Can I use Maxicare and PhilHealth at the same time?

Asked by: Karolann Aufderhar DVM  |  Last update: January 4, 2023
Score: 4.5/5 (63 votes)

Maxicare will continue to provide coverage for COVID-19 provided that the patient availed the services within the Maxicare-accredited network. HMO benefits will be deducted first before applying the PhilHealth benefits for medical expenses related to Probable and Confirmed COVID-19 cases inpatient care.

Can I use 2 HMO at the same time Philippines?

Yes, you can have two health insurance plans.

What is not covered by Maxicare?

Maxicare will not accommodate and cover specialized procedures ( i.e. 2-D Echo, Doppler Ultrasound, CT Scan, MRI, MRA, MRCP, Thyroid Function Tests and their STAT fees, STAT fees for specimen cultures, specimen PCR laboratory requests) requested by ER doctors until case is evaluated and procedure is cleared by our ...

How much is covered by Maxicare?

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 Php 30,000.00 / availment / member.

Can I use maxicare immediately?

Within 24 hours of a medical emergency, go to a Maxicare accredited clinic or hospital and just present your EReady card along with your valid ID to avail of your benefits.

Maxicare Healthcards - Do I still NEED Philhealth? Scheduled Surgery and Confinement Covered?

18 related questions found

Can I use HMO without PhilHealth?

Majority of the HMO I know, requires their members to have an active Philhealth account first. HMOs are commonly issued by private companies for their employees.

Can I withdraw money from Maxicare card?

2. Member may withdraw the amount for any Equicom, Bancnet, Expressnet or Megalink ATMs. 3. Member may also use the amount to purchase items from any Bancnet accredited merchants.

What hospitals does Maxicare cover?

List of Maxicare Accredited Hospitals
  • Caloocan. Nodado General Hospital. ...
  • Las Pinas. Las Pinas Medical Center. ...
  • Makati. Makati Medical Center. ...
  • Mandaluyong City. Dr. ...
  • Manila City. Chinese General Hospital. ...
  • Marikina. Garcia General Hospital. ...
  • Muntinlupa. Alabang Medical Center. ...
  • Pasay City. Manila Adventist Medical Center and Colleges, Inc.

Is medicine covered by Maxicare?

EReady provides the following benefits: – Coverage for Professional Fees, Emergency Room Fees, medicines used for the immediate relief and treatment of the condition, and laboratory and diagnostic procedures.

What is the best health card in Philippines?

Top 10 HMO & Health Cards in the Philippines
  • Maxicare HealthCare. ...
  • Intellicare. ...
  • Medicard Philippines. ...
  • Caritas Health Shield. ...
  • Philhealth Care (PhilCare) ...
  • ValuCare Health System. ...
  • Eastwest Health Care. ...
  • Avega Managed Care.

Is ambulance covered by Maxicare?

Maxicare will cover road ambulance service for transfers from an accredited hospital to another accredited hospital up to MBL and Php2,500 per conduction if it is from a non-accredited Hospital to an accredited Hospital (on reimbursement basis).

Can I use Maxicare for eyeglasses?

Maxi Care is now in partnership with Vision Express. Mechanics: Present your MAXICARE CARD at VISION EXPRESS and avail discounts on all Designer frames.

What are the benefits of Maxicare?

It covers unlimited outpatient consultations and unlimited lab and diagnostic procedures at Maxicare Primary Care Clinics, FREE annual select dental services at Metro Dental, and access to the Maxicare Telemedicine 24 x 7 Voice Service. Pre-existing conditions are covered and membership is valid for one year.

Can I use HMO and PhilHealth?

You can use your HMO membership along with your PhilHealth plan. Should you be confined, PhilHealth will partially cover your bills from anywhere to 15% and 30% if you're a member.

Can I have two medical insurance plans?

The answer is yes. One can claim health insurance and medical insurance from two or more companies. Except there are some conditions and processes, the policyholder needs to understand while claiming.

How do you use two health insurance plans?

Having two health plans can help cover normally out-of-pocket medical expenses, but also means you'll likely have to pay two premiums and face two deductibles. Your primary plan initially picks up coverage costs, followed by the secondary plan. You might still owe out-of-pocket costs at the end.

Can I use Maxicare in medical City?

Sean Argos, Maxicare's President and Chief Executive Officer, once said that “the goal of Maxicare is to provide convenient ways for members to access healthcare services.”Through this plan, a TMC Partner Care principal and his/her dependents and now bona fide Maxicare members can now access various services in TMC ...

Is consultation free in Maxicare?

This is a free expert medical consultation from reliable Maxicare Partner-Doctors, exclusively for active Maxicare members.

Is Maxicare transferable?

Membership is valid up to one (1) year from the date of registration. These cards are non-transferable once registered. Membership must be registered within three (3) months from date of purchase.

Is PhilHealth a health card?

PhilHealth is a government-owned and controlled corporation and is the country's national health insurance provider. It gives all of our private employees health coverage thanks to the contributions we make that is acquired by automatically deducting a certain percentage from our salaries.

Does Maxicare cover maternity?

Maxicare PRIMA Silver offers unlimited outpatient consultations and unlimited medically necessary laboratory and diagnostic procedure including pregnancy related conditions for 1 year available in Maxicare Primary Care Centers only. However, maternity care such as childbirth or delivery is not part of the coverage.

Where can I use Maxicare card?

Simply enjoy our convenient primary care services or shop for Maxicare's prepaid health cards online to earn points! You can eventually redeem these points at Robinsons Supermarket, Robinsons Department Store, True Value, Toys “R” Us, and more.

Is Dengue covered by Maxicare?

MyMaxicare Lite is a one-time availment In-Patient prepaid health card that covers eight (8) illnesses: Dengue, Malaria, Cholera, Typhoid and Paratyphoid, Gastroenteritis, Pneumonia, Leptospirosis and Chikungunya.

Which is better HMO or PhilHealth?

Health insurances don't need renewals as long as you settle your premiums on time. On the other hand, the benefits of HMOs are continuous but will be based on the user's health condition and age. Finally, PhilHealth membership is renewable and employees aging 60 years old and above become automatic members.

What if I stopped paying PhilHealth?

What Happens if You Don't Pay PhilHealth Contributions? The good news is no one will be denied of PhilHealth coverage due to non-payment of premiums. If you miss a payment you will be billed monthly with interest as a consequence.