Health Assure Plus - Classic: Special Benefits

	Reconstructive Surgery for Functional Defect resulting from disease or accident
	Rehabilitative Conditionings consist of Physical Therapy and Chemotherapy
	Treatment of Sexually Transmitted Diseases
	Latest Modalities of Treatment

Coverage for the latest modalities of treatment based on the limits set forth below or subject to the maximum plan limit which ever is lesser.

Laparoscopic Cholecystectomy	Php35,000*
Lithotripsy	30,000*
Magnetic Resonance Imaging (MRI)	5,000
Nuclear/Radioactive Isotope Scan (NRIS)	5,000
Pelvic Laparoscopy (for endometriosis)	25,000
Laparoscopic Myoma Resection	20,000
Laparoscopic Adrenalectomy	Unilateral: 75,000* Bilateral : 85,000*
Transuretral Microwave Therapy of Prostate	30,000*
Hysterospically-guided D&C	10,000
Percutaneous Ultrasonic Nephrolithotomy	40,000
Ureterolithotripsy	35,000
Stereotactic Brain Biopsy	120,000*
Cryosurgery	1,000 per area
Sleep Study	5,000
Neuroscan	5,000
Sclerotherapy	5,000

*Or up the maximum plan limit, whichever comes first

All new modalities of treatment and/or diagnosis for which there are no comparable conventional or traditional equivalent or counterparts will have a maximum limit of P5,000.

The availment of Laparoscopic Cholecystectomy, Lithotripsy, Transurethral Microwave Therapy of Prostate, Percutaneous Ultrasonic Nephrolithotomy, Ureterolithotripsy or Cryosurgery procedure is limited only to once per contract year. When a Member chooses the new modalities of treatment enumerated above, PRUDENTIALIFECARE will no longer be liable for the cost of further traditional modes of treatment/diagnostics for the same illness or its complications should they be necessary. If a Member refuses to follow the recommended treatment or procedure and the PRUDENTIALIFECARE Physician or Affiliated Physician believes that no professionally acceptable alternative exists, then PRUDENTIALIFECARE shall no longer be responsible to provide for the condition under treatment.