policy- HCP24-3086 
CARD NUMBER: 2626100003448541
L1-JON MYCHAL RIVERA

APRIL 08, 2004
CARD NUMBER: 2626100003448541
ACC- 3086-13300
EXP : NOV 17, 2025
120K PER ILNESS 

DENTAL COVERAGE - 
CLEANING TWICE A YEAR 
PERMANENT PASTA- 2 THEETH
EXTRACTION 
TEMPORARY PASTA

OB GYNE- MAGBASE CONSULT SA ACCREDITED NA DOCTOR 

CONSULTATION 

PREGNANCY CONSULTATION 
PRE AND POST NATAL 

NOT COVERED ANG LABORATORY AND DIAGNOSTIC


EYE GLASSES - 
CONSULTATION IS COVERED

CLINIC-  ACCREDITED 
MEDICAL CITY -  MARKET MARKET