Emergency Availment Procedure

Emergency Availment:

Requirements:

·· HMO Card

· Valid Government ID or Company ID

Step 1:

First, verify if the hospital is accredited with your HMO card.

Step 2:

If the hospital is accredited, proceed to the hospital's admission section. If not, visit an accredited hospital to prevent cash-out payments and denied claims. You can find the list of accredited facilities for each HMO through the following links:

· INTELLICARE: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.intellicare.net.ph/wp-content/uploads/2017/07/Standard-Guidebook_Access_July2017.pdf

· MAXICARE: https://www.maxicare.com.ph/services/find-doctors-clinics-and-hospitals/

· VALUCARE: https://valuecarehealth.com/accredited-provider-render/

· MEDICARD: https://www.medicardphils.com/accredited-providers

· COCOLIFE: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.cocolife.com/wp-content/uploads/2021/07/Hospital-List.pdf

· SUN LIFE GREPA: https://www.facebook.com/SunLifeGrepaHealthcare/

Step 3:
Please proceed to the Emergency Room admission area, complete the required form, and kindly notify the hospital personnel that you are a member of the HMO. Remember to present your HMO card upon arrival.

Step 4:
Continue with the necessary treatment.

NOTE:

-LOA is not required during emergency case, treatment first policy will apply.

-The hospital is in-charged with the LOA before discharged.

-Treatment will be by triage, if incase that there are volume of emergency case, hospital staff will prioritize the more severe case. availment will be subject to hospital guidelines.

-Non-emergency case availed in Emergency Room will not be covered and needed to paid by members. **For hospitals with an outpatient department within the emergency room, the expenses will be covered, and no immediate payment will be required.

-Personnel Protective Equipment (PPE) is not covered by our HMO coverage, we can choose to look for other dental clinic who is not asking for PPE fee.

If we have encounter any concern during availment please call Divergent One Solutions Corp. 24/7 Customer Care Hotline or DOSC Account Officer for any questions or concern.