Maxicare offers comprehensive healthcare benefits perfectly designed to the needs of your employees. With proven superior quality of healthcare delivery services, Maxicare has been the trusted healthcare provider of most of the top and recognizable companies in the country.
Over the years, Maxicare continuously integrated innovations on its products and services. It has allowed customizing of programs to ably cater to what is needed and desired by the market. Varying plans were also made available to become suitable for the healthcare needs of companies and its employees. Programs offered consist of wide benefit coverage options for Out – Patient, In – Patient, Emergency Care, including Preventive and Dental Care. Futhermore, there are value – added services which your employees will surely enjoy such as Wellness Programs.
Full HMO Program consists of a comprehensive set of healthcare benefits which comprises of In-Patient, Out-Patient, Preventive Care and Annual Check-Up services subject to certain exclusions, limitations and conditions. This may be serviced via the Full Risk (premium-based) program or through the Administrative Services Only program (Third Party Program).
In-Patient (IP) Unbundled is a program consisting of the standard IP benefits under the Full HMO product plus Out-Patient (OP) surgery, OP radiotherapy, OP chemotherapy, OP dialysis, preventive care and emergency treatment that may or may not lead to confinement.
Out-Patient (OP) Unbundled is a program which consists of the standard OP benefits under the Full HMO product including preventive and OP emergency cases minus the OP benefits made part of the Unbundled IP.
Full Risk Program is a type of program where we require payment of membership fees per member. Membership fees are computed on a per account basis and are based on the company demographics together with a defined set of benefits.
Full Risk Co – Pay Program is a premium-based program arrangement wherein a client can pre-determine a specialized set of benefits. Their members would have the option to pay a fixed percentage or a fixed amount as part of their total availment cost.
Administrative Services Only (ASO) is a third party administration program wherein a client can set up and maintain a revolving fund from which the availment cost will be drawn out.