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Application Forms
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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
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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
DR AMANDO L GARCIA MEDICAL CENTER INC
648 Rizal St., Angeles City
-
Hospitals
UNITED ANTIPOLO SPECIALISTS HOSPITAL AND MEDICAL CENTER INC
#7 Marcos Highway, Brgy. Mambugan
(02) 8248 3460
Hospitals
DIVINE GRACE MEDICAL CENTER
EPZA Tejero Bypass Road
-
Hospitals
SAINT FRANCIS DOCTORS HOSPITAL AND MEDICAL CENTER
Masterson Avenue, Upper Canitoan
-
Hospitals
OUR LADY OF MEDIATRIX HOSPITAL
Highway 1, San Jose
-
Hospitals
URDANETA SACRED HEART HOSPITAL INC
McArthur Highway, Urdaneta City, Pangasinan
(075) 203 1000
Hospitals
HIPOL FAMILY HOSPITAL
Purok 5, Bancasi, Butuan City, Agusan del Norte
-
Hospitals
MINDORO MEDICAL CENTER CALAPAN
Strong Republic Nautical Highway, Masipit, Calapan City, Oriental Mindoro
-
Hospitals
TAGUM MEDICAL CITY
Purok 33 Rattan, Apokon
-
Hospitals
YR ST MICHAEL MEDICAL HOSPITAL INC
220 Molino 2, Bacoor, Cavite
(046) 519 4192
Hospitals
RIDONS ST JUDE MEDICAL CENTER CORP
60 & 32 18TH, corner Harris Sts., East Bajac Bajac
(047) 222 5834
Hospitals
ST LOUIS HOSPITAL
Purok Yellowbell, New Isabela
(064) 477 0171
Hospitals
STA MARIA MEDICAL CENTER INC
National Road Corner Sitio Bato, Brgy. Guyong
-
Hospitals
ST MATTHIAS MEDICAL CENTER OF ISABELA INC
National Highway, Lalauanan, Tumauini
-
Hospitals
SURIGAO MEDICAL CENTER INC
Km. 1, National Higway, Brgy. Washington
(086) 826 2004
Hospitals
TAGUM GLOBAL MEDICAL CENTER INC
Purok Café, Visayan Village, National Highway, City of Tagum
(084) 655 2138
Hospitals
ULTICARE MEDICAL CENTER
02 National Highway, Barrio Barretto
(047) 232 4630
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER MANDALUYONG
145 Haig St., Daangbakal
(02) 5322 0400
Hospitals
HERAMIL HOSPITAL
Citizen s Village, EOB
(083) 500 9247
Hospitals
GUIMARAS SPECIALIST MEDICAL CENTER INC
Brgy. San Miguel
-
Hospitals
MENDEZ SPECIALISTS AND MEDICAL CENTER
Tagaytay Mendez Road, Galicia III
(046) 443 3999
Hospitals
HEALTHWAY CANCER CARE HOSPITAL
26 Bagsakan Rd., cor CRB Road, FTI, Western Bicutan
(02) 8777 4673
Hospitals
THE PARAMOUNT MEDICAL CENTER
President JP Laurel Hiway, Brgy. Bugtong na Pulo
(043) 233 1284
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER SARIAYA
National Highway, Brgy. Gibanga
-
Hospitals
LUCBAN MMG HOSPITAL (QUEZON MEDICAL MISSION GROUP MULTIPURPOSE COOPERATIVE)
National Highway, Brgy. Tinamnan
(042) 540 8312
Hospitals
SANTANA MATERNITY AND CHILDRENS HOSPITAL
21 J. Sumulong St., Brgy. San Jose
(02) 8256 7396
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER TUGUEGARAO
Pallua Road, Brgy. Pallua Norte,
-
Hospitals
MT SAMAT MEDICAL CENTER INC
Roman Super Highway, Brgy. Ala uli
(047) 613 1144
Hospitals
MALABON HOSPITAL AND MEDICAL CENTER
264 Gov. Pascual, Brgy. Catmon
(02) 8650 1364
Hospitals
UNIHEALTH QUEZON HOSPITAL AND MEDICAL CENTER
Maharlika Highway, Brgy. Isabang,
(042) 911 1167
Hospitals
DE VERA MEDICAL CENTER
Four Lanes, Purok 4A, Caloocan
(078) 305 2787
Hospitals
OUR LADY OF MT CARMEL MEDICAL CENTER CLARK
Ninoy Aquino Avenue Clark
(045) 499 1446
Hospitals
OUR LADY OF MT CARMEL MEDICAL CENTER SAN FERNANDO
Km.78 Mc. Arthur Highway Brgy. Saguin
(045) 435 2421
Hospitals
ASIA PACIFIC MEDICAL CENTER ILOILO
Brgy. Ungka, Jaro
(033) 339 9991
Hospitals
CHRIST THE KING SPECIALISTS HOSPITAL
Christ the King Road, Magugpo East,
-
Hospitals
ASIA MEDIC FAMILY HOSPITAL AND MEDICAL CENTER
Old Pala pala Road, Sampaloc I
(046) 416 0720
Hospitals
BICUTAN MEDICAL CENTER
191 ML Quezon St., Brgy. New Lower Bicutan
-
Hospitals
IMMACULATE CONCEPTION MEDICAL CENTER OF CENTRAL LUZON INC
Circumferential Road, San Juan, Accfa
(044) 940 0900
Hospitals
CAGAYAN UNITED DOCTORS MEDICAL CENTER
7 Bagay Road, Caritan Centro,
-
Hospitals
TWIN CARE HOSPITAL
Tapatan Road., Marungko
(044) 813 5421
Hospitals
OUR LADY OF PEACE HOSPITAL (FOUNDATION OF OUR LADY OF PEACE MISSION INC)
San Juan de Coastal, Coastal Rd., San Dionisio
(02) 8696 3840
Hospitals
SAN JOSE DEL MONTE-MUZON MEDICAL CENTER INC
22 Carriedo Street, Muzon
(044) 3233010
Hospitals
ANTIPOLO CENTRO DE MEDIKAL HOSPITAL INC
224 Sumulong Hi way, Mayamot
(02) 8994 8472
Hospitals
MENDOZA GENERAL HOSPITAL
A. Morales St. cor. F. Santiago St., Poblacion
(044) 792 1370
Hospitals
HOSPITAL OF THE INFANT JESUS MEDICAL CENTER
1556 Laong Laan Road, Sampaloc
(02) 8731 2771
Hospitals
ST JOHN PAUL II MEDICAL CENTER CORPORATION
Sitio Mandani, San Antonio
-
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER PANGASINAN
No. 23 De Venecia Rd., Malued District
-
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER BAYAWAN
Integrated Business Center, Brgy. Villareal
(035) 523 6594
Hospitals
HOLY MOTHER OF MERCY HOSPITAL
Highway Mabinay, Don Emilio Village, Brgy. 9
(034) 471 8881 to 8885
Hospitals
BMMG PHARMACY AND HOSPITAL (operated by BULACAN MEDICAL MISSION GROUP HEALTH SERVICES COOPERATIVE)
Gov. F. Halili Ave., Brgy. Turo
(044) 913 5029
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER BUTUAN INC
South Montilla Blvd., Brgy. Villa Kananga
-
Hospitals
UNITED DAVAO SPECIALISTS HOSPITAL AND MEDICAL CENTER
Km. 4, Gen. Douglas MacArthur Highway, Ma a, Talomo
(082) 315 8075
Hospitals
SANTOS GENERAL HOSPITAL OF MALOLOS INC
F. Estrella St., Sto. Rosario,
(044) 791 0665
Hospitals
TANZA DOCTORS HOSPITAL INC
A. Soriano Highway, Brgy. Sahud Ulan,
-
Hospitals
UNITED DOCTORS OF ST CAMILLUS DE LELLIS MABINI GENERAL HOSPITAL
Pulong Niogan
-
Hospitals
CAMARIN DOCTORS HOSPITAL
No. 1, Camarin Rd., Brgy. 172, Camarin
(02) 8260 5952
Hospitals
BRIGINO GENERAL HOSPITAL
20 Quirino Highway, Pecsonville Subdivision, Tungkong Mangga, San Jose del Monte, Bulacan
(044) 815 4456
Hospitals
UNIVERSITY OF SANTO TOMAS HOSPITAL
Espana Blvd., Sampaloc, Manila
(02) 8731 3001
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER LEGAZPI
Daraga Legaspi Diversion Road, Brgy. Bogtong, Legazpi City, Albay
-
Hospitals
SAINT GABRIEL MEDICAL CENTER
Archbishop Gabriel M. Reyes St., Brgy. Poblacion, Kalibo
(036) 268 3710
Hospitals
EMMANUEL HOSPITAL
Cagayan Valley Road, Old Sta. Rita 3011 San Miguel
(044) 764 1857
Hospitals
DARAGA DOCTORS HOSPITAL INC
Rizal St. extn., Brgy. Banag, Daraga
(052) 204 9617
Hospitals
ALBAY DOCTORS HOSPITAL INC
Penaranda St., Legazpi City
(052) 480 8747
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER PALAWAN
South National Highway, San Pedro
(048) 717 0019
Hospitals
BOCAUE SPECIALISTS MEDICAL CENTER INC
2834 McArthur Highway, Lolomboy
(044) 795 3652
Hospitals
DADIANGAS MEDICAL CENTER
Allado Compound, Leon Llido St., Brgy. City Heights
(083) 5207 881
Hospitals
LANANG PREMIERE DOCTORS HOSPITAL INC
Davao Park District, Dakudao Loop, Lanang
(082) 295 0673
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER MALOLOS DOCTORS INC
Capitol View Park Subd., Bulihan
-
Hospitals
LOVING MOTHER GENERAL HOSPITAL AND DIAGNOSTIC CENTER INC
Blk 6, F. Tanedo St., Brgy. San Nicolas
-
Hospitals
ZAMBOANGA PENINSULA MEDICAL CENTER
MCLL Highway, Putik, Zamboanga City 7000
(062) 955 4579
Hospitals
WORLD CITI MEDICAL CENTER
960 Aurora Blvd, Project 4, Quezon City
(02) 3438 4580
Hospitals
WESTLAKE MEDICAL CENTER
Pacita Complex, National Highway, San Pedro, 4023 Laguna
(02) 8553 8185
Hospitals
WEST METRO MEDICAL CENTER (FORMERLY WESTERN MINDANAO MEDICAL CENTER)
Veterans Avenue Extension, Zamboanga City
(062) 991 2506
Hospitals
WESLEYAN UNIVERSITY PHILIPPINES HOSPITAL
Tandang Sora St. Mabini Extention, Cabanatuan City
(044) 463 1604
Hospitals
VISAYASMED HOSPITAL (FORMERLY VISAYAS COMMUNITY MEDICAL CENTER)
85 OsmeNa Blvd, Cebu City, 6000 Cebu
(032) 253 1901
Hospitals
VL MAKABALI MEMORIAL MEDICAL CENTER
B. Mendoza St., City of San Fernando, Pampanga
(045) 961 2234
Hospitals
USI-MOTHER SETON HOSPITAL (UNIVERSIDAD DE STA ISABEL DE NAGA INC)
Roxas Avenue, Diversion Road, Naga City, Camarines Sur
(054) 473 1358
Hospitals
UROLOGY CENTER OF THE PHILIPPINES
62 Maginoo, Diliman, Quezon City
(02) 8990 3031
Hospitals
UPH-DR JOSE G TAMAYO MEDICAL UNIVERSITY INC
National Highway, Sto. NiNo, BiNan, Laguna
(049) 511 8636
Hospitals
UNIVERSITY OF SANTO TOMAS (UST)- LEGAZPI INC (FORMERLY AQUINAS UNIVERSITY HOSPITAL FOUNDATION INC)
Capt. F. Aguinaldo Drive, Legaspi City, Albay
(052) 225 1370
Hospitals
UNIVERSITY OF PERPETUAL HELP DALTA MEDICAL CENTER
Alabang Zapote Rd., Pamplona III Las Pinas City, 1740
(02) 8874 8515
Hospitals
UNIVERSITY OF CEBU MEDICAL CENTER
Ouano Avenue, City South Special Economic Administrative Zone 6014 Mandaue City
(032) 517 0888
Hospitals
UNIVERSIDAD DE ZAMBOANGA MEDICAL CENTER (ZAEC)
247 San.Jose Road, Zamboanga City
(062) 990 1733
Hospitals
UNITED DOCTORS MEDICAL CENTER
6 N. Ramirez St. Don Manuel, Quezon City
(02) 8712 3287
Hospitals
UNITED DOCTORS OF ST CAMILLUS DE LELLIS HOSPITAL
Diversion Road, Brgy Bolbok, Batangas City
(043) 706 5038
Hospitals
UNIHEALTH-SOUTHWOODS HOSPITAL AND MEDICAL CENTER
Lot 3 Blk 11 Southwoods Ecocentrum Business Park Brgy, BiNan, 4023 Laguna
(02) 8775 2861
Hospitals
UNIHEALTH PARANAQUE HOSPITAL AND MEDICAL CENTER
Dr. A. Santos Ave., Brgy. San Isidro 1720 ParaNaque
(02) 8832 0636
Hospitals
UHBI-PARANAQUE DOCTORS HOSPITAL
175 DoNa Soledad Avenue Better Living Subdivision, Don Bosco, Paranaque City
(02) 8776 0644
Hospitals
UIVERSITY OF THE EAST RAMON MAGSAYSAY MEDICAL CENTER INC
64 Aurora Blvd, Quezon City, 1113
(02) 8715 0861
Hospitals
TRICITY MEDICAL CENTER
269 C. Raymundo Ave, Pasig, 1607
(02) 8275 9752
Hospitals
THE SOUTH SUPERHIGHWAY MEDICAL CENTER (SSMC) SATELLITE HOSPITAL ROSARIO
3993 G/F Crosswinds Hotel, Airport Road corner L. Gabriel St., Baclaran, ParaNaque,
(046) 438 7125
Hospitals
THE PREMIER MEDICAL CENTER
Amvel Business Park, Dr. A. Santos Avenue Barangay San Dionisio 1708 ParaNaque
(02) 8865 2200
Hospitals
THE MEDICAL CITY ILOILO (formerly GREAT SAVIOUR INTERNATIONAL HOSPITAL INC)
Esplanade 2, Molo, Iloilo City
(033) 338 1505
Hospitals
THE MEDICAL CITY PANGASINAN
Nable St, Downtown District, Dagupan, Pangasinan
(075) 522 2244
Hospitals
THE MEDICAL CITY SOUTH LUZON
L United Blvd, Don Jose, Santa Rosa, Laguna
(049) 544 0125
Hospitals
THE MEDICAL CITY CLARK INC
100 Gatwick Gateway, Zone, Clark Freeport, Mabalacat, 2023 Pampanga
(045) 300 8888
Hospitals
THE MEDICAL CITY
Ortigas Ave, Pasig, Metro Manila
(02) 8988 1000
Hospitals
THE HOSPITAL AT MAAYO
U.N. Avenue Corner DM Cortes Street, Mandaue City, Cebu 6014
(032) 888 2662
Hospitals
THE HEALTH CENTRUM INC
Teodorica Avenue, Banica, Roxas City
(036) 621 9088
Hospitals
TANCHULING GENERAL HOSPITAL INC
C. Imperial Street, 4500 Legazpi, Albay
(052) 480 6302
Hospitals
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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.