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  1. #1
    Senior Member
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    Apr 2009
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    Default Experience with Philcare Insurance


    Hello istoryans...
    Just wanna share my experience wid PHILCARE INSURANCE...
    Yesterday i had hard cough, flu & my 2cheeks numb so we went to mendero hospital @ 4am to have it check since thats d only hospital near to me. Unfortunately when they knew that it will be charge to my philcare insurance the 2nurse explained to me that it needs verification & approval & mostly they dont approve for its coverage is very limited chances are i have to sign that just in case it will not be approve i will be the one to pay. I ask them if possible can we have the approval before to proceed but they told me it cannot be so i went home. I informed my boss & referred to our offcmate who usually use the card in northgen with credited pulmo dr which is perfect for me since im an asthmatic patient. I requested an endorsement first to the coordinator - dr esplanada then her secretary forwarded the needed paper to SARAH BONTILAO the secretary of DR. SHERWIN YGNACIO (pulmo dr). I called Sarah many times to ask for priority number but shes inside the dr's room - my last call a girl answered me that sarah already included me on the list of names sched for check up on that day. Past 12 we arrived @ nothgen - Sarah told me that im already last or 10th on the list so i ask her y since ive been calling her since 9am? She just answered, im not sure if d dr will handle u since he change his rule on philcare patient - he will only handle patients in ctitical situation like with tb. I told her im an asthmatic patient & came far cant u consider that? She just shook her head & told me she will just try. When the dr came in - she was asked how many patient she answered 9 then followed inside. When she came out she told me d dr will only serve the 8patient & he will stick to his rule on handling philcare patient in critical situation only which i dont belong.... Now, let me ask u have i done wrong? This is my first time to use philcare after 3yrs of being a member but i guess it would be my last also having that traumatic experience... so, calling all philcare users - share ur experience here...

  2. #2
    pilay coverage d i sa imo health care bai?

  3. #3
    im using philcare prepaid wla man prob

  4. #4
    Quote Originally Posted by minus View Post
    Hello istoryans...
    Just wanna share my experience wid PHILCARE INSURANCE...
    Yesterday i had hard cough, flu & my 2cheeks numb so we went to mendero hospital @ 4am to have it check since thats d only hospital near to me. Unfortunately when they knew that it will be charge to my philcare insurance the 2nurse explained to me that it needs verification & approval & mostly they dont approve for its coverage is very limited chances are i have to sign that just in case it will not be approve i will be the one to pay. I ask them if possible can we have the approval before to proceed but they told me it cannot be so i went home. I informed my boss & referred to our offcmate who usually use the card in northgen with credited pulmo dr which is perfect for me since im an asthmatic patient. I requested an endorsement first to the coordinator - dr esplanada then her secretary forwarded the needed paper to SARAH BONTILAO the secretary of DR. SHERWIN YGNACIO (pulmo dr). I called Sarah many times to ask for priority number but shes inside the dr's room - my last call a girl answered me that sarah already included me on the list of names sched for check up on that day. Past 12 we arrived @ nothgen - Sarah told me that im already last or 10th on the list so i ask her y since ive been calling her since 9am? She just answered, im not sure if d dr will handle u since he change his rule on philcare patient - he will only handle patients in ctitical situation like with tb. I told her im an asthmatic patient & came far cant u consider that? She just shook her head & told me she will just try. When the dr came in - she was asked how many patient she answered 9 then followed inside. When she came out she told me d dr will only serve the 8patient & he will stick to his rule on handling philcare patient in critical situation only which i dont belong.... Now, let me ask u have i done wrong? This is my first time to use philcare after 3yrs of being a member but i guess it would be my last also having that traumatic experience... so, calling all philcare users - share ur experience here...
    Hi TS, ako GF kay under man sa philcare ela HMO, so far okay rman ang process if mg pa admit cla sa hospital dre sa cebu also for check-up I think pwd rman ka mo tawag sa ela office para mka refer cla ug doctor nmu. or if naa ka kaela na doctor e ask nmu if philcare accredited ba cya...

  5. #5
    Senior Member
    Join Date
    Apr 2009
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    834
    Maobah... amng coverage kay 70k premiere... na timingan lng ko?

  6. #6
    Senior Member
    Join Date
    Apr 2009
    Gender
    Female
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    834
    How about sa uban philcare user dha? Satisfied ramo?

  7. #7
    Senior Member
    Join Date
    Apr 2009
    Gender
    Female
    Posts
    834
    How about sa uban philcare user dha? Satisfied ramo?

  8. #8
    Senior Member
    Join Date
    Apr 2009
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    Female
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    834
    Need ko inyong feedback...

  9. #9
    dili ang philcare ang nay problema kung dili ang hospital. a b gud nimo diha sa mendero wala nay mga seminar mga taw diha mao nga wa na silay kalibutan sa procedure. common sense lang pwede ra unta sila manawag dayun sa philcare ato nga time arun ma verify imong coverage, di ba? simple ra unta kaayu pero ilang gi lisud lisud. first step jud na ang pagtawag sa insurance so diha ra ta nagka problema. depende ra na sa hospital kung gi unsa nila pag handle ang case.

    Quote Originally Posted by minus View Post
    Hello istoryans...
    Just wanna share my experience wid PHILCARE INSURANCE...
    Yesterday i had hard cough, flu & my 2cheeks numb so we went to mendero hospital @ 4am to have it check since thats d only hospital near to me. Unfortunately when they knew that it will be charge to my philcare insurance the 2nurse explained to me that it needs verification & approval & mostly they dont approve for its coverage is very limited chances are i have to sign that just in case it will not be approve i will be the one to pay. I ask them if possible can we have the approval before to proceed but they told me it cannot be so i went home. I informed my boss & referred to our offcmate who usually use the card in northgen with credited pulmo dr which is perfect for me since im an asthmatic patient. I requested an endorsement first to the coordinator - dr esplanada then her secretary forwarded the needed paper to SARAH BONTILAO the secretary of DR. SHERWIN YGNACIO (pulmo dr). I called Sarah many times to ask for priority number but shes inside the dr's room - my last call a girl answered me that sarah already included me on the list of names sched for check up on that day. Past 12 we arrived @ nothgen - Sarah told me that im already last or 10th on the list so i ask her y since ive been calling her since 9am? She just answered, im not sure if d dr will handle u since he change his rule on philcare patient - he will only handle patients in ctitical situation like with tb. I told her im an asthmatic patient & came far cant u consider that? She just shook her head & told me she will just try. When the dr came in - she was asked how many patient she answered 9 then followed inside. When she came out she told me d dr will only serve the 8patient & he will stick to his rule on handling philcare patient in critical situation only which i dont belong.... Now, let me ask u have i done wrong? This is my first time to use philcare after 3yrs of being a member but i guess it would be my last also having that traumatic experience... so, calling all philcare users - share ur experience here...

  10. #10
    Senior Member
    Join Date
    Apr 2009
    Gender
    Female
    Posts
    834
    Mao pud... nkatry man gud ko other insurance last year but totally different ilang approach so i was thinking ang insurance mismo ang questionable... how about sa nkatry north gen wid dr. Ignacio & her secretary sarah?

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