Maxicare EReady Titanium

549.00

For 15 days old to 65 years old

Provides up to Php 15,000 one – time coverage on illnesses or injuries that arises from medical-related emergency conditions to all Maxicare affiliated hospitals EXCLUDING access to 6 major hospitals – Asian Hospital, Makati Medical Center, Cardinal Santos Medical Center, St Luke’s BGC, St. Luke’s QC and The Medical City

Description

PRODUCT FEATURES

 

  • Provides up to Php 15,000 one – time coverage on illnesses or injuries that arises from medical-related emergency conditions
  • With Life, Accidental Death and Dismemberment (AD&D) coverage up to Php 25,000.00
  • Eligible for individuals from 15 days old to 65 years old
  • One-time availment, but up to two enrollment registration per person per year
  • Easy registration via SMS – No preliminary check-up, no paperwork
  • Nationwide ER access to Maxicare-affiliated hospitals (EXCLUDING access to 6 major hospitals – Asian Hospital, Makati Medical Center, Cardinal Santos Medical Center, St Luke’s BGC, St. Luke’s QC and The Medical City)
  • Member can avail in one accredited hospital only within 24 hours
  • Card Validity is up to one (1) year upon activation
  • Coverage for outpatient laboratory and diagnostic procedure requested by Maxicare Primary Care Center physicians Example: Laboratories (CBC, Urinalysis, Lipid Studies, Glucose, etc.) X-Ray tests
  • 20% discount from Metro Dental Services. (www.metrodental.com.ph)
  • 15% discount from MyHealth Services. (www.myhealth.ph)

 

 

PRODUCT COVERAGE

 

  • Doctor’s Services for Emergency Treatment
  • Emergency Room Fees
  • Medicines used for immediate relief and during treatment
  • Oxygen, IV fluids, whole blood and human blood products
  • Dressings, casts, sutures
  • X-ray, laboratory and diagnostic exams

 

 

AVAILMENT PROCEDURES

 

  • Upon entry to Maxicare-affiliated Hospital for ER treatment, member presents his/her Maxicare EReady Card together with a valid government/company/school-issued ID
  • Provider will swipe the Maxicare EReady Card t POS terminal for release of Letter of Eligibility (LOE)
  • Provider will call Maxicare Customer Care Hotline for approval and issuance of Letter of Authorization (LOA) if ER case is approved

 

 

IMPORTANT NOTES

 

  • This card must be presented at all times together with any valid ID (ie.  government/company/school-issued ID) when availing of the services covered by the Maxicare EReady Card agreement
  • Card will be considered used and will automatically be cancelled once swiped in the POS terminal
  • One-time availment only regardless if treatment exceeds Php15,000 or not
  • Member can only avail from one (1) accredited hospital within 24hours
  • Card validity is up to two (2) enrolment registrations per person per year with three (3) months interval from the first enrolment
  • This card is not a cash or a credit card
  • This card is non-transferable once activated
  • No Card, No Availment Policy applies
  • Coverage is subject to exclusions and limitations

 

 

EXCLUSIONS

 

  • 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, work-related, developmental disorders, circumcision and sex transformation, tattoos, body piercing and attempted suicide, acupuncture, congenital, generic and hereditary conditions, and chronic dermatoses.
  • HIV and AIDS-related diseases, sexually transmitted diseases
  • All pregnancy and maternity related conditions
  • Epidemic or Pandemic infectious diseases
  • Psychiatric and/or Psychological disorders
  • Aesthetic, cosmetic, and reconstructive surgery
  • Oral surgery and dental treatments
  • All types of vaccines except for Animal Bites
  • Pregnancy test
  • Take-home medicines
  • Medico-legal fees
  • Ambulance service

 

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