MAXICARE- HEALTHCARE AT ITS FINEST

THE MAXICARE ADVANTAGE

Maxicare Healthcare Corporation, one of the pioneer health maintenance organizations in the
Philippines was established in 1987 by an esteemed group of doctors and businessmen with a
vision for a better healthcare delivery system in the country. Since its founding, Maxicare has
always focused on providing peace of mind to all its members. Through our extensive medical
provider network nationwide, responsive customer care unit, stress-free availment process,
personalized assistance and comprehensive wellness campaigns, our members are assured of
no less than the best for their healthcare needs.

Maxicare believes in providing its members comprehensive health programs with unsurpassed
levels of customer service, quality and cost effectiveness. With service excellence and stability
combined – the country’s prestigious medical institutions as the foundation of our service
delivery and distinguished medical consultants and esteemed businessmen as our major
shareholders – Maxicare remains the healthcare company of choice by the top employers
of the country. Now, as a proud member of the Equicom Group which includes
Equicom Manila Holdings Inc., Equicom Savings Bank Inc., ALGO Leasing and Finance Inc.,
Equitable Computer Services Inc., Equicom Information Technology Inc., and Equicom Inc.
to name a few, we are more than ready to be of service to you.

Ultimately, it is only at Maxicare where you experience, healthcare at its finest.

I. IN PATIENT

• Room and Board Accommodation

• Use of Operating and Recovery Rooms

• Use of Intensive Care Unit (ICU)

• Professional Fees of attending doctor(s)

• Drugs and medicines for use in the hospital

• Whole blood and human blood products and IV fluids

• X-ray, laboratory examinations and diagnostic tests

• Dressings, casts and sutures

• Anesthesia and its administration

• Oxygen and its administration

• Laparoscopy and Lithotripsy covered up to Maximum Benefit Limit.

• Standard nursing/resident doctors’ services

• Admission kit including ice cap and wee bag

• Other supplies directly related to the medical management of the patient

II. OUT PATIENT

• Medically necessary consultations during regular clinic hours, except medicines

• Eye, ear, nose and throat (EENT) treatment

• Treatment of minor injuries, such as lacerations, mild burns, sprains and the like

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

  prescribed by an affiliated doctor

• Minor surgery not requiring confinement

• Physical Therapy up to 6 sessions

• Laser Therapy for retinal detachment and glaucoma prescribed by an affiliated    

  physician or specialist up to Php 1,500/ eye /member/year.

• Cauterization of Warts up to P1,000/member/year

III. SALIENT FEATURES - PLAN TYPE,  ROOM & BOARD,  MAX. BENEFIT LIMIT

Platinum Plus Large Private P 200,000

Platinum Regular Private 150,000

Gold Regular Private 100,000

Silver Semi Private 60,000

R&B – Room and Board Accommodation (room category as charged)

MBL – Maximum Benefit Limit (benefit per illness per year)

IV. PREVENTIVE CARE

• Active and emergency care immunization for treatment of animal bites, snake bites

  and tetanus up to Php 18,000 per member per year.

• Periodic monitoring of health problems

• Health education and counseling on diets and exercise

• Health habits & family planning counseling

V. EMERGENCY CARE

A. AFFILIATED HOSPITAL

• Doctor’s services

• Emergency Room fees

• Medicines used for immediate relief and during treatment

• Oxygen, intravenous fluids, whole blood and human blood products

• Dressings, casts and sutures

• X-rays, laboratory and diagnostic examinations and other medical services related to

  the medical management of the patient

 B. NON-AFFILIATED HOSPITAL

• Maxicare shall reimburse 80% of the total hospital bills and 80% of the professional

  fees based on Maxicare’s rates up to Php 15,000 per case during the first 24 hours of  

  treatment.

 VI. ANNUAL CHECK-UP

Platinum Plus Plan: (Multi – Phasic B)

• CBC (Complete Blood Count)

• Blood Chemistry (Fasting Blood Sugar, Potassium, Total Cholesterol HDL, LDL, VLDL

  Cholesterol Triglycerides, Urea, Creatinine, SGOT, SGPT, Alkaline Phosphatase,  

  Total Bilirubin, Total Protein, Albumin, Globulin, Calcium, Uric Acid

• Thyroid Function: TSH-IRMA

• Hepatitis Screening: HbsAg, Anti-HBs, Anti-HBc (choose 2)

• Routine Urinalysis

• Routine Fecalysis

• Cardiac Work-up (12- Lead ECG, Treadmill Stress Test)

• Chest X-ray

• Abdominal Work-up (Upper Gastrointestinal series or Barium Enema, Ultrasound of

  Liver, Gallbladder & Pancreas, Proctosigmoidoscopy)

▪ Prostate Ultrasound for male members regardless of age

▪ Consultations to a Gastroenterologist, Gynecologist/Urologist and Cardiologist

Platinum Plan: (Executive Check-up)

• Physical Examination

• Urinalysis

• Fecalysis

• Chest X-ray

• CBC (Complete Blood Count)

• Blood Chemistry (Fasting Blood Sugar, Potassium, Triglycerides, Creatinine, SGOT,

  SGPT, Alkaline, Phosphatase, Total Protein, Albumin, Calcium, Uric Acid, BUN, Total

  Bilirubin, HDL and Cholesterol)

• 12 – Lead ECG

• Ultrasound of the Gallbladder

• Treadmill Stress Test

Gold Plan:

• Physical Examination

• Urinalysis

• Fecalysis

• Chest X-ray

• CBC (Complete Blood Count)

• Blood Chemistry (FBS, SGPT, Cholesterol, Creatinine, Uric Acid)

• 12 – Lead ECG

• Papsmear

Silver Plan: (Routine)

• Physical Examination

• Urinalysis

• Fecalysis

• Chest X-ray

• CBC (Complete Blood Count)

• 12 – Lead ECG (exclusive for 40 years old & above as an optional package)

• Papsmear (exclusive for 40 years old & above as an optional package)

Note: Inclusive tests are subject to change based on hospital’s/clinic‘s current ACU package.

To request for a proposal the following are the requirements:

Individual or Family - dates of birth and relationship to principal. If solo, just the date of birth
Companies - Please email or text us your contact info for a brief survey of the account. 

Contact us thru:  Cel.# 0920-909-9083 or landline 33-498-44.  You may post a message
here or email us at insicknessandinhealth@yahoo.com