MEMBERSHIP ELIGIBILITY
Principal Member:
Any person at least 18 years old and up to 60 years old.
Qualified Dependent Member:
- For Married Principal Members
The legal spouse up to 60 years old
Legitimate and/or legally adopted children 90 days and up to 21 years of age who are not gainfully employed and living under the same roof as the principal member. - For Single Principal Members
Parents up to age 60, unemployed and dependent on the principal member.
Brothers and sisters 90 days old and up to age 21 who are not gainfully employed and are living under the same roof as the principal member.
Note: The choice of enrolling dependents must follow a hierarchy. This means that the spouse first must be enrolled followed by the eldest child, second child and so on for principal member. For single, the parents must be enrolled first followed by the eldest brother/sister and so on.
Deadline for enrollment of dependents:
- For dependents who meet the eligibility requirements within the agreement period -30 days form the date dependent become eligible for membership. (copy of birth certificate or marriage contract must be submitted)
- Any additional dependents other than the above can be enrolled upon the renewal of agreement.
- After the lapse of the period specified above, MEDICard will no longer receive, evaluate and accept any designation or application to be a qualified dependent from any PRINCIPAL MEMBER.
Underwriting cut-off dates in assigning effectivity date:
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New enrollees who are approaching age of ineligibility must be enrolled at least six (6) months counting from the date of effectivity up to the date that the enrollees become ineligible for them to be accepted as members. All pre-existing condition/ dreaded disease limits will be computed on a prorated basis (i.e. If age of eligibility is up to 60 years old, only who are 60 years and 6 months old and younger will be accepted for membership).
Renewing members who will become age eligible within the next renewal agreement year will be allowed to renew regardless of the remaining months that the member will remain eligible. However, pre-existing conditions/dreaded disease limits will be computed on a prorated basis (i.e. If age of eligibility is up to 60 years old. A renewing member who is 60 years and 9 months old will still be renewed but pre-existing condition/ dreaded disease limits will be computed based on the following formula:
(Total months that member remains eligible/12) x PEC/DD limit = Pro-rated Limit
In relation to his dependents, the MEMBER shall be known as the PRINCIPAL and he shall be deemed to have undertaken to comply with all the requirements and obligations of individual regular membership under this MMA on behalf of said dependent/s, particularly the payment of all the required fees, dues and charges.
