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MaxicarePLUS

For SMEs with 10-99 employees

MaxicarePLUS

For SMEs with 10-99 employees

The comprehensive business plan that provides SMEs with the superior full-risk, full-coverage healthcare needed for sustained growth

Plan Types

MaxicarePLUS is a healthcare program that provides overall health and wellness to employees of small to medium scale enterprises with 10 to 99 employees through comprehensive coverage and accessible terms. Plus, there’s no limit to the number of dependents you can enroll.

MaxicarePLUS comes in Platinum, Gold, Silver and Bronze options, with varying Maximum Benefit Limits (MBL), and Room and Board features.

Platinum

Gold

Silver

Bronze

Room & Board

Open Suite

Small Suite

Small Suite

Open Private

Open Private

Large Private

Regular Private

Regular Private

Regular Private

Semi Private

Semi Private

Ward

Maximum Benefit
Limit (MBL)

500,000

350,000

250,000

250,000

200,000

200,000

200,000

150,000

110,000

90,000

80,000

70,000

MaxicarePLUS also covers preexisting dreaded and non-dreaded conditions up to assigned MBL per member. Annual inpatient and outpatient 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.

Outpatient care
  • 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
Inpatient care
  • Room and board accommodation
  • Use of Operating Room, Intensive Care Unit (ICU), Isolation Room and 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
  • X-ray, laboratory examinations, diagnostic tests and therapeutic procedures incidental to confinement
  • Dressings, conventional casts and sutures
  • Anesthesia, Oxygen and its administration
  • Standard nursing services and admission kit
Emergency care

Affiliated Hospital

  • Doctor’s services
  • Emergency room fees
  • Medicines 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

Non-Affiliated Hospital

Within the Philippines

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

Areas without accredited hospitals within the Philippines

  • 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 ₱2,500 per conduction
Preventive care
  • 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
Other benefits (covered up to benefit limit)
  • Preexisting dreaded and/or non-dreaded conditions
  • Emergency room fees
  • Medicines 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

Optional Benefits

  • Benefits for Cancer cases
  • Dental coverage
  • Life with accidental death and dismemberment
  • Wellness programs
  • Annual Check-up
  • Executive Check-up
General terms & conditions
  • Account size – Minimum of 10 and maximum of 99 principal members only
  • Age Eligibility
    – Principals: 18 to 65 years old
    – Adult Independents: 18 to 65 years old
    – Minor Dependents: 15 days to 23 years old
  • Submission of Application Form is not required
  • Membership fees can be paid on an annual, semi-annual and quaterly basis
  • All benefits are subject to Maxicare’s General Exclusions and Conditions for eligible accounts
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