1COOPHEALTH

Why choose1COOPHealth
  • Affordable Premiums - Quality healthcare affordable premiums
  • Nationwide Network - Access accredited hospitals,clinics, and doctors nationwide
  • Inclusive for Families - Your spouse, children, or parents can also enroll individually to enjoy the same health protection.
1COOPHealth PLANS

Your health, your choice, your plan

WARD A

  • Maximum Benefit Limit(MBL) ₱60,000.00
  • Out-patient / Check-up Php10,000.00 per year
  • Out-patient – Emergency Php30,000.00 per year
  • In- patient / Confinement Php30,000.00 per illness for the first single confinement.
  • Annual Physical Exam
  • Dental
  • Covid-19 benefit
  • Eyecare
  • Telemedicine
  • Financial Assistance (Death)
WARD B

  • Maximum Benefit Limit(MBL) ₱60,000.00
  • Out-patient / Check-up
  • Out-patient – Emergency
  • In- patient / Confinement
  • Annual Physical Exam
  • Dental
  • Covid-19 benefit
  • Eyecare
  • Telemedicine
  • Financial Assistance (Death)
SEMI PRIVATE

  • Maximum Benefit Limit(MBL) ₱70,000.00
  • Out-patient / Check-up
  • Out-patient – Emergency
  • In- patient / Confinement
  • Annual Physical Exam
  • Dental
  • Covid-19 benefit
  • Eyecare
  • Telemedicine
  • Financial Assistance (Death)
  • Physical Therapy(Up to 6 sessions)
PRIVATE

  • Maximum Benefit Limit(MBL) ₱100,000.00
  • Out-patient / Check-up
  • Out-patient – Emergency
  • In- patient / Confinement
  • Annual Physical Exam
  • Dental
  • Covid-19 benefit
  • Eyecare
  • Telemedicine
  • Financial Assistance (Death)
  • Physical Therapy(Up to 10 sessions)
Health Card Benefits

From prevention to recovery — we’ve got you covered

With 1CoopHealth, quality healthcare is always close at hand. Enjoy exclusive benefits, reliable coverage, and easy access to inpatient and outpatient services that keep you living your best life.

Preventive – Annual Physical Exam
Clinic - based Annual Check-Up, consist of five (5) basic routines
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WARD A

WARD B

SEMI-PRIVATE

PRIVATE

Chest x-ray (PA and lateral)

CBC (Complete Blood Count)

Routine Urinalysis

Routine Fecalysis

History and physical exam

Annual Physical Examination (APE) guidelines:

  • Member/ Cooperative must send a letter of request for an APE schedule to patcomc.1coop@gmail.com (10days prior to APE date).
  • APE can be utilized 3 months after enrollment.
  • APE will be done in a designated accredited clinic of 1COOPHealth only.
  • Rescheduling of APE will be allowed once only.
  • If in case of no accredited clinic in the area, 1COOPHealth can reimburse up to a maximum of P500.00, subject to the maximum benefit limit.
Out-patient Care
Consultations, diagnostic procedures, and minor treatments made convenient
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WARD A

Maximum of P 10,000/ year

WARD B

Subject to MBL

SEMI-PRIVATE

Up to MBL

PRIVATE

Up to MBL

Consultation / Follow Up Consultation

Laboratories and Diagnostic Tests and Minor Procedures

Medicines given inside the Clinic
Emergency Care
Immediate treatment for accidents, injuries, and sudden illnesses
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Accredited Hospital

WARD A

Maximum of P 30,000 / year

WARD B

Subject to MBL

SEMI-PRIVATE

Up to MBL

PRIVATE

Up to MBL

Physician’s services

Emergency room fees

Medicines given inside the Clinic

Oxygen, intravenous fluids and blood products

Dressings, conventional casts (plaster of Paris) and sutures

X-Rays, laboratory and diagnostic examinations, and other medical services related to the emergency treatment of the patient
Non - Accredited Hospital

Within the Philippines

  • Reimbursable up to 80% of hospital bills & professional fees based on 1COOPHealth rates

Areas without accredited hospitals

  • 100% on room and board charges according to the Member's Room and Board accommodation.
  • 100% on other hospital bills.
  • 100% Professional fees based on 1COOPHealth rates.
  • Initial treatment of animal bites
    • Single dose of antirabies, anti-venom and anti-tetanus up to Php2,500.00.
  • Ambulance Land Transfer
    • Not Covered
In – patient Care
Hospitalization, room and board, professional fees, essential medicines, and accredited facility services.
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WARD A

Maximum of P 30,000 / year

WARD B

Subject to MBL

SEMI-PRIVATE

Up to MBL

PRIVATE

Up to MBL

Room and Board Accommodation

Use of operating room, Intensive Care Unit (ICU), isolation room (if prescribed by Attending Affiliated Physician) and recovery room.

Professional fees in accordance with 1COOPHealth schedule of rates per physician/specialist

Medicines for in-patient use

Standard nursing services

Blood product transfusions and intravenous (IV) fluids

X-Ray, laboratory examinations, routine, diagnostic and therapeutic procedures incidental to confinement

Standard Admission kit
In-Patient Hospital Confinement guidelines:
  • For enrollees that are PhilHealth members, the PhilHealth portion for which the enrollee is eligible shall be applied to or deducted from allowable charges.
  • In case an enrollee is not a PhilHealth member, the PhilHealth portion must be paid by the enrollee directly to the hospital at the point of availment or upon discharge. 1COOPHealth will not pay or advance the costs of such benefits, nor be responsible for filing any claims under PhilHealth or ECC.
Dental Care
Coverage for preventive, diagnostic, and basic dental services to keep your smile healthy.
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WARD A

WARD B

SEMI-PRIVATE

PRIVATE

Annual dental examination & consultation

Oral prophylaxis

Covered once per year

Covered once per year

Covered once per year

Covered once per year

Simple tooth extractions

Up to 2 teeth per day

Up to 2 teeth per day

Up to 2 teeth per day

Up to 2 teeth per day

Temporary fillings

Up to 2 surfaces per day

Up to 2 surfaces per day

Up to 2 surfaces per day

Up to 2 surfaces per day

Permanent fillings

One (1) surface per year

Two (2) surfaces per year
Note:
  • Dental care benefits for members aged 66 to 75 years old shall not be covered.
  • If in case of no accredited clinic in the area, 1COOPHealth can reimburse dental services up to a maximum of P250.00 per procedure, subject to a maximum benefit limit.
Telemedicine Consultations thru 1COOPTelehealth
It’s easy to use and FREE access to all 1COOPHealth members.
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WARD A

WARD B

SEMI-PRIVATE

PRIVATE

Phone call and Video consultation (on-duty doctors)

E- prescription, E-Laboratory request, and E – medical Certificate

Covered once per year

Covered once per year

Covered once per year

Covered once per year
Special coverage for Covid-19 confirmed cases
dditional coverage and support for COVID-19 testing, treatment, and related hospitalization.
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WARD A

WARD B

SEMI-PRIVATE

PRIVATE

Out-patient, Emergency and In-patient care

Up to P 10,000.00 per year

Up to P 10,000.00 per year

Up to P 10,000.00 per year

Up to P 10,000.00 per year

a. RT-PCR Test

Up to P 2,000.00 per test

Up to P 2,000.00 per test

Up to P 2,000.00 per test

Up to P 2,000.00 per test

b. Rapid Antigen Test

Up to P 1,000.00 per test

Up to P 1,000.00 per test

Up to P 1,000.00 per test

Up to P 1,000.00 per test
Note:
  • Special coverage for Covid-19 patients shall be covered for symptomatic patients only.
  • Not covered for screening test purposes.
Optical Benefits
Eye examinations and coverage for basic vision needs to protect and maintain your sight.
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  • Free Eye Check-ups (Computerized Eye Refraction and Color Blindness Test.
  • Up to 30% discount; except on Oakley, Rudy Project, Mango and Spyder & Oakley brands
  • Free cleaning and minor repair services
  • Computerized Eye Refraction
  • BUY 1 GET 1 FREE (BOGO) eyewear on over 50+ designer eyewear brands.
  • Free cleaning and minor repair services
  • Additional benefits:
    • Free custom fitting & adjustment
    • Free Ultrasonic cleaning services
    • • Replacement of screws and nose pads for frames availed from the OPTICAL following the approved OPTICAL policies and procedures
  • Free eye examination
  • Up to 20% discount on regular price frame and sunglasses
  • Up to 10% discount on regular price finished lenses
  • Additional 10% discount on sale items except those items which are already marked down
  • Up to 10% discount on consigned items, except Bolon, Cartier Maui Jim, Oakley, Ray-ban and Swissflex
Financial Assistance
Assistance for the beneficiary in the event of the member’s death.
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  • Natural Death – P 10,000.00
  • Accidental Death – P 20,000.00
Optional Benefit
Hospital income benefit in exchange for an additional annual premium of P500.00 per enrollee.
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  • Daily Hospital Income - P 200.00/day of hospital confinement, maximum of 25 days
  • Medicine Subsidy - Reimbursable up to P 5,000.00
  • Ambulance Transfer - Reimbursable up to P 2,500.00
Note:
  • Policy is subject to an Annual Aggregate Limit of Php5,000.00, and shall be on First Loss Basis.
  • HIB is applicable only to accident cases.
PREMIUMS

Without access to Top 6 Major Hospitals and Associated Clinics, and Healthway Clinics

*Top 6 Major Hospitals (Asian Hospital Medical Center, Cardinal Santos Medical Center, Makati Medical Center, St. Luke’s Medical Center – QC, St. Luke’s Medical Center – Taguig, The Medical City)

WARD A

12-65 YEARS OLD

66-70 YEARS OLD

71-75 YEARS OLD

ANNUAL PREMIUM

5,090.00

9,980.00

14,870.00
WARD B

12-65 YEARS OLD

66-70 YEARS OLD

71-75 YEARS OLD

ANNUAL PREMIUM

7,250.00

14,300.00

21,350.00
SEMI - PRIVATE

12-65 YEARS OLD

66-70 YEARS OLD

71-75 YEARS OLD

ANNUAL PREMIUM

11,470.00

22,740.00

34, 010.00
PRIVATE

12-65 YEARS OLD

66-70 YEARS OLD

71-75 YEARS OLD

ANNUAL PREMIUM

18,980.00

37,760.00

56,540.00
Note:
  • Additional annual premium of 500.00 for Hospital income benefit.
  • For installment payment please message PATCOMC.

For accredited providers, please click this link