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Enjoy maximum care, minimum worry with MyMaxicare,
a full HMO program for Individuals and Families

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MyMaxicare

Enjoy maximum care, minimum worry with MyMaxicare, a full HMO program for Individuals and Families

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A full HMO program for self-employed individuals
or families, tailor-fit to their budget and needs

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Why 

choose

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Full coverage

Gain access to inpatient, outpatient, preventive and emergency care in Maxicare’s wide network of hospitals and clinics nationwide

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Relaxing healthcare experience

Access member-exclusive Maxicare Primary Care Clinics and Maxicare Wings for inpatient confinement nationwide

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Additional benefits

24/7 Telemedicine Teleconsult Voice Call, discounts with Maxicare Lifestyle Partners and therapy for select cases

Plan Types

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Platinum Plus
  • Room and Board:
    Large Private
  • Maximum Benefit Limit (MBL) ₱250,000
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Platinum
  • Room and Board:
    Regular Private
  • Maximum Benefit Limit (MBL) ₱200,000
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Gold
  • Room and Board:
    Regular Private
  • Maximum Benefit Limit (MBL) ₱150,000
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Silver
  • Room and Board:
    Semi - Private
  • Maximum Benefit Limit (MBL) ₱100,000
Inpatient care
  • Room and board accommodation
  • Use of Operating Room, Intensive Care Unit (ICU), Isolation Room and Recovery Room
  • Professional fees of attending physicians, surgeons, anesthesiologist and Cardio-pulmonary Specialist (for clearance before surgery and cardiac monitoring during surgery)
  • Standard nursing services
  • Medicines for inpatient care
  • Blood product transfusions and intravenous (IV) fluids
  • X-ray, laboratory examinations, diagnostic tests and therapeutic procedures incidental to confinement
  • Dressings, conventional casts (plaster of Paris) and sutures
Outpatient care
  • X-ray, laboratory examinations, routine, diagnostic and therapeutic procedures
  • Consultations
  • Treatment of minor injuries
  • Minor surgery not requiring confinement
  • Eye laser therapy for retinal tear / hole / detachment and glaucoma
  • Cauterization of warts
  • Sclerotherapy (for varicose veins)
  • Speech therapy (For stroke patients only)
  • Allergy testing
  • Tuberculin test
Preventive care

Passive and active vaccines for treatment of tetanus and animal bites

Emergency care

Any life-threatening or unexpected onset of a condition or illness, which requires the immediate alleviation of pain or discomfort within 24 hours including confinement in a regular private room.

Affiliated Hospital

  • Doctor’s services
  • Consultations
  • Emergency room fees
  • Medicines used for immediate relief and during treatment
  • Oxygen, intravenous (IV) fluids and blood products
  • Dressings, conventional casts (plaster of Paris) and sutures
  • X-rays, laboratory, diagnostic examinations and other medical services related to the emergency treatment of the patient

Non-Affiliated Hospital

Within the Philippines

  • Reimbursement up to 80% of the actual hospital bills and 80% of the Professional fees (based on Maxicare rates) incurred during the first twenty-four (24) hours of treatment up to ₱30,000.00 / availment / member.

Areas without accredited hospitals within the Philippines

  • Reimbursement of 100% of the total hospital bills and Professional fees (based
on Maxicare rates)

Outside the Philippines

  • Maxicare shall reimburse 100% actual costs up to ₱30,000.00 / availment / member

Ambulance Service up to ₱2,500.00 per conduction

Additional benefits
  • Life coverage with Accidental Death & Dismemberment
  • Scoliosis treatment
  • Congenital illness
  • Consultations for Chronic Dermatoses up to Benefit Limit
  • Transurethral Microwave Therapy of Prostate
Annual Check-Up (ACU) - Available to all plan types

Clinic-based Annual Check-Up, consist of five (5) basic routines:

  • History and physical exam
  • CBC (Complete Blood Count)
  • Routine Urinalysis
  • Routine Fecalysis
  • Chest x-ray (PA and lateral)
Dental care (optional)
  • Annual Oral / Dental Examination and Consultation
  • Emergency Dental Treatment
  • Annual Oral Prophylaxis
  • Simple Tooth Extractions
  • Restorative and Prosthodontic Treatment Planning
  • Permanent fillings
  • Unlimited temporary fillings, as needed
  • Desensitization of hypersensitive teeth twice a year
  • Simple adjustment of dentures
  • Recementation of loose crowns, inlays or onlays
  • Dental nutrition and Dietary counseling
  • Dental Health Education
Maxicare’s international assist program
  • 24-hour Telephone Medical Advice
  • Emergency Medical Evacuation
  • Emergency Medical Repatrition
  • Repatrition of Mortal Remains

This is in partnership with Assist America. Visit their website www.assistamerica.com for more information

Dreaded disease / condition

This corresponds to any condition that is considered to be chronic, progressive, life-threatening and which may entail lifelong therapy. This also refers to conditions where complete cure cannot be ensured.

It pays to be prepared

Get the best care and attention in a click

Get a plan estimate

It pays to be prepared

Get the best care and attention in a click

Get a plan estimate
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