Ultimate Kaiser Health Builder

KAISER INTERNATIONAL HEALTHGROUP, INC.
A Health Maintenance Organization (HMO) Company
duly accredited with the Department of Health (DOH)Bureau of Health Facilities and Services. Our Company is likewise, registered with the Securities and Exchange Commission (SEC) on June 08, 2004 as a Health Care Provider with an Authorized Capital Stock of Php 160M.
Kaiser's Board of Directors are seasoned experts in the
Medical field services and in the health care industry with its President and Medical Director Dr. Ramon B. Abragan, Jr., a former DOH Head Executive Assistant, a former Consultant to the DOH Secretary and a former member of Medical Board of Examiner- Philippine Regulation Commission (PRC).
MISSION AND VISION

We shall aim to be the industry leader in providing maximum, long-term and shortterm health care benefits to all our
members.
We help build a secured future and wise
financial foundation in coping with inevitable medical expenses each of us would one day face especially after employment and during retirement years.
KAISER INTERNATIONAL HEALTHGROUP, INC.

Kaiser International Healthgroup, Inc.,as an HMO Company caters to both corporate, group, family and individual accounts with our various short term plan packages that would suit your health care requirements. We offer the following HMO Plans: Kaiser International Health Group Inc. is also offering a one of a kind HMO Product, the Premium Healthcare Builder Plan (long term plan). A five (5) year paying and a ten (10) year waiting plan Designed to provide healthcare beyond that of an HMO. Allows individuals to save during employment while still being covered by Companys health plan Geared to address the long term health care needs of individuals especially after employment and retirement years Securing a more comfortable elderly life.
Kaiser Healthcard Individual Kaiser Healthcard Family Kaiser Healthcard Mini- Group (10-49 members) Kaiser Healthcard Group (50-99 members) Kaiser Healthcard Corporate (100 members and above)
7-20
Prepared By: Mara I. San Victores Training and Marketing Officer
During Accumulation Period (1st-7th year)
Plan: K-100
Installment Amount: P 58,821.43
Mode Of Payment: Annual Contract Price: Php 411, 750.00 Annual Payment: Php 58,821.43
-IN PATIENT BENEFITS ONLY 1. Annual Physical Examination 2. Dental Health Benefits 3. Basic Medical Health Benefits 4. Members choice of Room and Board (1,000.00) 5. Yearly Benefit Limit of Php 60,000/year 6. Waiver of installment due to Death/ Credit Life 7. Waiver of installment and Premiums due to Total and Permanent Disability 8. Term Life Insurance Coverage 9. Accidental Death & Dismemberment 10. Family Assistance Service
1. ANNUAL PHYSICAL EXAMINATION

To be administered by an accredited service provider. APE Coverage ( Basic 5 )
Physical Examination, Chest X-Ray, Stool Examination, Routine urinalysis, Complete Blood Count ECG for Members above 35 and Pap Smear for Female Members above 35 years old or as required.
2. DENTAL BENEFITS
Unlimited Dental Check Ups Once A year Free Dental Prophylaxis Re cementation of jacket, crowns, inlays, on lays and
unlimited tooth extractions Minor adjustment of Dentures
3.Basic Medical Health Benefits

Hospitals Room and Board Accredited Physicians Fee Accredited Specialists Fee Accredited Surgeons Fee Accredited Anesthesiologists Fee Operating Room Fee Hospital Intensive Care Miscellaneous Fees Charges for local professional and ambulance service, maximum of PHP 2,000 per usage.
4. Members choice of Room and Board, up to Php 1,000.00/ Day
5. Yearly Benefit Limit of Php 60,000/ year
6. Waiver of Installment due to Death/ Credit Life

If the policy owner dies during the Accumulation Period and before exceeding the age of sixty-seven (67). The Balance Premiums are Waived, rendering the plan is Fully Paid. The Beneficiary will received: 100% Long term Care Benefits Plus Long Term Care Bonus The Plan will be Transferred to his/her Beneficiary.
7. Waiver of installment and Premiums due to Total and Permanent Disability

If the policy owner becomes totally and permanent disabled for a period of at least six (6) mos. (not exceeding the maximum age 67 years old). During accumulation period, all the succeeding payments will be waived.
8. Term Life Insurance Coverage

If the Member dies before attaining the age of sixtyseven (67) Exceeded the two (2) years contestability period
The Balance Premiums are Waived, rendering the plan
is Fully Paid. The Beneficiary will receive: 100% Long term Care Benefits Plus Long Term Care Bonus. The Plan will be Transferred to his/her Beneficiary.
9. Accidental Death & Dismemberment

If the Policy Owner dies due to an accident (not
beyond the age of 67 during paying period)

The nominee will receive an Additional of 100% of
the Long Term Care Benefit plus Long Term Care Bonus
Dismemberment
If The Policy Holder suffers Dismemberment not beyond 67 years of age. Loss of Both Hands 100% Loss of Both Feet 100% Loss of Sight of Both Eyes 100% Loss of One Hand and One foot 100% Loss of One Hand and Sight of One 100% Eye Loss of one foot and sight of one 100% Eye The Member will receive the Long Term Care Benefit PLUS Long Term Care Bonus
10. Family Assistance Service

Policy should be in ACTIVE status and plan should have completed at least one (1) year payment Nominated patient must be an immediate family member of the Policy Holder or within the 1st degree of consanguinity
Policy Holder agrees to avail only of the services of Kaisers Accredited Doctors and Affiliated network of Hospitals
Assistance to be provided by Kaiser shall only be to the extent of the allowable benefits due to the plan holder under his policy. Prior to discharge of the nominated patient, payment should have been settled with Kaiser. If Plan Holder requested or opted to pay on a term basis- Payment scheme is on case to case basis and subject to Kaiser approval.
Please note that this assistance is an accommodation and not considered a benefit of the plan, hence approval & denial on the a ailment solely depends on Kaiser Management Evaluation.
ADDITIONAL INFORMATION
The Plan Holder is insured up to the maturity,
provided the she/he is not beyond the age 75 years of age.
Extended Period
During Extended Period (8th year-end of 20th year) Annual Health Benefit or Total Annual Health Benefit Long Term Care Benefit Long Term Care Bonus Additional Health Care Benefit Out Patient Benefits Pre- Existing Illness is Covered Dreaded Illness is Covered Maternity Benefits
1. Annual Health Benefit

Out Patient Benefit In-Patient Benefit Pre-Existing Dreaded Illness Maternity Benefit Annual Health Benefit plus the additional Health Benefit
2. Long Term Care Benefit
3. Long Term Care Bonus
Additional Health Benefit
PRE-EXISTING MEDICAL CONDITION

Those illnesses/injuries considered to be in existence prior to the effective date of the contract Any professional advice or treatment was given for such illness or condition Such Illness or condition was in anyway evident to the member before the effective date of the contract The pathogenesis of such illness or condition started whether or not the member is aware of it.
The following illnesses will be covered during extended period (8th-20th year) Bronchial Asthma PTB COPD Diabetes Thyroid Diseases Systemic Allergies Hernias DUB Chronic Hemmoroids Anal Fistula Gastric or Duodenal Ulcers Liver Cirrhosis Kidney Diseases Blood Dyscrasia Immunologic & Collagen Diseases Endometriosis Cholecystitis Hallux Valgus Lithiasis Cancer Atherosclerosis CVD CVA
PHILHEALTH
Your Philhealth benefit is integrated with Kaiser.
Once admitted, you will be advised to file your
PHILHEALTH REIMBURSEMENT FORM. The Philhealth reimbursement due shall be deducted from the total hospital bills.
Kaiser members without Philhealth membership, shall
shoulder and pay the corresponding portion of Philhealth.
Additional Health Benefit

Yearly Health Bonus- which start
on the 2nd year up to end of 20th year. Accumulated Yearly Bonus

If Member decide to Cancel his/her Plan- He/she will only receive 80% of the Additional Health Benefit together with computation of his/her Cash Value.
GRACE PERIOD
If payment is made after the grace period the contract
shall be considered LAPSED. However, the owner shall be given a grace period of 60 days/2 months to pay the due installment benefits may be provided to the member only after the due installment is paid.
REINSTATEMENT
UPDATE- member will pay the premiums due on all the missed months + surcharge of 1.5%/months or 18%/annum from the date of each unpaid installment. REDATE- member will only pay the premium for the month but the maturity
period will be moved Requirements: Surrender the Lapsed contract Re installment application form Re-instatement fee of Php 300.00 Can be done within 2 years of the first unpaid due date The member shall be considered a new applicant subject to pre-existing conditions and for purposes of contestability of insurance coverage and to any other requirements for a new applicant for membership in effect at that time Kaiser will cancel the contract without need of notice to the owner if he fails to reinstate within the prescribed period.
CASH VALUE SURRENDER

The owner may surrender the contract for its cash
value stated in the Schedule of Benefits provided the Plan is active for at least a year.
TRANSFER
The owner is allowed to transfer his rights under his
contract at any time.

Written
request Surrender of the agreement Membership application signed by the transferee Payment of processing fee (Php 300.00)
UPGRADING OF PLAN & MODE OF PAYMENT

Plan can be upgraded within 30 days after its effectivity date.
Filled up amendment form Payment of processing fee- P300.00 Payment of additional installment corresponding to the updated plan
Mode of payment can be upgraded anytime after completion of its respective cycle
If within 30 days after purchase
Filled up amendment form Payment of additional installment due corresponding to the amount of the updated mode of payment If beyond 30 days after purchase Filled up amendment form Payment of Processing fee- P 300.00 Computation of dues based on the desired mode of payment Downgrading of plan and mode of payment is not allowed.
FOR MORE INFO, email us pinoyinvesting@gmail.com
THANK YOU!!!

Ultimate Kaiser Health Builder

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Ultimate Kaiser Health Builder

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What health plans does Kaiser International Healthgroup offer?

What health plans does Kaiser International Healthgroup offer?

What are the benefits provided during the accumulation period of the Premium Healthcare Builder Plan?

What are the benefits provided during the accumulation period of the Premium Healthcare Builder Plan?

KAISER INTERNATIONAL HEALTHGROUP, INC.

A Health Maintenance Organization (HMO) Company

Kaiser's Board of Directors are seasoned experts in the

MISSION AND VISION

We help build a secured future and wise

KAISER INTERNATIONAL HEALTHGROUP, INC.

During Accumulation Period (1st-7th year)

1. ANNUAL PHYSICAL EXAMINATION

unlimited tooth extractions Minor adjustment of Dentures

3.Basic Medical Health Benefits

4. Members choice of Room and Board, up to Php 1,000.00/ Day

5. Yearly Benefit Limit of Php 60,000/ year

6. Waiver of Installment due to Death/ Credit Life

7. Waiver of installment and Premiums due to Total and Permanent Disability

8. Term Life Insurance Coverage

9. Accidental Death & Dismemberment

beyond the age of 67 during paying period)

10. Family Assistance Service

provided the she/he is not beyond the age 75 years of age.

1. Annual Health Benefit

2. Long Term Care Benefit

3. Long Term Care Bonus

Additional Health Benefit

PRE-EXISTING MEDICAL CONDITION

Kaiser members without Philhealth membership, shall

shoulder and pay the corresponding portion of Philhealth.

Additional Health Benefit

on the 2nd year up to end of 20th year. Accumulated Yearly Bonus

CASH VALUE SURRENDER

contract at any time.

UPGRADING OF PLAN & MODE OF PAYMENT

FOR MORE INFO, email us pinoyinvesting@gmail.com

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