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2010 Maxicare Flier

2010 Maxicare Flier

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Published by bzkid82
Worried about expensive hospital bills?
Enroll with MAXICARE
Individual, Family & Corporate
Direct Line: (02) 9047340 Mobile: 09177853993
Email: maxicareinquiry@gmail.com
http://maxicareinquiry.blogspot.com/
Worried about expensive hospital bills?
Enroll with MAXICARE
Individual, Family & Corporate
Direct Line: (02) 9047340 Mobile: 09177853993
Email: maxicareinquiry@gmail.com
http://maxicareinquiry.blogspot.com/

More info:

Categories:Types, Brochures
Published by: bzkid82 on Jul 05, 2010
Copyright:Attribution Non-commercial

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01/04/2013

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INDIVIDUAL &FAMILY HEALTHCAREPROGRAM
PLAN TYPEROOM &BOARDMAXIMUMBENEFITLIMITANNUAL CHECK UP
PlatinumPlusLargePrivate200,000Overnight ExecutiveCheck UPPlatinumRegularPrivate150,000Executive Check UpGoldRegularPrivate100,000Semi Executive CheckUpSilverSemi Private 60,000Routine/Basic1. Age eligibility is 2-60 years old renewable up to 65 years old2. Access to any accredited hospital and clinic nationwide
I. OUTPATIENT CARE
Medically necessary consultations during regular clinic hours,except medicines.
Dermatology Consultations
Eye, ear, nose and throat (EENT) treatment
Treatment of minor injuries such as lacerations, mild burns,sprains and the like
X-ray, laboratory examinations, routine, diagnostic andtherapeutic procedures prescribed by an accredited doctor
Minor surgery not requiring confinement
Physical Therapy/Occupational Therapy up to 12 (twelve) sessions
Laser Therapy for retinal detachment and glaucoma prescribedby an affiliated physician up to P10,000/eye/member/year
Cauterization of Warts up to P1,000/year / member
Speech Therapy up to 12 sessions /member /year (stroke patientsonly)
II. IN PATIENT CARE
Room and Board Accommodation
Use of Operating and Recovery Rooms
Use of Intensive Care Unit (ICU)
Professional Fees of attending doctor(s)
Drugs and medicines for use in the hospital
Whole blood and human blood products and IV fluids
X-ray, laboratory examinations and diagnostic tests
Dressings, casts and sutures
Anesthesia and its administration
Oxygen and its administration
Laparoscopy and Lithotripsy covered up to 100% of the actualcost
Standard nursing services
Admission kit including ice cap and wee bag
Other supplies directly related to the medical management of thepatient
III. ANNUAL CHECK UP
* according to plan of choice
Platinum Plus Plan: (Multi-Phasic B)
CBC (Complete Blood Count)
Blood Chemistry (FBS, HDL, Cholesterol, Creatine, Albumin, UricAcid, Alkaline Phosphatase, Potassium, LDL, triglycerides, SGOT,Globulin, Calcium Phosphatase, Urea, Total Cholesterol, VLDL, SGPT, Total Protein, Total Billrubin)
 Thyroid Function:TSH-IRMA
Hepatitis Screening: BhsAg, Anti-HBs, Anti-HBc
Routine Urinalysis
Routine Fecalysis
Cardiac Work-up (12-Lead ECG, Treadmill Stress Test)
Chest x-ray
Abdominal Work-up (Upper Gastrointestinal series, Ultrasound of liver, Gallbladder & Pancreas, barium Enema, Proctosigmoidoscopy)
Platinum Plan : (Executive Check-up)
Physical Examination
Urinalysis
Fecalysis
Chest X-ray
CBC (Complete Blood Count)
Blood Chemistry
Potassium, Creatinine, Total Protein, TotalBilirubin, Triglycerides, Calcium, Uric Acid, Albumin, SGOT, Alkaline,Fasting Blood Sugar, Phosphate
12 – Lead Elecrocardiogram
Ultrasound of the Gallbladder and kidney
 Treadmill Stress Test OR Barium Enema
Gold Plan : Semi Executive Check Up
Physical Examination
Urinalysis
Fecalysis
Chest X-ray
CBC (Complete Blood Count)
Blood Chemistry (FBS, SGPT, Cholesterol, Creatinine, Uric Acid)
12-Lead ECG
Papsmear
Silver Plan: (Routine)
Physical Examination
Urinalysis
Fecalysis
Chest X-ray
CBC (Complete Blood Count)
12 – Lead Elecrocardiogram (exclusive for 35 years old & above asan optional package)
Papsmear (exclusive for 35 years old & above as an optionalpackage)
IV. PREVENTIVE CARE
Coverage for Passive & Active vaccine for anti-tetanus & anti-rabies up to P18, 000/member/year (for animal bites)
Periodic monitoring of health problems
Health education & counseling on diets or exercise
Family planning counseling
V. EMERGENCY CARE
A. ACCREDITED HOSPITAL
Doctor’s services
Emergency room fees
Medicines used for immediate relief & during treatment
Oxygen, intravenous fluids, whole blood & human bloodproducts
Dressings, casts & sutures
X-rays, laboratory & diagnostic examinations & other medicalservices related to the emergency treatment of the patient.
Ambulance Service for accredited hospital-to-hospitaltransfer up to P 2,500./ per conduction (by reimbursement)B. NON-ACCREDITED HOSPITAL
Maxicare shall reimburse 80% of the total hospital bills and80% of the professional fees up to Php 30,000.C. OUT SIDE THE PHILIPPINES
Maxicare shall reimburse 80% of the total hospital bills and80% of the professional fees up to Php 30,000.
VI. DENTAL BENEFIT (optional at P650/member /year)
Annual Oral/Dental Examination & Consultation
Emergency Dental Treatment
Annual Oral Prophylaxis
Simple tooth extractions
Restorative and Prosthodontic Treatment Planning
Permanent fillings - 2/year
Unlimited temporary fillings, as needed
APPLY NOW. For more information, contact Mark Gastardo (02) 9047340 / 0917 785 3993 / maxicareinquiry@gmail.com. Visit http://maxicareinquiry.blogspot.com
 
Desensitization of hypersensitive teeth – 2/year
Simple adjustment of dentures
Recementation of loose crowns, Inlays or Onlays
VII. OTHER BENEFITS & SPECIALCONDITIONS
Congenital Illnesses up to P20,000 /member/year
Scoliosis whether congenital, pre-existing or acquired up toP20,000 /member/yearPRE EXISTING CONDITIONSA) 1
st
year
1) Non Dreaded Conditions
- Silver –P5,000 / Gold – P10,000 / Platinum– P15,000 / Platinum Plus – P20,000
2) Dreaded Conditions
- Silver –P5,000 / Gold – P10,000 / Platinum –P15,000 / Platinum Plus – P20,000B) 2
nd
year
Non Dreaded Conditions
- Up to card limit
Dreaded Conditions
- Silver –P5,000 / Gold – P10,000 / Platinum –P15,000 / Platinum Plus – P20,000ACQUIRED CONDITIONS
Non Dreaded Conditions
- Up to card limit for all plans
Dreaded Conditions
- Up to card limit for all plans
I   NDI   I   D UA
AgeGroupPLATINUM PLUS Php 200,000 LargePrivatePLATINUM Php 150,000 Regular PrivateAnnualSemi-AnnualQuarterlyAnnualSemi-AnnualQuarterly2 - 5
36,604 19,76610,24921,272 11,4875,956
6 - 10
30,541 16,4928,55117,372 9,3814,864
11 - 15
25,721 13,8897,20214,304 7,7244,005
16 - 20
25,015 13,5087,00413,337 7,2023,734
21 - 25
24,891 13,4416,96913,841 7,4743,875
26 - 30
25,721 13,8897,20215,130 8,1704,236
31 - 35
30,199 16,3078,45617,627 9,5194,936
36 - 40
37,159 20,06610,40522,695 12,2556,355
41 - 45
46,349 25,02812,97830,260 16,3408,473
46 - 50
54,609 29,48915,29140,258 21,73911,272
51 - 55
61,210 33,05317,13948,701 26,29913,636
56 - 60
67,262 36,32118,83354,930 29,66215,380
61 - 65 *
75,242 40,63121,06861,978 33,46817,354
AgeGroupGOLD Php 100,000 Regular PrivateSilver Php 60,000 Semi PrivateAnnualSemi-AnnualQuarterlyAnnualSemi-AnnualQuarterly2 - 5
17,372 9,3814,86412,866 6,9483,602
6 - 10
13,600 7,3443,80810,720 5,7893,002
11 - 15
11,191 6,0433,1339,073 4,8992,540
16 - 20
10,709 5,7832,9998,630 4,6602,416
21 - 25
10,462 5,6492,9298,630 4,6602,416
26 - 30
12,272 6,6273,4369,818 5,3022,749
31 - 35
14,800 7,9924,14410,575 5,7112,961
36 - 40
19,423 10,4885,43812,877 6,9543,606
41 - 45
24,870 13,4306,96419,305 10,4255,405
46 - 50
29,812 16,0988,34723,110 12,4796,471
51 - 55
34,648 18,7109,70125,684 13,8697,192
56 - 60
40,398 21,81511,31128,534 15,4087,990
61 - 65 *
43,962 23,73912,30929,756 16,0688,332*for existing members only, renewable up to 65 years old
AMI   
AgeGroupPLATINUM PLUS Php 200,000 Large PrivatePLATINUM Php 150,000 Regular PrivateAnnualSemi-Annual Quarterly AnnualSemi-Annual Quarterly2 - 5
30,505 16,4738,54119,480 10,5195,454
6 - 10
25,534 13,7887,15015,974 8,6264,473
11 - 15
22,648 12,2306,34113,270 7,1663,716
16 - 20
20,939 11,3075,86312,283 6,6333,439
21 - 25
21,114 11,4025,91213,014 7,0283,644
26 - 30
21,963 11,8606,15014,170 7,6523,968
31 - 35
24,429 13,1926,84016,714 9,0264,680
36 - 40
27,437 14,8167,68220,692 11,1745,794
41 - 45
34,593 18,6809,68626,392 14,2527,390
46 - 50
45,339 24,48312,69534,727 18,7539,724
51 - 55
52,744 28,48214,76842,000 22,68011,760
56 - 60
60,131 32,47116,83749,131 26,53113,757
61 - 65 *
67,952 36,69419,02755,617 30,03315,573
AgeGroupGOLD Php 100,000 Regular PrivateSilver Php 60,000 Semi PrivateAnnualSemi-Annual Quarterly AnnualSemi-Annual Quarterly2 - 5
14,341 7,7444,01511,278 6,0903,158
6 - 10
11,561 6,2433,2379,188 4,9622,573
11 - 15
9,534 5,1482,6707,886 4,2582,208
16 - 20
8,518 4,6002,3857,494 4,0472,098
21 - 25
8,398 4,5352,3517,469 4,0332,091
26 - 30
9,884 5,3372,7688,285 4,4742,320
31 - 35
11,539 6,2313,2318,975 4,8472,513
36 - 40
14,621 7,8954,09410,689 5,7722,993
41 - 45
18,219 9,8385,10115,396 8,3144,311
APPLY NOW. For more information, contact Mark Gastardo (02) 9047340 / 0917 785 3993 / maxicareinquiry@gmail.com. Visit http://maxicareinquiry.blogspot.com

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