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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
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Eye Disorders Questionnaire
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Gynecological Questionnaire
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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)
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Venous Diseases Questionnaire
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Provider Name
Provider Address
Phone No.
Provider Type
HOLY CHILD HOSPITAL
Bishop Epifanio Surban St. 6200, Dumaguete city
(035) 422 8457
Hospitals
HEALTHSERV LOS BANOS MEDICAL CENTER
8817 National Highway Batong Malake, Los BaNos, Laguna, 4030
(049) 536 4858
Hospitals
GRAMAN MEDICAL AND MATERNITY HOSPITAL INC
44 Camia St., Brgy. Dakila, City of Malolos, Bulacan
(044) 802 5871
Hospitals
GRACE MEMORIAL HOSPITAL
3 , Burol 2nd, Balagtas, Bulacan 3016
(044) 815 7217
Hospitals
GRACE GENERAL HOSPITAL
B1 L1 Quirino Highway Ext., Brgy. Mulawin, City of San Jose Del Monte, Bulacan
(02) 8925 1131
Hospitals
GOODSAM MEDICAL CENTER GAPAN CITY
Bucana Gapan CIty, Nueva Ecija
(044) 486 2363
Hospitals
GOODSAM MEDICAL CENTER CABANATUAN CITY
Burgos Avenue, Cabanatuan City, Nueva Ecija
(044) 951 8888
Hospitals
GONZALES MEDICAL AND CHILDRENS HOSPITAL INC
50 Sixto Castillo Street, Poblacion Brgy. 5, Tanauan City, Batangas, 4232
(043) 778 1218
Hospitals
GLOBAL MEDICAL CENTER OF LAGUNA INC
National Highway, Barangay Banlic, Cabuyao City, Laguna 4025
(02) 8519 4477
Hospitals
GLOBAL CARE MEDICAL CENTER OF CANLUBANG
J. Yulo Avenue, Brgy Canlubang, Calamba City, Laguna 4028
(049) 520 5626
Hospitals
GLOBAL CARE MEDICAL CENTER OF TALISAY INC
Mabini Highway, Barangay Aya, Talisay, Batangas
(043) 778 4888
Hospitals
GLOBAL CARE MEDICAL CENTER OF BAY INC
National Highway,Brgy. Maitim Bay Laguna
(049) 559 6145
Hospitals
GENTRI MEDICAL CENTER HOSPITAL
Santusan Street, Barangay Manggahan, Gen.Trias, Cavite
(046) 424 0888
Hospitals
GENSAN MEDICAL CENTER
Makar Siguel Rd, General Santos City, 9500 South Cotabato
(083) 887 9898
Hospitals
GENERAL EMILIO AGUINALDO MEMORIAL HOSPITAL (KOREA-PHILIPPINES FRIENDSHIP PROJECT)
Trece Indang Road, Brgy. Luciano, Trece Martires, Cavite
(046) 419 2064
Hospitals
GENERAL SANTOS DOCTORS HOSPITAL
National Highway, General Santos City
(083) 250 2888
Hospitals
GARCIA GENERAL HOSPITAL
49 Bayan Bayanan ave, Marikina, 1800
(02) 8941 5511
Hospitals
FIRST CABUYAO HOSPITAL AND MEDICAL CENTER INC
KM 44 National Highway, Rotonda, Purok 5, Brgy. Sala, Cabuyao City, Laguna 4025
(049) 559 8090
Hospitals
FLORIDABLANCA DOCTORS HOSPITAL INC
Valdez, Floridablanca Pampanga
(045) 624 2297
Hospitals
FEU DR NICANOR REYES MEDICAL FOUNDATION HOSPITAL
Regalado Ave.,Fairview, Quezon City, 1118
(02) 8938 4881
Hospitals
FE DEL MUNDO MEDICAL CENTER
11 Banawe St. Brgy. DoNa Josefa, Quezon City
(02) 8712 0845 to 50
Hospitals
FATIMA UNIVERSITY HOSPITAL AND MEDICAL CENTER VALENZUELA
20 MacArthur Highway, Valenzuela, 1440
(02) 8291 6538
Hospitals
FATIMA UNIVERSITY HOSPITAL AND MEDICAL CENTER ANTIPOLO
23 Sumulong Highway, Sta. Cruz, Antipolo, 1870 Rizal
(02) 8727 8845
Hospitals
FAIRVIEW GENERAL HOSPITAL
Lot 20, Fairview Ave, cor. Mercury Street, Brgy. Fairview, Capitol District, Quezon City
(02) 8939 9689
Hospitals
EVANGELISTA MEDICAL SPECIALTY HOSPITAL
EMSH Building, Macaria, Pacita Complex 1, San Pedro Laguna
(02) 8808 1829
Hospitals
ESTEVEZ MEMORIAL HOSPITAL
Don Juan S. Estevez St., Guevarra Subdivision, Legazpi City 4500
(052) 245 5031
Hospitals
EMILIO AGUINALDO COLLEGE MEDICAL CENTER CAVITE
Brgy. Salitran II, DasmariNas, Cavite 4114
(046) 416 3010
Hospitals
ELGUIRA GENERAL HOSPITAL
259 Rizal Avenue, San Carlos City , Pangasinan
(075) 532 4481
Hospitals
CITY OF IMUS DOCTORS HOSPITAL INC
Emilio Aguinaldo Highway, Anabu 1 B, Imus, Cavite
(02) 8424 2130
Hospitals
DR YANGAS HOSPITAL INC
252 P. Burgos Street, Poblacion 3018 Bocaue, Bulacan
(044) 815 0384
Hospitals
DR VICTOR R POTENCIANO MEDICAL CENTER
163, EDSA (Southbound Side) Mandaluyong City, 163 Epifanio de los Santos Ave, Mandaluyong, 1501
(02) 8464 9999
Hospitals
DR RONALD P GUZMAN MEDICAL CENTER
Enrile Avenue , Carig, Tugugarao City, Cagayan Valley
(078) 304 0925
Hospitals
DR PABLO O TORRE MEMORIAL HOSPITAL (RIVERSIDE MEDICAL CENTER)
BS Aquino Dr, Bacolod, 6100 Negros Occidental
(034) 705 0000
Hospitals
DR PERALTA HOSPITAL CO
1149 Gov Padilla Rd, Plaridel, 3004 Bulacan
(044) 760 7685
Hospitals
DR JESUS C DELGADO MEMORIAL HOSPITAL
No. 7 Kamuning Road, Quezon City
(02) 8924 4051
Hospitals
DR GLORIA D LACSON GENERAL HOSPITAL
180 National Highway Barangay, Castellano, San Leonardo, Nueva Ecija
(044) 486 2432
Hospitals
DR ARTURO P PINGOY MEDICAL CENTER
Gen. Santos Drive, Koronadal, South Cotabato 9506
(083) 228 2202
Hospitals
DR ARMANDO D COPE MEMORIAL HOSPITAL
Rulvivar Street, Tayhi, Tabao, Albay 4511
(052) 487 5282
Hospitals
DIVINE MERCY HOSPITAL INC
Lots 9 & 10 Amante Subd. City of San Pedro, Laguna
(049) 808 3392
Hospitals
DIONISIO M CORNEL MEDICAL CENTER INC
8001 Marikina Infanta Highway, Antipolo, 1800 Rizal
(02) 8645 0411
Hospitals
DIVINE LOVE GENERAL HOSPITAL
Sinagtala, Lipa City, Batangas 4217.
(043) 784 1338
Hospitals
DILIMAN DOCTORS HOSPITAL
251 Commonwealth Ave, Matandang Balara, Quezon City, 1119
(02) 8883 6900 Loc (1133, 1136 HMO)
Hospitals
DEIPARINE MEDICAL HOSPITAL
422 C. delos Cientos Street, Poblacion 6020 Sibonga
(032) 486 9253
Hospitals
DE LOS SANTOS MEDICAL CENTER
201 E Rodriguez Sr. Blvd., Quezon City
(02) 8893 5762
Hospitals
DE LA SALLE UNIVERSITY MEDICAL CENTER
Governor D. Mangubat Avenue, City of DasmariNas Cavite, 4114
(046) 481 8000
Hospitals
DAVAO MEDICAL SCHOOL FOUNDATION HOSPITAL (DMSF)
Medical, School Drive, Poblacion District, Davao City, 8000 Davao del Sur
(082) 227 9330
Hospitals
DAVAO DOCTORS HOSPITAL
118 E. Quirino Avenue, Davao City
(082) 222 8000
Hospitals
DASMARINAS CITY MEDICAL CENTER INC
Salawag Crossing, Salawag, Dasmarinas City, Cavite
(046) 483 9000
Hospitals
DANIEL MERCADO MEDICAL CENTER
No. 1 President Laurel Highway, Tanauan City, Batangas
(043) 778 3401
Hospitals
DAMASCO MEDICAL CLINIC
56 Gaddang Street, Solano, 3709 Nueva Vizcaya
(078) 326 5608
Hospitals
CRUZ-RABE MATERNITY AND GENERAL HOSPITAL
57 Gen. Luna St, Taguig, 1634
(02) 8642 0747
Hospitals
DAGUPAN DOCTORS VILLAFLOR MEMORIAL HOSPITAL INC
Mc Arthur Highway, Mayombo District, Dagupan City 2400
(075) 523 2222
Hospitals
COTABATO MEDICAL SPECIALIST HOSPITAL
Quezon Ave, Rosary Heights 2, Cotabato City, Maguindanao
(064) 421 4145
Hospitals
CP REYES HOSPITAL (TANAUAN MEDICAL CENTER INC)
A. Mabini Avenue, 4232 Malvar, Bantangas
(043)778 1364
Hospitals
COMMUNITY GENERAL HOSPITAL OF SAN PABLO CITY INC
C. Colago Avenue, San Pablo City, Laguna
(049) 562 2053
Hospitals
COMMONWEALTH HOSPITAL AND MEDICAL CENTER
Neopolitan Business Park, Regalado Highway, Novaliches 1118 Quezon City
(02) 8930 0000
Hospitals
GATCHALIAN MEDICAL CENTER (Formerly CLINICA GATCHALIAN AND HOSPITAL)
Kangleon St, District 20, Ormoc, 6541 Leyte
(053) 561 7937
Hospitals
CLINICA ANTIPOLO HOSPITAL AND WELLNESS CENTER INC
Sen. L. Sumulong Memorial Circle, Brgy. Dela Paz, Antipolo City, 1870
(02) 8695 9486
Hospitals
CIUDAD MEDICAL ZAMBOANGA
Mayor Vitaliano Agan Avenue Zamboanga City, 7000 Zamboanga Del Sur
(062) 992 7330
Hospitals
CITY OF GENERAL TRIAS DOCTORS MEDICAL CENTER INC
Governor s Drive, Brgy. Manggahan, General Trias, 4107 Cavite
(046) 416 2222
Hospitals
CHINESE GENERAL HOSPITAL AND MEDICAL CENTER
286 Blumentritt Road, Sta. Cruz, Manila 1014
(02) 8711 4141
Hospitals
CHONG HUA HOSPITAL MANDAUE
Mantawi International Drive, Subangdaku, Mandaue City 6014 Cebu
(032) 233 8000
Hospitals
CHONG HUA HOSPITAL FUENTE
Don Mariano Cui Street, Fuente OsmeNa, Cebu City, Philippines 6000
(032) 254 1461
Hospitals
CENTRO MEDICO DE SANTISIMO ROSARIO INC
Roman Super Highway, Tenejero 2100 Balanga, Philippines
(047) 633 8880
Hospitals
CENTRAL LUZON DOCTORS HOSPITAL
Hospital Drive 2300 Brgy. San Vicente, Tarlac City, Tarlac Philippines
(045) 982 0806
Hospitals
CEBU NORTH GENERAL HOSPITAL
Kauswagan Road 6000 Talamban, Cebu
(032) 343 7777
Hospitals
CEBU VELEZ GENERAL HOSPITAL INC
41 F. Ramos St., Cebu City
(032) 253 1871
Hospitals
CEBU SOUTH GENERAL HOSPITAL
Tuyan City Of Naga, Cebu 6037 Toledo City, Cebu
(032) 272 2222
Hospitals
CEBU DOCTORS UNIVERSITY HOSPITAL
OsmeNa Blvd, Cebu City, 6000 Cebu
(032) 253 7511
Hospitals
CATANDUANES DOCTORS HOSPITAL INC
Surtida St. Valencia, Virac, Catanduanes
-
Hospitals
CARMONA HOSPITAL AND MEDICAL CENTER
Macaria Business Center Governor s Drive Corner Purification St. Brgy. Mabuhay Carmona, Cavite
(046) 430 0295
Hospitals
CASTRO MATERNITY HOSPITAL AND MEDICAL CENTER INC
M. Ponce, Tibag Baliuag, Bulacan
(044) 308 4250
Hospitals
CALAMBA MEDICAL CENTER
Crossing AH26, Real, Calamba, 4027 Laguna
(049) 545 1740
Hospitals
CARDINAL SANTOS MEDICAL CENTER
10 Wilson, Greenhills West, San Juan 1502
(02) 8727 0001
Hospitals
CAPITOL UNIVERSITY MEDICAL CENTER FOUNDATION OF CAGAYAN INC
Gusa Highway, Cagayan de Oro City, Misamis Oriental 9000
(088) 856 4714
Hospitals
CAPITOL MEDICAL CENTER
Quezon Ave. corner, Scout Magbanua Street, Brgy. Paligsahan, Quezon City 1103
(02) 8372 3825 to 44
Hospitals
CALAMBA DOCTORS HOSPITAL
Km. 49 National Highway, Parian, Calamba City, Laguna
(049) 545 7371
Hospitals
CAGAYAN DE ORO POLYMEDIC MEDICAL PLAZA
Kauswagan National Highway 9000 Cagayan de Oro City
(088) 858 5241
Hospitals
CAGAYAN DE ORO POLYMEDIC GENERAL HOSPITAL
Apolinar Velez St., Cagayan De Oro City
(088) 856 4465
Hospitals
BUTUAN DOCTORS HOSPITAL AND COLLEGE INC
JC Aquino Avenue, Butuan City Agusan Del Norte 8600
(085) 342 7000 loc. 160-161
Hospitals
BROKENSHIRE MEDICAL CENTER
Madapo Hill, Davao City 8000
(082) 305 3170
Hospitals
BRENT HOSPITAL
R. T. Lim Boulevard 7000 Zamboanga City
(062) 991 5358
Hospitals
BOHOL DOCTORS HOSPITAL INC (formerly ENGLEWOOD HOSPITAL)
Bool District, Tagbilaran City, Bohol 6300
(038) 412 3018
Hospitals
BINANGONAN LAKEVIEW HOSPITAL INC
Km. 31 Manila East Road Brgy. Tagpos Binangonan Rizal
(02) 8570 0791
Hospitals
BINAN DOCTORS HOSPITAL
Manila South Road, BiNan Laguna
(049) 511 9159
Hospitals
BINAKAYAN HOSPITAL AND MEDICAL CENTER
175 Covelandia Road, Barangay Balsahan, Bisita, Binakayan, Kawit, Cavite
(046) 516 0500
Hospitals
BETHANY HOSPITAL INC
Widdoes Street, City of San Fernando, La Union
(072) 242 0804
Hospitals
BERNARDINO GENERAL HOSPITAL 1
680 Quirino Highway, San Bartolome
(02) 8936 6050
Hospitals
BAYUGAN CITY DOCTORS HOSPITAL
Pan Philippine Hwy, Bayugan City, Agusan del Sur
(085) 303 0387
Hospitals
BAUAN DOCTORS GENERAL HOSPITAL
F mangobos st. Cor. Tano road, Poblacion Bauan, Batangas
(043) 727 3527
Hospitals
BATANGAS HEALTH CARE HOSPITAL JESUS OF NAZARETH
Gov. Carpio Road, Brgy. Gulod Itaas, Batangas City 4200 Batangas City
(043) 723 8615
Hospitals
BATAAN PENINSULA MEDICAL CENTER
San Ramon, Dinalupihan, Philippines
(047) 481 2173
Hospitals
BATAAN DOCTORS HOSPITAL AND MEDICAL CENTER
DoNa Francisca Subdivision, Balanga City
(047) 237 2050
Hospitals
BACOOR DOCTORS MEDICAL CENTER
Molino Blvd., Bayanan, Bacoor City, Cavite
(046) 416 6275
Hospitals
BACOLOD QUEEN OF MERCY HOSPITAL
Eroreco Brgy Mandalagan 6100 Bacolod City
(034) 431 2559
Hospitals
ASSUMPTION SPECIALTY HOSPITAL AND MEDICAL CENTER INC
Sumulong Highway, Brgy. Dela Paz, Antipolo City
(02) 8248 5500
Hospitals
ASIAN HOSPITAL AND MEDICAL CENTER
2205 Civic Dr, Alabang, Muntinlupa, 1780 Metro Manila
(02) 8771 9000 to 02
Hospitals
APALIT DOCTORS HOSPITAL
Gonzales Avenue, San Juan, Apalit, Pampanga 2016
(045) 652 0030
Hospitals
APALIT CHRISTIAN COMMUNITY HEALTH CENTER FOUNDATION INC
Gonzales Avenue, San Juan, Apalit, Pampanga
(045) 652 0089
Hospitals
ANTIPOLO DOCTORS HOSPITAL
M. L. Quezon Extension Brgy. Dalig, Antipolo City 1870 Rizal
(02) 8697 2006
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.