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HIV Coverage of HMOs

HIV and AIDS diagnosis may require lifelong treatment and, therefore expenses. Are there any HMOs that cover such disease? Take a look at the list I created for your reference.

Etiqa

The health plan from Etiqa can be a good option since it covers up to 30% of HIV treatment. This is subject of course to the annual maximum limit of the plan.

Maxicare

For matters like HIV infections, one has to deal with a number of lab tests. This is where Maxicare’s prepaid card may become useful.

Prima Gold offers unlimited diagnostic tests including HIV Ag/AB. But for treatment cases, I am yet to find out how people with confirmed positive status may benefit.

I haven’t found an HMO that specifically covers AIDS or even HIV at a 100% rate. The good news is that some parts of the expenses are covered.

How about other cards?

As of the moment, I have only found 2 health cards that include HIV in their benefits.

Most HMOs consider the disease as a pre-existing condition thus limiting their coverage for it. But you can still find a health card that at least covers a part of your treatment plan.

Are there ways to reduce the cost?

Some health insurance companies also have a program for HIV patients. You may want to check your policy if you have been paying your premiums on time.

Philhealth has a dedicated benefit for patients with the said condition. I’ve found this memo from the agency that covers up to Php 30,000 per year.

Last Updated on September 17, 2024 by pinoyhmo


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