Maxicare EReady Advance Platinum – Prepaid Health Card – HMO – Emergency with Confinement

Maxicare EReady Advance Platinum

• Emergency Room coverage plus confinement with access to the 6 major hospitals

Highlights

• Up to ₱50,000 coverage on Emergency Room treatment including those requiring confinement, in a regular private room

• Single usage per card. You can use multiple cards in a year.

• Eligible for ages 15 days old to 65 years old only

• Free and unlimited consultations with Internal Medicine, Family Medicine, General Practitioners and Pediatricians in all Maxicare Primary Care Clinics nationwide

• Group Life with Accidental Death, Dismemberment & Disablement (ADD&D) up to ₱50,000

• Emergency medical assistance with Assist America for members who are traveling more than 150km from home, or in a foreign country, for up to 90 days

• Valid for 1 year from activation date

• Covers preexisting conditions

• No preliminary checkup and paperwork needed

* This is in partnership with Assist America. Visit their website www.assistamerica.com for more information.

Coverage

• Any life-threatening or unexpected onset of a condition or illness, which requires the immediate alleviation of pain or discomfort within 24 hours including confinement in a regular private room.

Includes

• Outpatient emergency coverage

• Doctor’s services for emergency treatment

• Emergency Room fees

• Emergency (no take-home) medicines for immediate relief and treatment

• Oxygen, IV fluids, whole blood and human blood products

• Dressings, casts, sutures

• X-ray, laboratory and diagnostic exams

• Initial treatment for animal bites (within 24 hours from time of bite;
with vaccines included)

Inpatient coverage

• Room and board accommodation in a regular private room

• Use of Operating Room, Intensive Care Unit (ICU), Isolation Room (if prescribed by the affiliated attending physician), and Recovery Room

• Professional fees

• Standard nursing services

• Medicines when in confinement

• Whole blood products, and IV fluids transmission

• X-ray, laboratory and diagnostic exams

• Anesthesia, oxygen and its administration

Free and unlimited consultations with Internal Medicine, Family Medicine, General Practitioner and Pediatricians in all Maxicare Primary Care Clinics (PCC) nationwide

Excludes

• Travel emergency medical assistance if within 150km from place of residence

Additional benefits

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

• Access to Maxicare HealthHubs

• 10% discount on Metro Dental services

• 15% discount on MyHealth Clinic services

• Exclusive discounts from Maxicare Lifestyle Partners

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

7. Aesthetic, cosmetic and reconstructive surgery

8. Oral surgery and dental treatments

9. All types of vaccines except for animal bites

10. Pregnancy test

11. Take-home medicines

12. Medico-legal fees

13. Ambulance service

Six major hospitals in Metro Manila

• Asian Hospital and Medical Center

• Cardinal Santos Medical Center

• Makati Medical Center

• St. Luke’s Medical Center – Bonifacio Global City

• St. Luke’s Medical Center – Quezon City

• The Medical City