Maxicare-Plus

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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.