FAQS

  1. How do I know if a certain diagnostic procedure requested by your accredited doctor is covered under my program?For inquiries on your benefit coverage, you can call our Call Center hotlines. Our Call Center Specialists will ask for your medical details to assess coverage of your availment based on your Maxicare program.
  2. How do I avail of my Annual Check-Up benefit? For your annual check-up (ACU) benefit, you would need to request for a schedule of your ACU prior to actual availment. This can be done thru any of our ACU Representatives via phone call or email (please refer to our ACU Team’s contact details thru our website).
  3. What happens if we fail to file our Philhealth Benefit Claim form upon discharge?If the Member fails to file the Philhealth benefit Claim form, he will have to pay for the Philhealth cost equivalent upon discharge.
  4. What do I have to do in order to reimburse my bills from availments in Non-Accredited Hospitals during Emergency Cases?The Member has to submit the following:
    • Duly accomplished Claim for Reimbursement form
    • Original official receipts of all hospital bills, including the statement of account and its charge slips
    • Clinical abstract of the case, if surgical intervention was performed and its hispathological report
    • Operative record of the case/treatment or admission/discharge record duly signed by attending physician
    • All pertinent documents to support confinement
  5. When do I get my check after submitting all my requirements?Reimbursement will be released through checks within 30 working days upon the receipt of necessary documents at Maxicare Head Office, provided that all documents and requirements are complete.
  6. Is it true that EENT, Neurologists and Urologists issued a memorandum to all HMO’s stating that they will charge extra professional fees?Yes, and to avoid this, please coordinate with our Customer Care Department before each availment in order for them to make arrangements with a doctor who does not charge extra fees.
  7. What if I want to upgrade my room and board entitlement during elective confinement?This is possible, provided that the patient will have to shoulder the room and board excess fees, the incremental costs (lab fees, procedures done, etc.) and the excess professional fees.
  8. What do I do if I lose my Maxicare ID Card?You have to fill up the Maxicare Statement of Lost ID Card and submit it to the Maxicare Head Office together with P100 as payment for the lost ID Card. Your new ID card will be issued within 7 working days from the date the necessary documents were forwarded to Maxicare Head Office, provided that all requirements are complete.If you wish to avail of Maxicare’s services while your card has not arrived, call the Customer Care Hotline first before seeking consultation. In an emergency, instruct Companion to contact Maxicare.
  9. Are your hotlines available even at midnight?Our Call Center operates 24/7 and is manned by our Call Center Specialists who are highly trained to assist you in any of your medical availments.
  10. Are you open on weekends?Our Primary Care Centers and Maxicare Coordinators’ clinics are open from Monday to Saturday. Our coordinators’ contact details and clinic schedules are listed in our website’s Accredited Providers page.