MAXICARE ADVISORY

Please be informed that Metropolitan Medical Center will no longer be part of Maxicare’s accredited Network effective immediately due to Department of Labor and Employment issues. Members are advised to visit any of the following nearest accredited hospitals:

Name of Hospital	Address
Chinese General Hospital & Medical Center	286 Blumentritt Street Sta. Cruz, Manila
Mary Chiles Hospital, Inc.	667 Gastambide Street Sampaloc, Manila
University of Santo Tomas Hospital (UST Hospital)	University  of Santo Tomas Compound, Espana, Manila 1100
Perpetual Succor Hospital and Maternity Inc.	836 F. Cayco St., Sampaloc, Manila
Mary Johnston Hospital	1221 Juan Nolasco Street Tondo, Manila
St. Jude Hospital and Medical Center	Don Quijote St., cor Dimasalang St., Sampaloc, Manila

For your guidance.

Enrollment Guidelines for Individual and Family

Who may be enrolled into the Maxicare Program and what are the requirements?

• The age eligibility for principal and dependents is   from 2 to 60 years of age.

• Eligible dependents are as follows (in order):

* For single enrollees: Mother, Father, then Siblings 21 years old and below, according to age.

* For married enrollees: Spouse, then Children 21 years old and below, according to age.

• Individual Membership Requirements:

1.     Application form

2.     Medical requirements if already 50 years old

3.     Photocopy of ACR (Alien Certificate of Residency) if nationality is foreign

• Family Membership Requirements

 Couples only:

1.     Application form

2.     Copy of marriage certificate

3.     Medical requirements if already 50 years old (principal and dependent)

4.     Photocopy of ACR (Alien Certificate of Residency) if nationality is foreign 

With child dependent:

1.     Application form

2.     Copy of birth certificate (each child)

3.     Medical requirements if already 50 years old (principal and dependent)

4.     Photocopy of ACR (Alien Certificate of Residency) if nationality is foreign

Note: Maxicare may request for additional requirements when deemed necessary

Medical Requirements for 50 years old and above

·                      12-Lead ECG (tracings w/ results)

·                      Chest x-ray results

·                      FBS (fasting blood sugar)

·                      Total Cholesterol

·                      HDL-C (High Density Lipoprotein)

·                      LDL-C (Low Density Lipoprotein)

Note: test results should not be more than 6 months from the date it was taken

•   HIERARCHY OF ENROLLMENT:

Ø       Unless there is a valid reason for the non-enrollment of certain dependents (i.e. currently enrolled in another HMO, abroad, separated, deceased, etc.), applicants should enroll their dependents in the priority specified above.

• Sufficient documentation shall be requested by Maxicare from the applicant to validate the non-eligibility of the dependent (i.e. photocopy of HMO card, certificate of employment from company abroad, death certificate, etc.)


 

Requirements for Alien Residents/ Foreign Nationals:

1. Photocopy of ACR (Alien Certificate of Residency) ID
2. Medical Requirements for enrollees 50 years old and above (if applicable)
3. Certificate of employment (if applicable)

What is the process for enrollment?

1. Fill up the IFG application form completely.  Indicate your Tax Identification Number (TIN) on the front page if applicable.

2. Initial submission of Medical Requirements is applicable to enrollees who are 50 years old and above, whether Principal or Dependent. The date of the conduction of these Medical Requirements should not exceed 6 months before the date of submission.

3. Dependent’s plan must be the same plan as the Principal or one plan lower.

4.  Forward the accomplished application form and medical requirements (if applicable) to the Account Officer for processing.

5.  Once the application has been approved, the Statement of Account shall be sent to your billing address for settlement.  Payments (cash or check) may be made at the Maxicare Head Office or at any Banco de Oro branches via bills payments.

6.  Member will receive Maxicare ID card as proof of membership.

FILL UP ONLINE APPLICATION FORM

Maxicare-Plus

http://myemail.constantcontact.com/Maxicare-Plus.html?soid=1104839107211&aid=xj3UJVpki5A

Maxicare Plus Group Accounts

Last year, Maxicare introduced Maxicare Plus: A fixed standard Full HMO program that is meant for  companies   with employee size of at least 5. This plan includes preventive care, in-patient, annual check-ups and pre-existing coverage, you can protect your staff from unexpected illnesses that put their health and business at risk.
For an account to be able to qualify for the rates of Maxicare Plus Group Accounts, any of the following must be satisfied :

                                                                          i.      There must be an employer- employee relationship

                                                                        ii.      Minimum of 5 to 19 PRINCIPAL  ENROLLEES / EMPLOYEES

                                                                      iii.      MAXIMUM OF 19 Principal Enrollees : (Principal and dependents – assuming that 75% participation is met)

Ineligible groups for Maxicare Plus:

These groups will not be automatically be accepted under the Maxicare Plus Program but is

subject to approval.

                                                                          i.      Groups where there is no employer-employee relationship exists

                                                                        ii.      Groups which involve special hazards

                                                                      iii.      Political groups

                                                                      iv.      Nuclear/ chemical / natural gas plants

                                                                        v.      Group of firemen (NOTE: Minimum of 500 lives)

                                                                      vi.      Manufacturers of ammunition or explosives

                                                                    vii.      Full time athletes

                                                                  viii.      Drillers (oil/ water/gas)

                                                                      ix.      Sauna, Turkish baths, massage parlors or similar enterprises

                                                                        x.      Private households

                                                                      xi.      Construction companies

                                                                    xii.      Underground mine workers & workers using explosives (mining risks not covered)

                                                                  xiii.      Logging/Forestry

                                                                  xiv.      Law Firm

                                                                    xv.      Construction Companies (Office based employees)

                                                                  xvi.      Oil production

                                                                xvii.      Government Institution (except self-supporting institutions)

                                                              xviii.      Pharmaceutical

                                                                  xix.     Education

a.      Age eligibility :

      i.      Principal – 18 to 65 years old

  ii.      Dependents 

 Child Dependent : 15 days old to 18

                                                  Adult Dependent : 18 to 65 years old
  Interested? 
To request for quotation/proposal, please fill in our online inquiry form at http://maxicarecorporate.tk/
Alternatively, you may text or call 09279552065.

Maxicare Standard Corporate Benefits

For the past twenty-two (22) years now, Maxicare has continued its legacy of providing the most comprehensive healthcare benefits, through our wide Network of Medical Providers nationwide, composed of 11,716 Affiliated Specialists, Fellows and Diplomates and more than 636 hospitals and clinics nationwide, and excellent delivery system through superior Customer Service, highlighted by a 24 hour, seven days a week call center.  It is the primary concern and objective of Maxicare to attend to our members’ healthcare needs through our brand of premium quality care.

With stability and  service excellence combined – the distinguished medical consultants in the Philippines’ medical field  and esteemed businessmen in different industries as our major shareholders, and the country’s prestigious medical institutions as the foundation of our service delivery – Maxicare remains to be the healthcare company of choice of the Best Employers in Asia and the Philippines and the country’s Top 2,000 companies.

Out Patient Care:

1. Medically necessary consultations during regular clinic hours, except prescribed medicines.
2. Pre and Post Natal consultations
3. Treatment for minor injuries such as lacerations, mild burns, sprains and the like
4. Eye, ear, nose and throat (EENT) treatment prescribed by an Affiliated Physician/Specialist
5. X-Ray, laboratory examinations, routine, diagnostic and therapeutic procedures prescribed by an affiliated physician/specialist
6. Minor surgery not requiring confinement prescribed by an Affiliated Physician / Specialist
7. Eye Laser Therapy for retinal hole, retinal detachment and glaucoma, excluding eye correction such as lasik, PRK and the like
8. Speech therapy (for stroke patients only)
9. Cauterization of Warts except genital warts and condyloma acuminata
10. Allergy Testing/ allergy screening and other related examinations
11. Tuberculin test (covered outright if availed at PCC, reimbursement basis if otherwise)
12. Sclerotherapy for varicose veins as prescribed by an Affiliated availed at Maxicare Primary Care Centers

In Patient Care:

1. Professional Fees of attending doctor/s  
2. X-ray, laboratory tests and other diagnostic procedures
3. Anesthesia and its administration
4. Whole blood and human blood products transfusions and intravenous fluids, including blood screening and cross matching
5. Oxygen and its administration
6. Drugs and medicines for use in the hospital
7. Dressings, conventional casts (plaster of Paris) and sutures
8. Use of operating and recovery rooms 
9. Use of the Intensive Care Unit (ICU)
10. Standard Nursing Services
11. Standard Admission kit
12. All other items directly related in the medical management of the patient, as deemed medically necessary by the attending Affiliated Physician
13. Provision in cases of room inavailability

ANNUAL CHECK-UP
Physical Examination
Complete Blood Count
Urinalysis
Fecalysis
Chest X-ray
ECG
Pap Smear

PRE-EXISTING CONDITIONS COVERED

To learn detailed Corporate benefits, please contact 09279552065.
Should you wish for us to present everything about the plan , kindly accomplish the online form at http://maxicarecorporate.tk.

2011 INDIVIDUAL MEMBERSHIP FEES

Age Bracket Annual Rates Platinum Plus     Platinum       Gold       Silver R&B  Large Pvt       Reg Pvt     Reg Pvt    Semi-Pvt MBL   200,000     150,000    100,000       60,000 2-5     40,265       23,400      19,109       14,153 6-10     33,595       19,109      14,961       11,793 11-15     28,294       15,735      12,310        9,980 16-20     27,517       14,671      11,780        9,493 21-25     27,380       15,226      11,509        9,493 26-30     28,294       16,644      13,500       10,800 31-35     33,219       19,390      16,280       11,633 36-40     40,875       24,965      21,365       14,166 41-45     50,984       33,287      27,357       21,236 46-50     60,070       44,284      32,794       25,421 51-55     67,332       53,572      38,113       28,253 56-60     73,989       60,424      44,438       31,388 61-65*     82,767       68,176      48,358       32,732
Note: 1)      ( * ) - 61-65 age group - for renewing members only 2)        Exclusive of Dental Benefit 3)        20% of membership fees at net of VAT is subject to 12% VAT. Additional VAT that may be imposed at the time of transaction is to be shouldered by the Member 4)        Rates are effective January 1, 2011 and valid until December 31, 2011

Semi-Annual and Quarterly rates are also available by request.

For your evaluation, please complete the online form at http://maxicareindividual.tk. You may also contact 09279552065 for further inquiries.

Maxicare Company Profile

Maxicare is one of the pioneer health maintenance organizations in the Philippines and was established in 1987 by an esteemed group of doctors and businessmen.
Its mission is to help people achieve peace of mind through quality healthcare service delivery.

Maxicare's roaster of clients are the best employers in the Philippines in variety of industries such as Banking and Finance Industry, Food and Retail Industry, Petroleum and Automotive Industry, Airline and Embassy Industry and Business Outsource and IT Industry.

Maxicare gives access to our vast network of providers:
* Over 800 Accredited Hospitals and Clinics nationwide
* More than 16,000 Top-Caliber Accredited Doctors

The Leader in Healthcare Services
MAXICARE HEALTHCARE CORPORATION
Premium quality healthcare is deserved by every individual.
MAXICARE, an industry leader with 23 years of solid healthcare expertise,
has been a trusted name among top corporations and individuals.