Jane Dotson
Maxicare is a premier healthcare provider in the Philippines that offers comprehensive healthcare coverage, including inpatient, outpatient, preventive, and emergency care. Maxicare provides access to a wide range of hospitals and clinics nationwide and offers tailored annual plans to cater to different needs. Their plans offer unlimited access to lab tests, diagnostics, and consultations, with added emergency room coverage and life insurance. Maxicare also offers additional benefits, such as Hospicash, which provides financial support for expenses incurred during hospitalization, and Personal Accident Insurance, which offers a cash benefit in the event of accidental death, disablement, or dismemberment. To apply for Maxicare healthcare insurance, individuals must submit an application form, attend product training, pass an accreditation exam, and pay the accreditation fee. Maxicare also offers a convenient mobile app, MaxiHealth+, which serves as a one-stop solution for all healthcare needs.
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What You'll Learn
Annual plans and their benefits
Maxicare offers a range of annual plans with different benefits to cater to varying healthcare needs. Here is an overview of the key benefits associated with Maxicare's annual plans:
Maxicare's annual plans offer comprehensive healthcare coverage, including inpatient, outpatient, preventive, and emergency care. Here are the key benefits of their annual plans:
- Unlimited Access to Primary Care Clinics: Maxicare's annual plans provide unlimited access to their extensive network of Primary Care Clinics (PCCs) nationwide. This ensures convenient and easily accessible general wellness and preventive care for individuals and families.
- Diagnostics and Lab Tests: Annual plan members enjoy unlimited access to over 800 prescribed lab tests and diagnostics in all Maxicare Primary Care Clinics. This comprehensive coverage ensures peace of mind and enables early detection and proactive management of health concerns.
- Emergency Room Coverage and Life Insurance: Maxicare's annual plans include added emergency room coverage and life insurance. In case of life's emergencies, members can avail of emergency care up to ₱50,000, providing financial protection and essential peace of mind during critical times.
- Nationwide Hospital Access: Maxicare has a wide network of partner hospitals across the Philippines. Their annual plans offer nationwide hospital access, ensuring that members can receive inpatient care in accredited hospitals throughout the country.
- Reimbursement of Hospital Bills and Professional Fees: Maxicare provides reimbursement for hospital expenses. Members can claim up to 80% reimbursement of actual hospital bills and professional fees incurred during the first 24 hours of treatment, up to ₱30,000 per availment per member.
- Teleconsultation Services and Annual Check-ups: Maxicare offers teleconsultation services, providing remote access to healthcare professionals. Additionally, annual check-ups are included in their plans, promoting proactive health management.
- Prepaid Medical Cards: Maxicare offers prepaid health cards, providing an affordable and convenient way to pay for healthcare services. These cards can be used for various medical expenses, making healthcare more accessible and financially manageable.
Maxicare's annual plans are designed to provide comprehensive healthcare coverage for individuals and families, ensuring peace of mind and access to quality healthcare services when needed. With their range of benefits, these plans offer protection and support for diverse health needs.
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How to submit an application form
To submit an application form for Maxicare healthcare insurance, you will need to submit the following:
- Two passport-sized or 2x2 pictures with a blue background.
- Two 1x1 pictures with any background colour.
- Two photocopies of two forms of government-issued IDs with a visible signature.
- Your Tax Identification Number (TIN).
- Original and valid clearances, such as NBI, Police, or Barangay Clearance. If you are an existing insurance agent, you can submit a Certification or Insurance Commission-issued ID.
- An active savings account.
Please note that the IDs should not be expired by the time of CIF completion to be considered valid. A notification will be sent by Maxicare to the member once the original hard copy of the CIF has been submitted.
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What to do after submitting the form
After submitting the form, there are a few things you should do to ensure that your application for Maxicare healthcare insurance is complete and on track.
First, keep a copy of the completed application form for your records. It is important to have a record of the information you provided and the date of submission. Additionally, make a note of the confirmation number or any other reference information provided by Maxicare upon receiving your application. This will help you follow up on the status of your application if needed.
Next, gather and organize any supporting documents you submitted along with the application form. These may include identification documents, tax information, or other relevant paperwork. Keep them safely filed, as you may need to refer to them during the processing of your application or when your coverage begins.
Stay alert for any communication from Maxicare regarding your application. They may contact you to request additional information or to notify you of any further steps required. Respond to any queries promptly and provide any additional information or documentation requested.
If you have not heard back from Maxicare within their expected processing timeframes, you may need to follow up on the status of your application. Contact their customer service team and provide your reference information to check on the progress of your application.
Finally, once your application has been approved and processed, familiarize yourself with the details of your Maxicare healthcare insurance plan. Understand the coverage provided, any exclusions or limitations, and the network of healthcare providers you can access. Keep this information handy, so you can utilize your insurance benefits effectively when needed.
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The range of healthcare services offered
Maxicare is a leading health maintenance organization (HMO) in the Philippines, offering a range of healthcare services and insurance plans for individuals, families, and organizations.
- Inpatient and outpatient care: Maxicare provides access to a wide network of hospitals and clinics nationwide, ensuring that members can receive inpatient and outpatient care when needed.
- Preventive and emergency care: Members can also access preventive care services, such as annual check-ups, to maintain their health. In case of emergencies, Maxicare offers emergency care services with coverage of up to ₱50,000, providing peace of mind for its members.
- Lab tests, diagnostics, and consultations: With the PRIMA Gold plan, members have unlimited access to over 800 prescribed lab tests, diagnostics, and consultations in all Maxicare Primary Care Clinics (PCCs). This ensures timely and convenient access to necessary medical tests and expert opinions.
- Teleconsultation services: Maxicare offers teleconsultation services, allowing members to seek medical advice and consultations remotely, providing convenience and accessibility.
- Prepaid medical cards: Maxicare offers prepaid medical cards, such as the PRIMA health card, which provide access to healthcare services and can be purchased online.
- Wellness services: In addition to medical care, Maxicare also focuses on wellness, offering annual plans that include unlimited access to Maxicare Primary Care Clinics for general wellness and preventive care.
- Digital tools and apps: Maxicare provides digital tools, portals, and apps, such as MaxiHealth+, to enhance the member experience and make accessing healthcare services more convenient.
Maxicare's healthcare services aim to provide comprehensive coverage for individuals, families, and organizations, ensuring that members have access to quality healthcare when needed.
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Maxicare's mobile app
Maxicare, a premier HMO healthcare provider in the Philippines, offers a convenient mobile app called MaxiHealth+ for all your healthcare needs. The app is available for download on both iOS and Android devices.
With the MaxiHealth+ app, you can access your Maxicare e-card, which contains the same information as your physical Maxicare card. You can present this electronic card quickly and easily when accessing healthcare services within your fingertips. The app also features an E-Wallet, allowing you to conveniently claim reimbursements and transfer them to your E-Wallet or bank account via Instapay.
Additionally, the app enables you to consult with primary care doctors anytime, anywhere, through video consultations powered by Doctor Anywhere. You can also receive exclusive alerts, keeping you up-to-date with the latest Maxicare wellness resources, news, and promotions.
To use the MaxiHealth+ app, you must have an active Maxicare policy from the Customized, Maxicare Plus, Maxicare Starter Plan, or Individual and Family Plans. If you have accounts on Member Gateway and RegisterMe, you can use those credentials to log in to MaxiHealth+, as it is part of the Maxicare SSO. You will need to provide your card number details and contact information, such as your email and mobile number.
The MaxiHealth+ app by Maxicare provides a convenient and accessible way to manage your healthcare needs, giving you the freedom to access your healthcare information and services anytime, anywhere.
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Frequently asked questions
You can apply for Maxicare healthcare insurance by submitting an application form and the necessary requirements, attending product training, passing the accreditation exam, and paying the accreditation fee.
To become a Maxicare agent, you must submit the following:
- Two 2x2 and two 1x1 photos with different background colors
- Two photocopies of government-issued IDs with a visible signature
- Tax Identification Number (TIN)
- Original and valid clearances such as NBI, Police, or Barangay Clearance
- Certification or Insurance Commission-issued ID (if already an insurance agent)
- An active savings account
Maxicare offers all-around healthcare coverage, including inpatient, outpatient, preventive, and emergency care at their extensive network of hospitals and clinics nationwide. They also offer unlimited access to lab tests, diagnostics, and consultations, as well as emergency room coverage and life insurance.
The Maxicare Hospicash plan includes a Personal Accident Insurance that provides additional cash benefits in the event of accidental death, disablement, or dismemberment. It also provides a daily hospital income benefit, supporting extra expenses during hospitalization.
