COMPLETE ORANGE LHMO® 4-in-1 Plans are available for Ages 5 - 60 years old and can be activated in 4 weeks.
For lower priced plans but less benefits, you may view the Basic Plans and plans for other age groups here .
Exclusions are necessary to ensure that these vital services can be made available to those who are in need.
It is our Policy in ORANGLE LHMO® that Terms & Conditions are clear. In line with that, we highlight exclusions as
Benefit Description by Category | |||
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Preventive Healthcare (available at 15 locations [CLICK HERE] in NCR, Cainta Rizal, Imus Cavite, Calamba & Sta Rosa Laguna, Lipa Batangas, Clark Pampanga, Cebu City)
Unlimited Consultations with General Practitioners and
Family Medicine Physicians. Internal Medicine Physicians,
Pediatricians and
Gynecologists are also included but appointment is required. Appointments can be made by phone. Dental Benefit is 1 prophylaxis. |
.
Unlimited Consultations and APE Dental Benefit |
Unlimited Consultations and APE Dental Benefit |
Unlimited Consultations and APE Dental Benefit |
Emergency Medical Care (available at over 500 Hospitals including 6 major Hospitals: Makati Medical, Cardinal Santos, Asian Hospital, Medical City, St Lukes QC and BGC ) Emergency Room expenses up to P 15,000 with access to 6 major Hospitals: Makati Medical, Cardinal Santos, Asian Hospital, Medical City, St Lukes Quezon City and BGC Taguig. This is to cover any costs related to Doctor’s Services for Emergency Treatment, Emergency Room Fees, medicines used for immediate relief and during treatment, oxygen, IV fluids, whole blood and human blood products, dressings, casts, sutures, X-ray, laboratory and diagnostic exams. Emergency is defined as "any life-threatening or unexpected onset of a condition or illness which This applies to illness or injuries immediate alleviation within 24 hours". Up to 2 availments for FirstClass (second availment must not be within 3 months of first availment. You must inform us once you initially avail of the service so we can reenroll). One-time use only for other Plans. Facilitation of blood requirements to free you from worries on scrambling to find matching Blood supply or Donor. This benefit is provided by the Philippine Red Cross. Accidental Medical Reimbursement if you are in an accident and have used up your coverage above. This is a reimbursement - meaning you will have to shoulder the expense first and then get reimbursed based on receipts (list of requirements will be provided to you upon request). Also, as the benefit name indicates, this is for accidents ONLY - it does not apply to emergency due to illness. This can be availed of in every accident instance, not just one-time. Benefit limit varies from P 5,000 to P 10,000 depending on your choice of plan. PhilHealth: The benefits above apply regardless if you are a PhilHealth Member or not. PhilHealth becomes useful if you will exceed the benefit limts. If you are interested in signing up for PhilHealth, you can visit https://eregister.philhealth.gov.ph |
Up to P 15,000 Accidental Medical Reimbursement up to P 5,000 if needed
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Up to P 15,000 Accidental Medical Reimbursement up to P 10,000 if needed
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Up to P 15,000 Accidental Medical Reimbursement up to P 10,000 if needed
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Confinement (available at over 500 Hospitals) Confinement coverage up to P 25,000 for confirmed cases of the following eight common viral diseases: Dengue, Chikungunya, Malaria, Typhoid, Cholera, Gastroenteritis, Leptospirosis, Pneumonia. For Room and Board Accommodation (Regular Private), Use of Operating Room, Intensive Care Unit (ICU), Isolation Room and Recovery Room, Professional Fees, Standard nursing services, Medicines while in confinement, Whole blood products and IV fluids transfusion, X-ray laboratory tests and diagnostic tests, Anesthesia, oxygen and its administration. One-time use only. Hospital Daily Allowance for each day of confinement up to 60 days (list of requirements will be provided to you upon request - claim to be filed after discharge). You are entitled to this benefit even if your confinement is due to accident or any illness (not just for illnesses listed above). PhilHealth: The benefits above apply regardless if you are a PhilHealth Member or not. PhilHealth becomes useful if you will exceed the benefit limts. If you are interested in signing up for PhilHealth, you can visit https://eregister.philhealth.gov.ph |
Up to P 25,000
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Up to P 25,000
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Up to P 25,000 Daily Allowance of P 200 |
Casualty Assistance In the unfortunate event of loss of life due to Accident or unprovoked Murder and Assault, Beneficiary is entitled to P 60,000 to P 225,000 depending on your choice of plan. This will help your family in the most difficult of periods. This is an incidental benefit given by Third Party Provider at no extra charge to you. Burial Assistance P 5,000 is provided for death due to Accident. |
P 60,000 P 35,000 if due to M&A P 5,000 Burial Assistance |
P 125,000 P 100,000 if due to M&A P 5,000 Burial Assistance |
P 225,000 P 200,000 if due to M&A P 5,000 Burial Assistance |
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