• 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

• 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

• Passive and active vaccines for treatment of tetanus and animal bites

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

• Life coverage with Accidental Death & Dismemberment
• Scoliosis treatment
• Congenital illness
• Consultations for Chronic Dermatoses up to Benefit Limit
• Transurethral Microwave Therapy of Prostate

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 only)
  

• 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

This benefit provides a lump-sum payment upon diagnosis of any of the 42 covered Critical Illnesses listed below, within the covered term.

• Alzheimer’s Disease
• Apallic Syndrome
• Aplastic Anaemia
• Bacterial Meningitis
• Benign Brain Tumor
• Cardiomyopathy
• Cerebral Aneurysm Requiring Invasive Brain Surgery
• Chronic Liver Disease
• Chronic Lung Disease
• Chronic Recurrent Pancreatitis
• Coma
• Coronary Artery Bypass Grafting
• Crohn’s Disease
• Encephalitis
• Fulminant Viral Hepatitis
• Heart Valve Surgery
• HIV/AIDS due to Blood Transfusion
• Loss of Hearing (Deafness)
• Loss of Independent Existence
• Loss of Limbs
• Loss of Sight (Blindness)
• Loss of Speech
• Major Burns
• Major Cancer
• Major Head Trauma with Severe Brain Damage
• Major Organ and Bone Marrow Transplant
• Major Stroke
• Major Surgery to Aorta
• Medullary Cystic Disease
• Motor Neurone Disease
• Multiple Sclerosis
• Muscular Dystrophy
• Myocardial Infarction (Heart Attack)
• Occupationally-acquired HIV/AIDS
• Paralysis
• Parkinson’s Disease
• Primary Pulmonary Arterial Hypertension
• Progressive Scleroderma
• Renal Failure
• Severe Rheumatoid Arthritis
• Terminal Illness
• Ulcerative Colitis

This benefit provides a daily cash payout for each day of hospital confinement.

• Insurance Provider: Maxicare Life Insurance Corporation

Coverage Limits:

• Up to 31 days per hospital confinement, per illness or accident
• Up to 62 days per policy year
• Coverage Amount per Day: Php 500 per day of confinement
• Intensive Care Unit (ICU) Cash Benefit: 2x the Daily Hospital Cash Benefit for each ICU day (subject to a limit of 14 ICU days per policy per year)
  
• Inpatient Surgery Cash Benefit: 5x the Daily Hospital Cash Benefit (subject to limit of three (3) Inpatient Surgery Benefit payments per policy per year)