What are the diagnoses or cases with limited coverage?

You may view the list from your www.benefitsmadebetter.com account. Under the “Healthcare Benefits” tab, click “Benefits with Inner Limits.”

Below are some examples:

Congenital: Covered up to 50% of the maximum benefit limit not to exceed Php 150,000 per member per year, subject to pre-existing condition limit whichever is lesser.

Slipped disc, spondylosis, and spinal stenosis: Covered up to P20,000.00 per member per year (whether pre-existing, congenital or acquired) including necessary procedures, except physical therapy sessions