Value Care Health Systems, Inc., an HMO established in 1997, is a wholly-owned Filipino corporation founded by a group of physicians whose objective is to make healthcare services accessible and affordable to the people. It provides quality healthcare to its members through a wide network of service providers and comprehensive hospitalization benefit and healthcare packages.
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ValuCare cardholders have the option to choose the hospital and doctor from the pool of accredited providers. They can also seek the assistance of our medical coordinators if they do not have a particular preference in any of our accredited hospitals and clinics.

A team of Client Service Staff Specialists, is on hand to assist the planholders.

A team of Medical Liaison Officers are tasked to attend to the proper delivery of medical services. They are highly capable of making decisions in need of immediate response. They ensure members are provided hassle-free sevice. Visitations are made within 24 hours to give assistance and deliver personalized service to our members are promised.

One of the most comprehensive network of providers in the HMO industry. ValuCare's accredited hospitals and clinics total of more than 1,000 to date. We have a total of 16,000+ accredited specialists, all equipped to render medical services to all planholders.
Presently, ValuCare's accredited dental clinics total of 680 and expand continuously to make our services accessible to our clients nationwide

To ensure quick response on all queries regarding medical availments, ValuCare has a fully operational call center that attends to calls 24/7,manned by highly-competent In-House Client Services Officers.

Headed by our Medical Director for Utilization Management and Claims Administration, the UM Group regularly coordinates with Corporate Accounts and discusses with them how to best maximize our services.
Eligible individual with no dependents and not enrolled
within a group or corporate account

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Minimum of 3 members, with at
least one (1) adult as principal member.

Interested with our Health Plans?
Apply Now! or Contact Us.
Know your previous availments?
Try Online Inquiry
A group of individuals working in the same company.
- at least ten (10) employees
A group of individuals working in the same company / organization
-at least 20 regular employees
-100% of regular employees

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Out-Patient Services
• In-Patient Services
• Emergency Services
• Preventive Health Services
• Coverage for pre-existing conditions*

An illness or injury is considered to be in existence prior to the effective date of the planholder coverage in any of the following cases:

1. When any professional advice or treatment has been obtained for such illness or injury prior to the said effective date of coverage;
2. Such illness or injury is evident to the planholder before the effective date of his/her membership;
3. The natural history of such illness or injury can be clinically determined to have started prior to the effective date of coverage.

Applicant is required to accomplish an application form which shall be subjected to evaluation based on ValuCare Underwriting's PEC waiver guidelines. ValuCare shall cover pre-existing conditions only after the first 12 months of membership, as provided below, upon approval of application, unless the condition falls under the provision on exclusions and limitations as stated in this Agreement:

2nd year – 50% of MCB (aggregate limit)
3rd year – 100% of MCB (per illness per year)
However, for kidney and gall stones medical cases, coverage shall be up to 75% of MCB (aggregate limit); No coverage for dreaded diseases and conditions except for cases acquired during the effectivity of membership.

4th and succeeding years – covered up to 100% of MCB (per illness per year) for all medical cases.

The following conditions, but not limited to, when occurring during the first year of coverage after the effective date, are considered pre-existing: (a) Acquired hernias; (b) Benign new growths or tumors (like sebaceous cysts, lipoma, epidermal inclusion cysts etc.); (c) Bronchial Asthma; (d) Buergher's disease; (e) Chronic ENT conditions requiring surgery (Nasal Polyposis, Chronic Otitis Media, Vocal Fold Polyp/Nodules); (f) Eye disorders like cataracts and glaucoma; (g) Fatty liver; (h) Gallbladder diseases like cholecystitis, cholelithiasis; (i) Gastric & duodenal ulcers; (j) Gynecological conditions (endometriosis, myoma, ovarian cysts); (k) Hemorrhoids and anal fistula; (l) Hypertension, atherosclerosis, dyslipidemia; (m) Neurological disorders like Paralysis; (n) Osteoarthritis, gout, hyperuricemia; (o) Peptic Ulcer Disease; (p) Primary Koch's Infection/Tuberculosis; (q) Prostate diseases like benign prostatic hypertrophy; (r) Thyroid disease (Nodular Nontoxic Goiter, Hypothyroidism, Hyperthyroidism); (s) Varicose veins; (t) Any dreaded diseases, if present upon enrollment.

The following diseases, but not limited to, are considered dreaded: (a) Cerebrovascular Accident (stroke); (b) Central Nervous System lesions (Poliomyelitis/Meningitis/Encephalitis/neurosurgical conditions); (c) Cardiovascular Disease (Coronary/Valvular/Hypertensive Heart Disease/ Cardiomyopathy); (d) Chronic Obstructive

Pulmonary Disease (Chronic Bronchitis/Emphysema), Restrictive Lung Disease; (e) Liver Parenchymal Disease (Cirrhosis, Hepatitis (except Type A), New Growth); (f) Chronic Kidney/Urological disease (Urolithiasis, Obstructive uropathies, etc.); (g) Chronic Gastrointestinal Tract Disease requiring bowel resection and/or anastomosis; (h) Collagen diseases; (i) Diabetes Mellitus and its complications; (j) Malignancies and Blood dyscrasias (Cancer, Leukemias, Idiopathic Thrombocytopenic Purpura); (k) Injuries from accidents or assaults, frustrated homicide or frustrated murder; subject to police report; (l) complications of an apparent ordinary illness including MODS and SIRS (e.g. sepsis due to pneumonia, typhoid ileitis, cerebral malaria, etc.); (m) Single or multiple organ dysfunction and failure (MODS and MOF); (n) Conditions that may require dialysis; (o) Chronic pain syndrome (greater than six weeks); (p) Any illness other than the above which would require Intensive Care Unit confinement.

• Dental Benefits
• Valu+Features
• Financial Assistance (for principals)

• Special Modalities

- 24-hour Holter Monitoring
- 2D Echo with Dopler
-Cataract Surgery (excluding cost of lens)
-CT Scan
-Eye Laser Theraphy
-Laparoscopic Procedures
-Magnetic Resonance Imaging
-Nuclear Radioactive Isotope Scan
-Open Heart Surgery / Angioplasty
-Out-Patient Physical Theraphy
-Prostate Surgery like TURP (for BPH)
-Ultrasound (except pregnancy related)