One of the Philippines’ leading HMOs, Maxicare offers comprehensive healthcare plans for individuals, families, and businesses. Enjoy nationwide access to top hospitals, clinics, and doctors, plus 24/7 teleconsultation and cashless services.
Is a healthcare plan designed for micro to small businesses, offering affordable HMO coverage for teams as small as 3 to 99 employees.
With affordable options tailored to fit your business’s unique needs, this plan is ideal for the ambitious and driven starting entrepreneur.
Get unlimited consultations at Maxicare Clinics, plus 1 FREE annual physical exam. No need for HMO contracts—perfect for any age!
Benefits:
✅ Unlimited Consultations
🧪 Free Annual Physical
👨👩👧 For All Ages
🏥 Access to 34 Maxicare Clinics
Get unlimited GP consultations, basic lab tests, and outpatient care at Maxicare PCCs with no prior approval required.
Benefits:
✅ Unlimited Doctor Consultations
🩺 Annual Physical Exam
🔬 Free Diagnostics & Laboratory Tests
🛡 Pre-Existing Conditions Covered
Get unlimited specialist consultations (excluding Psychiatry) at Maxicare PCCs for expert medical advice and follow-up care with no extra fees.
Benefits:
🌟 Unlimited Doctor Consultations
🩺 Annual Physical Exam (Basic 5)
📈 Unlimited Diagnostics & Advanced Imaging
🛡 Pre-Existing Conditions Covered
Maxicare PRIMA Gold offers unlimited GP and specialist consultations (excluding Psychiatry), plus lab and diagnostic services at Maxicare PCCs.
Benefits:
✅ Unlimited Doctor Consultations
🩺 Annual Physical Exam (Basic 5)
🔬 Unlimited Laboratory & Diagnostic Tests
🛡 Pre-Existing Conditions Covered
Maxicare LifeSaver covers emergency care and hospitalization for life-threatening cases, ideal for those without existing health insurance.
Benefits:
🚑 Unlimited Emergency Room Coverage
🧾 No Cash-Out for Covered Emergencies
🏥 Nationwide Accredited Hospital Access
🛡 Pre-Existing Conditions Covered
Get unlimited emergency care with Maxicare LifeSaver ER+, covering doctor’s fees, tests, and hospitalization for life-threatening conditions nationwide.
Benefits:
🚑 Unlimited Emergency Room Coverage
🧾 No Cash-Out for Covered Emergencies
🏥 Nationwide Accredited Hospital Access
💊 Free Emergency Medicines & Supplies
Prepaid Cards | Benefits | Price |
 Maxicare Prima Gold |
| PHP 16,888.00 |
 Maxicare LifesavER+ |
| PHP 6,999.00 |
 Maxicare LifesavER |
| PHP 2,299.00 |
 Prima Elite |
| PHP 19,999.00 |
 Prima Access |
| PHP 9,999.00 |
 Prima Consult |
| PHP 999.00 |
Plan Type | Room & Board | Maximum Benefit Limit (MBL) |
I. OP BUNDLED | ||
Principal | ||
Gold | N/A | Php 100,000 |
Silver | N/A | Php 50,000 |
Dependent | ||
Gold | N/A | Php 100,000 |
Silver | N/A | Php 50,000 |
II. FULL HMO (OP UNBUNDLED TOP UP WITH IP UNBUNDLED) | ||
Principal | ||
Gold | Regular Private | Php 100,000 |
Silver | Semi Private | Php 50,000 |
Dependent | ||
Gold | Regular Private | Php 100,000 |
Silver | Semi Private | Php 50,000 |
Maxicare Business Essential is the most budget-friendly healthcare plan for SMEs, offering an option for outpatient care only. It can be upgraded to a comprehensive HMO program and is available for companies with a minimum of 3 and up to 99 employees.
Room & Board | Annual Benefit Limit (ABL) | Inner Limits for OP (Laboratories/Diagnostic/Therapeutic Procedure) | |
PRINCIPAL | |||
Bronze | N/A | PHP 70,000 | PHP 35,000 |
Silver | N/A | PHP 90,000 | PHP 45,000 |
Gold | N/A | PHP 150,000 | PHP 75,000 |
Platinum | N/A | PHP 200,000 | PHP 100,000 |
Platinum | N/A | PHP 250000 | PHP 125,000 |
DEPENDENT | |||
Bronze | N/A | PHP 70,000 | PHP 35,000 |
Silver | N/A | PHP 90,000 | PHP 45,000 |
Gold | N/A | PHP 150,000 | PHP 75,000 |
Platinum | N/A | PHP 20,0000 | PHP 100,000 |
Platinum | N/A | PHP 250,000 | PHP 125,000 |
Room & Board | Annual Benefit Limit (ABL) | Inner Limits for OP (Laboratories/ Diagnostic/Therapeutic Procedures) | |
PRINCIPAL | |||
Bronze | Ward | PHP 70,000 | PHP 35,000 |
Silver | Semi-Private | PHP 90,000 | PHP 45,000 |
Gold | Regular Private | PHP 150,000 | PHP 75,000 |
Platinum | Large Private | PHP 200,000 | PHP 100,000 |
Platinum | Small Suite | PHP 250,000 | PHP 125,000 |
DEPENDENT | |||
Bronze | Ward | PHP 70,000 | PHP 35,000 |
Silver | Semi-Private | PHP 90,000 | PHP 45,000 |
Gold | Regular Private | PHP 150,000 | PHP 75,000 |
Platinum | Large Private | PHP 200,000 | PHP 100,000 |
Platinum | Small Suite | PHP 250,000 | PHP 125,000 |
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