• 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 In-patient 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

• Consultations
• Treatment of minor injuries
• X-ray, laboratory examinations, routine, diagnostic and therapeutic procedures
• 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

A. Affiliated Hospital

• Doctor’s services
• 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

B. 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 Php 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 Php 30,000.00 / availment / member
• Ambulance Service up to Php 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
• Complete Blood Count (CBC)
• Routine Urinalysis
• Routine Fecalysis
• Chest X-ray (PA and Lateral)

• 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

• 24-hour Telephone Medical Advice
• Emergency Medical Evacuation
• Emergency Medical Repatrition
• Repatrition of Mortal Remains

This corresponds to any condition that is considered to be chronic, progressive, life-threatening and which may entail lifelong therapy. This also refers to conditions where complete cure cannot be ensured.