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Find what you need here -- from product brochures and various forms to step-by-step guides on filing claims, availing of benefits, and more.
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Application Forms
Medical Application Forms
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Other Forms
Underwriting Forms
Advisors Declaration (Word)
Attending Physician's Statement - Applicant (Word)
Certification of Customary Signature
Chest Pain Questionnaire
Cholesterol Questionnaire
Corporate Enrollment Template - PCHC
Corporate Enrollment Template - PCII
Certification of Customary Signature
COVID-19 Recovery Questionnaire
Cyst, Lump, Mass & Tumor Questionnaire
Diabetes Questionnaire
Digestive Disorder Questionnaire
Ear Disorders Questionnaire
Eye Disorders Questionnaire
Genito-Urinary Questionnaire
Gynecological Questionnaire
Headache & Migraine Questionnaire
Hypertension Questionnaire
Headache & Migraine Questionnaire
Letter of Undertaking For Excess Hospital Charges PCHC (Word)
Letter of Undertaking For Excess Hospital Charges PCII (Word)
Medical Examination Form (MEF) Critical Cover Extra
Mental Health Questionnaire
Musculoskeletal Questionnaire
New Business and Renewal Pre-Submission Checklist (For Group/Corporate)
New Business and Renewal Pre-Submission Checklist (For Individual/Family)
Respiratory Questionnaire
Secretary's Certificate for Group Accounts - For Group of Companies Having The Same Signatory (Word)
Secretary's Certificate for Group Accounts - For Individual Company (Word)
Seizure-Epilepsy Questionnaire
Sleep Apnea Questionnaire
Thyroid Disorder Questionnaire
Venous Diseases Questionnaire
I want to apply as an agent
Agent's Application Form
Pre-Approval Assessment
Pre-Approval Form (PDF)
Other Company Details
e-Policy Frequently Asked Questions (FAQ)
Data Privacy Statement
Data Privacy Statement
FlexiShield (FAQ)
FlexiShield (FAQ)
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Provider Name
Provider Address
Phone No.
Provider Type
CHEEU PT CLINIC PHYSICAL THERAPY REHABILITATION CENTER
3F Unit A&B Kangdong Bldg., Blk 49 Lot 22 24 Friendship Highway, Brgy. Pampang
-
Clinics
ACCULAB DRUG TESTING AND MEDICAL SERVICES
G/F Gen. Luna St., Brgy. Poblacion,
-
Clinics
UNIMED DIAGNOSTIC CENTER CORP
2nd Floor JLC Bldg., # 8 N. Ramirez Street, Brgy. Don Manuel
(02) 8290 2302
Clinics
HIPOL UROLOGY STONE CENTER AND AMBULATORY SURGERY
Lifescape Arcade, J.C. Aquino Ave.
(085) 817 3907
Clinics
METRO CEBU KIDNEY DIALYSIS CENTER INC
located at 979 V Rama Ave. Guadalupe
(032) 254 4715
Clinics
MEDICUS DIAGNOSTIC CENTER MAIN
Lourdes Bldg., Corner General Luna Quezon St.
(033) 508 7880
Clinics
LIBERTY PHARMACY AND DIAGNOSTICS
721 Rizal St., Brgy. Lourdes Sur
(045) 423 7428
Clinics
THE PREMIER DIALYSIS CENTER
Lot 2 Amvel Busines Park, Sucat Road, San Dionisio
(02) 8865 2200
Clinics
GMW DIAGNOSTIC LAB AND MED CLINIC
Unit 4 JEM Bldg. Gomez St. Maysan Road
(02) 8293 7728
Clinics
PAGSANJAN MEDICAL CLINIC
Brgy. Sampaloc, Pagsanjan, Laguna
(049) 501 4228
Hospitals
FOCUS MEDICAL INC
Unit 104 105 Commerce Avenue corner Filinvest Avenue, Alabang
(02) 8838 5625
Clinics
FORTMED MAKATI
3/F Crown Center 158 Jupiter St. cor. N. Garcia St.
(02) 8897 9111 to 19
Clinics
FORTMED STA ROSA CLINIC
FortMED Clinic Building, United Boulevard, Greenfield Business Park Brgy. Don Jose
(049) 541 1981
Clinics
FRIENDLY CARE FOUNDATION INC CUBAO
2/F Metrolane Complex, P. Tuazon Corner 20th Avenue, Cubao, Quezon, 20th Ave, Project 4, Quezon City
(02) 8421 1678
Clinics
FRIENDLY CARE FOUNDATION INC MASINAG
G/F Silicone Bldg, 169 Sumulong Highway, Masinag, Antipolo, Rizal
(02) 8682 5181
Clinics
FRIENDLY CARE FOUNDATION INC DAVAO
G/F SPCRD Bldg, A. Pichon St. cor. Ilustre Extn.
(082) 227 4247
Clinics
GALILEO SURGICENTER
Belson House, 271 Epifanio de los Santos Ave, East EDSA, Mandaluyong, 1554
(02) 8721 7135
Clinics
GAMMACARE MEDICAL SERVICES INC
635 Binayuyo cor. Malanting St., Amparo Subd., Brgy 170, Caloocan City
(02) 8961 3664
Clinics
GLOBAL MULTISPECIALTY HEALTH AND WELLNESS CLINIC DASMARINAS CAVITE
E. Aguinaldo Highway, Central Mall, Salitran
-
Clinics
GLOBAL MULTISPECIALTY HEALTH AND WELLNESS CLINIC MANILA
1656 Angel Linao St., Paco
(02) 7906 5545
Clinics
GREATLAB DIAGNOSTIC AND DRUGTESTING CENTER
2nd Floor Lifestyle DIstricy, Corrales Extn.
-
Clinics
GLOBAL MULTISPECIALTY HEALTH AND WELLNESS CLINIC MANDALUYONG
FCCG Mansion Unit 102 Rev. Aglipay St., Brgy. Pag asa
(02) 8534 9208
Clinics
GOOD SHEPERD DIAGNOSTIC MEDICAL CENTER
2/F Atlantis Beacon Tower,Leon Guinto Street
(02) 8528 0341 local 201
Clinics
GREEN GOLD MIRAMBEL MEDICAL CLINIC AND ALLIED SERVICES
17 Tres Martires St., Zone 13
(053) 563 7263
Clinics
GREPA MEDICAL AND DIAGNOSTIC CENTER
Mezzanine Floor, Tower 2, RCBC Plaza, Ayala Avenue
(02) 8886 6586 to 88
Clinics
HEALTH CUBE MEDICAL CLINIC GREENHILLS
Basement 1, Promenade Building, Greenhills Shopping Center 1500 San Juan
(02) 8650 1111
Clinics
GREEN PASTURE SPECIALTY CLINIC
B53 B53 L60 San Lorenzo South, Sta. Rosa
(049) 304 5920
Clinics
HEALTH ATTRACTION DIAGNOSTIC CENTER
301F F. Ramos St.
(023) 255 4133
Clinics
GREPALIFE CLINIC
7th Floor, Grepalife Building, 221 Sen. Gil Puyat Ave
(02) 8845 6334
Clinics
HEALTH SCREEN LABORATORY AND DIAGNOSTIC CENTER LAHUG
G/F Maxwellao Realty, Salinas Drive, Lahug
(032) 505 0412
Clinics
HEALTH HUB CLINIC
2nd Floor Chinabank Bldg. Brgy. Bel Air
(02) 8260 5187
Clinics
HEALTH CUBE MEDICAL CLINIC SHAW
High Pointe Medical Hub, 241 Shaw Blvd., Brgy Brgy. Bagong Silang
(02) 8652 1111
Clinics
HEALTH SCREEN LABORATORY AND DIAGNOSTIC CENTER CORDOVA
Poblacion Rd., Cordova, Cebu City
-
Clinics
HEALTH SCREEN LABORATORY AND DIAGNOSTIC CENTER MAKATI
G/F Ansa II Bldg, Don Chino Roces Ave., Makati City
-
Clinics
HEALTH SO GOOD CLINICS AND DIAGNOSTICS CENTER LAPU-LAPU CITY
Unit RM 24 and 25, 2nd floor, City Time Square Mactan, Basak Marigondon Rd
-
Clinics
HEALTHPROTECT CABANATUAN
2nd Floor Fortune Group Building, Barangay Zulueta, Maharlika Highway Brgy. Zulueta
(044) 958 1310
Clinics
HEALTHFIRST CLINIC WILLIAMS
Lvl B, Williams Bldg., Williams St., cor Mayflower St., Greenfield District, Mandaluyong City
(02) 8634 5714
Clinics
HEALTHPLUS DIAGNOSTIC SPECIALIST INC
Dr. I Sta. Ana Realty Bldg., Guerrero St.
(082) 227 1192
Clinics
HEALTHCHECK CLINIC AND DIAGNOSTIC CENTER CAGAYAN DE ORO
Uno Bldg., A. Velez St.
(032) 260 3959
Clinics
HEALTHPASS DIAGNOSTIC CENTER
Romuluz Bldg., Carriedo St., Brgy. Muzon
(044) 307 6203
Clinics
HEALTHDEV INTEGRATIVE CLINICS INC
CCS Hall, SDC, Ateneo De Manila University, Loyola Heights,
(02) 8426 5999
Clinics
HEALTHPROTECT MAKATI
Dela Rosa cor. Amorsolo Street
(02) 8817 4311
Clinics
HEALTHPROTECT MANILA
Ground Floor Trina Place, # 507 R. Salas Street
(02) 7225 2245
Clinics
HEALTHPROTECT MEYCAUAYAN
3rd Floor Aliw Cinema Complex, Mc Arthur Highway,
(044) 769 4291
Clinics
HEALTHPROTECT PASIG
Ground Floor, City State Center Building, 709
(02) 7225 2260
Clinics
HEALTHSERV LOS BANOS INC
8817 National Highway
(049) 536 4858
Clinics
HEALTHRIGHT INC  MEDICAL AND DIAGNOSTIC CLINIC
Units 1 9, 2nd Floor, Wilcon City Center, 121 Visayas Avenue Brgy. Bahay Toro
(02) 8277 6962
Clinics
HEALTHWAY MULTI-SPECIALTY CENTER ADRIATICO
G/F, 8 Adriatico, Padre Faura cor. J. Bocobo St.
(02) 7720 6112
Clinics
HEALTHWAY MULTI-SPECIALTY CENTER 5TH LEVEL THE BLOCK
5th Level The Block, SM North EDSA
-
Clinics
HEALTHWAY MULTI-SPECIALTY CENTER FESTIVAL MALL
2nd Floor, Pixie Forest Entrance, Festival Mall, Filinvest Corporate City,
-
Clinics
HEALTHWAY MULTI-SPECIALTY CENTER ALABANG TOWN CENTER
2nd Floor, Alabang Town Center, Alabang Zapote Road,
(02) 8772 3527
Clinics
HEALTHWAY MULTI-SPECIALTY CENTER CLOVERLEAF
3rd Flr., Ayala Malls Cloverleaf, Quezon City
-
Clinics
HEALTHWAY MULTI-SPECIALTY CENTER ESTANCIA
East Wing, 2nd Flr., Estancia Mall, Ortigas Pasig City
-
Clinics
HEALTHWAY MULTI-SPECIALTY CENTER GREENBELT 5
4F Greenbelt 5, Ayala Center, Makati City
(02) 7239 8621
Clinics
HEALTHWAY MULTI-SPECIALTY CENTER MARKET MARKET
4th Level, Market! Market!, Bonifacio Global City
(02) 8729 5049
Clinics
HEALTHWAY MULTI-SPECIALTY CENTER SHANGRILA
5th Level, Wellness Zone, Shangri La Plaza Mall, EDSA cor
(02) 7751 4929
Clinics
HEALTHWAY MULTI-SPECIALTY CENTER THE DISTRICT-IMUS
2nd Flr., The District Imus Cavite
-
Clinics
HEALTHWORKS MEDICAL DENTAL AND DIAGNOSTIC CLINIC
2/F Nova Square Quirino H way, San Bartolome
(02) 3419 9434
Clinics
HEALTHYWAY MEDICAL LABORATORY
5th Floor HRC Building, 104 Rada St., Legaspi Village,
(02) 8683 0943
Clinics
HEART AND LUNG DIAGNOSTIC CLINIC INC
112 Kalayaan Avenue, Diliman
(02) 3433 0037
Clinics
HERMOSA SURGICAL CARE CENTER INC
2nd Flr., Rm 201 205, BMCI Bldg. 3, Hermosa St., Zone 8, Tondo Brgy. 202 A
(02) 7915 1489
Clinics
HERNANDO-IJIRAN PHYSICAL THERAPY CLINIC
#20 H. Belen Street, Chrysanthemum
-
Clinics
HI-PHYSIO PHYSICAL THERAPY MEDICAL CENTER CORPORATION BACOOR (Formerly HI PHYSIO PHYSICAL THERAPY CLINIC BACOOR)
Unit 4A Paseo de Bacoor, Molino Boulevard Molino III
-
Clinics
HI-PRECISION DIAGNOSTIC PLUS ROSARIO BATANGAS
Medical Expert Building, National Road Brgy. San Roque
(043) 740 8824
Clinics
HI-PRECISION DIAGNOSTICS AH LACSON
Mezzanine and 2nd floor, Pacific Skyloft Bldg., 1160 Governor Forbes, Lacson Ave., Sampaloc
(02) 8588 0147
Clinics
HI-PRECISION DIAGNOSTICS ANGELES
McArthur H way cor. Angeles Magalang Road, Sto. Cristo
(045) 322 2211
Clinics
HI-PRECISION DIAGNOSTICS ANTIPOLO
Block 1 Lot 1 Circumferential Road, Brgy. San Roque, Brgy. San Roque
(02) 8727 9100
Clinics
HI-PRECISION DIAGNOSTICS BALAGTAS
G/F LS 135 Balagtas Town Center, McArthur Highway, Borol 1st
-
Clinics
HI-PRECISION DIAGNOSTICS BACOOR
EVY Commercial Bldg., General Emilio Aguinaldo Highway Brgy. Panapaan IV
(046) 440 0657
Clinics
HI-PRECISION DIAGNOSTICS BAGUIO
2/F CYA Centrum, Military Cut off, Kennon Road
(074) 423 2358
Clinics
HI-PRECISION DIAGNOSTICS BALIUAG BRANCH
Benigno S. Aquino Sr. Ave, Bagong Nayon,Baliuag
(044) 766 0280
Clinics
HI-PRECISION DIAGNOSTICS BUTUAN CITY
Watergate Centre, Jose Rosales Ave, Butuan City, Agusan Del Norte
(085) 817 2728
Clinics
HI-PRECISION DIAGNOSTICS C RAYMUNDO PASIG
Unit 102 202 Armal Building Compound, F. Legaspi St. cor C. Raymundo Ave., Maybunga
(02) 8628 3277
Clinics
HI-PRECISION DIAGNOSTICS CDO
JR Borja cor. Aguinaldo st., Brgy. 40, Cogon Brgy. 40
(088) 859 2004
Clinics
HI-PRECISION DIAGNOSTICS CAINTA
Unit 1G, 1H, 1I & 2J The Garden Walk 0105 Felix Ave., Brgy. Sto. Domingo
(02) 8395 2017
Clinics
HI-PRECISION DIAGNOSTICS CEBU CITY
28 WES Bldg., J. Llorente St.
(032) 255 4133
Clinics
HI-PRECISION DIAGNOSTICS COMMONWEALTH
G/F CPE Multi Resources Inc. Bldg., Lot 21, Blk.2, Don Mariano Marcos Ave. Fairview
(02) 8273 0874
Clinics
HI-PRECISION DIAGNOSTICS DAGUPAN
GF2 5 BHF Plaza, Mayombo District,
(075) 600 1728
Clinics
HI-PRECISION DIAGNOSTICS DEL MONTE
W Long Building 440 442 Del Monte Ave, cor Biak na Bato, St, Quezon City
(02) 8741 7777
Clinics
HI-PRECISION DIAGNOSTICS DAVAO
209 J.P. Laurel Avenue, Bajada, Poblacion District, Davao City, Davao del Sur
(082) 287 2584
Clinics
HI-PRECISION DIAGNOSTICS KAWIT
Unit 101, V Central Mall, Centennial Road, Kawit, 4104 Cavite
-
Clinics
HI-PRECISION DIAGNOSTICS EAST AVENUE
18 East Avenue, cor. V.Luna Diliman
(02) 3435 8228
Clinics
HI-PRECISION DIAGNOSTICS LAS PINAS
Lot 2 D1 to 3, Alabang–Zapote Rd, Las PiNas, 1747 Metro Manila
(02) 8800 6818
Clinics
HI-PRECISION DIAGNOSTICS LILOAN CEBU
North Road, Looc Poblacion
(032) 517 6278
Clinics
HI-PRECISION DIAGNOSTICS MALABON
1st Floor, Fisher Mall Malabon, C 4 Road, Longos District 2
-
Clinics
HI-PRECISION DIAGNOSTICS MACTAN
M.V. Patalinghug Jr. ave.
(032) 520 1142
Clinics
HI-PRECISION DIAGNOSTICS MALOLOS
G/FBuilding Shell, McArthur Highway Sumapang Matanda
(044) 795 1554
Clinics
HI-PRECISION DIAGNOSTICS PLUS MANDALUYONG
Norkis Bldg., No. 11 Calbayog corner DM Guevarra Street
-
Clinics
HI-PRECISION DIAGNOSTICS MANDAUE
Diamond Plaza, MC Briones Nat’l Highway
(032) 238 8600
Clinics
HI-PRECISION DIAGNOSTICS MARIKINA
2/F Avisha Center , 94 Mayor Gil Fernando Avenue corner Mt. Vernon Street, Brgy. Sta. Elena
-
Clinics
HI-PRECISION DIAGNOSTICS NAGA CEBU
National Highway Rd,
(032) 489 6939
Clinics
HI-PRECISION DIAGNOSTICS NS AMORANTO
674 N.S. Amoranto Sr. Ave.,
(02) 8743 1730
Clinics
HI-PRECISION DIAGNOSTICS NS AMORANTO (ANNEX)
722 N.S. Amoranto St., Brgy. Sto. Domingo
-
Clinics
HI-PRECISION DIAGNOSTICS OSMENA CEBU
G/F Medalle Bldg., OsmeNa Blvd.
(032) 888 2222
Clinics
HI-PRECISION DIAGNOSTICS PIONEER
2/F Pioneer Center cor. United and Brixton St. Brgy. Kapitolyo
(02) 8631 7306
Clinics
HI-PRECISION DIAGNOSTICS PLUS ROBINSONS MAGNOLIA
Unit 01136, Upper Ground, Robinsons Magnolia, Aurora Blvd., New Manila
-
Clinics
HI-PRECISION DIAGNOSTICS SAN JOSE DEL MONTE
Lot 31 & 33 Pecsonville Subd., Quirino Highway, Brgy. Tungkong Mangga
-
Clinics
HI-PRECISION DIAGNOSTICS SAN FERNANDO
Unit 101 103 GOP Bldg, Mc Arthur Hi way cor., DoNa Consolacion St. Brgy. Dolores
(045) 409 8352
Clinics
HI-PRECISION DIAGNOSTICS SAN JOSE
CDCP Tower Maharlika Highway Brgy. Malasin
-
Clinics
HI-PRECISION DIAGNOSTICS STA ANA
G/F Rivergreen Residences, 2217 Pedro Gil Street, Zone 97 Brgy. 880
-
Clinics
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Help

FAQs

How can I get a Pacific Cross Medical Insurance Plan?
Fill out the Contact Form on our website (Click Contact us above), or e-mail us at info@pacificcross.com.ph. Our Account Executives will be more than happy to answer your questions or give you a free presentation online or in person, whichever you prefer.
How do I pay for my Pacific Cross Medical Plan’s Premium/Membership Fee?
Pacific Cross offers you several convenient ways to pay your premium: You can pay in cash or credit, via our website (Click Buy/Pay Medical), online banking or over-the-counter payments, either annually or semi-annually.
How can I get a Pacific Cross Travel Insurance Plan?
You can get a quote, and eventually buy our Travelsafe Insurance online through our website (Click Buy Travel Plans). Premiums will vary depending on certain factors such as your itinerary and the specific plan selected among others.
Do your Medical and Travel Plans provide coverage for COVID-19?
Pacific Cross Medical Plans provide reimbursement for COVID-19 vaccine acquisition and administration availed of overseas or within the Philippines, while Pacific Cross Travel Plans provide coverage for COVID-19 In-Patient Care. 

Important Note:  This answer is intended for overview purposes only. Details may vary across plans. Coverage is always subject to plan provisions and limitations.
Do I need to undergo a physical examination before I can get a Pacific Cross Insurance Plan?
No. Applicants normally do not need to undergo a physical exam. All you have to do is answer the application form and medical questionnaire as truthfully as possible. Failure to answer the questions in the declaration in full, concealment, or misrepresentation of any significant condition will affect your Policy/Agreement and the payment of your claims.

Important Note:  This answer is intended for overview purposes only. Details may vary across plans. Coverage is always subject to plan provisions and limitations.
What is a Pre-Existing Condition?
A Pre-Existing Condition is any disability which existed before the commencement of cover as it presented signs or symptomswhich you were aware or should reasonably have been aware of. Pre-Existing Conditions are also those that are knownto you because you have felt its signs and symptoms regardless if this prompted you to seek for treatment, medication,advice, or diagnosis. When you answer our Medical Questionnaire, please ensure that you tell us about all your medicalconditions and symptoms happening at any time in the past and/or present, known and/or suspected, whether or nottreatment or professional advice was sought. Based on your provided details and submitted medical reports, declaredpre-existing conditions may be covered immediately subject to the Company’s underwriting guidelines.

Important Note:  This answer is intended for overview purposes only. Details may vary across plans. Coverage is always subject to plan provisions and limitations.
What are Exclusions?
Exclusions are certain conditions that are permanently excluded from being covered. For full details, please refer to your Policy/Agreement.

Important Note:  This answer is intended for overview purposes only. Details may vary across plans. Coverage is always subject to plan provisions and limitations.
Can I avail of 24/7 Telemedicine Consults?
Yes. Pacific Cross, together withour Telehealth Provider, allow you to have access to licensed doctors through your mobile phone, no appointment needed. This partnership provides you with immediate and easier healthcare access, especially amidst today's difficult times when obtaining quality medical care can be a challenge. As needed, our telehealth partner may provide important medical documents (e.g., e-prescriptions, e-laboratory requests, e-medical certificates).You can also get in touch with our telehealth partner for mental health first-aid support.

Important Note:  This answer is intended for overview purposes only. Details may vary across plans. Coverage is always subject to plan provisions and limitations.
Siren

Emergency Assistance

If you are hospitalized or in need of Emergency Services, please get in touch with us through the contact details below. Please provide the following information when you (or your authorized representative) call/message us:

• Authorized representative's name, telephone number and relationship to the patient
• Patient's name, age, gender and employer
• Name, location and telephone number of hospital or treating doctor, if applicable.


WHILE IN THE PHILIPPINES

  • Pacific Cross Member Hotline: +632 8230-8511
  • Pacific Cross E-mail: client_services@pacificcross.com.ph
  • Pacific Cross Viber and WhatsApp (messaging only): +63 998 964-6649

WHILE TRAVELING ABROAD

  • Pacific Cross Member Hotline: +632 8230-8511
  • Pacific Cross E-mail: client_services@pacificcross.com.ph
  • Pacific Cross Viber and WhatsApp (messaging only): +63 998 964-6649
  • Pacific Cross Viber (messaging only): +63 947 150-5762
  • Pacific Cross WhatsApp (messaging only): +16692023690
  • Pacific Cross Click-to-Call Link: https://emaph.3cx.asia:5001/pacificcrossph
IMPORTANT: These contact details are strictly for emergency situations only (e.g., Emergency Medical Evacuation, Medical Repatriation, etc.). Any non-emergency inquiries (e.g., questions about claims and coverage) will be redirected to other Customer Service Representatives for further assistance.