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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
Medical Application Forms
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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
VICENTE-ISABEL MULTISPECIALTY CLINIC AND DIAGNOSTIC CENTER INC PARACALE BRANCH
Purol 3, Batobalani, Paracale, Camarines Norte
(054) 875 5483
Clinics
NEW WORLD DIAGNOSTICS INC CEBU
267 Osmena Blvd., Santa Cruz (Pob), Cebu City, Cebu
(02) 8790 8888 local 640/641
Clinics
SAMPANA CLINC LABORATORY (formerly ACCULAB MEDICAL CLINIC AND LABORATORY INC)
Panganiban St. Sto. Nino
044 794 9875
Clinics
OPTICARE DIAGNOSTICS LAB INC
5093 P. Burgos St., Poblacion, Makati City
(02) 8845 0190
Clinics
HI-PHYSIO PHYSICAL THERAPY MEDICAL CENTER CORPORATION LIPA (Formerly HI PHYSIO PHYSICAL THERAPY CLINIC LIPA)
G/F Zen s Building J.P. Laurel Balintawak
-
Clinics
MEDHUB DIAGNOSTIC CENTER INC
G04 11th Corporate Center, 11th Ave. cor Triangle Dr., Bonifacio Global City
(02) 8688 9044
Clinics
ONE MEDIC INC
Tierra Linda Bldg., Jose Abad Santos Ave.,
-
Clinics
HYPERLABORATORIES INCORPORATED
Nable St.,
-
Clinics
HEALTHRIX MEDICAL AND DIAGNOSTIC CLINIC CORP
GF AM Flores Bldg., 5353 Mariano cor. General Luna St., Poblacion
(02) 8740 2534
Clinics
PMP PAIN CENTER CORPORATION SANTIAGO CITY (Formerly PAINMANAGEMENTPLUS PHYSIOTHERAPY SERVICES)
Lui Bldg., Pan Maharlika, Mabini, Santiago City
(078) 642 0947
Clinics
HEALTHFIRST CLINIC ALABANG
GF South Supermarket, Filinvest Ave., Filinvest Corporate City
-
Clinics
HEALTHFIRST CLINIC CUBAO
Lvl 3, Spark Place, P. Tuazon Underpass, Cubao
-
Clinics
HEALTHFIRST CLINIC BGC
Avida Towers 34th St., BGC, T corner, 34th St. and Lane, 11th Ave
-
Clinics
HEALTHFIRST WELLNESS STATION CEBU IT PARK
Level 1, i2 Bldg., Jose Maria del Mar St., Cebu IT Park
-
Clinics
NORTHERNHEALTH MEDICAL AND DIAGNOSTIC CENTER
89 A Karuhatan Rd., Brgy. Karuhatan
(02) 7091 7811
Clinics
NCFC MEDICAL AND DIAGNOSTIC CLINIC
Unit 14, Paseo Dimayuga Commercial Comples, Sampalucan Rd., San Roque
-
Clinics
ALPHAMED DIAGNOSTIC LABORATORY B MENDOZA
JLO Bldg., B. Mendoza St., Sto. Rosario
-
Clinics
ALPHAMED DIAGNOSTIC LABORATORY APALIT
GF PrimeMed Bldg., Brgy. San Vicente
-
Clinics
ALPHAMED DIAGNOSTIC LABORATORY MABALACAT
MacArthur Hi way, Brgy. Mabiga
-
Clinics
ALPHAMED DIAGNOSTIC LABORATORY MEXICO
J.P. Rizal, Brgy. Parian
-
Clinics
CLEANMED HEALTHCARE
No. 38 CleanMed Bldg, N.S. Amoranto, Brgy. Salvacion, La Loma
(02) 8695 3388
Clinics
ALPHAMED DIAGNOSTIC LABORATORY SAN FERNANDO (MAIN)
102 Citicorp Business Center, McArthur Highway, San Isidro
-
Clinics
ILAYA MEDICAL CLINIC
Laurel St., San Jose
(047) 791 1639
Clinics
ASIAN BREAST CENTER INC
8th Flr., Centuria Medical Makati, Kalayaan Ave., cor. Salamanca St., Brgy. Poblacion
-
Clinics
JMTALON DIAGNOSTICS INC
JMTDI Bldg., Panganiban St. cor Rizal St., Brgy. Poblacion
(045) 606 4984
Clinics
KINESIOPLUS PHYSIOTHERAPY AND OSTEOPATHY CENTER INC
545 S.T.A. Ave., Unit 2, 2nd flr., AWRA Apartments, Pecsonville Subd., Tungkong Mangga
-
Clinics
EDGT LAB-TECH DIAGNOSTIC CENTER
Magsaysay St., San Jose
(047) 791 4139
Clinics
PMP PAIN CENTER CORPORATION GUAGUA (Formerly PHYSIOPLUS PRO PHYSICAL THERAPY CLINIC GUAGUA)
Guagua Business Center, Stall no. 11, San Matias
-
Clinics
BESTCARE MEDICAL CLINIC AND DIAGNOSTIC CENTER INC
Level 2 and 3, No. 10 Karuhatan Road, Karuhatan
(02) 440 6869
Clinics
TOPMED DIAGNOSTICS AND MULTISPECIALTY CLINIC
261 3 McArthur Highway, Karuhatan
(02) 8631 6316
Clinics
PRIMUS DIAGNOSTICS INC
Shopking Commercial Center, McArthur Highway, Maimpis
(045) 404 0071
Clinics
MQ DIAGNOSTIC CENTER CORPORATION
Q Plaza Commercial Center, Felix Ave., San Isidro
(02) 8524 3990
Clinics
JABEZ PHYSICAL THERAPY CLINIC
Blk 403 Lot 4, Villarica Road, Prenza 1
(044) 305 7909
Clinics
HI-PRECISION DIAGNOSTICS ZABARTE
Lower Ground Flr., Kai Mall Zabarte cor. Camarin Roads, Brgy. 174
-
Clinics
PRIME HEALTH IMAGING CORP
287 Shaw Blvd. cor. L. Cruz, Hagdan Bato, Libis
(02) 8569 1767
Clinics
MEDITRUST DIAGNOSTIC CLINIC AND LABORATORY
109 V. Luna St., Brgy. Sikatuna Village
(02) 7002 2775
Clinics
GLOBAL CARE CANCER INSTITUTE INC
National Highway, Brgy. Maitim
(049) 580 4800
Clinics
JEAMAC DIAGNOSTIC CENTER
G/F JC Bldg., Sitio Mohon, Brgy. Binicuil
(034) 471 3346
Clinics
OPON MEDICAL DIAGNOSTIC CORPORATION
2nd Flr., Mactan Town Center, Basak
(032) 345 0537
Clinics
RIVER VALLEY EYE CENTER AND SPECIALTY CLINICS INC MARIKINA CITY HEALTH OFFICE
4th Flr., Marikina City Health Office, Shoe Ave., Sto. Nino
(02) 8527 2892
Clinics
HEALTHLINK ILOILO INC
12 Mabini St.,
(033) 335 4945
Clinics
ST HYACINTH DIAGNOSTIC LABORATORY KORONADAL CITY
Lindri Bldg., Block 1, Maranon Village, Zone 3
(083) 310 6261
Clinics
ST HYACINTH DIAGNOSTIC LABORATORY VALENCIA CITY
1st flr., J&C Bldg., Hagkol,
(088) 314 3271
Clinics
PHILIPPINE UROLOGY CARE HUB INC
G/F Camarin Doctors Hospital, No. 1 Camarin Rd., Brgy. 172, Camarin
(02) 7004 2670
Clinics
EZCARE MEDICAL AND DIAGNOSTICS
896 J. Luna cor. Salazar St., Sto. Cristo
-
Clinics
BUELA PHYSIOTHERAPY PHYSICAL THERAPY CLINIC CAINTA
Unit 2R, The Garden Walk, Felix Ave., Brgy. Sto. Domingo
(02) 7005 0482
Clinics
MOLINO POLYCLINIC
Unit 1 3 Paseo de Bacoor, Molino Blvd., Molino 3
(046) 884 6108
Clinics
CEBU HEALTHSPEC MEDICAL DIAGNOSTIC AND DENTAL CLINIC INC
Family Appliance beside DHL, 2F, MMA, Unit 203, 203B 208B, Parkmall, Ouano Ave., CSSEAZ
(032) 421 5127
Clinics
SKYLINE GASTROHEP ENDOSCOPY CENTER
B 70 L 18 & 19 Ph 4, Masterton Xavier Estates, Upper Balalung
-
Clinics
PMP PAIN CENTER CORPORATION SAN MATEO (Formerly HEADSTART PT CARELINK PHYSIOTHERAPY SERVICES)
#28 G/F General Luna St., Brgy. Banaba
(02) 8234 0147
Clinics
ASHREY DIAGNOSTIC CENTER
2nd flr., The Assembly Grounds Mall at the Rise, Malugay St., Makati City
(02) 7943 7855
Clinics
MEDICUS DIAGNOSTIC CENTER PARANAQUE
Unit F BPI Bldg., 177 Dona Soledad Ave., Better Living Subdivision, Brgy. Don Bosco
(02) 7257 3347
Clinics
FITNESS PHYSICAL THERAPY CLINIC LAOAG CITY
Unit 204, Maritoni Bldg., Gen. Segundo Ave.,
-
Clinics
THE MEDICAL CITY CLINIC WALTERMART BACOOR
G/F Waltermart Bacoor Molino Blvd., Mambog IV
-
Clinics
LA VITA CARE DIAGNOSTICS MEDICINE AND MEDICAL SUPPLIES INC
Philamlife Bldg., Amat St., Brgy. Taft,
-
Clinics
THE MEDICAL CITY CLINIC SM GRAND CENTRAL
5th Level SM City Grand Central Rizal Ext., Brgy. 88, Caloocan City
-
Clinics
HI-PRECISION DIAGNOSTICS BINONDO
Unit G01, Princeview Parksuites, Paramount Building 434 Quintin Paredes Street, Barangay 289 Zone 027, Binondo
-
Clinics
SAINT PETER DIAGNOSTICS AND LABORATORY
National Highway, Purok 7, Brgy. Ladgaron, Claver
-
Clinics
THE MEDICAL CITY CLINIC UP TOWN CENTER
Phase 1, Level 2, UP Town Center, Diliman,
-
Clinics
THE DOCTORS EYE AND MEDICAL HEALTH SERVICES
L2, B4, Ph4 Ground Flr., Isabel Bldg., North Olympus, Zabarte Road, Brgy. Kaligayahan, Novaliches
(02) 8248 0306
Clinics
WELL POINT MEDICAL CLINIC AND DIAGNOSTIC CENTER INC SM CITY BACOOR
Unit 30 32, Lower Ground Flr., SM City Bacoor, Tirona cor. Aguinaldo Highway, Brgy. Habay 2
(046) 423 9585
Clinics
WELL POINT MEDICAL CLINIC AND DIAGNOSTIC CENTER INC SM CITY DASMARINAS
Unit CP502 & CP065A, Lower Ground Flr., SM City Dasmarinas, Governor s Drive, Brgy. Sampaloc 1
(046) 435 1906
Clinics
WELL POINT MEDICAL CLINIC AND DIAGNOSTIC CENTER INC HABAY-BACOOR BRANCH
0881 Tirona Highway, Barangay Habay 1
(046) 416 0410
Clinics
GLOBAL SLEEP CARE CENTRE INC
2521 Centuria Medical Makati, Kalayaan Ave., cor Salamanca St., Poblacion
(02) 8571 3072
Clinics
PMP PAIN CENTER CORPORATION MINGLANILLA (Formerly PAINMANAGEMENTPLUS PHYSIOTHERAPY SERVICES)
GF Unit 22, Belmont One, Upper Calajo an
-
Clinics
GO LIFE PT AND REHABILITATION CLINIC CORPORATION
UA 4 A&R Bldg., National Highway, Landayan
(02) 8638 9736
Clinics
XCEL LABORATORY AND DIAGNOSTIC CENTER
Anw Building Hilario, St. Brgay. Ligtasan, Tarlac City
(045) 925 6058
Clinics
RAMOS-PARRA MEDICAL AND DIAGNOSTIC CENTER
Ilano Compound, Brgy. H2, Congressional Ave.,
(046) 484 0128
Clinics
ST JOSEPH HEALTHCARE CENTER
2F, L.E. Panopio Bldg., National Highway, Kumintang Ibaba
(043) 233 0656
Clinics
QUALITECH DIAGNOSTIC AND MEDICAL SERVICES CORP
192 Jamora Bldg., Lopez Jaena St.
(049) 562 5551
Clinics
INLAB MEDICAL AND DIAGNOSTIC CENTER
Unit 3 and 5, Donada St.,
(02) 7117 1991
Clinics
JAPAN EYE CENTER
2nd Flr., Mitsukoshi Mall, Bonifacio Global City
(02) 7003 0139
Clinics
PREMIERE MEDICAL AND CARDIOVASCULAR LABORATORY MARIKINA
89 Redwood St., Cor., Gil Fernando Ave., San Roque
(02) 8573 1130
Clinics
LABEXPRESS MEDICAL LABORATORY
262 Alabang Zapote Rd., Talon 2
(02) 7003 8176
Clinics
THE MEDICAL CITY CLINIC CEBU IT PARK
Level 3, Ayala Malls Central Bloc, Cebu IT Park
-
Clinics
BOHOL FAMILY WELLNESS MEDICAL AND DIAGNOSTIC CENTER INC
Unit 8 Alex Ave., CPG East Ave., Manasa
(038) 502 6435
Clinics
THE MEDICAL CITY CLINIC SM CENTRAL
Unit 230 233, 2nd Flr., SM Central National Road, Tunasan
-
Clinics
THE MEDICAL CITY CLINIC SM CITY OLONGAPO
Unit 310 315, 3rd Flr., SM City Olongapo Central, East Tapinac
-
Clinics
THE MEDICAL CITY CLINIC STA ROSA
Level 2, SM City Sta. Rosa Mall Expansion, Brgy. Tagapo, Old National Highway
-
Clinics
ON TARGET HEALTHCARE AND DIAGNOSTICS
JPL Building, MH Del Pilar St. cor Pedro Gil St., Malate
-
Clinics
BATAAN EYE REFERRAL CENTER
Recar Commercial Complex, JP Rizal St., Poblacion,
(047) 237 1693
Clinics
BICOL STONE CENTER
Unit 1, NICC Bldg., Roxas Ave., Diversion Road., Triangulo
(054) 871 3046
Clinics
BICUTAN DIAGNOSTIC LABORATORY CO
Blk 184 Lot 9A, Bonifacio Ave., Central Bicutan
-
Clinics
DCLC HEALTHCARE DIAGNOSTICS INC
TRC Place, Sumulong Highway, Brgy. San Isidro
(02) 8871 7557
Clinics
HI PHYSIOTHERAPY CLINIC TRECE MARTIRES
GFC 3 Boochico Holding Inc. Bldg., Brgy. San Agustin
-
Clinics
CENTURY PINNACLE DIAGNOSTIC AND MEDICAL CORPORATION
1439 Century Peak Tower, M. Adriatico St., Ermita
-
Clinics
DE LOS REYES DIAGNOSTIC CLINIC
Sitio Proper, Caticlan
(036) 288 7920
Clinics
LAB1 DIAGNOSTIC CENTER
Unit 4, 2nd flr., RM Centerpointe Bldg., cor. Magsaysay Rotonda, East Tapinac
(047) 222 0583
Clinics
LIFECARE MEDI CLINIC
Unit 2 and 3, RCSL Bldg., Rotary Ave., Tenejero
(047) 612 0090
Clinics
MERIAN DIAGNOSTIC LABORATORY
2468 St. John St., Villena Sub., San Vicente
(045) 652 0175
Clinics
KERALTY PRIME CLINICA MACTAN
Rm 1 38 Basak Marigondon Road, City Time Square, Basak
(032) 260 8062
Clinics
EMMANUEL MEDICAL AND DIAGNOSTIC CENTER
2106 Taft Avenue, Malate
(02) 8523 8009
Clinics
THE MEDICAL CITY CLINIC SM CITY ROXAS
Unit 1101A, 1094, 1095A, Grd Flr, Arnaldo Blvd., Brgy. Baybay
-
Clinics
O CASTILLO DIAGNOSTIC LABORATORY AND MEDICAL CLINIC
365 P. Dela Merced St., Poblacion
(044) 324 0980
Clinics
HEALTH SCREEN LABORATORY AND DIAGNOSTIC CENTER BENGUET
IC 15 2nd Floor, Inglay Building, Km.6, Betag,
(074) 246 6457
Clinics
COMMUNITY DIAGNOSTIC CENTER AND PHARMA INC
17 Capitol Drive, San Jose
(047) 237 2945
Clinics
PMP PAIN CENTER CORPORATION ROSALES (Formerly BETTERCARE PHYSICAL THERAPY CLINIC)
Rav Bldg., G/F Pain Center, Carmen East, Rosales Pangasinan
-
Clinics
MJ SANTOS PRIMARY CARE CENTER-NASIPIT
Purok Dahlia, Rizal St., Brgy 6
-
Clinics
DYNAMIC-GRIT PHYSICAL THERAPY CLINIC
Unit D, 2nd flr., EEC Building, Bayani Road
-
Clinics
PHYSIOFIRST HEALTH CARE CLINIC
Unit 204 2nd Flr., Jovita Bldg., No. 426, Banawe cor Tirad Pass St., Sta. Mesa Heights
-
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.