If emergency, proceed directly to emergency room or callValuCare Customer Service Hotline (02-702-3310) for immediate endorsement to emergency room personnel. If non-emergency, call ValuCare Customer Service Hotline (02-702-3310) for the following assistance:
There are no available doctors in the hospital for out-patient healthcare services during Sundays except those in emergency room (even on Saturdays, most doctors are on half-day schedule). Call ValuCare Customer Service Hotline (02-702-3310) for assistance.
Member may choose either since coverage of ValuCare is all-in for hospital bills and professional fees. However, it is recommended to allot ValuCare coverage to professional fees given that it' already negotiated rates based on Relative Value Units (to avoid charging of higher Professional Fees by doctors).
ValuCare will only cover Motor Vehicular Accidents if Police Report indicates that member is not at fault (member must file Deed of Subrogation)
Dual coverage/double indemnity is not allowed by the program. Member must choose only one card to be used per confinement.
If it is deemed necessary by the attending accredited doctor and the case does not fall under Exclusions and Limitations, ValuCare will cover the procedure subject to program' coverage of diagnosis.
Actual cost of X-ray is covered by the program subject to Maximum Coverage Benefit (MCB), Pre-Existing Condition (PEC) Coverage, and Exclusions & Limitations.
ValuCare will only reimburse medical expenses paid by the member during emergency base on the member' plan. Also on condition that the case is not included in the list of exclusion and limitations.
The attending doctor determines whether case is an emergency or not. ValuCare Health Service Agreement defines Emergency Condition as a life threatening or serious accidental injury of a sudden and unexpected onset of a condition which at time of the occurrence reasonably appears to have the potential of causing immediate disability or death.These illnesses or injuries require urgent medical or surgical care which the Planholder secures immediately after the onset.