Small and Medium Enterprises (SMEs) have continuously increases in population and competitiveness in the industry. The MaxicarePLUS is a healthcare program for this small – to – medium scale businesses, aiming to provide overall health and wellness to its employees within accessible terms and with comprehensive coverage. Thru this program, SMEs with a minimum of 10 principals (and a maximum of 99 enrollees, including qualified dependents) will be able to experience the benefits it offers.
MaxicarePlus is offered in Platinum, Gold, Silver and Bronze programs, consisting of varying Maximum Benefit Limits (MBL), and Room and Board features.
Plan Type | Room & Board | Maximum Benefit Limit (MBL) |
Platinum | Open Suite | 500,000 |
Platinum | Small Suite | 350,000 |
Platinum | Small Suite |
250,000 |
Platinum | Open Private | 250,000 |
Platinum | Open Private | 200,000 |
Platinum | Large Private | 200,000 |
Gold | Large Private |
200,000 |
Gold | Large Private |
150,000 |
Gold | Large Private |
110,000 |
Silver | Semi Private |
90,000 |
Silver | Semi Private |
80,000 |
Bronze | Ward | 70,000 |
The MaxicarePlus also covers pre – existing dreaded and non – dreaded conditions up to assigned MBL per member. Annual In-Patient and Out-Patient Executive Check – ups are options that are available for this program. Other optional features include: Cancer coverage, Dental coverage, Life with Accidental Death, Dismemberment and Disablement Package, and Wellness Programs amongst others.
Healthcare Benefits
A. Maxicare – Affiliated Hospitals
B. Non- Affiliated Hospitals
– Reimbursable up to 80% of total hospital bills and Professional fees, up to Php 30,000.00 per case during the first 24 hours
– Reimbursable up to 100% of total hospital bills and Professional fees
– Reimbursable up to 100% of the total hospital bills and Professional fees
– From non-affiliated hospital or clinic to an affiliated one covered up to Php 2,500 per conduction
Optional Benefits
General Terms & Conditions