27/06/2026
𝐌𝐲𝐌𝐚𝐱𝐢𝐜𝐚𝐫𝐞 𝐈𝐧𝐝𝐢𝐯𝐢𝐝𝐮𝐚𝐥 & 𝐅𝐚𝐦𝐢𝐥𝐲 𝐏𝐥𝐚𝐧 👨👩👧
💯Enjoy maximum care, minimum worry with MyMaxicare, a full HMO program for Individuals and Families.
✔️As low as 18,674 Individual Plan
✔️As low as 16,162/head Family Plan
🔶𝐅𝐚𝐦𝐢𝐥𝐲 𝐏𝐥𝐚𝐧 - 𝟐 𝐨𝐫 𝐦𝐨𝐫𝐞 𝐟𝐚𝐦𝐢𝐥𝐲 𝐦𝐞𝐦𝐛𝐞𝐫𝐬 (𝐰𝐢𝐭𝐡 𝐃𝐢𝐬𝐜𝐨𝐮𝐧𝐭) 𝐫𝐚𝐭𝐞 𝐢𝐬 𝐩𝐞𝐫 𝐡𝐞𝐚𝐝 𝐧𝐨𝐭 𝐚𝐬 𝐨𝐧𝐞.
Maximum Benefit Limit Per Illness/Year
100k Silver
150k Gold
200k Platinum
250k Platinum Plus
𝐏𝐥𝐚𝐧 𝐢𝐧𝐜𝐥𝐮𝐝𝐞𝐬:
🔵𝐈𝐧𝐩𝐚𝐭𝐢𝐞𝐧𝐭
✔️Inpatient care
✔️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 services
✔️Medicines for inpatient care
✔️Blood product transfusions and intravenous (IV) fluids
✔️X-ray, laboratory examinations, diagnostic tests and therapeutic procedures incidental to confinement
✔️Dressings, conventional casts (plaster of Paris) and sutures
🔵𝐎𝐮𝐭𝐩𝐚𝐭𝐢𝐞𝐧𝐭
✔️X-ray, laboratory examinations, routine, diagnostic and therapeutic procedures
✔️Consultations
✔️Treatment of minor injuries
✔️Minor surgery not requiring confinement
✔️Eye laser therapy for retinal tear / hole / detachment and glaucoma
✔️Cauterization of warts
✔️Sclerotherapy (for varicose veins)
✔️Speech therapy (For stroke patients only)
✔️Allergy testing
✔️Tuberculin test
🔵𝐏𝐫𝐞𝐯𝐞𝐧𝐭𝐢𝐯𝐞 𝐜𝐚𝐫𝐞
✔️Passive and active vaccines for treatment of tetanus and animal bites
🔵𝐄𝐦𝐞𝐫𝐠𝐞𝐧𝐜𝐲 𝐜𝐚𝐫𝐞
✔️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 sutures
✔️X-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
🔵𝐀𝐝𝐝𝐢𝐭𝐢𝐨𝐧𝐚𝐥 𝐛𝐞𝐧𝐞𝐟𝐢𝐭𝐬
✔️Life coverage with Accidental Death & Dismemberment
✔️Scoliosis treatment
✔️Congenital illness
✔️Consultations for Chronic Dermatoses up to Benefit Limit
✔️Transurethral Microwave Therapy of Prostate
🔵𝐀𝐧𝐧𝐮𝐚𝐥 𝐂𝐡𝐞𝐜𝐤-𝐔𝐩 (𝐀𝐂𝐔) - 𝐀𝐯𝐚𝐢𝐥𝐚𝐛𝐥𝐞 𝐭𝐨 𝐚𝐥𝐥 𝐩𝐥𝐚𝐧 𝐭𝐲𝐩𝐞𝐬
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)
🔵𝐃𝐞𝐧𝐭𝐚𝐥 𝐜𝐚𝐫𝐞 (𝐨𝐩𝐭𝐢𝐨𝐧𝐚𝐥)
✔️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 year
✔️Simple adjustment of dentures
✔️Recementation of loose crowns, inlays or onlays
✔️Dental nutrition and Dietary counseling
✔️Dental Health Education
🔵𝐌𝐚𝐱𝐢𝐜𝐚𝐫𝐞’𝐬 𝐢𝐧𝐭𝐞𝐫𝐧𝐚𝐭𝐢𝐨𝐧𝐚𝐥 𝐚𝐬𝐬𝐢𝐬𝐭 𝐩𝐫𝐨𝐠𝐫𝐚𝐦
✔️24-hour Telephone Medical Advice
✔️Emergency Medical Evacuation
✔️Emergency Medical Repatrition
✔️Repatrition of Mortal Remains
(trafficlight)𝐓𝐡𝐢𝐬 𝐢𝐬 𝐢𝐧 𝐩𝐚𝐫𝐭𝐧𝐞𝐫𝐬𝐡𝐢𝐩 𝐰𝐢𝐭𝐡 𝐀𝐬𝐬𝐢𝐬𝐭 𝐀𝐦𝐞𝐫𝐢𝐜𝐚. 𝐕𝐢𝐬𝐢𝐭 𝐭𝐡𝐞𝐢𝐫 𝐰𝐞𝐛𝐬𝐢𝐭𝐞 www.assistamerica.com 𝐟𝐨𝐫 𝐦𝐨𝐫𝐞 𝐢𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧
✔️𝐃𝐫𝐞𝐚𝐝𝐞𝐝 𝐝𝐢𝐬𝐞𝐚𝐬𝐞 / 𝐜𝐨𝐧𝐝𝐢𝐭𝐢𝐨𝐧
✔️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.
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 Primary Care Center branches near you instead. 𝐋𝐢𝐧𝐤𝐬:
𝑯𝑶𝑾 𝑻𝑶 𝑭𝑰𝑵𝑫 𝑴𝑨𝑿𝑰𝑪𝑨𝑹𝑬-𝑨𝑪𝑪𝑹𝑬𝑫𝑰𝑻𝑬𝑫 𝑫𝑶𝑪𝑻𝑶𝑹𝑺/𝑯𝑶𝑺𝑷𝑰𝑻𝑨𝑳𝑺
https://www.maxicare.com.ph/get-care/find-doctors-clinics-and-hospitals/
𝐏𝐫𝐢𝐦𝐚𝐫𝐲 𝐂𝐚𝐫𝐞 𝐂𝐥𝐢𝐧𝐢𝐜 𝐛𝐫𝐚𝐧𝐜𝐡𝐞𝐬:
https://www.maxicare.com.ph/get-care/primary-care-clinic/
𝐋𝐢𝐬𝐭 𝐨𝐟 𝐥𝐚𝐛𝐨𝐫𝐚𝐭𝐨𝐫𝐢𝐞𝐬:
https://www.maxicare.com.ph/maxicare-plans/prima-gold-prepaid-health-card/ -tests-and-diagnostics
𝐌𝐞𝐭𝐫𝐨 𝐃𝐞𝐧𝐭𝐚𝐥 𝐛𝐫𝐚𝐧𝐜𝐡𝐞𝐬:
https://www.metrodental.com.ph/metro-dental-clinic-locations/
