MyMaxicare Plans

Room and board accommodation

Use of Operating Room, Intensive Care Unit (ICU), Isolation Room and Recovery Room

Professional fees of attending physicians, surgeons, anesthesiologist and Cardio-pulmonary Specialist (for clearance before surgery and cardiac monitoring during surgery)

Standard nursing servicesMedicines for inpatient care

Blood product transfusions and intravenous (IV) fluidsX-ray, laboratory examinations, diagnostic tests and therapeutic procedures incidental to confinement

Dressings, conventional casts (plaster of Paris) and sutures

X-ray, laboratory examinations, routine, diagnostic and therapeutic procedures

ConsultationsTreatment of minor injuries

Minor surgery not requiring confinement

Eye laser therapy for retinal tear / hole / detachment and glaucoma

Cauterization of wartsSclerotherapy (for varicose veins)Speech therapy (For stroke patients only)

Allergy testingTuberculin test

Passive and active vaccines for treatment of tetanus and animal bites

Any life-threatening or unexpected onset of a condition or illness, which requires the immediate alleviation of pain or discomfort within 24 hours including confinement in a regular private room.

Affiliated Hospital

Doctor’s services

Consultations

Emergency room fees

Medicines used for immediate relief and during treatment

Oxygen, intravenous (IV) fluids and blood products

Dressings, conventional casts (plaster of Paris) and suturesX-rays, laboratory, diagnostic examinations and other medical services

related to the emergency treatment of the patient

Non-Affiliated Hospital

Within the Philippines

Reimbursement up to 80% of the actual hospital bills and 80% of the Professional fees (based on Maxicare rates) incurred during the first twenty-four (24) hours of treatment up to ₱30,000.00 / availment / member.

Areas without accredited hospitals within the Philippines

Reimbursement of 100% of the total hospital bills and Professional fees (based
on Maxicare rates)Outside the Philippines

Maxicare shall reimburse 100% actual costs up to ₱30,000.00 / availment / member

Ambulance Service up to ₱2,500.00 per conduction

Life coverage with Accidental Death & Dismemberment

Scoliosis treatment

Congenital illness

Consultations for Chronic Dermatoses up to Benefit Limit

Transurethral Microwave Therapy of Prostate

Clinic-based Annual Check-Up, consist of five (5) basic routines:

History and physical exam

CBC (Complete Blood Count)

Routine Urinalysis

Routine Fecalysis

Chest x-ray (PA and lateral)

Annual Oral / Dental Examination and Consultation

Emergency Dental Treatment

Annual Oral Prophylaxis

Simple Tooth Extractions

Restorative and Prosthodontic Treatment Planning

Permanent fillings

Unlimited temporary fillings, as needed

Desensitization of hypersensitive teeth twice a yearSimple adjustment of dentures

Recementation of loose crowns, inlays or onlays

Dental nutrition and Dietary counselingDental Health Education

24-hour Telephone Medical Advice

Emergency Medical Evacuation

Emergency Medical Repatrition

Repatrition of Mortal Remains

This is in partnership with Assist America. Visit their website www.assistamerica.com for more information

This corresponds to any condition that is considered to be chronic, progressive, life-threatening and which may entail lifelong therapy. This also refers to conditions where complete cure cannot be ensured.