HMO ELOA REQUEST

ELOA is a pre-approval program by SCMC for all HMO Cardholder Patients, allowing them to obtain advance approvals prior to visiting the hospital.

Please file your ELOA request at least 3 days prior to availment.  Cut-off time  for submitting requests is 3pm daily. Your request will be processed within 72 hours, and you will receive your approval codes by email. (No emergency and No instant approvals) 

A doctor’s appointment or a diagnostic examination request is REQUIRED to fill out this form. Please schedule an appointment or obtain your diagnostic requests from your accredited doctors before filling in your details below.

    *

    *

    *

    *

    *

    *

    *

    *

    *

    *


    *


    * Note: File limit size is 3MB

    * Note: File limit size is 3MB

    * Note: File limit size is 3MB

    *


    For patients in need of this type of test, kindly check these fasting hour guidelines.

             6-8 hours (No Food and Water Intake)

             10 hours (No Food and Water Intake)

             10-12 hours (No Food and Water Intake)

             6-8 hours (No Food and Water Intake)

             No Fasting Require

    Important Note for Fasting: Cutoff Time: Until 8AM Only!

    For more details, kindly call us at
    8831-6512 Local 141 or 188.

    Consultation, Clinic, LOA, Check Up

    Cookie Notice

    Our website uses cookies to provide you with the best browsing experience.

    By continuing to browse our website, you agree to use of cookies. For further information, CLICK HERE.

    Got it!