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Maxicare Question
Maxicare Question
Below are my questions for Maxicare. Please do your reply with a Highlight of color like yellow.
Thank you.
On page 2:
Question:
Out-patient Benefit:
Question:
What if hindi Maxicare Accredited ang physician/specialist? Hindi na magagawa ang X-ray or
any laboratory? If No ano ang assurance na mag push thru ang laboratory? Nasaan ang
Documents?
On page 4:
Question:
Si Dra Eden from St. lukes is hindi under ng Maxicare, what if i-required niya ako for Allergy
Testing, mako-cover ba un ng Maxicare?
Dra Eden Macalalag - (ALLERGOLOGY IMMUNOLOGY-(NONE)
PEDIATRICS-PEDIATRIC ALLERGOLOGY AND IMMUNOLOGY
Ang nakalagay kasi is prescribed by an accredited physician.
Question:
Non-Accredited Hospitals: Since Emergency, sa nearest hospital dinala and then hindi pala un
accredited ng Maxicare. Sa process ng Reimbursement:
o Ano mga requirements?
o 80% lang ung irereimburse?
oGaano katagal ung dapat ma-process mga requirements?
oGaano katagal bago mabigay ung reimbursement?
oAno ang makukuha? Check ba?
oAt paano un mabibigay kay member? Ipapadala sa bahay? Or kukunin pa sa Maxicare
office?
Areas without accredited hospitals within the Philippines: Usually province ito tama ba?
o Ano difference sa Non-accredited hospital within the Philippines?
o Sa Process ng reimbursement iba ba???
Question:
On Page 5:
Question:
Dahil optional ang Dental care. Kapag i-aavail ko ito mag dadagdag ako ng 387pesos sa 23,589
pesos na Annual payment for platinum. Total of 23976 pesos ang kailangan ko bayaran. Tama
ba?
Question:
For Scoliosis, 20k ang allotted fund. Hindi pa kasama ang Physical Therapy so ibang fund pa un?
Anong klaseng coverage ung sa Scoliosis na yan?
Sa page 3 merong nakalagay about PT. Doon ba covered ang PT for Scolio? Ito:
On page 8:
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Ayan ung na mention ko sayo before. Na sabi ng pinsan ko is effective date na pwede magamit
ung card. Then sabi mo is for payment un.
Pag kakaintindi ko kasi jaan kapag na receive ung payment ko, magagamit ko ung card sa 1st of
the following month pa. Kapag naman 16th to 30th na receive ung payment, magagamit ung card
ko by 16th of the following month pa.
So Kailan ko pwede magamit ung card?
Question:
Sa bagong card lang bay an or kasama din ung parang renewal ganon?
On page 12:
Question: