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
RAPIDDX DIAGNOSTIC CENTER
No. 42 JC de Jesus St., Poblacion
(044) 798 1523
Clinics
FORMOZA MEDICAL GROUP
Unit 202 Milan Prestige Bldg., Brgy. Halang, National Highway
-
Clinics
HEALTH PLUS MEDICAL AND DIAGNOSTIC CLINIC
Lot 15 Blk 28 corner Tagumpay, Brgy. San Jose
(02) 8477 9283
Clinics
MEDICORE MEDICAL HEALTH SERVICES
Inline 4, Transit Point, Diversion Road, Brgy. Alangilan,
(043) 783 9639
Clinics
MEDICAL AND DIAGNOSTIC COSMEDERME HUB INC
760 AH Lacson Ave., Sampaloc,
(02) 8290 7840
Clinics
SHALOM DYNAMIC HEALTH CARE CO ROSARIO
8 To 8 Commercial Bldg., G. Carandang St., Poblacion C,
(043) 784 4098
Clinics
BMCDC HEALTH CARE INC MATINA
JJLL Building, Sto. Nino Village, McArthur Highway, Matina
(082) 233 2044
Clinics
BMCDC HEALTH CARE INC LANANG
Unit 117 & 118 Nova Tierra Square, Lanang
(082) 233 0035
Clinics
BMCDC MEDICAL STATION CO INC PANABO
2F PJ Realty Bldg., Quezon St., New Pandan
(084) 823 2582
Clinics
BMCDC MEDICAL STATION CO INC CALINAN
Door 3 & 4 TNE Bldg., Davao Bukidnon Road, Calinan
(082) 284 5093
Clinics
HEALTHWAY MULTI-SPECIALTY CENTER CAGAYAN DE ORO
Units 3100 3108 3rd Level, Centrio Mall, CM Recto cor. Corrales Sts.,
(88) 7720 6133
Clinics
BMCDC HELATH CARE INC CENTRAL
Lucio Ong Bldg., Km 2 Mc Arthur Highway, Matina
(082) 221 1059
Clinics
HEALTHWAY MULTI-SPECIALTY CENTER DAVAO
2A 2D Abreeza Mall, JP Laurel Ave., Brgy. 20 B, Poblacion District
(82) 7720 6134
Clinics
HEALTHONE MEDICAL LABORATORY
2nd flr., ETG Business Center, A. Mabini St.,
(02) 8362 0285
Clinics
MERCIHUB MULTISPECIALTY AND DIAGNOSTIC CLINIC
3rd flr., 2151 Pointe Pasig, 2628 C. Raymundo Ave., Brgy. Rosario
(02) 8651 1845
Clinics
KAIROS HEALTH MEDICAL DIAGNOSTICS V LUNA
Unit 205 207 Kalayaan Center Bldg., 65 V. Luna cor. Kalayaan Ave., Pinyahan
-
Clinics
FRIENDLY CARE FOUNDATION INC NOVALICHES
L2 Expansion Bldg., Robinsons Novaliches, Pasong Putik, Quirino Highway, Novaliches
-
Clinics
KAIROS HEALTH MEDICAL DIAGNOSTICS ERMITA
1123 A. Mabini St., Malate
(02) 8664 0420
Clinics
KAIROS HEALTH MEDICAL DIAGNOSTICS PASIG KAPITOLYO
No. 21 West Capitol Drive, Brgy. Kapitolyo
(02) 8664 9072
Clinics
MEJIA BY KAIROS HEALTH INC
Ground Floor, Commercial 1&2 Sky 1 Tower, No. 68, Dasmarinas St., Brgy.282, San Nicolas, Binondo
(02) 8244 8645
Clinics
PHI SANTE DIANOSTICS PRIVATE INC
Ground Flr., MegaOne Bldg., Espana Blvd. cor. Mayon St.,
(02) 8929 4422
Clinics
MEDICUS DIAGNOSTIC CENTER JORDAN
CDC Bldg., Old Site, San Miguel
-
Clinics
OLYMPUS MEDICAL AND DIAGNOSTIC LABORATORY
333 A. Mabini St., Brgy. 18
(02) 8354 5338
Clinics
FULLERTON HEALTH EXECUTIVE HEALTH SCREENING AND ADVANCED DIAGNOSTIC IMAGING (RADLINK PHILIPPINES CORP)
111 114 Ground flr., Bonifacio Stopover Corporate Center, 31st St. cor 2nd Ave., Bonifacio Global City, Brgy. Fort Bonifacio
(02) 8351 6143
Clinics
RANGE AND MOVEMENT PHYSICAL THERAPY CLINIC
9104 Buhay na Tubig Rd.,
(046) 454 7179
Clinics
KSC FAMILY CLINIC
Lvl 2, Jeepney Marketlot 633 C, McArthur Hiway, Karuhatan
-
Clinics
VALLEYMED DIAGNOSTIC AND AMBULATORY SURGICAL CENTER INC
Unit 1 B Citi Centre, JP Rizal cor. Puerto Rico St., Brgy. Nangka
(02) 7576 6622
Clinics
GREENLAB CLINIC AND WELLNESS HUB
Purok 4, Brgy. Apokon
(084) 655 0783
Clinics
EVERSERVE MEDICAL CLINIC
Ground Floor 112A and 113A Northdrive Mall, Ouano Ave., North Reclamation Area
(032) 344 7631
Clinics
MYDOCTORS LABORATORY AND DIAGNOSTIC CENTER
286 Gen. Luna St., Guitnangbayan 2
(02) 8441 2798
Clinics
HI-PRECISION DIAGNOSTICS CONSOLACION
Sta. Lucia Town Square, Barangay Poblacion Oriental, Consolacion
(032) 888 2222
Clinics
GOODMAN DIAGNOSTIC CENTER INC
No. 5 BD Molina St., cor. H. Bautista, Conception Uno
(02) 8371 6220
Clinics
HEALTHBIT DIAGNOSTIC AND MEDICAL CLINIC
237 A. Mabini St., Maypajo
(02) 7000 7449
Clinics
ENHANCE 1 PHYSICAL THERAPY CLINIC
Unit 2 Resjwam Twin Bldg., Brgy. Quinavite
-
Clinics
VALCARE+ MULTISPECIALTY AND DIAGNOSTIC CLINIC
52 Karuhatan Road, Karuhatan
(02) 7359 2272
Clinics
UNITED DOCTORS REHABILITATION CENTER
A. Bonifacio St., Poblacion 1,
(049) 545 2487
Clinics
FITNESS PHYSICAL THERAPY CLINIC QUEZON CITY
unit 1, 135 Mayon Bldg., 135 Mayon St., Brgy. Sta. Teresita
(02) 7002 6746
Clinics
PHYSIOCARE PHYSICAL THERAPY CLINIC DAVAO
Door 4, Ground Flr., Del Pilar Bldg., Km 5, Buhangin Road
(02) 8230 1246
Clinics
PHYSIOCARE PHYSICAL THERAPY CLINIC MAKATI
LG47, 6264 Calle Estacion, Cityland, Pasong Tamo
(02) 8640 9498
Clinics
COMCARE DIAGNOSTIC LABORATORY
Unit B8, Jamestown, Mantawe Ave., Guizo,
(032) 326 2055
Clinics
ST BERNADETTE MATERNITY AND MEDICAL CLINIC
Sitio Masikap, Brgy. Third District,
(02) 8516 5528
Clinics
IDEAL HEALTH MEDICAL CLINIC AND DIAGNOSTIC CENTER
Stall 7, 8, 9, 17, 18 5J s Bldg., Brgy. Del Pilar
(045) 407 6125
Clinics
CUNAN CLINICAL LABORATORY
Cunan Bldg., L. Cortez St., St. Jude Village, Alfonso
(045) 456 1850
Clinics
PRIME MEDICAL LABORATORY
Unit 1 Builders Warehouse, McArthur Highway, Bulihan
(044) 802 7336
Clinics
CALAMBA EYE CENTER
Calamba Medical Center, Crossing, Calamba, 4027, Laguna
(049) 244 7898
Clinics
UROLOGIST OF BULACAN
5th Flr., Urology Center ACE Malolos Doctors Hospital, Capitol Viewpark, Brgy. Bulihan
-
Clinics
PMP PAIN CENTER CORPORATION STO TOMAS
Plaza Veridad Commercial, JP Laurel Highway, San Roque
-
Clinics
OASIS DIAGNOSTIC AND LABORATORY CENTER
La Purisima, SIM Bldg., Bogo Business Park
(032) 434 8786
Clinics
MISSION LABORATORY AND MEDICAL CLINIC
No. 3 EL Eyon Bldg., JR Borja and Tiano Brothers St.,
-
Clinics
UM MEDICAL AND MULTITEST DIAGNOSTIC CENTER
UM Multitest Bldg., C. Bangoy St.,
(082) 221 7980
Clinics
EXPEDIA DIAGNOSTIC AND SURGICAL CENTER CORPORATION
Door 2, 1st Flr., Blgd. 4, Golden Matina Complex, McArthur Highway, Bucana Talomo District
-
Clinics
PROSPERIDAD POLYCLINIC AND DIAGNOSTIC INC
Apolinario Mangadlao Bldg., P 4 Poblacion,
-
Clinics
BIOVIE DIAGNOSTIC AND MEDICAL CORPORATION
Unit 101 Baronesa Bldg., Place MacArthur Highway, Dau
-
Clinics
SKY DIAGNOSTIC MEDICAL CORPORATION
148 A. Mabini St., Sabang
-
Clinics
BROOKSIDE MEDICAL AND DIAGNOSTIC CENTER
Room 208, 2nd Flr., Rublou Marketplace, Brookside Ortigas Ext Ave., San Isidro
-
Clinics
GOCLINIC DIAGNOSTIC AND SPECIALTY CENTER
Unit 2EF Margimel Bldg., National Highway, Halang
-
Clinics
HI-PRECISION DIAGNOSTIC PLUS BINAN
Ground Floor, Tri Ax Three Center, 35 Manila South Road, Brgy. San Antonio
(02) 8741 7777
Clinics
VISTA CARE MEDICAL AND DIAGNOSTIC CENTER
Han Lu 7 Center, 2nd flr Unit A and B, Felix Ave., Karangalan Village, Manggahan
-
Clinics
MEDIPLUS HEALTCARE SERVICES INC
Ground Floor, Rengel Center, H. Mendoza St., Brgy. Model
(048) 241 0198
Clinics
HEALTHLINE MEDICAL HEALTH SERVICES
1125 Abenida, Maria Orosa St., Ermita
(02) 8289 9129
Clinics
SULIT MEDLAB CLINIC
No. 7 F. Sevilla Blvd., Brgy, Tanong,
(02) 8351 8505
Clinics
IHEARBETTERNOW HEARING AND ENT CENTER CEBU CITY
Rm. 424 4th flr. Robinson s Cybergate Cebu
(032) 354 4327
Clinics
IHEARBETTERNOW HEARING AND ENT CENTER MANDAUE CITY
UCMED Mantawi Ave. 2nd flr.
(032) 268 6673
Clinics
MOTIONS VENTURE PHYSIO THERAPY INC – QUEZON CITY
Unit 303 304 Columbian Bldg., Brgy. Philam, 160 West Ave.,
-
Clinics
FAMMED DIAGNOSTIC CENTER
Sitio 1, National Road, Brgy, Binan
-
Clinics
THE MEDICAL CITY CLINIC SM CITY GENSAN
210 211 SM City, cor Santiago Blvd. San Miguel St., Lagao
-
Clinics
MAKATI LIFE NURTURE MEDICAL CENTER
Malugay St., cor. Metropolitan Ave., Brgy. Bel Air
(02) 8888 2020
Clinics
HI-PRECISION DIAGNOSTIC PLUS BATANGAS CITY
Unit CTZ Ground Floor – 01, Citimart Caedo Plaza, Brgy. Calicanto Batangas City
(043) 7261659
Clinics
BPMC RELIANCE DIAGNOSTIC LABORATORY BUTUAN CITY
Ong Building, J.C Aquino Avenue, Bayanihan, Butuan City
817-5929
Clinics
NEW WORLD DIAGNOSTICS INC STA ROSA
SRCC Southmall Unit 8 9, Diamond Rd, Balibago, Sta. Rosa Commercial Complex, Sta. Rosa Laguna
8790-8888 Loc. 671 to 679
Clinics
NEW WORLD DIAGNOSTICS MULTI-SPECIALTY CLINIC BINONDO
Unit 593 & 595 Quintin Paredes St, Binondo Manila
8790-8888 Loc. 850 to 851
Clinics
NEW WORLD DIAGNOSTICS INC SM BAYSHORE
SM Retail HQ J.W. Diokno, Boulevard Corner Bayshore, MOA Complex, Pasay City
8790-8888
Clinics
NEW WORLD DIAGNOSTICS INC LIPA
J.P. Laurel Ave, Lipa City, Batangas
8790-8888
Clinics
THE MEDICAL CITY CLINIC SM CDO DOWNTOWN
SM CDO Downtown Premier CM Recto Ave., Cor Osmena St., Barangay 24 9000 City of Cagayan De Oro
835-6862 Loc. 362
Clinics
HEALTHWAY MULTI-SPECIALTY CENTER EL NIDO
Unit E1 E3 Shops @ Lio, Lio Estate, Villa Libertad, El Nido, Palawan
-
Clinics
ANTIPOLO MULTI-CARE MEDICAL CLINIC AND LABORATORY
Unit 4 6 LG Flr. EDR Bldg., P. Oliveros St., San Roque, Antipolo City
02 8564 3038
Clinics
JBMA MEDICAL LABORATORY AND DIAGNOSTIC CLINIC INC
Second Floor GGT Center Poblacion, Pulilan, Bulacan
044 903 5492
Clinics
DCLC HEALTHCARE DIAGNOSTICS INC SAN JUAN
N. Domingo Cor., A. Luna St., Brgy. Rivera, San Juan City
02 7001 9545
Clinics
SAPPHIRE CLINICS EAST INC (SANDBOX CLINIC EAST)
Level 4 Robinsons Metro East Marcos Highway, Dela Paz
(02) 5310 - 4991
Clinics
CHERRY LAB DIAGNOSTIC AND MEDICAL INC
No. 12 Lot 6 2F AK XYZ Bldg. Governor Pascual Avenue, Acacia
(02) 8442 7064
Clinics
MEDIWALK CORPORATION
156 Marick Drive Subdivision, Brgy. Santo Domingo
-
Clinics
DR ZEN HEALTHCARE INC
L. Cortez Cor. Plaridel St. San Nicolas Poblacion
-
Clinics
SAMPANA MEDICLINIC AND LABORATORY
South Supermarket Complex, Bulihan
044 617 1788
Clinics
SINGAPORE DIAGNOSTICS ANGELES
Alta Claro Building, McArthur Highway cor., San Pablo St.
-
Clinics
SINGAPORE DIAGNOSTICS DAGUPAN
ARB Corporate Center, Tapuac District
-
Clinics
SINGAPORE DIAGNOSTICS DAVAO
26 Sobrecarey St.
-
Clinics
SINGAPORE DIAGNOSTICS ILOILO
GF, Plazuela Dos, Pison Avenue, Mandurriao
-
Clinics
SINGAPORE DIAGNOSTICS CEBU
Block 5 Lot 6, Cebu Business Park
-
Clinics
SINGAPORE DIAGNOSTICS SAN JUAN
Unit 103 G/F Medecor Building, 222 Ortigas Avenue Greenhills
-
Clinics
SINGAPORE DIAGNOSTICS SHOPWISE
G/F Shopwise, Amigo Iznart cor. Delgado Street City Proper
-
Clinics
SINGAPORE DIAGNOSTICS TARLAC
2F, EZ Center Hilario St. Brgy Ligtasan
-
Clinics
SINGAPORE DIAGNOSTICS URDANETA
G/F, Honaco Bldg., Brgy. Nancayasan
-
Clinics
SINGAPORE DIAGNOSTICS BAGUIO
Avenue by GAV Bldg., 237 Upper Bonifacio St.
-
Clinics
SINGAPORE DIAGNOSTICS STRATA
Strata 100, F. Ortigas Jr, Rd. San Antonio
-
Clinics
SINGAPORE DIAGNOSTICS Q AVENUE
Sunshine Boulevard Plaza, Quezon Avenue cor Scout Santiago Diliman
-
Clinics
SINGAPORE DIAGNOSTICS MARIKINA
85 Mayor Gil Fernando Ave. New Marikina Subd., Brgy. San Roque
-
Clinics
SINGAPORE DIAGNOSTICS BUENDIA
Unit 204, 2nd Flr. Centro Buendia Building, 401 Senator Gil Puyat Avenue
-
Clinics
SINGAPORE DIAGNOSTICS SUCAT
Fortunata Bldg., 1, San Isidro
-
Clinics
SINGAPORE DIAGNOSTICS COMMONWEALTH
27 E Commonwealth Ave,
-
Clinics
SINGAPORE DIAGNOSTICS LAS PINAS
33 Unit, C G/F, Alabang, Zapote Road Pamplona Dos
-
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.