Prevention is always better that the cure, we provide annual physical check-ups to ensure wellness.

Package of Annual Physical Examination (APE) at Kaiser Designated Clinics:

• Complete Blood Count
• Urinalysis (Urine examination)
• Fecalysis (Stool examination)
• Chest X-Ray
• Electrocardiogram (Adults age 40 and above, or if prescribed)
• Pap Smear (Women age40 and above, or if prescribed)

For In-Patient and Emergency Care - Automatic admission using a revolutionary swipe card / QR technology.

Prevention Healthcare:

• EXERCISE
Strengthening exercise, Stretching, bending & "toe-touching", Aerobic exercise for endurance and breathing balance. Aerobics must be done under the supervision of a medical expert especially when the person is doing it for medical reasons. Jogging, swimming, brisk walking, stationary bikes, gardening, tennis can be substitute for aerobics.
• DIET AND NUTRITION
Strengthening exercise, Stretching, bending & "toe-touching", Aerobic exercise for endurance and breathing balance. Aerobics must be done under the supervision of a medical expert especially when the person is doing it for medical reasons. Jogging, swimming, brisk walking, stationary bikes, gardening, tennis can be substitute for aerobics.
• NOT SMOKING
Smoking endangers the environment and persons inhaling second-hand smoke. Avoiding smoke is also preventing sickness of the lung, throat, esophageal and bladder cancer, heart attack, brain stroke, emphysema, stained teeth and fingers. Quit smoking the earliest you can to make our environment more friendly to other people and living things.
• ALCOHOL MODERATION
Too much alcohol can cause liver damage and delirium tremens. Don't drive if you drink. Drink occasionally.
• WEIGHT OR FAT CONTROL
Obesity causes stress of the heart, muscles and joints. It can also cause hernia, hemorrhoids and varicose veins. Obesity is acquired through too much eating, lack of exercise and slow metabolism of the body. Weight control is more of a personal than a medical problem. It takes our will power to overcome the urge to eat and the discipline of exercising.
• PROFESSIONAL PREVENTION
Prevention of sickness or accident may come from medical practitioners through: Perodic health examination or Annual Physical Examination, Screening for early symptoms through diagnostic examinations, Early treatment for problems, Immunization and other public health measures. Health risk appraisal through the help of your family doctor, Knowing your family history.
• AVOIDING INJURY
Avoiding danger and accident is for the welfare of the whole family. 90% of accidents can be avoided if we do the following: Wear seat belts when driving a car and helmets on a motorcycle. Don't drink and drive. Appoint a designated driver if you have to drink alcohol in a party. Don't ride with an impaired driver. Watch kids while they are in a pool, lake, beach or sea. Don't let them go alone swimming especially if both of you don't know how to swim. Look for a companion who knows how to swim. Prevent fire by ensuring proper electrical wirings, keeping matches and candles away from children's reach, avoid smoking in bed, make sure gas stoves are leak-proof and keep fire extinguishers available in your homes and workplace. Prevent broken bones and falls by avoiding clutter at home, wearing safety shoes at work, wear right school shoes for children, careful use of ladders and stairs. Avoid keeping firearms at home.

• No deposit upon admission (for surgical cases, please contact Kaiser)
• Room and board according to plan benefit
• Operating Room and Recovery Room
• Administered medicines
• X-Ray and laboratory examinations
• Services of Kaiser Specialists like anesthesiologists, internists, surgeons, etc.
• Services and medications for general/spinal anesthesia or other forms of anesthesia necessary for a surgical procedure
• Intravenous fluids and transfusion of fresh whole flood
• Modern therapeutic modalities and interventional surgical procedures such as, but not limited to laparoscopic surgery and lithotripsy, are covered up to Php20,000 each per year subject to pre-existing conditions coverage
• ICU confinements, dialysis, chemotherapy, and radiotherapy subject to the maximum limit and pre-existing condition coverage
• Complex diagnostic procedures shall be covered up to Php5,000 each per member per year subject to the pre-existing conditions coverage (Inclusive of room and board, operating room charges, professional fees and other incidental expenses relative to the procedure):
  1. Angiography (e.g. coronary, cerebral, retinal, pulmonary, GI, etc.)
  2. Pulmonary perfusion scan
  3. Tests involving use of Nuclear Technologies
  4. 24-Hour Holter Monitory, 2-D Echo and Doppler
  5. Treadmill Stress Test
  6. Bone densitometry scan (Dexascan)
  7. Plasma/Urinary Cortisol, Plasma Aldosterone, etc.
  8. Mammography (Breast cancer) and Sonomammogram
  9. Laboratory/ancillary services for conditions whose pathogenesis or subsequent clinical Improvement not yet fully established in Medical Science
  10. New modalities and/or diagnostic and treatment procedures for conditions with established etiologist and its use is only as alternative to the conventional methods
  11. Genetic/Immunologic studies
  12. All other items related to the management of the case (Partial listing only)

All year-round medical care

In the event that the assured member suffers illness or injury not requiring confinement in a hospital, Kaiser shall provide:

• Referral to specialists
• Regular consultations and treatment (except prescribed medicines)
• Laboratory and X-Ray examinations
• Treatment of minor injuries and surgery not requiring confinement
• Eye, ear, nose and throat treatment

The member shall be entitled to dental services administered by an accredited service provider. The dental benefits shall cover the following services:

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

Designated Hospitals

During an emergency case, a member who is in a critical condition caused by an illness or injury, the following benefits are:

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

Non-Designated Hospitals

• KAISER will reimburse 80% of the total hospital bills inclusive of professional fees based on KAISER Accredited Units (KAU) but exceed Php5,000
• KAISER shall only pay the said amount (80% but not to exceed Php5,000) when it is verified that the use of a KAISER non-designated provider would entail a delay resulting in death, serious disability and significant jeopardy to the member's condition or the choice of hospital was beyond the control of the member or member's family
• The member is required to submit all billings relative to such admission to the Kaiser office for the reimbursement of compensable expenditures within a period of 15 days form the date of discharge