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Advisors Declaration (Word)
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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
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Venous Diseases Questionnaire
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Data Privacy Statement
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Provider Name
Provider Address
Phone No.
Provider Type
THE DOCTORS HOSPITAL
B.S. Aquino Drive, Bacolod City 6100 Bacolod
(034) 433 2731 to 41
Hospitals
TAYTAY DOCTORS MULTISPECIALTY HOSPITAL
No. 6 Rizal Avenue, Brgy. San Isidro Taytay, Rizal 1920
(02) 8570 3319
Hospitals
TARLAC MEDICAL CENTER
8th St. TDMC Hospital Drive, Fairlane Subdivision, Brgy. San Vincente, Tarlac City
-
Hospitals
TANZA SPECIALISTS MEDICAL CENTER INC
Brgy Daang Amaya III, Tanza, Cavite 4108
(046) 484 7777
Hospitals
TAGUM DOCTORS HOSPITAL
Highway 54, Rabe Subdivision, Visayan Village, Tagum, 8100 Davao del Norte
(084) 655 6747
Hospitals
TAGOLOAN POLYMEDIC GENERAL HOSPITAL
Phividec Compound, Sta. Cruz, Tagoloan, 9001 Misamis Oriental
(088) 567 1541
Hospitals
TAGBILARAN COMMUNITY HOSPITAL
49 Miguel Parras Street, Tagbilaran City, Bohol 6300
(038) 411 3324
Hospitals
TAGAYTAY MEDICAL CENTER
Emilio Aguinaldo Highway, Silang Crossing East, Tagaytay City
(046) 483 0134 to 38
Hospitals
TAAL POLYMEDIC AND MEDICAL CENTER
Diversion Road, Brgy. Carsuche, Batangas
(043) 542 2005
Hospitals
SURIGAO DOCTORS HOSPITAL INC
Sitio Kinabutan, Eastern Nautical Highway 8400 Surigao City,
(086) 827 5177
Hospitals
SUNGA HOSPITAL
1 Rizal Avenue, Digos City, Davao Del Sur
(082) 553 0016
Hospitals
SUERO GENERAL HOSPITAL
Brgy. Bucag cor. Soller St., National Highway, Cabugao, Ilocos Sur
(077) 728 5295
Hospitals
STA ROSA HOSPITAL AND MEDICAL CENTER
San Lorenzo Rd, Balibago, Santa Rosa, Laguna
(049) 837 6406
Hospitals
STO ROSARIO HOSPITAL INC
130 Escano St. Rosario, Batangas 4225
(043) 321 3099
Hospitals
STA CLARA DE MONTEFALCO MEDICAL CENTER INC
Km. 20, NLEX Service Rd. , Malhacan, Meycauayan, Bulacan 3020
(044) 935 4561
Hospitals
STA MARIA JOSEFA HOSPITAL FOUNDATION INC
Servants Of Jesus Ave., Francia, Iriga City, Camarines Sur
(054) 299 3333
Hospitals
STA CECILIA MEDICAL CENTER
16 National Rd., Pangalinan
(047) 811 1021
Hospitals
ST RAPHAEL FOUNDATION AND MEDICAL CENTER
MacArthur Hiway, cor. Canidha St., Brgy, Camachiles 2010 Mabalacat, Pampanga
(045) 892 2374
Hospitals
ST VINCENT GENERAL HOSPITAL CEBU INC
21 D, Jones Ave.
(032) 238 0000
Hospitals
ST VICTORIA HOSPITAL
444 J. P. Rizal St, Marikina, 1800
(02) 8942 2022
Hospitals
ST THERESE DE LIMA MEDICAL HOSPITAL
J. Sumulong Avenue, Barangay Bagumbayan Teresa, Rizal
(02) 8400 5193
Hospitals
ST PAUL SURIGAO UNIVERSITY HOSPITAL
Saint Paul Surigao University Hospital, Km.4 ,National Highway, Surigao City, Surigao del Norte
(086) 827 1154
Hospitals
ST PAUL HOSPITAL OF TUGUEGARAO INC
48 Ugac Highway, Tuguegarao, 3500 Cagayan
(078) 844 2512
Hospitals
ST PAUL HOSPITAL CAVITE INC
Congressional Ave., Burol II, City of DasmariNas, Cavite, 4114
(02) 8434 4628
Hospitals
ST PAUL HOSPITAL BULACAN INC
87 J.P. Rizal St., BiNang 2nd., Bocaue Town Proper Biňang, Bocaue, 3018 Bulacan
(044) 692 5964
Hospitals
ST MATTHEUS MEDICAL HOSPITAL INC
60 Gen. Luna St., Banaba, San Mateo, Rizal
(02) 8941 9575
Hospitals
ST LUKES MEDICAL CENTER QUEZON CITY
279 E Rodriguez Sr. Ave. Quezon City, 1112
(02) 8789 7700
Hospitals
ST LUKES MEDICAL CENTER GLOBAL CITY
Rizal Drive cor. 32nd St. and 5th Ave., Taguig, 1634
(02) 8723 0101
Hospitals
ST LOUIS UNIVERSITY HOSPITAL OF THE SACRED HEART
Assumption road, 2600 Baguio City
(074) 442 5701 to 02
Hospitals
ST JUDE FAMILY HOSPITAL
Lopez Ave, Batong Malake, Los BaNos, 4030 Laguna
(049) 536 1232
Hospitals
ST JOSEPH HOSPITAL OF REMEDIOS
Centro Street, Lubao, Pampanga
(045) 404 0052
Hospitals
ST JOHN THE BAPTIST MEDICAL CENTER INC
Brgy., Parian, Calamba City , Laguna 4027
(049) 545 7528
Hospitals
ST JAMES HOSPITAL INC
J. P. Rizal Street, Brgy. Dita 4026 Santa Rosa, Laguna
(049) 534 1254
Hospitals
ST FRANCES CABRINI MEDICAL CENTER
Maharlika Highway, Poblacion, 4234 Santo Tomas, Batangas
(043) 778 4811 to 18
Hospitals
ST ELIZABETH HOSPITAL
National Highway, Cor. Santiago Blvd, General Santos City, South Cotabato
(083) 552 3162
Hospitals
ST DOMINIC MEDICAL CENTER INC
St. Dominic Complex, Emilio Aguinaldo Highway, Talaba IV, City of Bacoor, Cavite 4102 Talaba
(046) 417 2525
Hospitals
ST CAMILLUS MEDICAL CENTER
16 Eulogio Amang Rodriguez Ave, Pasig, 1610
(02) 8647 0848
Hospitals
ST CLARE’S MEDICAL CENTER INC
1838 Dian St, corner Boyle Street, Makati, 1235
(02) 8831 6512 to 14
Hospitals
ST CAMILLUS HOSPITAL
Maharlika Highway, Airport Road
(055) 209 1164
Hospitals
ST BENEDICT HOSPITAL OF DAVAO DEL SUR
National Highway, Sinaragan, Matanao, South Digos
-
Hospitals
ST ANNE GENERAL HOSPITAL
P. Gomez Ext. Red V Ibabang Dupay, Lucena, Quezon 4301
(042) 710 2218
Hospitals
SPECIALIST GROUP HOSPITAL AND TRAUMA CENTER
Tapuac District, Dagupan City
(075) 522 2254
Hospitals
SOUTHWESTERN UNIVERSITY MEDICAL CENTER PHINMA
Urgello St., Cebu City, 6000
(032) 418 8409
Hospitals
CAVITE EAST ASIA MEDICAL CENTER (Formerly Southeast Asian Medical Center)
Molino Road, Brgy. Molino III, Bacoor City, Cavite
(046) 431 7777
Hospitals
SOUTH IMUS SPECIALIST HOSPITAL INC
D.C. Ilano Boulevard Anabu 2C Imus Cavite, Imus
(046) 438 7745
Hospitals
SOUTH CITY HOSPITAL AND MEDICAL CENTER
115 Daang Hari Road, Molino, Bacoor, 4102 Cavite
(02) 8249 9100
Hospitals
SOUTH SUPERHIGHWAY MEDICAL CENTER
Km 17 West Road South Superhighway ParaNaque City 1700
(02) 8821 8454
Hospitals
SOUTH BACOLOD GENERAL HOSPITAL AND MEDICAL CENTER INC
Araneta Highway, Brgy. Pahanocoy, Bacolod City, 6100
(034) 704 2911
Hospitals
SOCSARGEN COUNTY HOSPITAL
L. Arradaza St. corner Bula Lagao Road, General Santos City
(083) 554 7776
Hospitals
SILLIMAN UNIVERSITY MEDICAL CENTER
V. Aldecoa, Sr. Road Daro 6200 Dumaguete City
(035) 422 6002
Hospitals
SKYLINE HOSPITAL AND MEDICAL CENTER
Skyline Drive corner Quirino Highway Brgy. Tungkong Mangga 3023 San Jose del Monte, Bulacan
(02) 7211 5245
Hospitals
SILANG SPECIALISTS MEDICAL CENTER INC
Aguinaldo Highway, San Vicente II, Silang Cavite
(046) 686 3271
Hospitals
SENOR STO NINO HOSPITAL INC
P. Burgos St., Poblacion B, Camiling, Tarlac
(045) 934 0803
Hospitals
SARANGANI BAY SPECIALISTS MEDICAL CENTER INC
Makar Junction , Nattional Highway Apopong, General Santos City 9500
(083) 887 8888
Hospitals
SANTIAGO MEDICAL CITY
Purok 7, Rizal, Santiago City 3311 Santiago,
(078) 353 9999
Hospitals
SAN PEDRO HOSPITAL OF DAVAO CITY INC
C. Guzman St., Barangay 14 B, Davao City, 8000, Davao del Sur
(082) 222 6100
Hospitals
SAN PEDRO CALUNGSOD MEDICAL CENTER INC
3141 C Kalayaan Ave. Brgy. Magdalo, Kawit, Cavite
(046) 458 1176
Hospitals
SAN PABLO COLLEGES MEDICAL CENTER
Maharlika Highway San Pablo City, Laguna
(049) 562 0728
Hospitals
SAN MATEO MEDICAL CENTER
100 Gen. Luna Ave, San Mateo, 1850 Rizal
(02) 8568 2050
Hospitals
SAN MATEO DOCTORS HOSPITAL INC
Gen. Luna Guitnang Bayan 1 San Mateo, Rizal 3318
(02) 8534 1200
Hospitals
SAN ISIDRO HOSPITAL INC
119 Quezon Ave., Angono, Rizal
(02) 8451 2398
Hospitals
SAN JUAN DE DIOS EDUCATIONAL FOUNDATION INC (HOSPITAL)
Service Road, 2772 Roxas Blvd, Pasay, 1300
(02) 8831 9731 to 36
Hospitals
SAN CARLOS DOCTORS’ HOSPITAL
C.L.Ledesma Ave., San Carlos City, Western Visayas
(034) 312 5136
Hospitals
SAN ANTONIO MEDICAL CENTER OF LIPA INC
#2 C.M. Recto Ave., Lipa City, Batangas, Philippines, 4217 Lipa City
(043) 756 2522
Hospitals
SAN FRANCISCO DOCTORS HOSPITAL INC
National High Way, Brgy. Hubang, San Francisco Agusan del Sur
(085) 839 1441
Hospitals
SALUBRIS MEDICAL CENTER
3709 Pan Philippine Highway, Roxas, Isabela
(078) 321 0274
Hospitals
SAINT PIOS MEDICAL CENTER
Govic Highway, Iba, 2201 Zambales
-
Hospitals
SAINT PATRICKS HOSPITAL MEDICAL CENTER
Lopez Jaena St., 4200 Batangas City,
(043) 723 9387
Hospitals
SAGRADO HOSPITAL
Moreno Subdivision, Brooke s Point
-
Hospitals
SAGRADA FAMILIA HOSPITAL
214 B. Aquino Ave.,, Tangos, Baliwag, Bulacan
(044) 673 4123
Hospitals
SACRED HEART MEDICAL CENTER
McArthur Highway, Sto. Domingo, Angeles City, Pampanga
(045) 624 5606
Hospitals
SACRED HEART HOSPITAL OF MALOLOS INC
Dr. Peralta St., Malolos, 3000 Bulacan
(044) 794 4744
Hospitals
RT LIM FAMILY HOSPITAL CO
Surabay, Roseller Lim, Zamboanga Peninsula, Philippines 7002 Surabay
(062) 335 0674
Hospitals
ROSARIO MEMORIAL HOSPITAL OF GUAGUA INC
San Roque, Guagua, Pampanga
(045) 649 5867 to 70
Hospitals
RIVERA MEDICAL CENTER INC
7302 San Francisco, Panabo City, Panabo City, 8105 Davao del Norte
(084) 628 5169
Hospitals
RICARDO LIMSO MEDICAL CENTER INC
Ilustre Street, Davao City 8000
(082) 226 3688
Hospitals
REVER MEDICAL CENTER INC
Zone 4, Capunuyan, Aplaya, Jasaan, Misamis Oriental
(088) 890 4412
Hospitals
REMEDIOS TRINIDAD ROMUALDEZ HOSPITAL
Calanipawan Road, Tacloban City, Northern Leyte 6500
-
Hospitals
RECUENCO GENERAL HOSPITAL
68 Sampaloc Extension, North Signal Village, Taguig
(02) 8808 5950
Hospitals
RAMIRO COMMUNITY HOSPITAL (LUTHER Z RAMIRO MEDICAL CENTER)
139 Gallares Street Poblacion II, Tagbilaran City, Bohol 6300
(038) 411 3515
Hospitals
RANADA GENERAL HOSPITAL
Brgy. 9 Balintawak St., Laoag City
(077) 773 1199
Hospitals
QUALIMED HOSPITAL STA ROSA
West Nature Avenue, Nuvali North, Sto. Domingo, Sta. Rosa, Laguna
(049) 303 0000
Hospitals
QUALIMED HOSPITAL SAN JOSE DEL MONTE
Altaraza Town Center, Brgy. Tungkong Mangga, San Jose Del Monte, Bulacan
(044) 307 0000
Hospitals
QUALIMED HOSPITAL ILOILO
Atria Park District, San Rafael, Mandurriao, Iloilo City
(033) 321 5272
Hospitals
PROVIDENCE HOSPITAL INC
1515 Quezon Avenue, West Triangle, Quezon City
(02) 8558 6999
Hospitals
PMMGMPC PALAWAN MEDICAL PLAZA
Burgos Corner Mabini Sts., Barangay Princesa, 5300 Puerto Princesa City
(048) 716 1168
Hospitals
POPE JOHN PAUL II HOSPITAL AND MEDICAL CENTER INC
545 Alabang–Zapote Rd, Las PiNas, 1747
(02) 8876 0285
Hospitals
PLTCI LUIS A TIAM MEDICAL CENTER
Bascaran, Solano, Nueva Viscaya. 3709
-
Hospitals
PHILIPPINE HEART CENTER
East Avenue, Diliman, 1100 Quezon City
(02) 8925 2401
Hospitals
PERPETUAL SUCCOR AND MATERNITY HOSPITAL
836 F.Cayco St., Sampaloc Manila
(02) 8731 1631
Hospitals
PRI MEDICAL CENTER (Formerly PHILIPPINE REHABILITATION INSTITUTE (PRI) FOUNDATION INC)
Blk 16 Lot 11 Arayat Blvd. Brgy. Pampang, Angeles City, Pampanga
(045) 888 8683
Hospitals
PERPETUAL SUCCOUR HOSPITAL
Gorordo Avenue, Lahug, Cebu City, Cebu 6000
(032) 233 8620 to 39
Hospitals
PASIG DOCTORS MEDICAL CENTER
254 Amang Rodriguez Avenue, Barangay Manggahan, Pasig City
(02) 8878 7362
Hospitals
PALAWAN MEDICAL MISSION GROUP MULTIPURPOSE COOPERATIVE (Formerly MMG PPC COOPERATIVE HOSPITAL)
Corner Burgos and Mabini Streets, Puerrto Princesa City, 5300 Palawan
(048) 434 3255
Hospitals
PALMA MALALUAN HOSPITAL
J. Magtibay St., Rosario, Batangas
(043) 414 0096
Hospitals
PANAY HEALTH CARE MPC HOSPITAL
Brgy. Estancia, Kalibo, Aklan
(036) 268 3486
Hospitals
PAMANA MEDICAL CENTER
Brgy. Halang, National Highway, Calamba City Laguna
(049) 545 6858
Hospitals
PALAWAN BAPTIST HOSPITAL
Purok Umalad, Brgy. 4,, Roxas, 5308 Palawan
(048) 433 5566
Hospitals
OUR LADY OF THE PILLAR MEDICAL CENTER
Tamsui Avenue , Bayanluma II, Imus, Cavite 4103
(046) 435 5900 Loc 2302 (HMO)
Hospitals
PAGASA HOSPITAL
899 National Road, Bgy.Pag asa, Binangonan
(02) 8451 2180
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.