Highlights

• Unlimited Laboratory Tests and Diagnostic Procedures as prescribed by a Maxicare-affiliated physician
• Unlimited consultations with Maxicare Primary Care Clinic (PCC) doctors:
  • Cardiologist
  • Endocrinologist
  • Obstetrician Gynecologist (OB-GYN)
  • Pediatrician
  • Ear-Nose-Throat (ENT)
  • Medical Dermatologist
  • Ophthalmologist
  • General Surgeon
  • Internal Medicine (IM)
  • General Practitioner (GP)
  • Family Medicine (FM)

• Valid at any Maxicare Primary Care Clinic (PCC) 
• Eligible for newborns up to Seniors

• Emergency room coverage of up to ₱20,000 across all Maxicare-affiliated hospitals nationwide
• Single usage per type of dental service with Metro Dental
• Valid for 1 year from activation date
• Covers pre-existing conditions
• No preliminary checkup and paperwork needed
• Group life with Accidental Death, Dismemberment & Disablement (ADD&D) of up to ₱50,000

Coverage

Includes

Consultation and Diagnostics with the following specialists

• Cardiologist
• Endocrinologist
• Obstetrician Gynecologist (OB-GYN)
• Pediatrician
• Ear-Nose-Throat (ENT)
• Medical Dermatologist
• Ophthalmologist
• General Surgeon
• Internal Medicine (IM)
• General Practitioner (GP)
• Family Medicine (FM)
• Listed Laboratory and diagnostic Procedures as prescribed by a Maxicare-affiliated physician

*Consultations and prescribed laboratory tests and diagnostic out-patient procedures are only available at Maxicare Primary Care Clinics 

Please click here for the laboratory tests and diagnostic procedures accessible to Maxicare PRIMA card holders registered before October 16, 2023.

Emergency Coverage of  ₱20,000 at Maxicare-affiliated hospitals 

Dental Service

• FREE Dental Care Services with MetroDental (once a year)
• Mild oral prophylaxis (cleaning)
• Full-mouth panoramic X-Ray
• Dental Consultation
• Emergency relief of dental pain through medication
• Cosmetic or oral rehab treatment planning
• Dental nutrition and counseling
• Dental health education
• Preparation of dental certificates
• Safekeeping of dental records as required by law or client

Teleconsult

Access to Maxicare Telemedicine 24/7 Teleconsult at (02) 8582-1980

Excludes

• The following laboratory and diagnostic procedures:
  • Antiphospholipid Antibody Syndrome (APAS)
  • Lupus panel
  • Congenital Anomaly Scan
  • Transvaginal Ultrasound (maternity related)
  • Whole Abdomen Ultrasound (maternity related)
  • FT3 RIA
  • FT4 RIA
  • TSH (IRMA)
  • Psychiatric tests
  • Physical therapy

• Hospital admission or confinement

Exclusions and Limitations

1. Services obtained for emergency conditions from non-affiliated physicians
and hospitals
2. Injuries, infections, or conditions resulting from:

• negligence
• alcoholic liquor intake
• unauthorized use of prohibited drugs or regulated drugs
• violation of law or ordinance or unnecessary exposure to imminent danger,
• direct or indirect participation in the commission of crime,
• direct participation in riots, strikes, and other civil disturbances,-
• war or any combat-related activities while in military service-,
• extreme sports,
• developmental disorders,
• circumcision and sex transformation,
• tattoos,
• body piercing,
• attempted suicide,
• acupuncture,
• congenital, genetic, and hereditary conditions,
• chronic dermatoses

3. HIV and AIDS-related diseases, sexually transmitted diseases
4. All pregnancy and maternity-related conditions
5. Epidemic or pandemic infectious diseases
6. Psychiatric and/or psychological disorders including consultations with Maxicare mental health experts
7. Aesthetic, cosmetic, and reconstructive surgery
8. Oral surgery and dental treatments
9. All types of vaccines except for special offers extended by Maxicare to its members
10. Pregnancy test
11. Take-home medicines
12. Medico-legal fees
13. Ambulance service

How to Activate Your Maxicare PRIMA Gold

After purchase, you need to register your e-voucher before you can use it.

*The membership registration period is up to three (3) months from the date of purchase. 

Via ONLINE

1. Visit the Online Card Registration Page
2. Fill in the Reference Number, which you’ll find in your purchase receipt email
3. Provide the required personal details and click “Submit”
4. Once successfully registered, you will receive your Maxicare PRIMA Gold electronic health card (eCard) via email along with your policy and card number via SMS
5. You may avail of your unlimited consultations and laboratory tests as soon as you receive your Maxicare PRIMA Gold eCard
6. Your Emergency Care benefit will be activated 15 days after successful registration
7. Your Maxicare PRIMA Gold membership card will be delivered to your nominated address about 15 working days after your registration

 

Reminders

• Present your Maxicare PRIMA Gold card or eCard along with 1 valid ID with a photo upon availing of the services offered in this healthcare plan
• No card or eCard, no availment
• Membership is valid up to 1 year from the date of activation
• The card is non-transferable once registered
• See the FAQ for a list of valid IDs
• Subject to a 15-day free-look period, but you may only refund the product if you haven’t used the card