedia-General Rm. 202 - 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)

825-5236; 825-5293

MEDILINK POS:

E R (OP/IP), Business Office (OP/IP) MEDILINK POS: Information (OP/IP)

PLAN COORDINATORS & SCHEDULE: 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

874-8515; 873-1624

MEDILINK POS: Admitting (OP/IP), Emergency Room (OP/ IP)

PLAN COORDINATORS & SCHEDULE: Dr. Manolo Lee – Internist

10am-2pm MWF; 2pm-4pm Tues. / Rm.407

 4pm-6pm MWF / Rm.207 MAB Dr. Lorna Dideles – Pedia.

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MAKATI

MAKATI MEDICAL CENTER (3) Amorsolo cor. Dela Rosa St., Makati City

 888-8999

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. 813-4281 Dr. Jose Sanchez – IM/ Cardio.

11am-2pm MWSat.; 4pm-6pm TThF

MEDILINK POS: (OP)

Rm. 257 / Tel. No. 840-4115 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 235 - M-Sat except W 9-12nn, 1-5pm; W 1-5pm

ST. CLARE’S MEDICAL CENTER, INC.(3) 1838 Dian St., Palanan, Makati City

831-6511-14

MEDILINK POS: (OP/IP)

PLAN COORDINATORS & SCHEDULE: Dr. Araceli P. Jo.

3pm-5pm MWFSat.; TTh 10-12nn Rm. 401

MANDALUYONG

DR.V.R. POTENCIANO MED. CENTER (3) 163 EDSA, Mandaluyong City

 531-4918 to 21 / 469-9999

MEDILINK POS: Accounting (IP), Emergency Room (OP/ IP),Industrial (OP//IP)

PLAN COORDINATORS & SCHEDULE: 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

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MANILA

AMISOLA MATERNITY HOSPITAL (2) 1068 Hermosa St., Manuguit, Tondo Manila

252-3335Fax. No. 251-6742 (for OB-Gyne & Pedia Cases only) PLAN COORDINATORS & SCHEDULE: Dr. Salome Amisola – OB-Gynecology

10am-1pm Fri & Sat.;Rm. OPD Section CHINESE GENERAL HOSPITAL (3) 286 Blumentrit St., Sta. Cruz Manila

 711-4141

MEDILINK POS: Admitting (IP), Emergency Room (OP)

PLAN COORDINATORS & SCHEDULE: 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  715-1891-94

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

 524-3011MEDILINK POS: Credit & Collection(IP/OP),

Emergency Rm. (OP), Pre-Paid (OP)

PLAN COORDINATORS & SCHEDULE: 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

 735-5341 to 54

MEDILINK POS: Information (OP/IP)

PLAN COORDINATORS & SCHEDULE: Dr. Rolando A. Florendo – Surgery

10am - 12nn By. appt Dr. Luz Escano – Pedia.

11nn – 4pm M-Sat. / Rm. 248 MAB Dr. Arceli Jo— room 301

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MARY JOHNSTON HOSPITAL (3) 1221 J. Nolasco St., Tondo Manila

 245-4021

PLAN COORDINATORS & SCHEDULE: 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.

 523-8131

MEDILINK POS: Admitting(IP), ER (OP/IP)

PLAN COORDINATORS & SCHEDULE: 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

 254-1111

MEDILINK POS: ER (OP/IP)

PLAN COORDINATORS & SCHEDULE: 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

 716-3901

MEDILINK POS: Admitting (OP/IP) ER-Pedia (OP)

PLAN COORDINATORS & SCHEDULE: 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

 731-5774-77

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

 554-8400

PLAN COORDINATORS & SCHEDULE: Dr. Scarlett Mia S. Tabuñar –

8am-5pm M-Fri. Emergency Medicine
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UNIVERSITY OF SANTO TOMAS HOSPITAL, INC. (3) España Blvd. Sampaloc Manila

 731-3001

MEDILINK POS: Billing (OP/IP), Credit & Collection (OP/IP) ,E.R.

PLAN COORDINATORS & SCHEDULE: 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.3003 732-4069

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

 731-2761-65 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 1011

562-7464 to 65 fax. 561-2164

MARIKINA

GARCIA GENERAL HOSPITAL (2) # 49 Bayan Bayanan Ave., Marikina Heights, Concepcion, Marikina City 942-4705; 948-4014 / Fax. No. 941-5511 MEDILINK POS:Information (OP/IP) PLAN COORDINATORS & SCHEDULE: 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

-9362 tele Fax: 642-0747 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  682-2222 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  933-1405; 7078

MEDILINK POS:HMO Office

PLAN COORDINATORS & SCHEDULE: Dr. Minda Siasoco – Internal Medicine

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ST. ANTHONY MEDICAL CENTER OF MARIKINA (3)

32 Sta. Ana Ext cor. Betelnut St.,

San Roque, Marikina City

 682-3240; 647-8134 Pls. proceed to HMO Dept. PLAN COORDINATORS: Dr. Elmer Garcia STA. MONICA GENERAL HOSPITAL (2) 138 A. Bonifacio Avenue, Tañong Marikina / 948-8402/997-8819 MARIKINA ST. VINCENT GENERAL HOSPITAL (2)\ # 35 Bayan Bayanan, Concepcion, Marikina City  948-5553; 948-0314-15

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

 942-2022; 941-5041; 475-1552 PLAN COORDINATOR:

Dr. Efren C. Reyes –Adult Plan Coor. / Surgery

MUNTINLUPA

ALABANG MEDICAL CENTER (3) Alabang Zapote Road, Alabang Village

 807-8189 ; 775-0511

(Present VC-ID to Information) MEDILINK POS: Information

(OP/IP),ER (OP/IP)

PLAN COORDINATORS & SCHEDULE: 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

 861-1779; 861-1135 Fax No. 861-1187

MEDILINK POS: Information (OP/IP)

Please proceed to Industrial Department

ALABANG MEDICAL CLINIC ( Muntinlupa Branch) (2) #1 National Rd. Putatan Muntinlupa

 861-0684; 861-1187; 861-1135

MEDILINK POS: Information (OP/IP)

Please proceed to Industrial Department

BEATO-CAUILAN HOSPITAL Villa Carolina I Subd., National Highway, Tunasan Muntinlupa City 861-5285 Pls. proceed to Emergency Room ASIAN HOSPITAL AND MEDICAL CENTER (3)

2205 Civic drive Filinvest Corporate city, Alabang Muntinlupa City

771-9000 to 02 Fax 876-5813 PLAN COORDINATOR :RM309 Dr. Maximo S. Abuel—Pedia Coor. Mon.—Sat. 10-12nn

Dr. Malen M. Gellido—Adult Coor. Surgery Onco.—Mon.6/Wed 4-6 /Sat 3-6 by appointment

Dr. Gabriel Natividad—Adult Coor. Surgery Onco. Tues, Thurs, Sat 9-12 822.6517

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MEDICAL CENTER MUNTINLUPA, INC.(3) 338 National Rd. Putatan Muntinlupa

 862-0162-63 ; 861-1687 ·Fax.No. 861-1686

MEDILINK POS: Billing (OP/OP), OPD (OP/ IP), ER(OP/IP)

PLAN COORDINATORS & SCHEDULE: Dr. Esmeralda dela Rosa – Adult Coor.

3pm-5:30pm TTh / OPD 2nd 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  825-6911-15 OLIVAREZ GENERAL HOSPITAL (3) Dr. A.Santos Ave. Sucat Rd., Parañaque Metro Manila

 826-5035; 826-7966; 825-8746; 82547

Accounting (IP)

MEDILINK POS: Information (OP/ IP),

PLAN COORDINATORS & SCHEDULE: 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

 776-0644

MEDILINK POS: Information (OP/ IP),

PLAN COORDINATORS & SCHEDULE: Dr. Ronaldo C. Callera

Schedule: TTH 10-12nn Room 625 Please proceed to HMO Dept. PROTACIO MEDICAL SERVICES , INC (Protacio Hospital) 2

484 Quirino Ave. Tamblo, Parañaque city 852-2953

SOUTH SUPERHIGHWAY MEDICAL CENTER (3)

Km.17, South Superhighway, Parañaque,Metro Manila

 823-4344; 823-5250 Fax No. 823-4344

MEDILINK POS: Cashier (OP/IP)

PLAN COORDINATORS & SCHEDULE: Dr. Jose Rabe – Family Medicine

9am-10am M-F

PASAY

MANILA ADVENTIST MEDICAL CENTER 1975 Donada St., Pasay City 525- 9191

MEDILINK POS: Company Section (OP/ IP),Admitting (OP/IP)

PLAN COORDINATORS & SCHEDULE: Dr. Eliezer Alcoriza – Internal Medicine Mon-Fri 9-12nn; Mon, Wed 1-3pm; Tue, Thurs 2-4pm

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SAN JUAN DE DIOS EDUCATIONAL FOUNDATION,INC. (3)

2772 Roxas Blvd. Pasay City  831-9731

MEDILINK POS: Emergency Rm. (OP/IP), CREDIT & COLLECTION (OP/IP)

PLAN COORDINATORS & SCHEDULE: 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

 656-2816; 656-2851 Pls. proceed to Information

PLAN COORDINATOR: Dr. Dominador Pedracio

MOTHER REGINA HOSPITAL (2) #2 Ruby St. Doña Juana Subdivision, Rosario, Pasig City

 641-2922; 641-3360

MEDILINK POS:Admin. Office

PLAN COORDINATORS & SCHEDULE: Dr. Purisima Barbosa – Adult Coor./OB-Gyne Mon-Sat 11 am onwards SABATER GENERAL HOSPITAL (2) Caruncho Ave., San Nicolas, Pasig City

 641-8194 PLAN COORDINATOR: Dr. Rodolfo Sabater

SALVE REGINA HOSPITAL, INC. (2) Marcos Hi-way, dela Paz, PasigCity

 661-7715; 477-4832; 4847 PLAN COORDINATOR: Dr. Ronaldo V. Mendoza - IM Pulmonology ST. CHRISTIANA MATERNITY HOSPITAL (2)

3338 Magsaysay Avenue, Karangalan, Village, Manggahan, Pasig City

 682-8751; 487-8424 ST. CAMILLUS MEDICAL CENTER (3) 116 E.Amang Rodriguez Ave., Pasig City

 682-0748 ; 645-3741 to 42 Telefax. 682-0366 THE MEDICAL CITY (3) Meralco Compound, Meralco Ave., Ortigas, Pasig City

 635-6789; 988-1000; 988-7000

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, PasigCity

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MEDILINK POS: Information

PLAN COORDINATOR: Dr. Jesus Acantilado - Pediatrics

QUEZON CITY

BERNARDINO GENERAL HOSPITAL I (3) 680 San Bartolome, Quirino Highway, Novaliches, Quezon City

 936-6050; 939-6470;419-6222 937-9183

MEDILINK POS: Cashier (OP/ IP)

BERNARDINO GENERAL HOSPITAL II (2) Blk 1 Lot 2, North Olympus, Zabarte Road, Kaligayahan, Novaliches Quezon City

 418-6684; 939-8050

MEDILINK POS: Cashier (OP/ IP)

CAPITOL MEDICAL CENTER (3) Sct. Magbanua Cor. Panay Ave., Quezon City

 372-3825

MEDILINK POS: Admitting (OP/IP), Emergency Rm. (OP)

PLAN COORDINATORS & SCHEDULE: Dr. Cesar Quiambao – IM General

2pm-5pm M-F / RM 305 Dr. Agnes Calleja – Pedia General

Mon.tues.Wed.Sat. 10-12nn/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

 930-0000, 930-0009; 930-0004 Pls. proceed to HMO Dept.

DELOS SANTOS MEDICAL CENTER (3) 201 E. Rodriguez Ave., Quezon City

 723-0041-45

MEDILINK POS: Admitting (OP/ IP), Emergency Rm. (OP)

PLAN COORDINATORS & SCHEDULE: 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

 712-0845;740-7347-48 Pls. proceed to HMO Dept. PLAN COORDINATOR: Dr. Marietta M.Diaz—Pedia (Neurology) DR. JESUS DELGADO MEMORIAL HOSPITAL (3)

7 Kamuning Rd. Quezon City

 924-4051-65

MEDILINK POS: Admitting (OP/IP)

PLAN COORDINATORS & SCHEDULE: Dr. Asuncion Victoriano – IM / Nephro.

10am-12nn M-Sat. / Rm. M-6 Dr. Helen Benitez- Pedia

10am-1pm MWF; 10am-12nn TTh
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FAIRVIEW GENERAL HOSPITAL (2) Lot 20 Fairview Ave., cor. Mercury st., Brgy. Fairview, Capitol District, Quezon City— 939-9689

FEU-NRMF MEDICAL CENTER (3) Regalado Ave., Fairview Quezon City

 427-0213 / 938-4881

MEDILINK POS: ER (OP/ IP)

PLAN COORDINATORS & SCHEDULE: Dr. Aldwin A. Yaneza – Surg. Adult Coor

9am-12nn M-Sat.; 1pm-4pm MWF

MEDILINK POS: (OP)

¹Rm. 506 MAB / 936-5717 Dr. Lerm Aguinaldo – Pedia. Coor.

9am-12nn M-F; 2pm-4pm TThSat.

MEDILINK POS: (OP)

Rm. 410 / Tel. No. 937-3910 J.P. SIOSON GENERAL HOSPITAL AND COLLEGES, INC. (2)

75 Bukidnon St., Bago Bantay, Quezon City  927-5643; 927-1339

(Pls. proceed to HMO Dept.)

LUNG CENTER OF THE PHILS. (3) Quezon Ave., Quezon City

 924-6101-35 Loc. 318

(Pls.proceed to Plan Coor.)

PLAN COORDINATORS & SCHEDULE: Dr. Guillermo Barroa Jr. – Gen. Surgeon

10am-1pm M-F/ Rm. 1110 Ms. Fina Espinosa-Secretary

10am-5pm MWF; 10am-4pm TTh

METRO NORTH MEDICAL CENTER AND HOSPITAL (3)

1001 Mindanao Avenue cor. Congres-sional Avenue, Quezon City 426-1390; 981-0400 Please proceed to HMO Office

NATIONAL KIDNEY & TRANSPLANT INSTITUTE (3)

East Ave., Quezon City

 981-0300; 981-0400; 981-0411; (0917) 832-6613

MEDILINK POS: Admitting (IP)

PLAN COORDINATORS & SCHEDULE: Dr. Gloria Cristal-Luna – IM/Oncology

3pm-5pm M-Th; 10am-12nn Sat. Rm. 17 / Loc. 3224

NODADO GENERAL HOSPITAL (1) #23 Zabarte Subdivision Brgy. Kaliga-yahan, Novaliches, Quezon City 417-1376

NOVALICHES GENERAL HOSPITAL (3) 793 Quirino Hi-way Gulod, Novaliches Quezon City

417-9522; 418-5030; 936-0181 PACIFIC GLOBAL MEDICAL CENTER (3) Lot 11B Mindanao Avenue, Brgy. Tali-papa, Novaliches, Quezon City 901-4941

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49

PHILIPPINE HEART CENTER (3) East Ave., Quezon City

 925-2401;: 925-2401 to 50; (0917)794-9125

(for Cardio-Vascular Cases ONLY )

MEDILINK POS: Cashier (IP)

PLAN COORDINATORS & SCHEDULE: 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

374-1314;11 Pls. proceed to HMO Dept.

SAN LORENZO GENERAL HOSPITAL HEALTH MANAGEMENT CO., INC. (1) Quirino Highway, Pasong Putik, Novaliches, Quezon City

 939-7054 ; 930-2195

MEDILINK POS: Business Office (OP/ IP

PLAN COORDINATORS & SCHEDULE: Dr. Eduardo Noveloso - Surgeon ST. LUKES MEDICAL CENTER (3) #279 Rodriguez St., Quezon City

 723-0101; 0301; 0199

MEDILINK POS: Admitting(IP), Emergency Rm. (OP)

PLAN COORDINATORS & SCHEDULE: Dr. Samuel Ang – Surgery

5-7pm M-F / Rm. 1018 / South Tower

 721-6722

FOR OPD CONSULTATION PLS. PROCEED TO:

VALUCARE CLINIC (OP/IP)

SCHEDULE:

ValuCare Clinic Rm. 1017 South Tower

8am-6pm M-F Cathedral Heights Bldg.,

8am-4pm Sat.

 725-8190; 723-0101 loc. 2017 UERM MEDICAL CENTER (3) Aurora Bvld., Quezon City

 715-0861

MEDILINK POS: Business Office (OP/IP), Admitting (OP/IP)

PLAN COORDINATORS & SCHEDULE: Dr. Henry Yañez – Internal Medicine 1:30pm – 4pm M-F / Rm. 218; 716-1852 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  712-3640

MEDILINK POS: Admitting (OP/IP), ER ()

PLAN COORDINATORS & SCHEDULE: Dr. Marie Grace Sulit – IM-Cardio.

2pm-5pm M-Sat./ Rm. 945

Dr. Maynardo Imperio – IM

8am-12nn M-F/ Rm.1024;712-3640

MEDILINK POS: Admitting (OP/ IP) WORLD CITI MEDICAL CENTER (3) (formerly Quezon City Medical Ctr.) 960 Aurora Boulevard, Quezon City

 913-8324-27; 913-8380; 913-8375

MEDILINK POS: Admitting (IP/OP), HMO Industrial (OP/IP), Emergency. Rm. (OP/IP)

PLAN COORDINATORS & SCHEDULE: 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. 218
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UROLOGY CENTER OF THE PHILIPPINES (2)

62 Magninoo St., Diliman, Quezon City 990.3035; 990-3031; 435-2617 to 19 VILLAROSA HOSPITAL (2) 11 Salalilla Project 4, Quezon City - 913-9712

SAN JUAN

CARDINAL SANTOS MEDICAL CTR. (3) Wilson St., Greenhills San Juan

 727-0001

MEDILINK POS: Admitting (IP/OP), Industrial (OP/IP);

Emergency Rm. (OP)

PLAN COORDINATORS & SCHEDULE: 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)

32nd St., Fort Bonifacio Global City,

Taguig City  789-7700 PLAN COORDINATORS & SCHEDULE: Dr. Samuel Ang-Surgery

2pm-6pm Wednesday/ Rm. 1234 CRUZ-RABE MATERNITY AND GENERAL HOSPITAL

57 General Luna St., Tuktukan Taguig city 642-3433 / FAX: 642-0747

VALENZUELA

FATIMA UNIVERSITY MEDICAL CENTER, INC. (3) 120 McArthur Highway Valenzuela

 293-2706;293-2703; 291-6538

MEDILINK POS: Information (OP/IP)

PLAN COORDINATORS & SCHEDULE: Dr. Donato Ting – IM

10am-12nn M-F / Ground Floor SANCTISSIMO ROSARIO GENERAL HOSPITAL

2 Espiritu St., Marulas, Valenzuela

 445-6337; 291-6985 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) 752-8350; 7527695 PLAN COORDINATOR: Dr. Hubert Seares – Surgeon Pls. proceed to HMO Dept.

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51

BAGUIO-BENGUET

NOTRE DAME DE CHARTRES HOSPITAL (3)General Luna Road, Baguio City

 (074) 619-8530-34

MEDILINK POS:Business Office (OP/IP)

PLAN COORDINATORS & SCHEDULE: Dr. Joyce Marie Frias – Pedia.

9:30am-12nn; M-Sat./Rm. 205

 (074) 443-8494

Dr.Arlene Therese Baguilat—Pedia 10-12/2-4;Mon-Fri;2-4 Wed;10-2 Sat/ Rm206

SLU HOSPITAL OF THE SACRED HEART 3 Assumption Rd., Ext., Baguio City

 (074) 442-5701; (074) 443-2000

MEDILINK POS:Business Office (OP/IP),

PLAN COORDINATORS & SCHEDULE: Dr. Nelia Bacay - IM

11am-12nn; 2pm-4pm M-Sat. / Rm.119  (074) 443-8494 Dr.Edwin Mariano –IM

10-12;3-5 M T TH F/Rm N2b3—loc.573

IFUGAO

GOOD NEWS CLINIC & HOSPITAL (2) Banaue, Ifugao

 (074) 386-4045 Fax. No. (074) 386-4092 PLAN COORDINATORS & SCHEDULE: Dr. Antonio P. Ligot – Plan Coor.

8am-5pm M-Sun.

REGION 1 ILOCOS NORTE

DR. ANTONIO A. RANADA CLINIC & LYING-IN HOSPITAL (1)

Brgy. 7 A. Hernando Avenue, Laoag City, Ilocos Norte (077) 770-5172

GAOAT GENERAL HOSPITAL (2) Brgy. 11, Castro 1 Ben-Agan, Ilocos Norte

 (077) 617.1457 PLAN COORDINATOR: Dr. Policarpio Gaoat – GP GERTES CLINIC & HOSPITAL (2) Brgy. 15, San Nicolas, Ilocos Norte ·Telefax No. (077) 773-2391; (0919)573-5148

PLAN COORDINATORS & SCHEDULE: Dr. Germiniano G. Gertes – GP

Daily/ 8am-8pm/ E.R. Dept. LAOAG CITY GENERAL HOSPITAL (3) 46 Brgy. Nalbo, Laoag City, Ilocos Norte  (077) 722-8826 loc. 624 (077)670-8217/8220

RANADA GENERAL HOSPITAL (1) Brgy. 9 Balintawak St. Laoag City ·Telefax No. (077) 7704911; (077)772-1108

THE BLACK NAZARENE HOSPITAL, INC. 2 #29 Bonoan St., Brgy. 2, San Nicolas, Ilocos Norte(077) 773-1757 Fax no. (077) (0920)926-8527

ILOCOS SUR

ILOCOS SUR COOPERATIVE MEDICAL MISSION GROUP & HOSPITAL (1) Tamag, Vigan City, Ilocos Sur

 (077) 722-1509; .: (077)723-1543; (077)674-0109; (0916)755-3268 PLAN COORDINATORS & SCHEDULE: Dr. Manuel D. Cajigal (Surg. / Plan Coor.) Manuel D. Cajigal Clinic (Gen.& Pedia.) 86 Crisologo St., Vigan, Ilocos Sur

 (077) 722-2279

LAHOZ CLINIC AND HOSPITAL (2) 1969 Jose Singson st., Vigan City, Ilocos Sur MEDILINK POS: Billing (OP/IP)

 (077) 722-2175; (077)674-0344 to 55; (0917)597-7272

PLAN COORDINATORS & SCHEDULE: Dr. Gerardo Lahoz – Fam. Med.

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METRO VIGAN MULTI-PURPOSE COOP-ERATIVE HOSPITAL (2)

Roxas Dike, Bantay, Ilocos Sur

 (077) 722-5771–74; (0917)568-5911

MEDILINK POS: Billing (OP/IP)

ST. MARTIN DE PORRES CLINIC & HOSPITAL (2)

#25 de Marzo St., San Antonio, Candon City, Ilocos Sur

 (077) 742-6464-67; 742-5985 ·Fax.No. (077) 742.6499 PLAN COORDINATORS & SCHEDULE: Dr. Modesto Pacquing – Gen. Surg.

9am-12nn; 1:30pm –5pm M-Sun (Mrs. Minda Gaspar – Secretary)

LA UNION

BETHANY HOSPITAL, INC. (3) Widdoes St., San Fernando, La Union

 (072) 242-0804,888-2930; (072)700-0110; (0917)853-5644

·Fax.No. (072) 607.8694 PLAN COORDINATORS & SCHEDULE: Dr. Antonio V. Orencia- Gen. Surg.

8am-5pm M-F; Sat 8am-12nn Pls.proceed to Info. Section-Ground Floor

LA UNION MEDICAL DIAGNOSTIC CENTER & HOSPITAL (3)

Ancheta St. corner Bucaneg St., San Fernando, La Union

 (072)242-4796 to 97 PLAN COORDINATORS & SCHEDULE: Dr. Eva Marie Madayag – Family Med.

11am-2pm Mon to Fri. Rm.101 LORMA MEDICAL CENTER (3) Carlatan, San Fernando, La Union

 (072) 700-0000; (0917)889-9950

MEDILINK POS: Billing (IP/OP)

PLAN COORDINATORS & SCHEDULE: Dr. Hildegunda Santos– Internist

9am-

References

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