Maxicare Hospicash is a hospital income benefit that provides Corporate and SME members:

• A daily hospital income benefit

• A personal accident cash benefit for accidental dismemberment or death

Hospicash supports your extra expenses in the event of hospitalization such as loss of income due to hospitalization, medicine expenses, transportation and visitation expenses, or coping expenses. It can also serve as an additional layer of benefit or cash in the event your maximum benefit limit (MBL) is used up.

Maxicare Hospicash also comes with a Personal Accident insurance that provides additional cash benefit in the event of accidental death, accidental disablement, or accidental dismemberment of the member.

For every day a member with Maxicare Hospicash coverage gets hospitalized, a fixed amount or a Daily Hospital Income Benefit (ex. P500, P1,000, P2,000/ day) is accumulated and the total benefit amount will be provided to the member 4 days after the discharge from the hospital.

The total benefit is equal to the number of days a member is hospitalized multiplied by the Daily Income Hospital Benefit.

For example, if a member is hospitalized for 10 days and the Daily Hospital Income Benefit is P500, the member will receive P5,000.

All members of the Corporate and SME accounts with Maxicare Hospicash added to their HMO plan shall be enrolled in Maxicare Hospicash to enjoy the benefit of having both the protection of an HMO (Maxicare HMO plan) and an insurance (Maxicare Hospicash).

Members can have different Daily Benefit Limits subject to the following guidelines:

i. Rank and File members can be covered for a maximum Daily Hospital Income Benefit of Two Thousand Pesos (P2,000.00)
ii. A rank above Rank and File up to Managers can be covered for a maximum Daily Hospital Benefit of Three Thousand Pesos (P3,000.00). The maximum benefit for a rank may still be higher than Three Thousand Pesos (P3,000.00) provided that the daily wage of the member is higher than the Daily Hospital Income Benefit
iii. A lower ranking Member (e.g. Rank and File employee) must not have a higher Daily Hospital Income Benefit than higher ranking members (e.g. Managers) unless the lower ranking member has a higher HMO benefit than higher ranking members following the same HMO hierarchy.
iv. The classification or rank of the members, e.g., Rank and File, Managers, Officers shall follow the declaration of the clients of Maxicare that they are classified to have such rank.

Maxicare’s Hospicash does not have a waiting period and benefit is counted on the day 1 of hospitalization.

Hospicash does not cover hospitalization of accidents and/or illness that are part of Maxicare’s list of exclusions in the terms & conditions (ex. Attempted suicide, overdose, etc.). Maternity is also an exclusion except for Maxicare accounts with maternity coverage.

Pre-existing conditions are covered as aligned with the terms & conditions of the member’s Maxicare coverage.

The number of days that are covered under Hospicash per confinement has a maximum of thirty (30) days and a maximum of sixty (60) days per year for all confinements.

When you are hospitalized,

• A Maxicare Inpatient Specialist will verify if you have a Hospicash Benefit upon admission.

• You or your authorized representative must fill out the Google Form provided by the Inpatient Specialist before you are discharged from the hospital

• You will receive your Daily Hospital Income Benefit in your provided bank account after 4 working days from the date of discharge.

Kindly inform your beneficiary about your Personal Accident Benefit. In the event of a claim, the claimant may email our partner, Allianz to process your claim. You may notify Allianz of the claim at maxicareclaims@allianzpnblife.ph

Hospicash can only be availed by new or existing Corporate and SME accounts. Corporate and SMEs may contact their Maxicare Health Benefit Executive or send us an inquiry at https://www.maxicare.com.ph/support

For inquiries on your benefit coverage, you may call any of our Customer Care hotlines. Your medical details and needed procedure/s will be assessed if coverable (or otherwise) by your plan.

Request for ACU and ECU Scheduling should be coordinated through the ff.:

For Individual and Family Accounts:please log in your request at https://www.maxicare.com.ph/support

For Corporate Accounts: Coordination must be made thtough the Company HR or Account Officer (Health Benefit Executive)

Our Sales and Sales Support will coordinate the request of corporate accounts to our unit internally.

You will have to shoulder the PhilHealth cost equivalent upon discharge.

You will need to submit the following necessary documents: o Duly accomplished Claims Reimbursement Form o Original Official Receipt/s of the hospital bill/s, including the Statement of Account (SOA) and its Charge Slips o Clinical Abstract of the case, if surgical intervention was performed and its hispathological report o Operative Record of the case/treatment or admission/discharge record duly signed by the attending Physician.

Reimbursement/s released via check will be available within 30 working days upon the receipt of complete and valid requirements at the Maxicare Head Office.

Yes. However, for you to avoid this extra charging, kindly coordinate with our Customer Care Department before each availment for them to be able to make arrangements with a doctor who does not charge extra fees.

It is possible and we are not refraining you to upgrade your Room and Board Accommodation as you wish, provided that you will have to shoulder the corresponding Room and Board excess fees, incremental costs of laboratory and procedures done, and the excess Professional Fees.

You must prepare the following requirements and submit them to the Maxicare Head Office:

1) Valid proof of payment (Php 200.00 Lost ID Card fee) For payment, you may pay over-the-counter through bills payment at the following banks: BDO, Equicom Savings Bank, Philippine National Bank, Security Bank, BPI, Metrobank, RCBC, Union Bank, Maybank, AUB

2) Maxicare’s Statement of Lost ID Card

3) Photocopy of the front and back portion of a valid ID with picture or notarized affidavit of loss .

Your new Maxicare Multifunction Card will be issued within seven (7) working days from the date the necessary documents were forwarded to us. Should you need to avail of any medical services while your card has not arrived yet, please call any of our Customer Care Hotline Numbers first prior to availment. For Emergency Cases, on the other hand, please instruct your Companion (if available) to call Maxicare.

Our Customer Care operates 24/7 and is manned by Specialists / Representatives highly trained to assist you in any of your needed medical availments.

Our Primary Care Clinics and Helpdesks are open from Monday to Saturday.
You may also visit any of our MyHealth Clinics for your Letter of Authorization (LOA) request or Out – Patient medical services. They are open Monday – Sunday, 7:00 A.M. – 8:00 P.M.

To update or correct your name and civil status, email the required documents listed below to enrollment@maxicare.com.ph

To update or correct your mobile number, email address, & residential address, email the required documents listed below to enrollment@maxicare.com.ph

Request change of mobile number and email address

If you have submitted your Customer Information Form, please download and accomplish the Member & Card Maintenance Form.
If you have not submitted your Customer Information Form: Please call Customer Care Hotline (02) 5821900

For more details about Customer Information Form go to www.maxicare.com.ph/services/ask-anything

Request Change of residential address

Email your Proof of Residency (utility bill under your name) to customercare@maxicare.com.ph

A Customer Information Form, or CIF, requires Members to provide important, personal information that will allow Maxicare to assume accurate information and be able to provide better and more efficient services to you.

This document is, also, in compliance to the “Know Your Customer” (KYC) policy which necessitates the identity validation of a customer availing of certain financial transactions. In our case, the Maxicare Multifunction Card acts as a Cash Card in occasions of claims reimbursement.

Completion of the CIF is a one – time requirement only; however, updating should be done should there be significant changes in the personal information of the Member such as Home Address, Contact Number, Marital Status et al.

Get 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
• Fluoride Gel

For a list of MetroDental branches, visit www.metrodental.com.ph

The details provided by the HR of our member companies do not include all the information required to comply with the KYC. Furthermore, since the cash crediting is considered as a personal transaction, the Members must, individually, provide his personal information and must agree on the Terms and Conditions covering the Maxicare Multifunction Card.

If your Maxicare Multifunction Card is enrolled in the Cash Card functionality, a Member’s reimbursement will not be processed timely as an accomplished CIF is one of the requirements in full compliance of the claims reimbursement process.

No. CIF submission is a one – time requirement only. This is, unless, there are changes in the Member’s personal information hence the need for updating of the CIF.

You may accomplish the CIF online via the Member Gateway and follow the instructions provided in the portal.

The following are considered valid by Maxicare:
• Alien Certificate of Registration (for foreign nationals in the Philippines)
• Company ID
• Driver’s License
• GOCC ID
• Government System Insurance Service (GSIS) e-Card
• Integrated Bar of the Philippines ID
• National Bureau of Investigation (NBI) Clearance
• Overseas Filipino Worker ID
• Overseas Workers Welfare Administration (OWWA) ID
• Passport
• Police Clearance
• Postal ID
• Philippine Regulatory Commission (PRC) ID
• Seaman’s Book
• Senior Citizen ID
• Social Security System (SSS) ID
• Student’s ID
• Unified Multi – Purpose ID
• Voter’s ID

*Please note that the IDs should not be expired by the time of CIF completion to be considered valid.

A notification will be sent by Maxicare to the Member once the original, hard copy of the CIF has been submitted to Maxicare.

It is a prepaid health card of Maxicare that provides one – time availment coverage, of up to Php 25,000.00, for any Emergency cases.

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.

– Initial treatment of animal bites for the first 24 hours, vaccines for animal bites such as Rabies shot.

– Emergency case coverage for one – time availment of up to Php 25,000.00.

– Nationwide access to Maxicare – affiliated hospital providers.

– Free and unlimited consultations with Internal Medicine, Family Medicine, General Practitioner and Pediatricians in all Maxicare Primary Care Clinics (PCC) nationwide.

– Life AD&D (Accidental Death and Dismemberment) up to Php 50 000.00 with Double Indemnity feature.

– 20% discount on basic dental procedures at any Metro Dental clinics and 15% discount on dermatology procedures at any MyHealth Clinics.

This is available for purchase and usage to both Maxicare members and non – members aged 15 days to 65 years old.

– EReady is available in two (2) plans. While both plans have the same Maximum Benefit Limit of Php 25,000.00, the higher variant provides added comfort of having access to the major hospitals in Metro Manila.

Plan Type: Titanium
Cost (one-time payment only): Php 1,300.00
Access: Access to all Maxicare – affiliated hospitals nationwide, excluding the major* hospitals

Plan Type: Platinum
Cost (one-time payment only): Php 1,500.00
Access: Access to all Maxicare – affiliated hospitals nationwide, including the major* hospitals

*Six (6) identified, major hospitals: Asian Hospital & Medical Center, Cardinal Santos Medical Center, Makati Medical Center, St. Luke’s Medical Center – Quezon City, St. Luke’s Medical Center – Taguig, The Medical City.

Definitely, there is no need for paperwork. Registration is via SMS only. Just follow these steps below:

1.) Lightly scratch – off the gray panel found at the bottom of the signature panel to reveal the Medilink Number (starts with 1168).

2.) Register via SMS following this format: MAXIPREPAID < 1168 Card Number >#####.

3.) Send SMS to 2086 for GLOBE subscribers and 4629 for SMART subscribers

4.) You will receive a notification of successful Membership Enrollment.

Once successfully registered, your Maxicare EReady membership will be activated fifteen (15) days from the time of registration.

Your card will be valid for one (1) year from the date of activation.

When emergency arises, present your Maxicare EReady together with a valid I.D. at any of our Maxicare – affiliated hospitals.

The EReady card uses the swipe facility of Maxicare affiliated hospitals for membership verification. In this case, availment should only be made in an affiliated provider to be able to be covered by the card.

– Yes, there are some items not covered by EReady. These include In – Patient availments leading to confinement, availment under Primary Care Emergency Room setting, transferring to other provider/s due to unavailability of procedure or facilities.

– All exclusions are listed in the EReady Card Kit.

No, the balance will no longer be used as this is just for one – time availment only. Once an LOA has been generated and issued, the card is already deactivated.

Yes, however the member can register another card under the following conditions:
(1) If with availment – 15 days after the availment
(2) If without any availment – 1 day after the expiration

Yes, as long as it has not been registered yet to a particular person.

Feel free to call us at any of our contact points as seen on this page.

Here in Maxicare, you can become an accredited Health Benefit Agent (HBA) or even form your own unit as an Agency Unit Head.

Yes. You just have to submit your Application Form and the necessary requirements, attend our Product Training, Pass the Accreditation Exam and pay the Accreditation Fee.

– An Agency Unit must be composed of one (1) Agency Unit Head (AUH) and at least three (3) existing sub – agents.

– AUH and sub – agents must comply to and submit the necessary requirements as that of a regular Agent.

a. Two (2) pcs. of Passport size or 2×2 picture in blue background color;
b. Two (2) pcs. of 1×1 picture in any background color;
c. Two (2) photocopies of two (2) Government- issued IDs with visible Signature;
d. Tax Identification Number (TIN);
e. Original and valid of any of the following clearances: NBI, Police or Barangay Clearance;
f. If an existing insurance agent, Certification or Insurance Commission – issued ID is accepted; and,
g. An active Savings account

– You may go to our Head Office located at Maxicare Tower, 203 Salcedo Street, Legazpi Village, Makati City and proceed to the Agency Recruitment and Operations office

– For regional applicants, you may email accreditation@maxicare.com.ph to know where to submit your Accreditation requirements and attend the training sessions.

– Aside from the commission Agents and Agency Units get from every sales production, other incentives include:
o Travel Package
o Awards / Recognitions and Cash Prizes

– Maxicare also comes up with incentive promos from time to time.

Yes. An initial training session will be required for newly accredited Agents and Agency Units.

Commission is paid every seven (7) working days from the date of payment of the account gotten by the Agent or Agency Unit. It is credited through the Equicom Debit Card, which you will be getting once you have become an Accredited Agent of Maxicare.

You may contact Sharmaine Tabing at (632) 7908.6900 local 1164 to 65. Or email accreditation@maxicare.com.ph.

Yes. At a minimal licensing fee of Php 1000.00, this already includes the Maxicare’s Agent’s Kit composed of an I.D. card, a box of Business Cards, Product Manual, Polo Shirt and Folio Bag. However, there is an additional payment of Php 100.00 which is for the processing and initial Equicom Debit Card deposit.

You can pay the following billing invoices:

• On-time MyMaxicare accounts billing invoices
• On-time SME accounts billing invoices
• On-time and overdue initial/new business/newly acquired Prima billing invoices
• Ontime renewal business Prima billing invoices
• Initial billing of SME new business/additional accounts released from January 1 to December 15 of the current year

You can only pay overdue billing invoices for the following:
• Initial billing of SME new business/additional accounts released from January 1 to December 15 of the current year
• Billing invoices of new business/newly acquired Prima products.

For overdue billing invoices that are not mentioned above, please coordinate with your Sales representative at the soonest possible time.

We do not accept penalty-issued billing invoices in this facility. Please coordinate it with your Sales representative at the soonest possible time.

a. You may have entered a penalty billing invoice. This is not accepted in the Maxicare Online Payment facility. Please coordinate it with your Sales representative at the soonest possible time.
b. You may have entered an overdue billing invoice. This is not accepted in the Maxicare Online Payment facility. Please coordinate it with your Sales representative at the soonest possible time.
c. You may have entered an already paid billing invoice via another payment partner.
d. You may have entered a newly created/received billing invoice. Please pay your billing invoice after 3 hours from the date of receipt of the billing invoice.
e. You may have entered a non-MyMaxicare, SME, and Prima billing invoice. This is not accepted in the Maxicare Online Payment facility. Please coordinate it with your Sales representative at the soonest possible time.

Email Maxicare L1 Support (customercare@maxicare.com.ph) with the following information:

1. Customer/Account Name
2. Customer ID/Corp Code
3. Payment Reference Number
4. Amount to pay
5. Screenshot (if possible)

Email Maxicare L1 Support (customercare@maxicare.com.ph) with the following information:

1. Customer/Account Name
2. Customer ID/Corp Code
3. Payment Reference Number
4. Amount to pay
5. Screenshot (if possible)

Email Maxicare L1 Support (customercare@maxicare.com.ph) with the following information:

1. Customer/Account Name
2. Customer ID/Corp Code
3. Payment Reference Number
4. Amount to pay
5. Screenshot (if possible)

a. Refresh the page
b. Close the browser, access the Maxicare Online Payment facility again, and reprocess the payment.
c. If you still experienced the issue after doing the steps above, email Maxicare L1 Support (customercare@maxicare.com.ph) with the following information:
i. Customer/Account Name
ii. Customer ID/Corp Code
iii. Payment Reference Number
iv. Screenshot (if possible)

a. Call/coordinate with your bank if you encountered bank declined/issue transactions
b. Email Maxicare L1 Support (customercare@maxicare.com.ph) with the following information if you encountered non-bank declined/issue transactions:
i. Customer/Account Name
ii. Customer ID/Corp Code
iii. Payment Reference Number
iv. Amount to pay
v. Type of card used
vi. Screenshot (if possible)

a. Access the email address provided in the Maxicare application form
b. Refresh the email
c. Check the spam folder
d. If you still experienced the issue after doing the steps above, email Maxicare L1 Support (customercare@maxicare.com.ph) with the following information:
i. Customer/Account Name
ii. Customer ID/Corp Code
iii. Payment Reference Number
iv. Amount paid
v. Type of card used
vi. Screenshot (if possible)

a. Check if you received a Paynamics email confirmation sent via email
b. Check if you received a payment confirmation via SMS
c. Check if you received an Official Receipt (OR) sent via email

Pay your bills via:

a. Online Banking with our Authorized Bills Payment Facilities
b. Over-the-counter with our Authorized Partner Banks
c. Payment through Maxicare Cashier
d. Check pick-up through Collectors
e. Maxicare Online Payment facility

Pay your bills via:

a. Online Banking with our Authorized Bills Payment Facilities
b. Over-the-counter with our Authorized Partner Banks using Bills Payment Facility
c. Payment through Maxicare Cashier
d. Check pick-up through Collectors
e. Maxicare Online Payment facility

Pay your bills via:

a. Online Banking with our Authorized Bills Payment Facilities
b. Over-the-counter with our Authorized Partner Banks using Bills Payment Facility
c. Payment through Maxicare Cashier
d. Maxicare Online Payment facility

a. Go to https://www.maxicare.com.ph/

b. Click Services

c. Select Pay Existing Plan

d. Online Payment facility should be displayed

Pay via Paynamics

i. Philippine and foreign issued credit and debit cards (Visa and Mastercard)

ii. Ewallets (GCash and GrabPay)

iii. Online banking (BPI and UBP)

iv. Installment (Metrobank, and BPI)  for a minimum transaction amount of P8,000

Note:

• GCash payment transaction with Maxicare is whatever is left of the 100,000 limit.
• For credit/debit card payment transactions, it will go through a Fraudulent Configuration Policy which will result in an auto decline transaction once hit.
• For bank-related payment transactions, the maximum limit will still vary on the limit of the issuing bank.

The facility has no option to show your transaction. To determine if the payment was successful:

a. Check if you received a Paynamics email confirmation sent via email
b. Check if you received a payment confirmation via SMS
c. Check if you received an Official Receipt (OR) sent via email

a. Check if you received a payment email confirmation sent via email
b. Check if you received a payment confirmation via SMS from Paynamics
c. Check if you received an Official Receipt (OR) sent via email within 48 hours

Email Maxicare L1 Support (customercare@maxicare.com.ph) with the following information:
1. Customer/Account Name

2. Customer ID/Corp Code
3. Account Type (e.g. Individual, Family, SME, Prima Gold, Prima Silver)
4. Email Address (if applicable)
5. Payment Reference Number
6. Amount to pay
7. Date Transacted (if applicable)
8. Paynamics Reference No. (if applicable)
9. Payment option (if applicable)
10. Official Receipt No. (if applicable)
11. Description of Error
12. Screenshot (if possible)

Email Maxicare L1 Support, criconsumerIFG@maxicare.com.ph for MyMaxicare accounts, consumer.sales-sme@maxicare.com.ph for SME account, and ac.prepaid@maxicare.com.ph for PRIMA SOAs with the following information:

1. Customer/Account Name
2. Customer ID/Corp Code
3. Email Address (if applicable)
4. Payment Reference Number
5. Amount paid
6. Date Transacted (if applicable)
7. Official Receipt No. (if applicable)
8. Reason for refund request

a. Missed entering Payment Reference Number and/or Customer ID/Corp Code
b. Entered a paid billing invoice
c. Entered incorrect Payment Reference Number and/or Customer ID/Corp Code
d. Entered an invalid billing invoice (e.g. overdue, penalty, and non-MyMaxicare, SME, and Prima billing invoices)
e. Missed to input Email Address and/or Mobile Number
f. Entered an incorrect Email Address and/or Mobile Number

a. Refresh the page
b. Restart the browser and go to the page again
c. Check if the internet connection is strong and fast then go to the page
d. Clear the browser’s cache and data then go to the page
e. Use another browser then go to the page
f. Use another device or network then go to the page

a. Refresh the page
b. Restart the browser and go to the page again
c. Check if the internet connection is strong and fast then go to the page
d. Clear the browser’s cache and data then go to the page
e. Use another browser then go to the page
f. Use another device or network then go to the page

a. Make sure that the web address starts with “https://” and not “http://” then go to the page again
b. Restart the browser and go to the page again
c. Check if the internet connection is strong and fast then go to the page
d. Clear the browser’s cache and data then go to the page
e. Use another browser then go to the page
f. Use another device or network then go to the page

a. Make sure that the web address starts with “https://” and not “http://” then go to the page again
b. Restart the browser and go to the page again
c. Check if the internet connection is strong and fast then go to the page
d. Clear the browser’s cache and data then go to the page
e. Use another browser then go to the page
f. Use another device or network then go to the page

You may reprocess the payment by accessing the Maxicare Online Payment facility

You may reprocess the payment by accessing the Maxicare Online Payment facility

Contact your bank for more information.

a. Refresh the page
b. Close the browser, access again the Maxicare Online Payment facility again, and reprocess the payment

BIR withholding customers who uses non-credit card payment options must submit CWT certificate. CWT Management Hub link is also provided on the Online Payment Successful page after the payment. Just access that link and submit the CWT certificate.

All MyMaxicare (Individual and Family), SME (Maxicare Starter Plan, Maxicare Plus, Maxicare Business Essentials), and Prima products can avail of the installment payment for a minimum transaction amount of P8,000.

No, installment options are only available for annual payments.

Installment payments can be made through the following banks only for a minimum transaction amount of P8,000:

• Metrobank
• BPI

Installment payment option is only available for:

• Billing invoices with gross amount of ₱8,000.00 and up; and
• Billing invoices with Annual mode of payment.

You are allowed to choose to pay in fixed payment terms of three (3) months, six (6) months, nine (9) months, and twelve (12) months.

The interest rate for all credit card transactions will be shouldered by the cardholder.

Maxicare does not charge any interest rate for the installment payment option. Your bank may charge interest rates based on the payment term you will be choosing. The monthly charge can be also seen in the system during your transaction.

We recommend you to submit your BIR CWT via google form (https://bit.ly/CWTManagementHub) for proper monitoring and avoid missing certificates.

We recommend you to submit your BIR CWT via google form (https://bit.ly/CWTManagementHub) for proper monitoring and avoid missing certificates.

We recommend you to submit your BIR CWT via google form (https://bit.ly/CWTManagementHub) for proper monitoring and avoid missing certificates.

We recommend you to submit your BIR CWT via google form (https://bit.ly/CWTManagementHub) for proper monitoring and avoid missing certificates.

We recommend you to submit your BIR CWT via google form (https://bit.ly/CWTManagementHub) for proper monitoring and avoid missing certificates.

We recommend you to submit your BIR CWT via google form (https://bit.ly/CWTManagementHub) for proper monitoring and avoid missing certificates

CWT Management Hub requires Gmail accounts only. You may do the following steps to access it:
a) Customer to create a Gmail account.
b) Customer to access the google form link using the created Gmail account.
c) Customer to input all required and necessary details then submit.

The google form link may be incorrect. Try again to access it by clicking the provided link. Don’t remove any details in the URL.

You are not connected to the internet. Make sure that you are connected to the internet then click the provided google form link.

An email confirmation will be sent to your email address indicated in the google form upon submission. Try to refresh the email and check the Spam messages.

An email about your CWT status will be sent to your email address indicated in the google form upon submission. Try to refresh the email and check the Spam messages.

You may email us at CWTManagementHub@maxicare.com.ph.

You may access again the google form link (https://bit.ly/CWTManagementHub) and re-submit the CWT.