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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
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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
PACIFIC GLOBAL MEDICAL CENTER
Lot 21 Mindanao Avenue, Novaliches, Quezon City, 1116
(02) 7901 4941
Hospitals
OUR LADY OF MERCY GENERAL HOSPITAL
DoNa Remedios Trinidad Highway, Longos, Pulilan, Bulacan
(044) 764 7872
Hospitals
OUR LADY OF LOURDES HOSPITAL DAET
2450 Vinzons Ave, Daet, 4600 Camarines Norte
(054) 440 1127
Hospitals
OUR LADY OF LOURDES HOSPITAL
46 P. Sanchez Street, Brgy 606, Manila City, Metro Manila 1016
(02) 8716 3901
Hospitals
OUR LADY OF GRACE HOSPITAL
8th Avenue, Grace Park, Caloocan City 1403
(02) 8361 1124
Hospitals
OUR LADY OF CAYSASAY HOSPITAL
V. Illustre Avenue Lemery, Batangas
(043) 214 2429
Hospitals
OSPA FARMERS MEDICAL CENTER
Brgy. Can adieng, Ormoc City, Northern Leyte
(053) 561 6967
Hospitals
ORTIGAS HOSPITAL AND HEALTHCARE CENTER INC
Km 21 Ortigas Avenue Extension corner Brookside Hills Subdivision Gate, 1, Cainta, 1900 Rizal
(02) 8246 6558
Hospitals
ORMOC DOCTORS HOSPITAL INC
C. Aviles Cor. San Pablo St., Ormoc City 6541 Ormoc City
(053) 255 7522
Hospitals
ORION ST MICHAEL HOSPITAL
J.P. Rizal St., Brgy. Wakas, Orion , Bataan
(047) 244 7331
Hospitals
OLIVAREZ GENERAL HOSPITAL
Dr Arcadio Santos Ave, ParaNaque, 1700
(02) 8826 7966
Hospitals
NUEVA ECIJA MEDICAL CENTER
Maharlika highway, barangay, San Leonardo, 3102 Nueva Ecija
(044) 940 0981
Hospitals
NOVALICHES GENERAL HOSPITAL
793 Quirino Highway, Novaliches, Quezon City
(02) 8426 8888
Hospitals
NOTRE DAME DE CHARTRES HOSPITAL
25 Gen. Luna Road, Baguio City
(074) 619 8530 to 34
Hospitals
NOTRE DAME HOSPITAL AND SIENA COLLEGE OF COTABATO INC
Governor Gutierrez Avenue 9600 Cotabato City
(064) 421 2954
Hospitals
NODADO GENERAL HOSPITAL
Capt. Samano St., Area 4, Camarin Caloocan City
(02) 8962 8021
Hospitals
NICC DOCTORS HOSPITAL
Roxas Avenue, Naga City, Camarines Sur
(054) 475 0000
Hospitals
NEW SINAI MDI HOSPITAL
National Highway, Tagapo, City of Sta. Rosa, Laguna
(049) 508 1418
Hospitals
NEGROS POLYMEDIC HOSPITAL
Purok Yakal, Tubtubon North, National Highway, Sibulan, Negros Oriental
(035) 419 2112
Hospitals
NAZARETH GENERAL HOSPITAL
203 Perez Blvd, Downtown District, Dagupan, 2400 Pangasinan
(075) 522 1071
Hospitals
NAZARENUS COLLEGE FOUNDATION HOSPITAL
133 McArthur Highway, Valenzuela
(044) 840 7948
Hospitals
NATIONAL KIDNEY AND TRANSPLANT INSTITUTE (NKTI)
East Avenue, Diliman Quezon City 1101
(02) 8981 0300
Hospitals
NAIC DOCTORS HOSPITAL
Makina Street Naic Cavite
(046) 412 1443
Hospitals
NL VILLA MEMORIAL MEDICAL CENTER
Felix Manalo St., Lipa City, Batangas
(043) 756 4871 to 72
Hospitals
MOTHER TERESA OF CALCUTTA MEDICAL CENTER
MacArthur Highway, Brgy. Maimpis, San Fernando City, Pampanga
(045) 861 4607 to 10
Hospitals
MOTHER OF MERCY HOSPITAL
B. Aquino Ave., Tacloban City
(053) 325 8609
Hospitals
MOLINO DOCTORS HOSPITAL
National Road, Molino II, 4103 Bacoor, Cavite
(046) 477 1661
Hospitals
MISSION HOSPITAL
Km. 17 Ortigas Avenue, Pasig
(02) 8656 2851
Hospitals
MIRANDA FAMILY HOSPITAL
Km. 1, Ntional Highway, Surigao City, Surigao del Norte 8400
(086) 826 1057
Hospitals
MINDANAO MEDICAL CENTER
Mabuhay Road 9500 General Santos City
(083) 552 0566
Hospitals
MIDSAYAP MEDICAL SPECIALISTS INC
145 Quezon Ave., Poblacion 6, Midsayap Cotabato City
-
Hospitals
MEYCAUAYAN DOCTORS HOSPITAL AND MEDICAL CENTER INC
Km. 18, Banga Meycauayan, Bulacan
(044) 896 4546
Hospitals
METROPOLITAN MEDICAL CENTER NASUGBU
Km. 72 Batulao, Nasugbu, Batanga
(02) 8696 4374 to 76
Hospitals
METROPOLITAN MEDICAL CENTER
1357 G. Masangkay St., Sta. Cruz, Manila, Philippines
(02) 8254 1111
Hospitals
METRO SOUTH MEDICAL CENTER
1 Molino Paliparan Rd, Molino IV, Cavite
(046) 477 1743
Hospitals
METRO SAN JOSE MEDICAL CENTER
J. P Laurel Highway, Banaybanay 2 San Jose, Batangas
(043) 702 5490
Hospitals
METRO LIPA MEDICAL CENTER
J.P. Laurel Highway, Brgy. Marawoy, Lipa City, Batangas
(043) 756 0549
Hospitals
METRO LEMERY MEDICAL CENTER
2005 Palanas, Metro Lemery Business Complex, Lemery, Batangas
(043) 409 0480
Hospitals
METRO ILOILO HOSPITAL AND MEDICAL CENTER
Metropolis Avenue Brgy. Tagbak Jaro 5000 Iloilo City,
(033) 327 1527
Hospitals
METRO HEALTH SPECIALISTS HOSPITAL INC
Diversion Road, Cabid an, 4700 Sorsogon
-
Hospitals
METRO DAVAO MEDICAL AND RESEARCH CENTER INC
Km. 4 J.P Laurel St. Bajada, Davao City 8000 Philippines
(082) 287 7777
Hospitals
METRO BALAYAN MEDICAL CENTER
National Highway, Brgy. Caloocan Balayan, Batangas
(043) 740 1350
Hospitals
METRO BACOLOD HOSPITAL AND MEDICAL CENTER
Burgos Extension, Camingawan, Brgy. Estefania, Bacolod City
(034) 488 7288
Hospitals
METRO ANTIPOLO HOSPITAL AND MEDICAL CENTER INC
1348, Marikina Infanta Highway, Brgy. Mayamot, Antipolo
(02) 8722 3208
Hospitals
MENDERO MEDICAL CENTER
A. Tan St., Pitogo 6001 Consolacion
(032) 239 7151
Hospitals
MERCY COMMUNITY HOSPITAL
Sisters of Mercy Road Camague, Iligan City, Philippines
(063) 221 8376
Hospitals
MEDICAL MISSION GROUP HOSPITAL AND HEALTH SERVICES OF CAMARINES SUR
Sta. Elena, Baras, Nabua Camarines Sur
(054) 655 0897
Hospitals
MEDICAL MISSION GROUP HOSPITAL AND HEALTH SERVICES COOPERATIVE OF TACURONG
Alunan Highway cor. Roxas Avenue, Tacurong City
(064) 200 4642
Hospitals
MEDICAL MISSION GROUP HOSPITAL AND HEALTH SERVICES BOHOL
Binayran Road, Dampas District, Tagbilaran City
(038) 411 0411
Hospitals
MEDICAL CENTRUM DAGUPAN
240 AB Fernandez E Ave, Dagupan, 2400 Pangasinan
(075) 515 2326
Hospitals
MEDICAL CENTER WESTERN BATANGAS
Barangay Lanatan, Balayan, 4213 Batangas
-
Hospitals
MEDICAL CENTER TAGUIG CITY INC
Levi Mariano Avenue Barangay Ususan, Taguig
(02) 8888 6284
Hospitals
MEDICAL CENTER PARANAQUE
Dr. Arcadio Santos Ave. 1707 ParaNaque
(02) 8820 0290
Hospitals
MANILAMED MEDICAL CENTER MANILA
850 United Nations Avenue, Ermita, Manila
(02) 8523 8131
Hospitals
MEDICAL CENTER IMUS
Diversion Road, Palico IV, Imus, Cavite
(046) 472 3988
Hospitals
MANILA CENTRAL UNIVERSITY FILEMON D TANCHOCO MEDICAL FOUNDATION HOSPITAL (MCU FDTMF HOSPITAL)
EDSA, Caloocan City, Metro Manila
(02) 8361 9769
Hospitals
MARYMOUNT HOSPITAL INC
C. P. Soriente Bldg., Brgy. Camalig, Meycauayan
(044) 661 1049
Hospitals
MARILAO SAINT MICHAEL FAMILY HOSPITAL
C. Santiago Street, Barangay Poblacion II, Marilao, Bulacan
(044) 769 9012
Hospitals
MARY MEDIATRIX MEDICAL CENTER
JP Laurel Highway, Mary Mediatrix, Lipa, 4217 Batangas
(043) 773 6800
Hospitals
MARIKINA VALLEY MEDICAL CENTER
Sumulong Highway cor. Aguinaldo St., Marikina City,1800
(02) 8682 2222
Hospitals
MARIKINA DOCTORS HOSPITAL AND MEDICAL CENTER INC
10 Evangelista street, brgy. Santolan, Pasig City
(02) 8535 3837
Hospitals
MARIKINA ST VINCENT GENERAL HOSPITAL
35 Bayan Bayanan Ave, Marikina, 1800
(02) 8948 0315
Hospitals
MARIAN HOSPITAL OF STA ROSA INC
816 A Rizal Blvd., Brgy. Tagapo, Sta. Rosa City, Laguna
(02) 8584 4483
Hospitals
MARIA REYNA XAVIER UNIVERSITY HOSPITAL INC
Arch. Hayes Street, Cagayan de Oro City, Misamis Oriental 9000
(088) 881 0548
Hospitals
MANUEL J SANTOS HOSPITAL
Montilla Blvd., Butuan City, Agusan Del Norte
(085) 341 2222
Hospitals
MANILA EAST MEDICAL CENTER
MEMC Bldg., Manila East Rd.,Taytay, 1920 Rizal, Philippines
(02) 8660 0000
Hospitals
MANILA DOCTORS HOSPITAL
667 United Nations Ave, Ermita, Manila, 1000
(02) 8558 0888
Hospitals
MAKATI MEDICAL CENTER
2 Amorsolo Street, Legazpi Village, Makati, 1229
(02) 8888 8999
Hospitals
MALTA MEDICAL CENTER
Km 14, MacArthur Highway, Toril, Davao City
(082) 291 4188
Hospitals
MACTAN DOCTORS HOSPITAL
113 Basak, Lapu Lapu City, Cebu 6015
(032) 341 4444
Hospitals
MV SANTIAGO MEDICAL CENTER MAIN
Brgy. De Ocampo, Trece Martires City, Cavite
(046) 419 3346
Hospitals
LUZON MEDICAL CENTER INC
329 MacArthur Highway, Tapuac District, Dagupan City, 2400
(075) 529 1954
Hospitals
LUNG CENTER OF THE PHILIPPINES
Quezon Avenue, Barangay Central, Diliman, Quezon City 1100
(02) 8924 6101
Hospitals
LUNA GOCO MEDICAL CENTER
Lalud, Calapan
(043) 288 2473
Hospitals
LUCENA UNITED DOCTORS HOSPITAL
Maharlika Highway, Brgy. Isabang, Lucena City
(042) 373 6161
Hospitals
LOS BANOS DOCTORS HOSPITAL
Lopez Ave, Batong Malake, Los BaNos, Laguna
(049) 536 0100
Hospitals
LORMA MEDICAL CENTER
Carlatan San Fernando City La Union 2500 Philippines
(072) 700 0000
Hospitals
LEONCIO GENERAL HOSPITAL AND SAGRADO HOSPITAL
Pangobilian, Brookes Point, Palawan Brooke s Point
-
Hospitals
LEONARDO B MANABAT SR HOSPITAL INC
Moras Dela Paz, Sto. Tomas Pampanga
(045) 961 3513
Hospitals
LEON D HERNANDEZ MEMORIAL HOSPITAL
1328 DasmariNas St, Daet, 4600 Camarines Norte
(054) 440 1406
Hospitals
LAS PINAS DOCTORS HOSPITAL
8009 CAA Rd, Pulanglupa II, Las Pinas
(02) 8825 5236
Hospitals
LAS PINAS CITY MEDICAL CENTER CITYMED
1314 Marcos Avenue, Talon V, Las PiNas City, Philippines, Las PiNas
(02) 8806 2288
Hospitals
LAOAG CITY GENERAL HOSPITAL
40 Barangay Nalibo, Laoag, Ilocos Norte
(077) 772 8826
Hospitals
LAGUNA HOLY FAMILY HOSPITAL
1824 J. De Leon St. Pagsawitan Sta. Cruz Laguna, 4009
(049) 539 5142
Hospitals
LA UNION MEDICAL DIAGNOSTIC CENTER AND HOSPITAL
Ancheta St., Brgy. Catbangen, City of San Fernando, La Union
(072) 242 2274
Hospitals
KIDAPAWAN MEDICAL SPECIALISTS CENTER INC
Kidapawan Ilomavis Tourist Rd, Barangay Sudapin, Cotabato (North), Kidapawan
(064) 577 1762
Hospitals
JAIME B BERCES MEMORIAL HOSPITAL
Karangahan Blvd, Bambon, Tabaco City, Albay
(052) 732 7670
Hospitals
ISABELA UNITED DOCTORS MEDICAL CENTER
National Highway, Brgy. Cabaruan Cauayan City, Isabela, AH26, Cauayan City, Isabela
(078) 652 4177
Hospitals
ISAAC T ROBILLO HOSPITAL CORPORATION
Brgy. Calinan, Km. 26 Davao Bukidnon Rd, Calinan District, Davao City, 8000 Davao Del Sur
(082) 295 0200
Hospitals
ISAAC AND CATALINA MEDICAL CENTER
Calero Street, Ibayo 2100 Balanga, Bataan
(047) 237 1435
Hospitals
ILOILO DOCTORS HOSPITAL INC
West Avenue, Molo, Iloilo City, Iloilo 5000
(033) 337 7702
Hospitals
HOWARD HUBBARD MEMORIAL HOSPITAL
Cannery Site, Polomolok, South Cotabato
(083) 500 2183 to 84
Hospitals
HOLYLIFE HOSPITAL
Pres. Quezon St. Lifehomes Subdivision, Pasig
(02) 7748 3501
Hospitals
HOLY TRINITY GENERAL HOSPITAL
Plazang Luma, Arayat Pampanga, Arayat, Philippines
-
Hospitals
HOLY SPIRIT COMMUNITY HOSPITAL OF DAVAO INC
Sampaguita Barangay Mintal, Davao Bukidnon Rd, Tugbok, Davao City, 8000 Davao del Sur
(082) 293 0236
Hospitals
HOLY ROSARY OF CABUYAO HOSPITAL INC
Rosario Village, Sala, Cabuyao City, Laguna
(049) 502 6024
Hospitals
HOLY NAME UNIVERSITY MEDICAL CENTER FOUNDATION INC
462 J.A. Clarin St, Tagbilaran City, 6300 Bohol
(038) 501 9948
Hospitals
HOLY ROSARY HOSPITAL
Rosario St.,
(042) 302 5255
Hospitals
HOLY MARY WOMEN AND CHILDRENS HOSPITAL
Felix Gorriceta Ave., Brgy. Balabag, 5001 Pavia, Iloilo
(033) 337 5250
Hospitals
HOLY FAMILY MEDICAL CENTER
1377 Santo Entiero St, Angeles, Pampanga
(045) 405 0485
Hospitals
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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.