Maxicare

Request Letter of Authorization

Let us help you get the services you need

Request Letter of Authorization

Let us help you get the services you need

Why do I need a Letter of Authorization (LOA)?

By signing a Letter of Authorization (or LOA) you allow Maxicare to obtain copies of your or your dependent’s medical records that pertain to your case. By obtaining this information we can then treat your illnesses or pains to the best of our abilities and make sure you get the superior service you deserve.

1

Visit the Member Gateway and log in with your username and password. If you are not yet registered, click Register.

2

Click on the Request LOA tab and select the type of service you are going to avail.

  • Outpatient consultation
  • Outpatient laboratory
  • Inpatient confinement

3

Fill out the required fields and attach the necessary documents.

4

Click Submit. A Thank You page shall appear signifying receipt of your request.

Your LOA will be sent to your email within 24 hours. If request has been approved, LOA in PDF format will be attached to the email. If disapproved, email will indicate reason for disapproval.

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