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Maxicare Starter Plan
For small businesses with 3-9 employees
Maxicare Starter Plan
For small businesses with 3-9 employees
The accessible business plan made to help your small business succeed with the right healthcare your employees deserve
Plan Types
Maxicare Starter Plan gives small businesses like yours the edge it needs to succeed with a full-risk, full-HMO program. It is applicable to companies with 3 to 9 enrollees and their dependents (total headcount should not exceed 99 enrollees).
The Starter Plan will give the members extensive access to their needed medical services at all Maxicare accredited hospitals nationwide.
Whether you are a startup business with limited number of employees, you can and should secure your employees’ health.
Platinum
Gold
Silver
Bronze
Room & Board
Small Suite
Large Private
Regular Private
Regular Private
Semi Private
Semi Private
Ward
Maximum Benefit
Limit (MBL)
230,000
185,000
160,000
110,000
90,000
70,000
60,000
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
- 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
- (Principals only) Work-related cases
- Diagnostic procedures
- Provoked and unprovoked assault
Optional Benefits
- Dental coverage
- Life with accidental death and dismemberment up to ₱25,000.00
General terms & conditions
- Account size – Minimum of 3 up to maximum of 9 principals
– Maximum of 99 enrollees (combination of principals and dependents) - 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 and semi-annual basis
- All benefits are subject to Maxicare’s General Exclusions and Conditions for eligible accounts
