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How might we help you today?
We’re always ready to serve your healthcare needs
How might we help you today?
We’re always ready to serve your healthcare needs
How can we help?
Let us know how we can assist you
Need real-time assistance?
Click the chat icon at the bottom right of the screen to chat with our agents
Looking for some answers?
and its Frequently Asked Questions
Want to talk to us?
Contact any of the numbers below to get in touch
Product Inquiry Hotline
24/7 Customer Care Email
24/7 Customer Hotline
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Downloadable Forms
Merchant Accreditation Application Form FO-IPO-0.011
Customer Information Form (CIF)
Auto Credit Arrangement Authorization Form – Reimbursement Non Medical
Broker or Corporate Agency Accreditation Application Form FO-IPO-0.010
Member & Card Maintenance Form
Statement of Lost ID Card
Claims Reimbursement Questionnaire for
RT-PCR Test
Member’s Virtual Playbook
Step by Step Guide in Availing your Benefits
Primary Care Network
BestLIFE Download sample
Group Policyholder’s Statement
Group Death Claimant’s Statement
Affidavit of Parental Care & Custody
Group Employer’s Statement
Group Death Attending Physician’s Statement
Deed of Extra Judicial Settlement
Affidavit of Self Adjudication
Special Power of Attorney
Downloadable Forms
Merchant Accreditation Application Form FO-IPO-0.011
Customer Information Form (CIF)
Auto Credit Arrangement Authorization Form – Reimbursement Non Medical
Broker or Corporate Agency Accreditation Application Form FO-IPO-0.010
Member & Card Maintenance Form
Statement of Lost ID Card
Claims Reimbursement Questionnaire for RT-PCR Test
DOH-PSMID as of March 10, 2020
Member’s Virtual Playbook
Step by Step Guide in Availing your Benefits
Primary Care Network
BestLIFE Download sample
Group Policyholder’s Statement
Group Death Claimant’s Statement
Affidavit of Parental Care & Custody
Group Employer’s Statement
Group Death Attending Physician’s Statement
Deed of Extra Judicial Settlement
Affidavit of Self Adjudication
Special Power of Attorney
Need help understanding
certain terms?
Looking for an LOA?
A Letter of Authorization (LOA) is needed to visit all Maxicare affiliated hospitals that aren’t Primary Care Clinics
Need to get reimbursed?
We’re more than happy to help out
