Healthcare
Coverage Guide.
Maximum Benefit Limit
"Your health, our commitment. Access uncompromised care through our premium institutional network."
Plan Features
Comprehensive coverage designed with institutional permanence. Every feature is accessible at a glance — no detail buried below the fold.
PhilHealth Required
PhilHealth Required to file
Pre-existing Illness
Pre-existing Illness Up to MBL
Work-related Injuries
Work-related Injuries Up to MBL
Vehicular Accident
Vehicular Accident Up to MBL
Congenital Conditions
Congenital Conditions Up to ₱30,000
Mental Health Benefits
Mental Health Benefits Up to ₱10,000
Inpatient Care
Hospital Services
- Prescribed medicines
- Laboratory and diagnostic tests
- Blood and plasma
- Admission kit
- Operating room charges
- Use of ICU
- X-rays
Professional Fees
Professional Fees Up to MBL subject to Lacson rates
Room & Board
Room & Board - Regular Private
Upgrade due to Room Non-Availability: may avail of the next higher room category within the first 72 hours.
Outpatient
Services
Core Services
Other Benefits
Emergency
Care
Ambulance Service
Coverage Status
Animal Bites
Initial bite within 48h and succeeding doses covered up to MBL.
Maternity
Care
Reimbursement Limits
For female employees via reimbursement
Dental
Care
Annual Limit
Up to ₱2,000 via reimbursement
Prophylaxis
Oral Prophylaxis Mild to moderate, twice a year
Fillings
Light Cure Filling Up to 2 teeth
Annual Physical
Exam
Standard Tests
Annual Physical Exam
Access Map
Network Access
Network Coverage
Full access to Lacson's accredited network, except the following hospitals:
- Makati Medical Center
- St. Luke's Medical Center (BGC & QC)
- Asian Hospital Medical Center
- Cardinal Santos Medical Center
- The Medical City
Reimbursement Process
Scroll down to follow the steps
Preparation & Compilation
Reimbursements or out-of-network availments are permitted, regardless of whether the case is an emergency or not.
Outpatient Requirements
- Claims Reimbursement Form (downloadable in LLIBI website: https://llibi.com/)
- Medical Certificate
- Valid Government ID
- Consultation - Official receipts of consultation fees
- Laboratory – Laboratory request form and official receipt of laboratory test
- Medicine/ Vaccine – Prescription and official receipt of medicine / vaccine purchased
Inpatient Requirements
- Claims Reimbursement Form (downloadable in LLIBI website: https://llibi.com/)
- Medical Certificate
- Valid Government ID
- Official Receipts of Hospital Charges and Professional Fees
- Detailed / itemized Statement of Account
Document Submission
Compile all the required documents and submit to your HR, Lacson account executive or through Online Reimbursement Portal available on our website under Member Health Services.
Approval & Payout
Reimbursement coverage is equivalent to 100% of the hospital bills or charges while professional fees of non-accredited doctors are reimbursed based on Lacson & Lacson's standard rates.
Hospital bills or charges
100% of the hospital bills or charges
Professional fees
Professional fees of non-accredited doctors are reimbursed based on Lacson & Lacson's standard rates
Payout options
Check payment takes 10-14 working days; online bank transfer takes 7-10 working days
Processing
Check 10-14 Working Days / Online 7-10 Working Days
How to Avail Using Lacson Network
Emergency
- Present your Emergency Room card at the Emergency Room of any Lacson accredited hospital.
- If you need to be confined, the Emergency Room card serves as the temporary LOA.
Inpatient
- Upon receipt of the admitting order from your doctor, request for an LOA from Lacson Client Care.
- Present the LOA directly at the Admitting Section of the hospital.
- Before discharge, see to it that PhilHealth is filed.
Outpatient
- Find out from the Lacson website (www.llibi.com) which accredited doctor you wish to consult with.
- Call the doctor's clinic and request an appointment.
- Request LOA to Lacson Client Care at least 24 hours before your scheduled appointment.
- When you consult, present the LOA to the doctor's clinic.
- If the doctor prescribes lab tests, the doctor fills out portion of the LOA for lab tests.
- Present LOA to the HMO section for the approval code so the laboratory tests may be done.
- Your OUTPATIENT LOA can also be requested through our Client Care Portal.
- Scan the QR code to access the portal.
Your OUTPATIENT LOA can also be requested through our Client Care Portal.
Scan the QR code to access the portal.
Contact Us
We're ready to help with your insurance journey.
Trunk Line
(02) 8236-6492
Priority Email Desk
clientcare@llibi.comMobile Number for Calls Only
0917-8055424
0917-2255424
0919-0749433
Mobile Number for Calls and SMS
0917-8255424
0917-8955424
0920-8380512