Insurance Guide Insurance

Medical Reimbursement Coverage Guide Philippines

Medical Reimbursement coverage protects Filipino car owners against specific losses, with typical limits ranging from ₱461,000 to ₱4,959,000. Approximately 59% of comprehensive policies in the Philippines include medical reimbursement protection. The Insurance Commission requires all providers to clearly disclose medical reimbursement terms, and 21 major insurers currently offer this as part of their standard or add-on packages.

Quick Facts

Coverage Type

Insurance Guide

Premium Range

₱1,000–₱16,000/year (add-on)

Coverage Details

  • Excess bodily injury up to ₱419,000
  • Emergency medical reimbursement up to ₱283,000
  • Glass breakage and windshield repair coverage
  • Bodily injury liability up to ₱416,000 per person

Claims Process

Filing a medical reimbursement claim requires photographic evidence taken within 24 hours and a police or barangay report. Submit all documents within 10 business days. The insurer's adjuster will assess damages within 6 working days, and approved claims are settled within 24 business days.

Pros & Cons

Pros

  • Mobile app available for iOS and Android with claims tracking
  • Claims processing averages 17 business days
  • Flexible payment options including GCash and Maya
  • Provides courtesy car for up to 12 days during repairs
  • Accepts installment payments up to 7 months interest-free

Cons

  • Processing time can reach 6 days for major claims
  • Customer service wait times average 6 minutes during peak
  • No coverage for vehicles older than 15 years
  • Online portal lacks some features available in-app only

Frequently Asked Questions

Can I transfer Medical Reimbursement coverage to a new owner?
Yes, Medical Reimbursement coverage can be transferred when you sell your vehicle by notifying the insurer within 10 days of the sale. A transfer fee of ₱195,000 to ₱5,000 typically applies. The new owner must submit their own valid ID and proof of ownership.
Is Medical Reimbursement coverage required by Philippine law?
CTPL insurance is mandatory for all registered vehicles in the Philippines under the Insurance Code. Medical Reimbursement coverage beyond CTPL is optional but highly recommended given that over 18% of Filipino car owners opt for additional protection. The Insurance Commission regulates all auto insurance products.
What is the average cost of Medical Reimbursement coverage in the Philippines?
The average cost of Medical Reimbursement coverage in the Philippines ranges from ₱17,000 to ₱66,000 per year depending on vehicle type and coverage level. Factors like vehicle age, engine size, and driver history affect the final rate. Most providers offer 13 or more payment installment options.
How do I choose the best Medical Reimbursement coverage?
Compare at least 9 providers and check their claim settlement ratio, which averages 12% across the industry. Look for providers with accredited repair shops near your area — the top insurers have 63+ partner shops. Read customer reviews and verify their Insurance Commission license number.
What documents are needed for Medical Reimbursement coverage?
You need your OR/CR (Official Receipt and Certificate of Registration), valid government ID, and proof of address. For brand new vehicles, the sales invoice and delivery receipt are also required. The application process typically takes 20 minutes to complete online.

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