The Makati Health Plus Program of the Makati City Government provides subsidized healthcare services at Makati Life Medical Center to qualified beneficiaries through the issuance of Makati Health Plus (MHP) Card which is popularly known as the Yellow Card.
PhilHealth benefits will be applied first before any CGM (City Government of Makati) benefits. In case of hospitalization, the beneficiaries shall pay the excess of the allowable coverage amount following the scale indicated in the table below:
Makati Life Medical Center (MLMC) shall refer to the masterlist or database of qualified beneficiaries provided by the City Government of Makati (CGM). Any changes to the masterlist or database shall be effective only upon receipt by MLMC of written notice from CGM. Any updates, corrections, or inconsistencies between the masterlist and the actual requirement provided by the beneficiary must be coordinated with CGM and confirmed by MLMC prior to providing the benefits included in the program.
The Beneficiaries who seek treatment under the following instances are not entitled to avail of the benefits under this IRR, but may seek treatment as private paying patients:
Availment of the Hospital Services for non-Beneficiaries shall be given to individuals in the following special cases:
No. Cosmetic and aesthetic procedures are excluded unless deemed medically necessary and prescribed by an accredited physician.
Preventive Care refers to health services that aim to prevent illnesses or detect them early when they are more treatable. It includes screening test, immunizations, counsellling, and preventive medications.
Preventive care is recommended for all individuals regardless of current health status, based on their age, sex, family history, risk factors, and lifestyle. Those qualified include:
Vaccines are generally not included under the preventive care benefits of this program as they are already provided by the Barangay Health Unit (BHU) or Rural Health Unit (RHU) through the City Government of Makati’s vaccination programs.
These guidelines are based on the Preventive Care Procedures and Practice Guidelines from the U.S. Preventive Services Task Force (USPSTF) and the World Health Organization (WHO).
Women aged 40 to 74 should have a mammogram every 1 to 2 years for breast cancer screening. Osteoporosis screening is recommended for women aged 65 or younger with risk factors. Additionally, all women of reproductive age planning pregnancy should take folic acid supplementation to prevent neural tube defects.
Men aged 65 to 75 who have ever smoked should undergo screening for abdominal aortic aneurysm (AAA). Prostate cancer screening (PSA test) is offered to men aged 55 to 69 through shared decision-making with their healthcare provider.
Refer to the table below for the recommended preventive services for children and adolescents:
Refer to the table provided under section 16.A for a detailed list of the diagnostic, therapeutic, and other modalities of treatment included in the benefits.
Beneficiaries are entitled to Ward Accommodation as part of their in-patient benefits.
The standard admission kit includes essential items including ice cap and wee bag, provided upon admission.
Yes. The use of specialized hospital units, including the Operating Room, Intensive Care Unit (ICU), Isolation Room, Recovery Room, and other specialty units, is covered when medically indicated.
Yes. The professional services of all attending accredited specialists are included during the course of the patient's confinement.
Both general and specialty medical as well as general and specialty surgical procedures and management are covered under in-patient benefits.
Yes. General nursing services form part of the covered in-patient care.
Yes. Drugs, medicines, and injectables are covered, including those listed in the Philippine National Drug Formulary (PNDF), non-PNDF drugs, and drugs approved for compassionate use by the MLMC Therapeutics Committee, as long as they are prescribed for or used by the patient.
Yes. Blood product transfusions and intravenous fluids are included in the in-patient benefit package.
Yes. X-rays, laboratory exams, routine diagnostics, and therapeutic procedures incidental to confinement are covered.
Yes. The use of anesthesia, corresponding medications, and oxygen administration is included.
Yes. Items such as dressings, plaster casts, and sutures are part of the covered in-patient services.
Yes. Medically necessary implants such as for hip, knee, joint replacement, coronary artery stents, and bone fracture repairs (screws, pins, plates, IM nails) are covered. Implants used for cosmetic or aesthetic purposes are not covered.
Yes. Any item, service, or procedure directly related to the patient’s medical management and deemed medically necessary by the attending physician is covered, provided it is within the clinical and technological capability of the hospital.
Yes. The professional fees of doctors issuing medically indicated medical clearances, particularly for pre-operative or pre-procedural purposes, are included in the in-patient benefits.
Emergency Care Benefits at Makati Life Medical Center include essential and immediate medical services needed to stabilize the patient during an emergency. These include:
Yes. Vaccines such as anti-rabies, anti-tetanus, and anti-venom are covered when required during emergency treatment.
Yes. Ambulance service is covered when used to transport a patient in need of immediate medical attention.
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