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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
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
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Pre-Approval Form (PDF)
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Data Privacy Statement
Data Privacy Statement
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FlexiShield (FAQ)
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Provider Name
Provider Address
Phone No.
Provider Type
THE MEDICAL CITY CLINIC ARANETA CENTER
Level 2 Cyber Park Tower 1 Gen. Aguinaldo Ave., cor. Gen. Mc Arthur Ave. Cubao
(02) 8249 8090
Clinics
THE MEDICAL CITY CLINIC AYALA MALLS FELIZ
Level 3 Unit 320 Ayala Mall Feliz, Marcos Highway cor J.P. Rizal Street Dela Paz
(02) 8249 8270
Clinics
THE MEDICAL CITY CLINIC COMMONWEALTH (ONE FELICITY)
L/G One Felicity Center Commonwealth Ave., Quezon City
(02) 8236 6690
Clinics
THE MEDICAL CITY CLINIC WALTERMART MUNOZ (FORMERLY CONGRESSIONAL)
Unit WNEC 201 203, 3rd Floor Waltermart, North Edsa, Veterans Village
(02) 8332 4264
Clinics
THE MEDICAL CITY CLINIC EASTWOOD
G/F Olympic Heights, Eastwood Avenue, Eastwood City, Bagumbayan, Quezon City
(02) 7720 9405
Clinics
THE MEDICAL CITY CLINIC ESTANCIA
4L 28 East Wing Estancia Mall, Meralco Ave., Capitol Commons, Pasig City
-
Clinics
THE MEDICAL CITY CLINIC FISHERMALL
3/F Fishermall, Quezon Avenue, cor. Roosevelt Avenue Brgy. Sta. Cruz, Quezon City
(02) 8287 5820
Clinics
THE MEDICAL CITY CLINIC GATEWAY
3/F Gateway Mall, Araneta Center, Quezon City
(02) 8709 3969
Clinics
THE MEDICAL CITY CLINIC MARKET MARKET
3/F Market Market, McKinley Parkway Ave., Brgy. Fort Bonifacio Taguig City
(02) 8886 9996
Clinics
THE MEDICAL CITY CLINIC IL CENTRO
Ground Level. Sta. Lucia Residenze Mall, ( Unit G19 to G21) Marcos Highway cor. Felix Avenue
(02) 8532 2557
Clinics
THE MEDICAL CITY CLINIC ROBINSONS CAINTA
2/F Robinsons Place Cainta Junction, Ortigas Ave, Cainta
(02) 8655 0129
Clinics
THE MEDICAL CITY CLINIC ROBINSONS MAGNOLIA
Lower Ground LG040, Aurora Blvd. cor. DoNa Hemady and N. Domingo Sts.
(02) 8654 5546
Clinics
THE MEDICAL CITY CLINIC SAN LORENZO PLACE
2F B27 San Lorenzo Place Tower 3, EDSA cor. Chino Roces Avenue
(02) 8837 9383
Clinics
THE MEDICAL CITY CLINIC SANTOLAN TOWN PLAZA
2/F Santolan Town Plaza, Col. Bonny Serrano Avenue, San Juan
(02) 8876 8490
Clinics
THE MEDICAL CITY CLINIC SM LIGHT MALL
2/F SM Light Mall, Corner Madison Ave., Mandaluyong City
(02) 8696 3372
Clinics
THE MEDICAL CITY CLINIC SM CABANATUAN
3/F SM City Cabanatuan, Brgy. H.Conception, Maharlika Highway Cabanatuan City, Nueva Ecija
(044) 951 0158
Clinics
THE MEDICAL CITY CLINIC SM CITY EAST ORTIGAS
2/F SM East Ortigas, Ortigas Ext., Pasig City
(02) 8657 2230
Clinics
THE MEDICAL CITY CLINIC SM CITY MASINAG
2nd floor SM City Masinag, Marcos Hi way Brgy. Mayamot
(02) 8636 1642
Clinics
THE MEDICAL CITY CLINIC SM CITY SAN JOSE DEL MONTE
2/F SM San Jose Del Monte, Brgy. Tungkong Mangga, City of San Jose Del Monte Bulacan
(02) 8396 9899 loc 4006
Clinics
THE MEDICAL CITY CLINIC SM DAGUPAN
2nd Floor, SM Center Dagupan, H.H, Del Pilar Street, Herrero Perez
-
Clinics
THE MEDICAL CITY CLINIC SM FAIRVIEW
LG/F & BS Level SM City Fairview, Quirino Highway, cor. Regalado Ave., Fairview, Quezon City
(02) 8441 0898
Clinics
THE MEDICAL CITY CLINIC SM FTI
G/F SM Hypermarket, FTI compound, Taguig City
(02) 8519 3221
Clinics
THE MEDICAL CITY CLINIC SM LIPA
G/F SM City Lipa Ayala highway, Lipa City
(043) 7981 1987
Clinics
THE MEDICAL CITY CLINIC SM MANILA
5th Level, SM City Manila, Concepcion St. cor. Arroceros and San Marcelino Sts., Manila, Ermita, Manila
(02) 8527 8605
Clinics
THE MEDICAL CITY CLINIC SM MARIKINA
G/F SM City Marikina, Calumpang, Marikina City
(02) 8477 1951
Clinics
THE MEDICAL CITY CLINIC SM MOA
Unit WZ 201 292, 2/F SM MOA, Wellness Zone, JW Diokno Blvd., MOA Complex
(02) 8877 0148
Clinics
THE MEDICAL CITY CLINIC SM NORTH
Upper Ground Flr., SM North Annex Bldg., Quezon City
(02) 8441 2919
Clinics
THE MEDICAL CITY CLINIC SM NOVALICHES
2/F Wellness Zone SM City Novaliches, Quirino Highway, Brgy.San Bartolome, Novaliches, Quezon City
(02) 8363 8168
Clinics
THE MEDICAL CITY CLINIC SM SAN MATEO
3/F SM City San Mateo, Gen. Luna Ave., Brgy. Ampid, San Mateo, Rizal
(02) 8656 0168
Clinics
THE MEDICAL CITY CLINIC SM SAN LAZARO
Unit 108B 111B, Feliz Huertas cor. A.H. Lacson St., Sta. Cruz Brgy. 350
(02) 8247 1539
Clinics
THE MEDICAL CITY CLINIC SM SHAW
G/F SM Hypermarket Mandaluyong Shaw Blvd. cor. Magalona St., Mandaluyong City
(02) 8260 9375
Clinics
THE MEDICAL CITY CLINIC SM SOUTH TOWER
G/F SM South Tower, Alabang Zapote Road, Almanza Uno, Las PiNas City
(02) 8849 1130
Clinics
THE MEDICAL CITY CLINIC SM SUCAT
3/F Bldg. A, SM City Sucat, Paranaque City
(02) 7576 5220
Clinics
THE MEDICAL CITY CLINIC SM TAYTAY
SM Taytay 102 105 SM City Taytay IT Park, Manila East Road
-
Clinics
THE MEDICAL CITY CLINIC SM STA MESA
Annex Bldg., SM City Sta. Mesa, Magsaysay Blvd., cor. Araneta Ave. Sta Mesa, Manila
(02) 8255 3392
Clinics
THE MEDICAL CITY CLINIC STA LUCIA EAST GRAND MALL
G/F Phase 3 Sta. Lucia East Grand Mall, Marcos Highway cor. Felix Ave., Cainta, Rizal
(02) 8477 5749
Clinics
THE MEDICAL CITY CLINIC SOUTHWOODS MALL
3/F Southwoods Mall Southwoods City, BiNan, Laguna.
(02) 8530 0989
Clinics
THE MEDICAL CITY CLINIC SM VALENZUELA
G/F SM Center Valenzuela, Mcarthur Highway, Brgy. Karuhatan, Valenzuela City
(02) 8426 7819
Clinics
THE MEDICAL CITY CLINIC TIMOG
G/F 56 Timog Ave Brg.Laging Handa, Quezon City
(02) 8921 2534
Clinics
THE MEDICAL CITY CLINIC TRINOMA I
LM 1 Trinoma North Avenue, Cor. EDSA, Quezon City
(02) 7943 2256
Clinics
THE MEDICAL CITY CLINIC TRINOMA II
G/F G020 Trinoma North Ave. cor EDSA, Quezon City
(02) 7943 2257
Clinics
THE MEDICAL CITY CLINIC VICTORY MALL
3/F Victory Central Mall, Old Victory Compound, Rizal Avenue, Monumento, Caloocan City
(02) 8351 4987
Clinics
THE MEDICAL CITY CLINIC WALTERMART BICUTAN
G/F Waltermart Bicutan, East service road, Paranaque City
(02) 8887 5600
Clinics
THE MEDICAL CITY CLINIC WALTERMART MAKATI
3/F Walter Mart Center, Chino Roces cor. Arnaiz St., Makati City
(02) 7744 4170
Clinics
THE MEDICAL CITY CLINIC WALTERMART MALOLOS
2nd floor Waltermart Mall Malolos km45, McArthur Highway, Malolos, Bulacan
-
Clinics
THE MEDICAL CITY CLINIC WALTERMART SAN FERNANDO
20 & 21 GF Waltermart San Fernando, Mc Arthur Hi way, San Fernando, Pampanga
(045) 402 3578
Clinics
THE MEDICAL CITY CLINIC WALTERMART STA MARIA
Waltermart Center Sta. Maria, 2nd floor Provincial road corner Bypass road Sta. Clara, Sta. Maria, Bulacan.
-
Clinics
THE MEDICAL CITY CLINIC WALTERMART TAYTAY
LG/F Waltermart Taytay, Ortigas Avenue Extension, Brgt. San Isidro, Taytay, Rizal
(02) 8249 8080
Clinics
THERACURE PHYSICAL THERAPY CLINIC
Downtown Center, 516 Quintin Paredes St., Binondo
-
Clinics
THERAMEDICA HEALTH SYSTEMS INC
B2 L5, Gov s Drive,
(046) 460 4788
Clinics
TLC LABORATORY AND DIAGNOSTIC CENTER
2nd Flr., East Town Centre Commercial Bldg., 70 A Manila East Rd., Brgy. Muzon
(02) 8985 6316
Clinics
TOPMED DIAGNOSTICS CLINIC INC
132 Kalayaan Ave, Diliman, Quezon City
-
Clinics
TOKYO HEALTHLINK INC ALABANG
R 2 El Molito Bldg Madrigal Avenue Ayala Alabang Muntinlupa City
(02) 8772 2678 to 79
Clinics
TRIPLE B FAMILY HEALTH CARE CORP
Level 1 Unit 103 A and 101 B Robinsons Cybergate JP Laurel Ave.
(082) 287 0066
Clinics
TRU LAB LABORATORY AND DIAGNOSTIC CENTER NAGA
GF Win Win Mall, Diversion Road, Triangulo
(054) 881 6641
Clinics
UNGS CLINICAL LABORATORY
Nono Limbaga Drive, Poblacion 9,
(035) 415 9807
Clinics
UNICARE DIAGNOSTICS INC
101 103 Fred s Bldg., McArthur Highway, Brgy. Dolores
(045) 407 1316
Clinics
UNITED DIAGNOSTIC LABORATORY INC
GF UDL Medical Bldg., 1440 Taft Avenue, Manila
(02) 8523 4476
Clinics
UNITED GLOBAL SPECIALTY CENTER CORP
A 212 2nd Floor 2054, Robinsons Place, Sumulong Highway
(02) 8638 5646
Clinics
UNIVERSAL ADVANCE MEDICAL DIAGNOSTICS LABORATORY INC
2nd Floor The Pentagon Bldg., Mc Arthur Higway, Nancayasan
(075) 221 5117
Clinics
UROLOGY MED CARE INC
2nd flr., Units 2DEF, TC Plaza, No. 40 Quezon Avenbue, DoNa Josefa
(02) 7118 8300
Clinics
URR ALLIED LABORATORY CLINIC
Upper Ground Floor, Pilando Center
-
Clinics
VICENTE-ISABEL MULTISPECIALTY CLINIC AND DIAGNOSTIC CENTER INC IMUS
460 Bucandala 5,
(046) 454 6322
Clinics
VILLANUEVA CLINICAL LABORATORY
16 St. Lacson,
(034) 433 5277
Clinics
VITALAB CDO
Door 3, ATC Bldg., Luna Velez Sts.,
(088) 850 3069
Clinics
VITALAB DAVAO
Doors 2 & 3, Magricom Bldg., Km.5, Bajada
(082) 222 7970
Clinics
VITALAB GENERAL SANTOS
Unit 5,6,7 Valley High, National Highway
(064) 248 2922
Clinics
WELLCARE CLINIC BUROL MAIN
Gov. D. Mangubat Ave., Burol Main, DasmariNas City, Cavite
(046) 416 6529
Clinics
WELLCARE CLINIC MANGGAHAN
Main Street Plaza 1, Gov. Drive, Manggahan, General Trias, Cavite
(046) 476 0949
Clinics
WELLCARE CLINIC WALTERMART BALIBAGO
Watermart Balibago, Balibago Rd. cor San Lorenzo Rd., Sta. Rosa Laguna
(049) 576 0010
Clinics
WELLCARE CLINIC WALTERMART DASMARINAS
2nd floor, Waltermart Aguinaldo Highway, DasmariNas City, Cavite
(046) 416 1512
Clinics
WELLNEST DIAGNOSTIC CENTER
5864 Alfonso Street Brgy. Poblacion
(02) 8527 7214
Clinics
WHEALTH MEDICAL CLINIC AND DIAGNOSTIC CENTER
Unit A 004 1st Flr., Bldg. 2, GSIS Metrohomes, Anonas St. cor Pureza Sta. Mesa
(02) 8252 8060
Clinics
YAP CLINIC
26 Roxas East Ave.
(083) 552 4936
Clinics
YOUR PAIN AND INJURY THERAPY CENTER BATAAN
TMC Building, Rotary Avenue, Tenejero
-
Clinics
YOUR PAIN AND INJURY THERAPY CENTER BALIUAG
Unit 02 Violago Building Brgy. Pagala
(044) 233 2288
Clinics
YOUR PAIN AND INJURY THERAPY CENTER OLONGAPO
corner Coral St., Kalaklan
-
Clinics
YOUR PAIN AND INJURY THERAPY CENTER MALOLOS
Lysa Queen Bldg, Tikay,
-
Clinics
COMMON CARE MEDICAL DIAGNOSTIC CORPORATION
Unit 6, Plaza S Commercial Center, Brgy. Putingkahoy
(046) 483 1731
Clinics
YOUR PAIN AND INJURY THERAPY CENTER SAN FERNANDO
Aria Place, Unit 201B Jose Abad Santos Ave.
(045) 455 0011
Clinics
ALRAFA CARDIOVASCULAR DIAGNOSTIC CENTER
2nd flr., R. Square Bldg., William Shaw St., cor. Urbano Plata St.,Brgy. 87
-
Clinics
HEMO LAB PHILIPPINES INC
3rd Floor EMF Buidling Mnaila East Road, Brgy. San Juan
(02) 7001 7797
Clinics
LABLIFE SPECIALTY CLINICS AND LABORATORY
4th flr., Porta Vaga Annex, 4A 01 03, Session Road
(074) 619 1736
Clinics
THE GUILLERMO B DE VENECIA EYE CENTER INC
Bolasi, Brgy. Bagket
-
Clinics
THE MEDICAL CITY CLINIC ROBINSONS GALLERIA SOUTH
2F 255 Robinsons Galleria South KM, 32 National Highway Nueva, 4023, City of San Pedro Laguna
-
Clinics
SHALOM DYNAMIC HEALTH CARE CO BATANGAS CITY
Maptan Bldg., Pallocan West,
-
Clinics
SHALOM DYNAMIC HEALTH CARE CO BAUAN
JP Rizal St., Poblacion 1
(043) 332 9841
Clinics
HI-PHYSIO PHYSICAL THERAPY MEDICAL CENTER CORPORATION ANGELES (Formerly HI PHYSIO PHYSICAL THERAPY CLINIC ANGELES)
Unit 1B, Ground Flr., OEH Business Center, Aniceto Gueco St., Balibago
-
Clinics
HI-CARE DIAGNOSTIC CENTER
Rm 207, JC Leonie Bldg., Brgy. Maguyom
(046) 402 0746
Clinics
CARMELAB DIAGNOSTIC CENTER
2F Atilano Bldg., 2710 Pope John Paul II, Mabolo
(032) 427 6042
Clinics
HEALTH METRICS INC MAKATI
Merry Land Plaza, 1157 Don Chino Roces Ave., Brgy. San Antonio
(02) 8240 9000
Clinics
TELECURE MEDICAL AND DIAGNOSTIC CENTER
Unit 404 Chunics Building, R. Magsaysay Boulevard, Sta. Mesa, Manila
(02) 7003 0622
Clinics
MEDCITY DIAGNOSTIC AND MEDICAL CENTER OPC
DAD Commercial Bldg., The Medical Plaza, P. Dandan St., Poblacion 2, Batangas City
(043) 349 5516
Clinics
HEALTH METRICS INC PASAY
4th Level Prism Plaza, Two E Com Center, SM Mall of Asia Complex
(02) 8805 8032
Clinics
OPTIMUM HEALTHCARE TAYTAY
L3 B3 E. Rodriguez Ave., Gregoria Heights, San Isidro,
(02) 8398 3067
Clinics
THE CLINIC BY MBCI (MEDICAL BENEFIT CLEARINGHOUSE INC)
G/F Citystate Center Bldg., 709 Shaw Blvd., Brgy. Oranbo
(02) 8640 3581
Clinics
HEALTH METRICS INC ILOILO
AMK Building, 68 Gen. Luna St., Brgy. Inday,
(033) 335 4612
Clinics
MC LAB HEALTH CARE SOLUTIONS INC
Upper Ground Floor, Worldwide Corporate Center, Shaw Blvd.,
(02) 8451 0039
Clinics
VICENTE-ISABEL MULTISPECIALTY CLINIC AND DIAGNOSTIC CENTER INC DAET BRANCH
Unit 1E, Daet Medical Plaza, Brgy. 6 Bagasbas Road, Daet, Camarines Norte
(054) 875 4250
Clinics
VICENTE-ISABEL MULTISPECIALTY CLINIC AND DIAGNOSTIC CENTER INC BORACAY BRANCH
Main Road, Brgy. Manoc Manoc, Boracay
(036) 636 0914
Clinics
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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.