

Comprehensive healthcare
All plans were crafted for maximum employee benefit

Variety & choice
A wide variety of plans to choose from, each catered to a specific employee need

Meaningful consultations
Clients can consult with Maxicare experts on the plans best suitable for their businesses
Comprehensive care
Full HMO Program
A comprehensive healthcare package subject to certain exclusions, limitations and conditions. This may be serviced via the Full Risk (premium-based) program or through the Administrative Services Only program (Third Party Program)
Hospitalization care
Inpatient (IP) Unbundled
Consists of the standard IP benefits under the Full HMO Program plus Outpatient (OP) surgery, OP radiotherapy, OP chemotherapy, OP dialysis, preventive care and emergency treatment that may or may not lead to confinement
Consultations and Lab
Outpatient (OP) Unbundled
Consists of the standard OP benefits under the Full HMO Program including preventive and OP emergency cases (OP benefits under Unbundled IP not included)
Premium-based
Premium-based
Payment of membership fees is required and computed on a per account basis and on the company demographics with a defined set of benefits
Customized care
Full Risk Co-Pay Program
Client can pre-determine a specialized set of benefits and their members would have the option to pay a fixed percentage or a fixed amount as part of their total availment cost
Customized care
Administrative Services Only (ASO)
A third party administration program wherein a client can set up and maintain a revolving fund from which the availment cost will be drawn out
Let me know how I can assist you.
FAQs
Got Questions? Find Your Answers About Health Coverage Here!
Can self-employed individuals, vendors, or small-scale earners avail of a health plan?
Yes. We offer flexible health plan options tailored to meet the needs of self-employed individuals, vendors, and small-scale earners, including coverage for their families.
Can I add family members to my individual health plan
Yes, you can add family members to your health plan during the enrollment period or after qualifying life events such as marriage, birth, or adoption.
How do I file a claim with The Maxi Agent?
You can file claims online through our customer portal, use our mobile app, or call our 24/7 customer support line for assistance.
What is the validity of a prepaid health card?
A prepaid health card is valid for one year from the date of registration. However, coverage is single-use only—the plan is considered consumed after one-time utilization, regardless of the remaining validity period.
What happens if I need medical attention while traveling abroad?
Our plans generally include emergency coverage abroad. Contact our support line immediately in the event of a medical emergency.
What is the use of a Maxicare Multifunction Card?
The Maxicare Multifunction Card serves as a health card, cash card, and privilege card. It allows you to access healthcare services, confirm eligibility and coverage, and enjoy exclusive perks in fitness, dining, health, beauty, and wellness establishments.