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- Select the appropriate 'Claim Type' by checking the relevant box for Out-patient, In-patient, Optical, Dental, or Maternity claims.
- In the 'Report of the Attending Physician' section, provide details such as Hospital/Clinic name, Attending Physician's name, type of availment, contact number, admission date, discharge date (if applicable), and a brief clinical history.
- Review the 'Basic Requirements' for your claim type and ensure you attach all necessary documents as specified in each category.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2020 | 4.8 Satisfied (51 Votes) |
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What are the payment terms for Maxicare?
Maxicare offers 3, 6, 9, and 12 months payment terms. How much is the interest rate if I purchase via installment? For Regular/Reduced rate installment: Maxicare does not charge any interest for the installment payment option.
What is Maxicare maximum benefit limit?
Room and Board: Regular Private. Maximum Benefit Limit (MBL) ₱200,000. With access to all affiliated hospitals and clinics including Healthway Clinics.
What procedures are covered by Maxicare?
Outpatient care X-ray, laboratory examinations, routine, diagnostic and therapeutic procedures. Consultations. Treatment of minor injuries. Minor surgery not requiring confinement. Eye laser therapy for retinal tear / hole / detachment and glaucoma. Cauterization of warts. Sclerotherapy (for varicose veins)
What is Cif in Maxicare?
Customer Information Form. INSTRUCTIONS: Please fill out this form and attach all original documents. This form should be submitted to Maxicare Healthcare Corporation. Please ensure that all pertinent information are completely accomplished and written in PRINT.
Is Maxicare one-time use?
It is a prepaid health card of Maxicare that provides one time availment coverage, of up to Php 25,000.00, for any Emergency cases.
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People also ask
Can I withdraw Maxicare?
Member may withdraw the amount for any Equicom, Bancnet, Expressnet or Megalink ATMs. Member may also use the amount to purchase items from any Bancnet accredited merchants.
How big is maxicare?
Over 20,000 affiliated doctors and specialists, over 1,300 hospitals and clinics, over 700 dental clinics, 140 rehabilitation, dialysis, and eye centers.