18/02/2020
MAXICARE - MEDICAL INSURANCE
TITANIUM | PLATINUM | BLUE | YELLOW | SILVER | GOLD CARD
SRP: PHP 699.00
TITANIUM
Product Feature
• Provides up to ₱ 15,000 one – time coverage on illnesses or injuries that arises from medical-related emergency conditions
• Eligible for individuals from 15 days old to 65 years old
• For one-time use or availment only
• Easy registration via Online www.macicare.com.ph – No preliminary check-up, no paperwork
• Nationwide Emergency Room access to more than 1000 Maxicare-affiliated hospitals - excluding six (6) major hospitals in Metro Manila*
• Valid for one (1) year from date of membership activation
Product Coverage
• Doctor’s Services for Emergency Treatment
• Emergency Room Fees
• Medicines used for immediate relief and during treatment
• Oxygen, IV fluids, whole blood and human blood products
• Dressings, casts, sutures
• X-ray, laboratory and diagnostic exams
Additional Benefits
• 20% discount on Metro Dental Services. (www.metrodental.com.ph)
• 15% discount on MyHealth clinic Services. (www.myhealth.ph)
• Group Life with ADD&D (Accidental Death, Dismemberment & Disablement) up to Php 50,000
• Access to exclusive discounts from Maxicare Lifestyle Partners
Exclusions and Limitations
1. Services obtained for emergency conditions from non-affiliated physicians and hospitals
2. Injuries, infections or conditions resulting from negligence, alcoholic liquor intake, unauthorized use of prohibited drugs or regulated drugs, violation of law or ordinance or unnecessary exposure to imminent danger, direct or indirect participation in the commission of crime, direct participation in riots, strikes, and other civil disturbances, war or any combat-related activities while in military service, extreme sports, developmental disorders, circumcision and s*x transformation, tattoos, body piercing and attempted su***de, acupuncture, congenital, genetic and hereditary conditions, and chronic dermatoses
3. HIV and AIDS-related diseases, s*xually transmitted diseases
4. All pregnancy and maternity-related conditions
5. Epidemic or pandemic infectious diseases
6. Psychiatric and/or psychological disorders
7. Aesthetic, cosmetic and reconstructive surgery
8. Oral surgery and dental treatments
9. All types of vaccines except for animal bites
10. Pregnancy test
11. Take-home medicines
12. Medico-legal fees
13. Ambulance service
_______________________
SRP: PHP 12,999.00
GOLD
Benefits and Coverage
• Unlimited outpatient consultations with any of the following doctors:
LOCATION
Maxicare Primary Care Center (PCC) – Bonifacio Global City & Bridgetown
DOCTORS
Internal Medicine (IM), Ear-Nose – Throat (ENT), Obstetrician - gynecologist (OB-GYN), Dermatologist and Ophthalmologist
LOCATION
Other Maxicare Primary Care Centers
DOCTORS
Internal Medicine (IM)
LOCATION
MyHealth Clinics
DOCTORS
Internal Medicine (IM), Ear-Nose – Throat (ENT), Obstetrician - gynecologist (OB-GYN), Dermatologist, and Ophthalmologist
• Unlimited coverage for prescribed* laboratory and diagnostic procedures at Maxicare Primary Care Centers located at W City Center Bldg. (7th Avenue corner 30th St. Bonifacio Global City, Taguig, Tel. No. +632 908 – 6957) & Zeta Tower (Bridgetowne IT Park, C5 corner Ortigas Ave. Extension, Tel No. +632 908-6959) and all MyHealth Clinics.
*Only procedure/s advised and requested by a Maxicare Primary Care or MyHeatlh Physician will be covered.
• Pre-existing conditions are covered
• With up to Php 20,000 emergency room coverage in more than 1000 Maxicare-affiliated hospitals nationwide
• Access to the 24/7 TeleConsult Service: 02 582.1980
• FREE Dental Care Services with MetroDental. Avail of the following services once within one (1) year:
• Mild Oral Prophylaxis (Cleaning)
• Panoramic X-Ray (Full Mouth)
• Dental Consult
• Emergency relief of dental pain through medication
• Cosmetic or oral rehab treatment planning
• Dental nutrition and counseling
• Dental health education
• Preparation of dental certificates
• Safekeeping of dental records as required by law or client
Avail of Maxicare PRIMA healthcare plan benefits in the following Maxicare Primary Care Centers (PCCs) and MyHealth Clinics:
Maxicare Primary Care Centers and MyHealth Clinics
PRIMA GOLD
For 60 years old and above
Outpatient Consultation
PCC – W City Center, BGC, Taguig
PCC - Zeta Tower, Bridgetowne IT Park, Ortigas Extension
PCC – Cardinal Santos Medical Center, San Juan City
PCC – Centuria Medical Makati, Makati City
PCC – Chinese General Hospital, Manila
PCC – Makati Medical Center, Makati City
PCC – St. Luke’s Medical Center, Quezon City
PCC – St. Luke’s Medical Center , BGC, Taguig
PCC – The Medical City, Pasig City
MyHealth Clinic – Festival Supermall, Alabang
MyHealth Clinic – Robinsons CybergateMall, Cebu City
MyHealth Clinic – Filomena Bldg., Makati City
MyHealth Clinic – Robinsons Mall, Manila
MyHealth Clinic – Shangri-La Plaza, Mandaluyong City
MyHealth Clinic – SM North Edsa, Quezon City
MyHealth Clinic – Venice Grand Canal Mall, Taguig City
MyHealth Clinic - Double Dragon Plaza, Pasay City
Maxicare Primary Care Centers and MyHealth Clinics
PRIMA GOLD
For 60 years old and above
Outpatient Laboratory
PCC – W City Center, BGC, Taguig
PCC - Zeta Tower, Bridgetowne IT Park, Ortigas Extension
MyHealth Clinic – Festival Supermall, Alabang
MyHealth Clinic – Robinsons CybergateMall, Cebu City
MyHealth Clinic – Filomena Bldg., Makati City
MyHealth Clinic – Robinsons Mall, Manila
MyHealth Clinic – Shangri-La Plaza, Mandaluyong City
MyHealth Clinic – SM North Edsa, Quezon City
MyHealth Clinic – Venice Grand Canal Mall, Taguig City
MyHealth Clinic - Double Dragon Plaza, Pasay City
Important Reminders
• The PRIMA Gold Voucher or Card must be presented at all times, alongside one (1) valid with photo (e.g. Driver’s License/Passport/Senior Citizen Card), upon availing the services offered in this healthcare plan.
• No card/voucher, no availment policy applies.
• Membership is valid up to one (1) year from the date of registration
• These cards are non-transferable once registered
