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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
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
SINGAPORE DIAGNOSTICS BACOLOD
Unit 102 Del Rio 2 Building, San Agustin Drive Corner BS Aquino Drive, Brgy. 5,
-
Clinics
SINGAPORE DIAGNOSTICS GENSAN
Door 11, RD Buidling, Santiago Boulevard, Brgy. Dadiangas South
-
Clinics
SINGAPORE DIAGNOSTICS SAN FERNANDO
GF Sapphire Corporate Center San Agustin
-
Clinics
BARTIMAEUS EYE AND CATARACT CENTER INC
3/F (ACE) Malolos Doctors, Capitol View Park, Brgy. Bulihan
044 802 6110
Clinics
MEDITRUST DIAGNOSTIC LABORATORY
M. V. Patalinghug Avenue, Basak
032 340 2361
Clinics
IHEARBETTERNOW HEARING AND ENT CENTER AYALA CENTER
Stall A308, 3RD floor, Ayala Center, Cardinal Rosales Avenue, Brgy Luz
-
Clinics
BUELA PHYSIOTHERAPY PHYSICAL THERAPY CLINIC ARANETA
5R 8R, GF, Manhattan Parkway, Brgy. Socorro
-
Clinics
HERNANDEZ HEALTH HUB MEDICAL AND DIAGNOSTIC CLINIC
9168 ME General Trias Drive Brgy. Tejero
046 230 3148
Clinics
RPMED ADVANCED DIAGNOSTIC AND OUTPATIENT CENTER
36 Quimpo Blvd. STE 3, Ecoland
(082) 285 7389
Clinics
PMP PAIN CENTER CORPORATION PULILAN
2/F Bella s Square Building, Pulilan Regional Rd., Sto Cristo
-
Clinics
PMP PAIN CENTER CORPORATION CANDELARIA
APC Bldg, Maharlika, Hi Way, Brgy. Masin Sur
-
Clinics
PMP PAIN CENTER CORPORATION LUCENA
GF, JM A Commercial Bldg., Maharlika Hi Way, Brgy. Mayao Kanluran
-
Clinics
PMP PAIN CENTER CORPORATION GAPAN
Unit 1 C Mallari Bldg., Maharlika Highway Santo Cristo Norte
-
Clinics
PMP PAIN CENTER CORPORATION LA TRINIDAD
Clean Fuel Gas Station, Brgy. Pico Pico Road
-
Clinics
PMP PAIN CENTER CORPORATION TUGUEGARAO
GF Junction Commercial One Brgy. Balzain Centro 11
-
Clinics
PRIME DIAGNOSTIC MEDICAL INC
Ground Floor Trinity Building , TM Kalaw Ave., Ermita, Manila
(02) 5310 4632
Clinics
TOP LAB MD CORPORATION
2f BBCCC Bldg. 2, Assumption Rd, Kabayanihan, Baguio City
(074) 309 8591
Clinics
THE MEDICAL CITY CLINIC SM HYPERMARKET
Unit 233 246 2F SM Hypermarket Pueblo Verde Mactan Economic Zone II Basak
-
Clinics
THE MEDICAL CITY CLINIC SM CITY CAUAYAN
111 CB SM City Cauayan, Maharlika Highway District II
-
Clinics
WELL POINT MEDICAL CLINIC AND DIAGNOSTIC CENTER INC VERMOSA
Unit 2F F1, F2,F3, Building A, 2nd Flr. Ayala Malls, Vermosa Daang Hari Brgy. Pasong Buaya
-
Clinics
EMMANUEL MEDICAL AND DIAGNOSTIC CENTER DAVAO
Commercial Door B1, Luisa Avenue Square, Emilio Jacinto Extension
(082) 224 5846
Clinics
EC CARE MEDICAL LABORATORY
241 Quano Ext. St., Ibabao Estancia
-
Clinics
ZENWORKS REGENERATIVE AND REHABILITATION CLINIC
G/F, DLA Building National Road Brgy. Putatan
(08) 7000 5576
Clinics
HEALTHWEALTH MEDICAL SPECIALIST CO
G/F Unit 106 Retail 3 Bldg.Lancaster, New York
(046) 423 9825
Clinics
GENTRI CARE MEDICAL CLINIC AND DIAGNOSTIC CENTER
GF Unit 1 3, 419, East Corner Bldg., Arnaldo Highway, San Francisco
(046) 866 5320
Clinics
AIC DIAGNSOTIC INC
2F., CGN Building, National Highway cor. Villegas St., San Pedro, Sto. Tomas, Batangas
(043) 781 9961
Clinics
CHONG HUA HEALTH SERVICE INC
2nd Flr.,Chong Hua Medical Mall, Brgy. Don Juliop Llorente St., Corner C. Rodriguez Street.
-
Clinics
RGO LABORATORY AND INDUSTRIAL DIAGNOSTIC CENTER INC CEBU
The Coast, Archibishop Reyes Ave., Brgy. Camputhaw
(032) 346 3315
Clinics
THE MEDICAL CITY CLINIC SM CITY TUGUEGARAO
Unit 217 219 2nd Level SM City Tuguegarao, Bagay Road, Caritan Norte,
-
Clinics
HI-PRECISION DIAGNOSTIC STA MARIA
Bypass Road, Sta. Clara, Sta. Maria, Bulacan
-
Clinics
THE MEDICAL CITY CLINIC AYALA MALL CAPITOL CENTRAL
CB01 2nd Floor Ayala Malls Capitol Central, Gatuslao St., Brgy. 8,
-
Clinics
THE MEDICAL CITY CLINIC ROBINSON
Level 1, Robinsons Palawan, National Highway, Brgy. San Manuel
-
Clinics
PRORECOVERY PHYSICAL THERAPY CLINIC
SF01 CK Square Mall, Ortigas Avenue Extension
-
Clinics
PRIME LABORATORY AND DOCTORS CLINIC
Unit 101 Dencris Bldg., Brgy. Halang,
-
Clinics
ORAS PUNTO DIAGNOSTIC
Unit 201, The Exelsior Tower, Banawa,
-
Clinics
ALVIAR MEDICAL LABORATORY ALABANG
GF 2301 Civic Place Building, Civic Drive corner Filinvest,
(02) 8638 4937
Clinics
ALVIAR MEDICAL LABORATORY MAKATI
GF NAF Bldg., Chino Roces Ave.
-
Clinics
SSMC HEALTH INC CALAMBA
2nd Flr., J. Alcasid Business Center, Crossing,
(049) 502 2011
Clinics
ALVIAR MEDICAL LABORATORY IMUS
GF Puregold Anabu, Aguinaldo HIghway, Anabu
(046) 436 2122
Clinics
SSMC HEALTH INC MUNTIPLUPA
3rd Flr., Sycamore Centre, Alabang Zapote Rd.,
(02) 8887 5437
Clinics
SSMC HEALTH INC ROSARIO
2nd Flr., Andico Bldg., Tejeros Convention,
(02) 7775 7272
Clinics
SSMC HEALTH INC STA ROSA
Old National HIghway, Balibago
-
Clinics
MEDISAFE MEDICAL AND HEALTH SERVICES
1 C. Lorenzo Street Sto. Rosario Kanluran
(02) 8800 6290
Clinics
SSMC HEALTH INC BACLARAN
3993 Crosswinds Hotel, Airport Rd.,
(02) 8816 0205
Clinics
RIGHT HEALTH MEDICAL CENTER
56 AL Buidling Ecoland Phase 1 Brgy. Bucana
(082) 308 2734
Clinics
HI-PRECISION DIAGNOSTIC PLUS FAIRVIEW
54 Coronet St., Regalado Ave.,
-
Clinics
PHILIPPINE ONCOLOGY CENTER CORPORATION BAGUIO
Assumption Rd, Kabayanihan
-
Clinics
THE MEDICAL CITY CLINIC BAGUMBONG
344B 347A Wellness Center, SM City Caloocan. Deparo Road Brgy 171, Zone 15, District 1 Bagumbong
8835 6862 local 362
Clinics
THE MEDICAL CITY CLINIC GENERAL SANTOS CITY
2/F Fountation Court, SM City, San Miguel St., cor Santiago Blvd. Lagao
835 6862 locl 362
Clinics
THE MEDICAL CITY CLINIC IMUS
1L 109 SM Hypermarket Imus, General Aguinaldo Highway, Anabu I D
-
Clinics
CENTRALLE MEDICAL DIAGNOSTIC AND POLYCLINIC INC MAIN
Unit 5 8, RDF Bldg., (Old Zapote Road) Camarin
(02) 7586 4357
Clinics
BLUE FOREST PHYSICAL MEDICINE AND REHABILITATION INC
Door 314, 3rd Floor, Ecoland
-
Clinics
CENTRALLE MEDICAL DIAGNOSTIC AND POLYCLINIC INC VALENZUELA
119 Paso de Blas Road, Barangay Paso de Blas
(02) 7624 3171
Clinics
CENTRALLE MEDICAL DIAGNOSTIC AND POLYCLINIC INC PASAY
4/F Welcome Plaza, Taft Avenue
(02) 8877 0085
Clinics
CENTRALLE MEDICAL DIAGNOSTIC AND POLYCLINIC INC BALAGTAS
355 Poblacion Mc Arthur Hi way, Wawa
(044) 693 5488
Clinics
CENTRALLE MEDICAL DIAGNOSTIC AND POLYCLINIC INC DAU
Dau exit, Dau
(045) 624 0533
Clinics
CENTRALLE MEDICAL DIAGNOSTIC AND POLYCLINIC INC IMUS
Nuevo Avenue, Tanzang Luma I,
(046) 402 0258
Clinics
CENTRALLE MEDICAL DIAGNOSTIC AND POLYCLINIC INC SAPANG PALAY
Area C, San Martin, City of San Jose Del Monte
(044) 230 5119
Clinics
TRULAB MEDICAL AND DIAGNOSTIC CENTER INC BAGUIO
Unit PF4B Cedar Peak, General Luna Corner Mabini St. Kabauaninan
(074) 422 9184
Clinics
RECOVERIE PHYSICAL THERAPY
Unit 1018, Civic Prime Condominium, Filinvest, Alabang
(02) 8253 1579
Clinics
VITAL POINT DIAGNOSTIC INC
Unit 105 Ground flr. Lims Brotherhood Foundation OsmeNa Blvd.
(032) 328 2894
Clinics
LIFESPAN MEDICAL CLINIC AND DIAGNOSTIC CENTER INC
Windsor Building 605 Gen. Luna Avenue, Maly, San Mateo, Rizal, R4A
-
Clinics
KARA MEDICAL AND DIAGNOSTIC CLINIC
Angeles Bldg., Trece Indang Rd. Brgy. Inocencio
-
Clinics
ACCUCARE DIAGNOSTIC CENTER INC
Km 44/45 ESN Building S8 I L, Brgy. Langos, Mac Arthur Highway
(004) 760 6465
Clinics
HI PHYSIO PHYSICAL THERAPY CLINIC BINAN
165 DR. A Gonzales St., Brgy. San Jose
-
Clinics
PARANAQUE ULTRASOUND DIAGNOSTIC CENTER INC BACLARAN
#2150 Airport Road, Baclaran,
(02) 7000 -3849
Clinics
PARANAQUE ULTRASOUND DIAGNOSTIC CENTER INC DONGALO
#459 Quirino Avenue, Don Galo
(02) 7000 -3849
Clinics
PARANAQUE ULTRASOUND DIAGNOSTIC CENTER INC LOPEZ SUCAT
Unit 2B La Buena Bldg., #7439 Dr. A. Santos avenue, San Isidro
(02) 7000 -3849
Clinics
PARANAQUE ULTRASOUND DIAGNOSTIC CENTER INC TALABA
379 Emilio Aguinaldo Highway, Talaba IV
(02) 7000 -3849
Clinics
PARANAQUE ULTRASOUND DIAGNOSTIC CENTER INC MOLINO
#321 Molino 3
(02) 7000 -3849
Clinics
PARANAQUE ULTRASOUND DIAGNOSTIC CENTER INC SALAWAG
K N Unit J EE Commercial Bldg. Salawag Crossing
(02) 7000 -3849
Clinics
REACTIVE PHYSICAL THERAPY CLINIC
Unit 502, 36, 8th Street, 10th Avenue
(02) 8801 4827
Clinics
CROWN MED ASIA DIAGNOSTIC CENTER INC
Lot 309, Mabini St., Barangay Centro
(056) 333 2434
Clinics
GATCHALIAN MEDICAL CENTER SM SATELLITE CLINIC
2nd floor, Real St., SM Center Ormoc
-
Clinics
ASPIRE HEALTH SOLUTIONS
Unit A3&A4, Two Techno Place Iloilo Business Park, Megaworld Blvd. Brgy. San Rafael, Mandurriao
(033) 335 1740
Clinics
EASTERN LITHOTRIPERS INC
C22 Alicante Bldg., Marquinton Condo, Toyata Ave., Marikina City
(02) 7369 3944
Clinics
KLINIKA BULAKAN MULTISPECIALITY CLINIC AND LABORATORY INC
701 Libo Street, San Nicolas, Bulakan, Bulacan
-
Clinics
LIFECONNECT LABORATORY AND MULTISPECIALTY CLINIC INC
70 Holy Spirit Drive Cor., Paraluman Street., Holy Spirit
(02) 8734 5908
Clinics
THE SERVICE CARE MEDICAL CENTER OPC
Unit 1, 2 Bldg., DC Invest Bldg., C. Bangoy St., Brgy 3 A Poblacion
-
Clinics
ACCURATE MEDICAL DIAGNOSTIC CENTER (ACCUMED) INC MAGALANG
Purok 4, Don Luis Dizon Drive, San Nicolas 2
-
Clinics
EFFICARE DIAGNOSTIC MULTISPECIALTY CLINIC
GF, Universal Tower, 1487 Quezon Avenue West Triangle
(02) 8708 4603
Clinics
1LIFE INC
71, Simoun Street, Sto. Domingo
(02) 8805 6178
Clinics
CLDH SAN RAFAEL CLINIC
Unit 4 & 5 Central City, Mc Arthur Highway, Brgy. San Rafael
(045) 925 2534 L 3160
Clinics
SUN CITY MEDICAL CENTER
KM. 101, McArthur Highway, Rolling Hills, San Nicolas
-
Clinics
PRORECOVERY PHYSICAL THERAPY CLINIC OPC SJDM
G/F KYN Building Guzmanville Santo Cristo
-
Clinics
CHECKPOINT LABS INC
G/F Southkey Place, Indo China Drive, Northgate Cyberzone Filinvest, Alabang
(02) 8805 6314
Clinics
THE MEDICAL CITY CLINIC DUMAGUETE
204 2025 Filinvest Malls Flores Ave. Extension Piapi
(02) 835 6862 L 362
Clinics
BATAAN HEALTH CARE CENTER
P. Gomez, St. Poblacion
(047) 633 1386
Clinics
KAAYO DOK MEDICAL AND DIAGNOSTIC CENTER
Quezon St., Poblacion Brgy. 2, San Francisco
-
Clinics
NEXT HEALTH DIAGNOSTIC
G/F The Spa Bldg., B8 9TH Ave., Bonifacio High Street, Bonifacio Global City Fort
(02) 8246 7930
Clinics
INTERPATH LABORATORIES INC
Unit 216 217 Mone Business Center, Ortigas Avenue Extension, San Isidro
(02) 8570 2712
Clinics
PHYSIOVIVE MULTI-SPECIALTY CLINIC
1149 A, Instuccion St., Sampaloc
(02) 8470 1621
Clinics
PAIN MD MULTISPECIALTY AND PHYSICAL THERAPY CLINIC 2
9670 JM Loyola St., Maduya, Carmona
-
Clinics
PAIN MD MULTISPECIALTY AND PHYSICAL THERAPY CLINIC
Purefold San Pedro, Magsaysay Road cor National Highway, San Antonio
-
Clinics
PRIME HEALTH DIAGNOSTIC AND LABORATORY CORP
Door 205 JTL Bldg., Daang Maharlika, Lanao
-
Clinics
CIUDAD HEALTH HUB
G/F Expressive Gallery PNTC Bldg., Blk 7 14 Madison South Batino
(049) 544 7755
Clinics
HEART OF WELLNESS USLTRASOUND CENTER AND SPECIALTY CLINIC INC
4TH Level, Robinson s Place Malolos, Brgy. Sumapang Matanda, Mc Arthur Highway
-
Clinics
NEW WORLD DIAGNOSTICS INC LINGAYEN
G/F Columbian Plaza, Avenida Rizal St., Poblacion
8790-8888 Loc 630
Clinics
NEW WORLD DIAGNOSTICS INC TARLAC
Ja1 Bldg., Block 3 McArthur Highway
8790-8888 Loc 660 / 661
Clinics
STRIVE PH PHYSICAL THERAPY CLINIC
Unit 3, Araca Commercial Complex, Jose Abad Santos Ave.
-
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.