• Consultation
• Treatment of minor injuries such as lacerations, mild burns, sprains and the likes
• Minor surgery not requiring confinement
• Eyes, ears, nose, throat (EENT) treatment
• Eye laser therapy for retinal tear, retinal hole, retinal detachment and glaucoma
• X-ray, laboratory exams, routine and diagnostic procedures as prescribed by an accredited Physician
• Cauterization of warts
• Sclerotherapy for varicose veins
• Allergy-testing, allergy screening and other related examinations
• Speech Therapy (For Stroke patients only)
• Tuberculin Test
• Coverage for Flu Vaccines (Influenza) for Principals only to be availed at any Maxicare Primary Care Clinics, including administration, subject to availability of vaccines

• Room and board accommodation
• Use of operating room, intensive care unit (ICU), isolation room, recovery room
• Professional Fee/s of the attending Physician/s
• Prescribed drugs and medicines for use in the hospital
• Whole blood / human blood products and IV fluids transfusion
• X-ray, laboratory tests, diagnostic tests and therapeutic procedures incidental to confinement
• Dressings, conventional casts and sutures
• Anesthesia, Oxygen and its administration
• Standard nursing services and admission kit

A. Maxicare – Affiliated Hospitals

• Doctor’s services
• Emergency Room fees
• Medicine used for immediate relief and during treatment
• Oxygen, IV fluids, whole blood and human blood products
• Dressings, casts and suture
• X-ray, laboratory and diagnostic exams, and other medical services related to the emergency treatment of the patient
• Room upgrade in case of room unavailability
• Initial treatment of animal bites – covered for the first 24 hours from the time of bite
• Ambulatory Service from affiliated hospital or clinic to another affiliated one covered up to benefit limit

B. Non-Affiliated Hospitals

• Within the Philippines

– Reimbursable up to 80% of total hospital bills and Professional fees, up to Php 30,000.00 per case during the first 24 hours

• Areas within the Philippines without Maxicare – affiliated hospital

– Reimbursable up to 100% of total hospital bills and Professional fees

• Outside the Philippines

– Reimbursable up to 100% of the total hospital bills and Professional fees

• Ambulatory service

– From non-affiliated hospital or clinic to an affiliated one covered up to Php 2,500 per conduction

• Passive and active vaccines for treatment of tetanus and animal bites
• Periodic monitoring of health problems
• Health education and counseling on diet or exercise
• Health habits and family planning counseling

• Pre-existing dreaded and/or non-dreaded conditions
• (Principals only) Work-related cases
• Diagnostic procedures
• Provoked and unprovoked assault
• Pandemic declared by the Department of Health, World Health Organization or any recognized health authority shall be covered up to MBL per member per year

Optional Benefits

• Dental coverage
• Life with accidental death and dismemberment up to 25,000.00.00
• Maxicare Hospicash – Group Daily Hospital Income Benefit