National Healthcare Shield Details

Preventive Care

• Annual Physical Examination
  (For Principal member only)
  • Physical Examination
  • Complete Blood Count (CBC)
  • Urinalysis
  • Fecalysis
  • Chest X-ray
  • Electrocardiogram (ECG) (adults age 40 and above, or if prescribed)
  • Pap smear (women age 40 and above, or if prescribed)
• Consultation on different specializations and sub-specialties
• Patient history taking upon consultation
• Periodic monitoring of health problems
• Health education and counseling on diet and exercise
• Health habits and family planning counseling
• Active vaccines for treatment of tetanus and animal bites
  (₱10,000/member/year)

In-Patient Benefit

No deposit on admittance

• Room and board
• Operating / recovery room
• Administered medicines
• X-ray and other laboratory tests
• Professional fees
• In-patient medicine
• Intravenous fluids and transfusion of fresh whole blood
• ICU confinement
• Dialysis
• Chemotherapy
• Radiotherapy
• Various procedures

Out-Patient Benefits

• Regular consultations and treatment (except prescribed medicines)
• Referral to specialists
• Laboratory, X-ray, and other diagnostic examinations prescribed by a Kaiser accredited physician
• Treatment of minor injuries and surgery not requiring confinement
• Ear, eyes, nose and throat (EENT) treatment
• Physical Therapy
• Pre- and Post- Natal Care (once a month)

Emergency Care Benefits

The following benefits are covered for members in an emergency case who is in a critical condition caused by an illness or injury:

• Physician’s services
• Medicines utilized during treatment or for immediate relief
• Casts, dressings and sutures
• Oxygen and intravenous fluids
• X-ray, laboratory and other diagnostic examinations directly related to the emergency management of the patient

In areas with No Accredited Hospitals, Kaiser will reimburse up to 100% of consumed portion or its maximum amount

Dental Care Benefits

(For Principal Members Only)

• Consultation and Dental Examinations
• Dental Nutrition and Dietary Counselling
• Dental Health Education
• Restorative and Prosthodontic Treatment
• Simple tooth extractions
• Unlimited Temporary filling (as needed)
• Annual prophylaxis (mild cases only)
• Simple tooth Adjustment of Dentures
• Recementation of loose crowns, in-lays and on-lays
• Permanent filling up to two (2) surfaces only

Financial Care Benefits

In the event of death or injuries / loss of limbs of member through natural or accidental means, Kaiser International Healthgroup will provide up to ₱20,000 financial assistance to the family of enrolled member.