Safeguard Global Philippines, Inc.

Updated as of February 2022

Health Care Expertise

We are a company committed to
continuous progress for our clients.

1.7 million members and growing

Providing quality healthcare since 1987

Ranked as #1 HMO in the country*

A pioneer of innovation in healthcare

*Based on BusinessWorld’s list of Top 1000 Corporations in the Philippines for 6

A proud member of the Equicom group. consecutive years.
 Quality Service Award survey
voted as a winner in the highly competitive
category of Healthcare, as judged by the
Philippine public in the 2021 Quality
Service Award survey.

Highest levels of Quality Service

voted as being one of the highest levels of
quality service, recognised by Filipinos
nationwide.

Source: Quality Service Awards 2021

https://www.qualityserviceawards.asia/philippines/

SEAMLESS & HASSLE-FREE

Equipped with the latest EMV
(Europay, Master Card, and Visa) chip technology.

Reimbursements’ Debit Card

Maxicare benefit availment health card

Lifestyle partners’ privilege card

Maxicare Multifunction Card (MMC)

 ACCESS A NATIONWIDE
NETWORK

56,000 doctors 3,800 dental 1,000+ accredited

and specialists providers hospitals and clinics

12 Maxicare 9 satellite Lifestyle and

Primary Care offices wellness partners
Centers

Primary Care Centers

State-of-the-art facilities, superior
comfort, and service that values your
convenience.

At our Maxicare Primary Care Centers, you

get no less than the most relaxing
healthcare experience!

These Maxicare-owned healthcare clinics

have their own staff of customer service
representatives and primary care physicians
who administer healthcare assistance to
Maxicare members only.
Primary Care Centers
Exclusive to Maxicare Members

Top notch physicians

Unlimited number of FREE consultations

EMR for easier retrieval

and a more secure storage of your
medical history

Primary Care Centers

Up to 255 laboratory and diagnostic
procedures*
*Available in BGC, Bridgetowne & Cebu

An average of only 6 mins wait time

Beverage bar, free WIFI & charging

stations

No LOAs required
 2nd Floor, Ayala North Exchange, 2F Zeta Tower, Bridgetowne IT Park, C5
Ayala Avenue, Makati City corner Ortigas Avenue Extension

Ground Floor, Tower 2, Double Dragon

Meridian Park, EDSA Exit corner Macapagal
Avenue, Pasay City SM City Clark, Tech Hub 6, Manuel A. Roxas
Hwy, Clark Freeport, Angeles, Pampanga

Ground Floor, Space 1C-1D, Abreeza Three Techno Place

Corporate center, J.P Laurel Avenue, Retail 4, Three Techno Place, Iloilo
Bajada, Davao City Business Park,
Megaworld ILO, Mandurriao, Iloilo City

Ground Floor, Eton Centris, Cyberpod 5, Lot 5, Block 6 Mindanao Avenue, Cebu
Diliman, Quezon City Business Park,
Barangay Luz, Cebu City

SOUTHKEY HUB
Ground Floor, W City Center, 7th Avenue, Southkey Hub, G/F, Indo-China Dr,
corner 30th St. BGC Taguig, Metro Manila Alabang, Muntinlupa

Health & Wellness

PRIMARY CARE CENTERS
24/7 TELECONSULT AT (02) 8582-1980
A relaxing healthcare experience exclusive only
A hotline where you can talk to an available
to our members where they can have a session
We are the 1st HMO in the country to offer a doctor about mental health issues anytime.
with our available mental health specialists.
Specialized Care Program for Mental Health.

WHAT IS MENTAL HEALTH DISORDERS?

A mental health disorder is defined as any condition
that affects as person’s thoughts, behaviors or
moods.
We pioneer in
HEALTHCARE MaxiHealth App Maxicare HealthHub

INNOVATIONS
to give you quality healthcare at your Maxicare Helpdesks 24/7 Teleconsult
Service
convenience!

Maxicare Self-service Maxicare Member Gateway

Kiosk

Convenience. No need to leave the

comforts of your home or take a leave
from work for a doctor’s consultation.

Savings. Zero charges on your

Benefit Limit.

Reliability. A Maxicare - affiliated

Physician will attend to your medical
concern.
Video-consult a locally-licensed doctor
on demand anytime, anywhere, and get
medication delivered to your doorstep
within 24 hours in metro Manila.

MAXIHEALTH APP Easy access to your healthcare needs

wherever you go!
HAVE IT ANYTIME, ANYWHERE
Present your phone as your virtual card

EXPERIENCE HASSLE-FREE SERVICES

Locate preferred clinics and hospitals near you
or TeleConsult with your doctor

SKIP LONG LINES AND PROCESSES

Request and manage LOAs with few easy taps

BE INFORMED
Know the details of your healthplan from coverage to
overall benefits
 Member Gateway
A portal on the website dedicated for
Maxicare members.
Member Gateway aims to provide full access
from one’s basic information to online LOA
requests.

Member Transaction Online LOA

information summary

Exclusive Wing
The Maxicare Exclusive Wing is an entire floor or area in an affiliated hospital dedicated for elective
confinement cases of bonafide members. The Wing’s distinct advantage is its Straight – to – Room Admission
Process. A patient does not need to go through the traditional admitting procedure.
MAKATI
MAKATI MEDICAL CENTER
8th floor, Makati Medical Center

MANDALUYONG
VICTOR R. POTENCIANO MEDICAL CENTER
8th floor, VRP Medical Center

MANILA
MANILA MED
8th floor, Medical Center Manila

ORTIGAS
THE MEDICAL CITY
12th floor, Doctors Building

DAVAO
METRO DAVAO MEDICAL & RESEARCH CENTER
7th floor, MDMRC
Healthcare Program
Regular employees aged 18 to 65 years old.
Dependents of regular employees must follow hierarchy:

ALLOWED AGE REQUIREMENT OF

STATUS OF EMPLOYEE
DEPENDENT/S DEPENDENT/S
Spouse 18 to 65 years old
MARRIED
Children 15 days old to 23 years old

Parents 18 to 65 years old

SINGLE
Siblings 15 days old to 23 years old

Children 15 days old to 23 years old

SINGLE PARENT
Parents 18 to 65 years old

Healthcare Program
PARTICIPATION REQUIREMENT
% of Final count in relation to initial count per
membership type or % of Dependents Applicable Rates
participation in relation to Principal Count
Annual/Semi-Annual/Quarterly
at least 75%
Membership Fees
additional 10% to
60%-74.9% Annual/Semi-Annual/Quarterly
Membership Fees
additional 20% to
40%-59.9% Annual/Semi-Annual/Quarterly
Membership Fees
additional 35% to
below 40% Annual/Semi-Annual/Quarterly
Membership Fees
 Healthcare Program
40 % to 59.9% PARTICIPATION

# OF ANNUAL
RANK PLAN ROOM MBL TOTAL PAYABLE
HEADS MOP
Regular
All Employees Gold 415 200K 20,573.00 8,537,795.00
Private
All Regular
Gold *166 200K 33,002.00 5,478,332.00
Dependents Private

Total Contract Value 14,016,127.00

*Initial dependent headcount of 166-248 based on 415 Principal Count.

Healthcare Program
EXISTING RATE: BELOW 40% PARTICIPATION
ANNUAL TOTAL
RANK PLAN ROOM # OF HEADS MBL
MOP PAYABLE
Regular
All Employees Gold 34 200K 20,573 699,482
Private

All Regular
Gold 8 200K 36,969 295,752
Dependents Private

Total Contract Value 995,234

*Initial number of dependents with below 40% of the Principal Count.

 COVERAGE LIMITS

Regular Consultations Up to MBL Outpatient Care

Eye Laser Therapy
(including cataract removal Up to P10,000
except cost of lens) Lasik/PRK per eye / member / year
treatment not covered

Ears, Nose, Throat

Treatment

Pre and Post Natal

Consultations

Treatment of minor injuries Up to MBL

Minor surgeries not requiring

confinement

X-ray, Laboratory exams,

Routine and other diagnostic
procedures

COVERAGE LIMITS
Sclerotherapy – removal of
Varicose veins (must be prescribed
Up to P5,000 Outpatient Care
per leg / member / year
by an accredited vascular surgeon)

Cauterization of warts P1,000

(except genital warts) per member / year
Speech therapy Covered as Charged up
(medically necessary and on to Php 10,000
a reimbursement basis) per member / year
Php 600
Tuberculin Test
per member / year
Up to 2,500
Allergy Testing
per member / year
IP: Up to MBL
Physical / Occupational Therapy OP: 12 sessions
per member / year

Therapeutic Procedure
Up to MBL
(IV Chemotherapy, Dialysis, etc)
 Inpatient Care

Use of Recovery Room and Board accommodation Anesthesia, oxygen and its
Room and ICU (based on your plan type and entitlement) administration

Professional Fee of
Standard hospital
attending doctors &
admission kit
nursing services

Drugs and medicines

Dressings, casts, sutures, and
for use in the
other supplies
hospital

Whole blood/human blood Services directly related to the

products & IV fluids medical
transfusion management of the patient

Emergency Care
Active and Passive Vaccine
Doctor’s services
coverage due to animal
bites: PHP 40,000

Ambulance services:
Emergency Room fees Within the network - up to
MBL

Medicines used for Coverage for room

immediate relief and upgrade in the first
during treatment 24 hours

Initial treatment of animal bites

up to MBL
(For the first 24 hours from the time
of bite)
 Emergency Care
AVAILMENT IN AREAS WITHOUT AFFILIATED
NON-AFFILIATED OUTSIDE THE PHILIPPINES
HOSPITALS WITHIN THE
HOSPITALS WITHIN THE PHILIPPINES
PHILIPPINES

● Maxicare shall reimburse ● Maxicare shall reimburse the

● Maxicare shall reimburse
80% of the hospital bills and hospital bills and
100% of the hospital bills and
professional fees,based on professional fees,based on
professional fees, based on
Maxicare standard rates up actual cost up to
Maxicare standard rates up to
P30,000/availment/member P30,000/availment
MBL
/year for the first 24 hours /member/year

ANNUAL CHECK-UP
Note: Annual Check-up should be for scheduling

Physical Examination Fecalysis

Chest X-Ray
Urinalysis

ECG for members

Pap Smear for female members
35 years old and above
Complete Blood Count 35 years old and above
 Dental Care
DENTAL HUB NETWORK
BY APPOINTMENT
Re-cementation of (02) 8582 1900
Jacket Crowns, Oral Prophylaxis -
Bridges, Inlay and once a year
Onlay

Palliative Treatment of
Simple Mouth Sores Simple tooth
and Blisters extractions

Gum Treatment For

Cases Like Temporary fillings -
Inflammation or covered as needed
Bleeding

Desensitization of
hypersensitive teeth - 2 Permanent
teeth fillings - 2 teeth

Simple repair and Emergency

adjustment of dentures dental treatment

Additional Coverage
COVERAGE LIMIT
Pre-existing dreaded and non dreaded
Up to MBL
conditions

Work related cases based on conditions set by

ECC (Employee Compensation Commission)

Motor or Vehicular Accident (subject to

exclusions and limitations) Up to MBL

Provoked / Non Provoked Assault

Consultation for Chronic Dermatoses

Congenital Conditions Up to P60,000

Scoliosis Up to P60,000

Group Life with Accidental Death,

Up to P50,000
Dismemberment, and Disablement
 Benefit Enhancements
COVERAGE LIMIT
Shall be covered
for Principal Members to be
Flu Vaccine (Quadrivalent Flu availed at any Maxicare
vaccine- Fluarix Tetra) and its Primary Care Centers (PCCs),
administration Vaccines are subject to
availability.

Infectious diseases (i.e. Avian

Flu, Meningococcemia, etc.)
that are declared pandemic by
DOH, WHO or any recognized
health authority
Up to MBL

Other Modalities: Diagnostic/

Therapeutic Procedures with
specific limit

Servicing Officers:
Rizamae Lagmay
Ivory Lagazon
Updated as of February 2022
INQUIRIES & CONCERNS: www.maxicare.com.ph/contact-us/wed-love-to-hear-from-you/
MEMBER GATEWAY:https://membergateway.maxicare.com.ph/