ER CARE BOOSTER 60

1. What does ER Care Booster 60 cover?
With a Php 60,000 benefit limit, ER Care Booster 60 covers emergency cases due to accidents. It covers expenses on outpatient and inpatient emergency care, room and board, diagnostic procedures as medically necessary during confinement, medicines as medically necessary during confinement, use of operating room, recovery room, and ICU diagnostic procedures, as medically necessary.

2. What are considered emergency cases and accidents?
An emergency case is a sudden, unexpected onset of illness or injury having the potential of causing immediate disability or death, or requires the immediate alleviation of severe pain and discomfort.

Accident means a visible, external, sudden and violent event occasioned by a physical or natural cause and occurring entirely beyond the Members’ control causing damage to the health of the Member.

ER Care Booster 60 covers accidents that include, but are not limited to:
   ● Accidents, excluding Cerebrovascular (Stroke)
   ● Fractures, new
   ● Burns, new
   ● New animal bites, including first dose of vaccines
   ● Cuts, new, needing suturing
   ● Sports injuries, contact and noncontact sports (except professional sports and high-risk sports)
   ● Accidental chemical poisoning

A Member’s eligibility to emergency care benefits under the Agreement shall be based on the final medical diagnosis.

3. Who is qualified for ER Care Booster 60?
Adults, 18 to 64 years old, can get ER Care Booster 60 and register as a Member. Upon purchase, you can register online at https://services.insularhealthcare.com.ph/.

4. When can I start using ER Care Booster 60?
From the day you register (“registration date”), the health voucher will be activated after ten (10) calendar days. Your health voucher is valid for 12 months or up until used which ever comes first.

Example: Registration date is Day 0. If you register on August 1, your health voucher will be activated on August 12. It will then be valid from August 12, 2018 to August 11, 2019 or up until used which ever comes first.

5. When can i register my product?
You have to register a name to your prepaid plan within 90 days from purchase date. The serial code will be valid up to then. After which, your serial code will no longer be available for register.

6. How many times can I register ER Care Booster 60 in my name?
If you have already used your ER Care Booster 60 health voucher, you can get another ER Care Booster 60 to be covered again. Note that a person can only be covered by one (1) product offering emergency care benefits at any point in time.

7. If the benefit limit is not be wholly consumed, can I use the health voucher again in the future?
ER Care Booster 60 is for one-time use only, regardless if the total annual benefit limit is consumed or not. The advantage of this health voucher is its high benefit limit, affordability, and convenient registration process. It assures you of assistance for most or all expenses you incur for outpatient emergency care, and allows you to avail and register another one to renew your coverage.

8. Is PhilHealth coverage needed to use ER Care Booster 60?
Yes. Once there is an admission, PhilHealth coverage is required since it also covers inpatient care. However, for those who do not have PhilHealth coverage, one may just pay the PhilHealth portion of the hospital bill before discharge.

9. If I already have an existing Insular Health Care plan with emergency care benefits, can I still register for ER Care Booster 60?
No. You cannot register for ER Care Booster 60 if you are already enrolled in IHC’s other health care programs with emergency care coverage, even if your total benefit limit has already been consumed.

10. Can I register an ER Care Booster health voucher for someone else?
Yes, as long as you know the personal data of the individual and obtained his/her authorization to be registered. We have ER Care prepaid health vouchers that can be given as gifts to your loved ones. The data required for registration are as follows:
   a. Full name
   b. Birth date
   c. Home address
   d. Email address
   e. Mobile number

11. Can I transfer ER Care Booster 60 to another person?
ER Care Booster 60 is transferable as long as it has not yet been registered. This also lets you purchase the health vouchers as gifts.

12. Can I use ER Care Booster 60 in hospitals not on the health voucher’s provider list?
No. Services can only be availed in IHC-accredited hospitals and clinics.
Check www.insularhealthcare.com.ph/our-partners to see the list of IHC-accredited hospitals.

13. What conditions are not covered by ER Care Booster 60?
Non-emergency and pre-existing conditions, congenital and maternity-related conditions, and other conditions under IHC’s General Exclusions list are not covered by this product.

An illness or condition is considered pre-existing if, prior to effective date of coverage:
   (a) Any professional advice or treatment was given for such illness or condition;
   (b) Such illness or condition was in any way already known to the Member; or
   (c) The pathogenesis of such illness or condition had already started (of which the Member may not be aware of).

Non-coverable accidents include, but are not limited to: self-inflicted injuries; injuries from professional sports and high-risk sports; injuries or illnesses due to military, paramilitary, or police service; injuries from high risk activities or suffered under conditions of war; and accidents that are secondary to or contracted due to degenerative diseases such as Alzheimer’s Disease and Parkinson’s Disease.

For more information, see “General Exclusions”.