1. Saving or Accumulation Period

 YEAR 1 to YEAR 7

For the first 7 years you will be paying or saving for the plan. Just like any other  typical HMO, you have an annual benefit for hospitalization expenses. Other benefits are the following:

• Free Annual Physical Examination (after one year of  continuous payment)

Physical Examination, Chest X-Ray, Routine Fecalysis, Routine Urinalysis &Complete Blood Count. ECG for Members above 35 and Pap Smear for Female Members above 35 years old or as required.

• Free Dental Check-up and basic dental procedures.

• Term life Insurance (up to age 75) with accidental death and dismemberment riders.

• In-Patient benefits in accredited hospitals except for pre-existing conditions and dreaded diseases, up to the plan's yearly medical benefit limit. Member's choice of room and board.

• Waiver of installment/ Premium due to death/ total and permanent disability. 

2. Growth or Extended Period

YEAR 8 to Year 20

During this phase, you have completed all the payments and all you have to do is wait and let the plan reach its 20th year (maturity). At this point your plan will have a starting cash value that you can also use for your medical expenses.

• Yearly Health Care Hospital Benefit Limit: 10% of the Long Term Care Benefit Value earned starting from the end of the Accumulation Period and every year thereafter up to the 20th year.

• Term life Insurance (up to age 75) with accidental death and dismemberment riders.

• In-Patient and Out-Patient Hospitalization Benefits subject to remaining member accumulated fund.

• Additional Yearly Health Care Hospital Benefit: Accumulation of unused Health Bonus at 3-13% per year.

3. Maturity and Long-Term Care Period

YEAR 21 and onwards

At the plan’s maturity on the 20th year, several bonuses will be awarded. The guaranteed Long Term Care Benefit, plus the Long Term Health Care Experience Incentive (85% of the premiums) will be returned to you (returned of unused). The cash value of your investment would also be good as cash- meaning you can use it for anything, not just hospitalization and medical expenses.

Kaiser stands out because most healthcare providers are already too expensive by the time you reach your 40s or even 60s. On the other hand, your money with Kaiser has already accumulated and depending on the plan you chose, your Total Health Benefits would be P500,000 or more.