Philcare
Join the Ayos Health Family
Official Online Application Form

Apply now and take the first step toward worry-free healthcare — an exclusive HMO plan designed by IOSS Insurance Agency Inc. in partnership with PhilCare.


Complete the steps to proceed to payment.

1
Page 1
2
Page 2
Welcome to the Ayos Health Plans Application Form

This form is your first step toward accessible and reliable healthcare with Ayos Health Plans Inc.. Kindly provide accurate and complete details to ensure smooth processing.

Your protection starts here.

Disclaimer: This form will reset after refresh and any unsaved data, inputs, or progress made on this page will be lost.

Ayos Health Plans – Payment Details

Your application for the Ayos Health Card is pre-approved. No medical examination or additional requirements are needed.

To activate your coverage and complete your enrollment, payment must be made in advance.

Official Payment Details

Please remit your payment only to the official bank account below:

Bank Name: BDO (Banco de Oro)
Account Name: IOSS Insurance Agency Inc.
Account Number: 0128 5800 3683

Payment Instructions

⚠️ Important Payment Notice

Payments must be made exclusively to the official bank account stated above.
IOSS Insurance Agency Inc. shall not be held liable for payments made to unauthorized accounts or individuals.

After-Payment Instructions

Important Reminder

  • Application processing will officially commence only after payment has been posted and verified.

  • A confirmation email will be sent to you from [email protected] once your payment has been validated.

SHIPPING DETAILS FOR PHYSICAL CARD

⚠️ Important Notice on Shipping Address and Delivery

Please ensure that your delivery address is complete, accurate, and up to date, including:

House or unit number and street name

Barangay

City / Municipality

Province and ZIP code

An active contact number for courier coordination

Incomplete or incorrect address details may result in failed delivery and the return of the physical card by our third-party courier.

In the event that a physical card is returned due to failed delivery, the member shall shoulder the additional delivery fee for the next shipment attempt.

Please note that any delivery-related issues, delays, or disputes involving the courier are beyond the scope of IOSS Insurance Agency Inc.
Members are advised to coordinate and report concerns directly with the assigned courier.

Complete Shipping Address (required)
Include the Barangay in Address Line 1
⚠️ Important Reminder

Please read this section carefully before submitting.
By proceeding with this application, you confirm that you have reviewed, understood, and agreed to all terms stated below, including consent, payment requirements, non-cancellation policy, and coverage activation.

Consent and Final Acknowledgment

By clicking Submit, I hereby acknowledge, confirm, and agree to the following:

Data Privacy Consent

I authorize IOSS Insurance Agency Inc. to collect, process, store, and use my personal information in accordance with the Data Privacy Act of 2012, including application processing, official communications, and the use of testimonials or feedback for legitimate marketing purposes. All personal information shall be handled with due confidentiality.

Terms & Conditions Agreement

I confirm that I have downloaded, read, and fully understood the official Terms & Conditions, including the complete Schedule of Benefits, coverage limits, exclusions, and policy provisions, and I expressly agree to all contents of the proposal.

Download Ayos Health Plans Full Details

Proof of Payment Acknowledgment

For Individual Applications, I understand that a valid proof of payment must be uploaded prior to submission, that payment verification takes 2–3 banking days, and that application processing will begin only after verification. I confirm that my uploaded proof clearly shows the transaction date, amount, and reference number.

For Group / Company Applications, I understand that a separate email containing the payment link will be sent after submission and that I must wait for the final billing statement before settling payment.

I acknowledge that failure to submit the required proof of payment may result in delay or cancellation of my application.

Non-Cancellation Policy

I understand and agree that once this application is submitted, it is considered final and auto-approved. Requests for cancellation, withdrawal, or refund shall no longer be allowed, as the application is immediately queued for processing.

Final Declaration

I confirm that all information and documents I have provided are true, complete, and accurate. I understand that incomplete or incorrect details may result in processing delays or claim denial.

Activation and Effective Date of Coverage
Verified Payment Date

I understand that the Verified Payment Date refers to the date when my full payment has been successfully validated and confirmed by the Company or its authorized payment processor.

Effective Date of Coverage

I acknowledge that the effective date of my coverage is determined based on the Verified Payment Date as follows:

  • If payment is verified between the 1st and 15th of the month, coverage starts on the 1st day of the same month.

  • If payment is verified between the 16th and 30th/31st of the month, coverage starts on the 1st day of the following month.

Coverage shall be deemed in force only from the applicable effective date, regardless of my purchase or enrollment date.

Activation of Card Usage

I understand that, notwithstanding the effective date of coverage, my insurance card shall become activated and usable fifteen (15) business days after the Verified Payment Date.

I further acknowledge that no benefits, reimbursements, or claims shall be honored for any services availed prior to completion of the activation period.

By submitting this application electronically, I acknowledge that this consent and agreement carry the same legal effect as a handwritten signature.

If you choose Manual Payment, we’ll email you a link to upload your transaction slip. Or you can upload transaction slip after submitting this form.