30/06/2025
๐๐ฒ๐๐๐ฑ๐ข๐๐๐ซ๐ ๐๐ง๐๐ข๐ฏ๐ข๐๐ฎ๐๐ฅ & ๐
๐๐ฆ๐ข๐ฅ๐ฒ ๐๐ฅ๐๐ง ๐จโ๐ฉโ๐ง
๐ฏEnjoy maximum care, minimum worry with MyMaxicare, a full HMO program for Individuals and Families.
โ๏ธAs low as 18,674 Individual Plan
โ๏ธAs low as 16,162/head Family Plan
๐ถ๐
๐๐ฆ๐ข๐ฅ๐ฒ ๐๐ฅ๐๐ง - ๐ ๐จ๐ซ ๐ฆ๐จ๐ซ๐ ๐๐๐ฆ๐ข๐ฅ๐ฒ ๐ฆ๐๐ฆ๐๐๐ซ๐ฌ (๐ฐ๐ข๐ญ๐ก ๐๐ข๐ฌ๐๐จ๐ฎ๐ง๐ญ) ๐ซ๐๐ญ๐ ๐ข๐ฌ ๐ฉ๐๐ซ ๐ก๐๐๐ ๐ง๐จ๐ญ ๐๐ฌ ๐จ๐ง๐.
Maximum Benefit Limit Per Illness/Year
100k Silver
150k Gold
200k Platinum
250k Platinum Plus
๐๐ฅ๐๐ง ๐ข๐ง๐๐ฅ๐ฎ๐๐๐ฌ:
๐ต๐๐ง๐ฉ๐๐ญ๐ข๐๐ง๐ญ
โ๏ธInpatient care
โ๏ธRoom and board accommodation
Use of Operating Room, Intensive Care Unit (ICU), Isolation Room, and Recovery Room
โ๏ธProfessional fees of attending physicians, surgeons, anesthesiologists, and Cardio-pulmonary Specialist (for clearance before surgery and cardiac monitoring during surgery)
โ๏ธStandard nursing services
โ๏ธMedicines for inpatient care
โ๏ธBlood product transfusions and intravenous (IV) fluids
โ๏ธX-ray, laboratory examinations, diagnostic tests, and therapeutic procedures incidental to confinement
โ๏ธDressings, conventional casts (plaster of Paris), and sutures
๐ต๐๐ฎ๐ญ๐ฉ๐๐ญ๐ข๐๐ง๐ญ
โ๏ธX-ray, laboratory examinations, routine, diagnostic, and therapeutic procedures
โ๏ธConsultations
โ๏ธTreatment of minor injuries
โ๏ธMinor surgery not requiring confinement
โ๏ธEye laser therapy for retinal tear/hole/detachment and glaucoma
โ๏ธCauterization of warts
โ๏ธSclerotherapy (for varicose veins)
โ๏ธSpeech therapy (For stroke patients only)
โ๏ธAllergy testing
โ๏ธTuberculin test
๐ต๐๐ซ๐๐ฏ๐๐ง๐ญ๐ข๐ฏ๐ ๐๐๐ซ๐
โ๏ธPassive and active vaccines for the treatment of tetanus and animal bites
๐ต๐๐ฆ๐๐ซ๐ ๐๐ง๐๐ฒ ๐๐๐ซ๐
โ๏ธAny 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.
๐ต๐๐๐๐ข๐ฅ๐ข๐๐ญ๐๐ ๐๐จ๐ฌ๐ฉ๐ข๐ญ๐๐ฅ
โ๏ธDoctorโs services
โ๏ธConsultations
โ๏ธEmergency room fees
โ๏ธMedicines used for immediate relief and during treatment
โ๏ธOxygen, intravenous (IV) fluids, and blood products
โ๏ธDressings, conventional casts (plaster of Paris), and sutures
โ๏ธX-rays, laboratory, diagnostic examinations, and other medical services related to the emergency treatment of the patient
โ๏ธ๐๐จ๐ง-๐๐๐๐ข๐ฅ๐ข๐๐ญ๐๐ ๐๐จ๐ฌ๐ฉ๐ข๐ญ๐๐ฅ
๐ต๐๐ข๐ญ๐ก๐ข๐ง ๐ญ๐ก๐ ๐๐ก๐ข๐ฅ๐ข๐ฉ๐ฉ๐ข๐ง๐๐ฌ
โ๏ธReimbursement 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 โฑ30,000.00 / availment / member.
๐ต๐๐ซ๐๐๐ฌ ๐ฐ๐ข๐ญ๐ก๐จ๐ฎ๐ญ ๐๐๐๐ซ๐๐๐ข๐ญ๐๐ ๐ก๐จ๐ฌ๐ฉ๐ข๐ญ๐๐ฅ๐ฌ ๐ฐ๐ข๐ญ๐ก๐ข๐ง ๐ญ๐ก๐ ๐๐ก๐ข๐ฅ๐ข๐ฉ๐ฉ๐ข๐ง๐๐ฌ
โ๏ธReimbursement of 100% of the total hospital bills and Professional fees (based
on Maxicare rates)
๐ต๐๐ฎ๐ญ๐ฌ๐ข๐๐ ๐ญ๐ก๐ ๐๐ก๐ข๐ฅ๐ข๐ฉ๐ฉ๐ข๐ง๐๐ฌ
โ๏ธMaxicare shall reimburse 100% of actual costs up to โฑ30,000.00 / availment / member
๐๐ฆ๐๐ฎ๐ฅ๐๐ง๐๐ ๐๐๐ซ๐ฏ๐ข๐๐ ๐ฎ๐ฉ ๐ญ๐จ โฑ๐,๐๐๐.๐๐ ๐ฉ๐๐ซ ๐๐จ๐ง๐๐ฎ๐๐ญ๐ข๐จ๐ง
๐ต๐๐๐๐ข๐ญ๐ข๐จ๐ง๐๐ฅ ๐๐๐ง๐๐๐ข๐ญ๐ฌ
โ๏ธLife coverage with Accidental Death & Dismemberment
โ๏ธScoliosis treatment
โ๏ธCongenital illness
โ๏ธConsultations for Chronic Dermatoses up to Benefit Limit
โ๏ธTransurethral Microwave Therapy of the Prostate
๐ต๐๐ง๐ง๐ฎ๐๐ฅ ๐๐ก๐๐๐ค-๐๐ฉ (๐๐๐) - ๐๐ฏ๐๐ข๐ฅ๐๐๐ฅ๐ ๐ญ๐จ ๐๐ฅ๐ฅ ๐ฉ๐ฅ๐๐ง ๐ญ๐ฒ๐ฉ๐๐ฌ
Clinic-based Annual Check-Up consists of five (5) basic routines:
โ๏ธHistory and physical exam
โ๏ธCBC (Complete Blood Count)
โ๏ธRoutine Urinalysis
โ๏ธRoutine Fecalysis
โ๏ธChest x-ray (PA and lateral)
๐ต๐๐๐ง๐ญ๐๐ฅ ๐๐๐ซ๐ (๐จ๐ฉ๐ญ๐ข๐จ๐ง๐๐ฅ)
โ๏ธAnnual Oral / Dental Examination and Consultation
โ๏ธEmergency Dental Treatment
โ๏ธAnnual Oral Prophylaxis
โ๏ธSimple Tooth Extractions
โ๏ธRestorative and Prosthodontic Treatment Planning
โ๏ธPermanent fillings
โ๏ธUnlimited temporary fillings, as needed
โ๏ธDesensitization of hypersensitive teeth twice a year
โ๏ธSimple adjustment of dentures
โ๏ธRecementation of loose crowns, inlays, or onlays
โ๏ธDental nutrition and Dietary counseling
โ๏ธDental Health Education
๐ต๐๐๐ฑ๐ข๐๐๐ซ๐โ๐ฌ ๐ข๐ง๐ญ๐๐ซ๐ง๐๐ญ๐ข๐จ๐ง๐๐ฅ ๐๐ฌ๐ฌ๐ข๐ฌ๐ญ ๐ฉ๐ซ๐จ๐ ๐ซ๐๐ฆ
โ๏ธ24-hour Telephone Medical Advice
โ๏ธEmergency Medical Evacuation
โ๏ธEmergency Medical Repatriation
โ๏ธRepatriation of Mortal Remains
(trafficlight)๐๐ก๐ข๐ฌ ๐ข๐ฌ ๐ข๐ง ๐ฉ๐๐ซ๐ญ๐ง๐๐ซ๐ฌ๐ก๐ข๐ฉ ๐ฐ๐ข๐ญ๐ก ๐๐ฌ๐ฌ๐ข๐ฌ๐ญ ๐๐ฆ๐๐ซ๐ข๐๐. ๐๐ข๐ฌ๐ข๐ญ ๐ญ๐ก๐๐ข๐ซ ๐ฐ๐๐๐ฌ๐ข๐ญ๐ www.assistamerica.com ๐๐จ๐ซ ๐ฆ๐จ๐ซ๐ ๐ข๐ง๐๐จ๐ซ๐ฆ๐๐ญ๐ข๐จ๐ง
โ๏ธ๐๐ซ๐๐๐๐๐ ๐๐ข๐ฌ๐๐๐ฌ๐ / ๐๐จ๐ง๐๐ข๐ญ๐ข๐จ๐ง
โ๏ธThis corresponds to any condition that is considered chronic, progressive, life-threatening, and which may entail lifelong therapy. This also refers to conditions where a complete cure cannot be ensured.
Note that your plan has pre-existing limits per illness/member/year. Also, Pre-existing can or may not be within your knowledge; it is within the discretion of your attending physician.
We suggest if for consult or laboratories with regard to pre-existing illness, kindly go to the Primary Care Center branches near you instead. ๐๐ข๐ง๐ค๐ฌ:
๐ฏ๐ถ๐พ ๐ป๐ถ ๐ญ๐ฐ๐ต๐ซ ๐ด๐จ๐ฟ๐ฐ๐ช๐จ๐น๐ฌ-๐จ๐ช๐ช๐น๐ฌ๐ซ๐ฐ๐ป๐ฌ๐ซ ๐ซ๐ถ๐ช๐ป๐ถ๐น๐บ/๐ฏ๐ถ๐บ๐ท๐ฐ๐ป๐จ๐ณ๐บ
https://www.maxicare.com.ph/get-care/find-doctors-clinics-and-hospitals/
๐๐ซ๐ข๐ฆ๐๐ซ๐ฒ ๐๐๐ซ๐ ๐๐ฅ๐ข๐ง๐ข๐ ๐๐ซ๐๐ง๐๐ก๐๐ฌ:
https://www.maxicare.com.ph/get-care/primary-care-clinic/
๐๐ข๐ฌ๐ญ ๐จ๐ ๐ฅ๐๐๐จ๐ซ๐๐ญ๐จ๐ซ๐ข๐๐ฌ:
https://www.maxicare.com.ph/maxicare-plans/prima-gold-prepaid-health-card/ -tests-and-diagnostics
๐๐๐ญ๐ซ๐จ ๐๐๐ง๐ญ๐๐ฅ ๐๐ซ๐๐ง๐๐ก๐๐ฌ:
https://www.metrodental.com.ph/metro-dental-clinic-locations/
Assist America | Global Emergency Services |
www.assistamerica.com
