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Print and Cut Along The Lines.: Benefit Card

This document is a benefit card that provides key information about a health insurance policyholder. It lists the policyholder's name, policy number, effective and expiration dates, birthdate, and authorized hospital and clinic coverage. It also outlines the annual benefit amount, room and board limit, and notes that pre-existing conditions and maternity are not covered, while annual physical exams are covered as outpatient services. Contact information is provided for claim inquiries.

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Dinah Fe Tabaranza-Olitan
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104 views1 page

Print and Cut Along The Lines.: Benefit Card

This document is a benefit card that provides key information about a health insurance policyholder. It lists the policyholder's name, policy number, effective and expiration dates, birthdate, and authorized hospital and clinic coverage. It also outlines the annual benefit amount, room and board limit, and notes that pre-existing conditions and maternity are not covered, while annual physical exams are covered as outpatient services. Contact information is provided for claim inquiries.

Uploaded by

Dinah Fe Tabaranza-Olitan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Print and cut along the lines.

BENEFIT CARD
Member's Name: OLITAN, DINAH FE T.
Company:
Policy No: 80880-1000100425-00-ULTIMATE
Application No: 800013522744
Effectivity Date: 06/13/2016
Expiry: 12/12/2017
Birthdate: 02/04/1985

AUTHORIZED SIGNATURE
Hospital: Any-Accredited Hospital
Clinic: Any-Accredited Clinic
Dental: Dental Network
Annual Benefit: Php 60,000.00
Room & Board: Php 800.00
Pre-Existing: Not Covered
Out-Patient: Annual Physical Exam Only
Maternity: Not Covered

MAKATI
PLDT (02)274-8202 SUN/SMART/TNT 0925 3029 888
(02) 274 8203 0925 3037 888
(02) 274 8205 0925 3039 888
GLOBELINES (02) 504 8811 GLOBE/TM 0917 5642 398
(02) 504 8812 0917 5641 498
(02) 504 8814 0917 5641 598
SMART 0998 9591 088
0998 9730 188
CEBU
PLDT (032) 383 2017 SUN/SMART/TNT 0925 3019 888
(032) 383 2018 0925 3053 888

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