Members may file reimbursement for the consultation fee based on the set standard limits (RUV or relative unit value).  You can use your healthcard for the requested tests by following the outpatient/consultation procedure or call EWHC hotline for verification and approval.

Yes, subject to standard exclusion provisions e.g violation of a city ordinance or law will not be covered etc. If the incident needs immediate medical attention, please rush to the nearest hospital and follow the emergency cases procedures.

It is best to call our hotline numbers for assistance or member may choose to do the following:

• Member may meantime occupy a lower room category and transfer to his/her category once available.
• Member may transfer to another affiliated hospital if it is a non- urgent case.
•  Member may opt to avail of a room one level higher than his Room plan except Suite Room for the first twenty-four (24) hours of confinement. As standard, member will only be charged the room rate difference. If after 24hrs and for whatever reason; e.g. member refuses or if there is still no available room, member fails to transfer to his/her designated room category, all incrementals (rate difference of laboratory costs and ancillary services) including room and board excess, difference of professional fees incurred after the first twenty-four (24) hours shall be for the account of the member before discharged.

Yes, our customer service representatives man our hotlines 24/7 to assist members in their medical availments.

No, you cannot avail of any medical or dental services without a LOA. The LOA is a standard and basic document of ALL HMOs that would inform the hospitals/clinics that you have been authorized by EASTWEST HEALTHCARE to avail of medical benefits charged to EWHC. You may call us up, email, visit our website or proceed to the HMO office/coordinator of the clinic, medical or dental facility of your choice to secure an LOA.

As standard, HMO benefits are exclusive of Philhealth benefit so members will be charged the Philhealth portion before discharged from the hospital.

Yes. Neurologists are not accepting HMOs due to the policy set by their Association. Member may pay for the cost of professional fees then file for reimbursement based on the Relative unit value (RUV).

Members may call their preferred accredited dentist to set an appointment. Their staff will coordinate with our Customer Service Representative to secure an LOA/approval. Member should then go on the appointed date. 

Lost cards should be reported immediately to your Human Resources for proper coordination of ID replacement with EASTWEST HEALTHCARE. Benefits can still be availed anytime with proper coordination with our hotline personnel for scheduled availments.  In case of emergencies, whenever possible you may call or message our hotline numbers; 0908 868 6009 to 18 to facilitate identification. Declare that you are a bona fide member of Eastwest Healthcare and present any valid ID to the Emergency Room personnel of the accredited facility for proper coordination with us.

No. As standard, maternity care and all other conditions related to and/or resulting from pregnancy and delivery including its complications is part of the general exclusion and limitations of all HMOs including EASTWEST HEALTHCARE.

No. EASTWEST HEALTHCARE membership is non- transferable.

You may refer to the availment procedure for the process flow to use your healthcard for the outpatient and inpatient benefits.

You may refer to the guidelines and requirements in processing reimbursement claims.