HEALTH EMERGENCY PAMPAMILYA PROGRAM
Emergency Care Plus Hospital Daily Allowance while Confined

The HELPP program allows the availment of emergency care benefits up to corresponding Maximum Emergency Benefit Limit, during qualified emergency situations or conditions in any certified hospital emergency rooms or facilities, with additional daily cash allowance per day of confinement subject to maximum of 250 days per year.

INCLUSIONS

1. Emergency Care Benefits

BENEFIT FEATURES WITHIN EASTWEST ACCREDITED NETWORK OUT OF NETWORK BY REIMBURSEMENT
Professional Fee(s) of Attending Physician(s) Up to Plan Limits Up to Plan Limits
Emergency Room or Facility Fees Up to Plan Limits Up to Plan Limits
Medicine used for immediate relief & during
treatment in the confines of the Emergency Room
Up to Plan Limits Up to Plan Limits
Whole blood human and Blood Products Up to Plan Limits Up to Plan Limits
Oxygen and Intravenous Fluids Up to Plan Limits Up to Plan Limits
Sutures, Dressings and Plaster Casts Up to Plan Limits Up to Plan Limits
Laboratory, Xray and other Diagnostic Procedures
directly related to the emergency management
of the patient
Up to Plan Limits Up to Plan Limits
Anti-Rabies Vaccine / Anti-Venom Sera
1st Passive Dose (Up to Maximum Emergency Benefit Limit)
1st Passive Dose (Up to Maximum Emergency Benefit Limit)
Anti-Tetanus Vaccine
Covered Up to Maximum Emergency Benefit Limit
Ambulance Service
(From point of incident to an emergency treatment facility)
Covered Up to Maximum Emergency Benefit Limit
Ambulance Service
(From point of incident to an emergency treatment facility)
Up to Plan Limits Up to Plan Limits
Maximum Limit for Emergency Cases Up to Plan Limits Up to Plan Limits
Cash benefit per day of confinement due to illness
or accident
Up to Plan Limits Up to Plan Limits
Pre-Existing Condition Both Dread & Non-Dread Up to Plan Limits Up to Plan Limits
Pre-Existing Condition Both Dread & Non-Dread Up to Plan Limits Up to Plan Limits
Maximum number of days covered in a year Up to 250 Days Up to 250 Days


QUALIFIED EMERGENCY CONDITIONS or SITUATIONS



BENEFIT FEATURES OPTION 1 OPTION 2 OPTION 3 OPTION 4
Emergency Medical Expense Limit
Per Member Per Year
Php 5,000 Php 10,000 Php 15,000 Php 20,000
Cash Benefit Per Day of Confinement Php 300 per day Php 500 per day Php 800 per day Php 1000 per day
Maximum Benefit Limit combined
ER expense & Daily Hospital Allowance Up to 250 Days
Php 80,000 Php 135,000 Php 215,000 Php 270,000


ELIGIBILITY
1. Any entity with at least 50 members (either Principal or Dependents or both)
2. Principal Members – 18 to 65 years old; must be full-time employee or legitimate member of the entity
3. Dependents – 18 to 65 years old Legal Spouse; 15 days to 21 years old children

VALIDITY
Valid for one (1) year from the time of member’s card activation