Maxicare reimbursement policy 2026

1. Click ‘Get Form’ to open the Claims Reimbursement Form in the editor.
2. Begin by filling out the Member General Information section. Enter your Patient ID No, Patient Name, Company, Principal Member Name, and email address of the Principal. Ensure all fields are completed accurately for effective communication regarding your reimbursement.
3. Select the Claim Type by checking the appropriate box for Out-patient, In-patient, Optical, Dental, Maternity, or Out-patient Medicines.
4. Proceed to fill out the Report of the Attending Physician section. This includes details such as Hospital/Clinic name, Attending Physician's name, type of availment, contact number, admission and discharge dates, and a brief clinical history.
5. Attach all required documents as specified in the Basic Requirements section based on your claim type. Ensure you have original receipts and any necessary medical certificates.
6. Review all information for accuracy before submitting your form within 30 days from the date of availment to avoid forfeiture of claims.

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