Customer Center

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
Payment Options
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
ANGELES UNIVERSITY FOUNDATION MEDICAL CENTER
MacArthur Highway, 2009 Angeles City
(045) 625 2932
Hospitals
ANGELES MEDICAL CENTER
641 Rizal St., Angeles City, 2009
(045) 625 9411
Hospitals
ANDRES SORIANO MEMORIAL HOSPITAL COOPERATIVE
Tabon, Bislig, Surigao del Sur 8311
(086) 853 1487
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER VALENZUELA INC
548 Mc Arthur Highway, Malanday, Valenzuela City
(02) 8332 0531
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER TACLOBAN
Marasbaras, Barangay 78, Tacloban City
(053) 888 4322
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER QUEZON CITY INC
20 Seminary Road, Brgy. Bahay Toro, Project 8
(02) 8283 3993
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER PATEROS INC
884 P. Herrera St, Pateros Metro Manila
(02) 8706 9398
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER CEBU
982 N. Bacalaso Ave., Basak, Pardo, Cebu City, 6000
(032) 265 5833
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER BOHOL
0368 Carlos P. Garcia East Avenue, Tagbilaran City, Bohol
(038) 412 8888
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER BAYPOINTE
Block 8, Lot 1A & 1B, Dewey Ave. CBD Area, Subic Bay Freeport Zone
(047) 250 6070
Hospitals
ALLIED CARE EXPERTS (ACE) MEDICAL CENTER BALIWAG INC
Lot 2975 C 1 DoNa Remedios Trinidad Highway, Pinagbarilan, Baliwag, Bulacan
(044) 816 1000
Hospitals
ALLIED CARE EXPERTS (ACE) DUMAGUETE DOCTORS
Claytown Road, Dumaguete City, Negros Oriental, 6200
(035) 523 5957
Hospitals
ALLEGIANT REGIONAL CARE (ARC) HOSPITALS INC
Barangay Agus, Lapu Lapu City, Cebu,
(032) 517 6051
Hospitals
ALLAH VALLEY MEDICAL SPECIALISTS CENTER INC
Gensan Drive, Purok Villegas, Brgy. Zone II, Koronadal City
(083) 228 3550
Hospitals
ALABANG MEDICAL CENTER
Alabang Zapote Road, Across Madrigal Business Park, Muntinlupa
(02) 8850 8719
Hospitals
AISAH MEDICAL HOSPITAL
B. Pulmones Street, San Pedro District, Pagadian City
(062) 215 4413
Hospitals
ADVENTIST MEDICAL CENTER MANILA
1975 Corner Donada and San Juan Street, Pasay City, Metro Manila 1300
(02) 8525 9191
Hospitals
AGO GENERAL HOSPITAL
Rizal Street, Legaspi City, Albay 4500
(052) 481 1137 loc. 670
Hospitals
ADVENTIST MEDICAL CENTER ILIGAN INC
Andres Bonifacio Avenue Brgy San Miguel, Iligan City
(063) 221 3029
Hospitals
ADVENTIST MEDICAL CENTER BACOLOD
C. V. Ramos Avenue, Brgy. Taculing Bacolod City, 6100
(034) 433 4831
Hospitals
ADVENTIST HOSPITAL DAVAO INC
Km. 7, McArthur Highway Bangkal, Brgy. Talomo, Talomo District 8023 Davao City
(082) 297 2761
Hospitals
ADVENTIST HOSPITAL PALAWAN INC
Junction III, San Pedro, Puerto Princesa, Philippines
(048) 433 5566
Hospitals
ADVENTIST HOSPITAL SANTIAGO CITY INC
Maharlika Highway, Mabini, 3311 Santiago City, Isabela
(078) 324 7259
Hospitals
ADVENTIST HOSPITAL CALBAYOG INC (formerly CALBAYOG SANITARIUM AND HOSPITAL)
Km 730 Daang Maharlika San Policarpo, 6710 Calbayog City, Samar
(055) 209 1323
Hospitals
ACEBEDO GENERAL HOSPITAL
849 Gen. Luis St., Bagbaguin, Caloocan City, Metro Manila
(02) 8983 5363
Hospitals
ADVENTIST HOSPITAL CEBU (FORMERLY HW MILLER SANITARIUM AND HOSPITAL)
400 Tres de Abril Street, Cebu City 6000
(032) 261 2100
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.