Monday, October 10, 2016

Maxicare Provincial Access

The Maxicare MaxiPlus Provincial access has four (4) kinds of pricing based on their regional access. See below the areas covered by our Provincial access program. If you are interested to get a corporate plan, you may contact us at (02) 6228892; 09178046275 or email us at maxicareinquiry@gmail.com

Maxicare Plan Types for Dependents

If you are thinking of enrolling dependents, here are the different arrangements that you can do when choosing the dependents' plan type. Note that there is a 75% participation requirement in order for the rates to be applicable otherwise an escalation fee shall be imposed.




Maxicare List of Providers

If you want to download the list of Maxicare Providers, just click the link below.


DOCUMENT
TINYURL LINK
List of Hospitals & Clinics
List of Doctors
List of Dentists thru Dental Hub
List of ACU Annual Check Up Providers

Maxicare MaxiPlus Requirements for Enrollment

Requirements for Enrollment:
1.           Filled out Maxicare Corporate Enrollment Sheet (found at the last 3 pages of this proposal). The Enrollment Sheet has 3 sheets
a.           Info Sheet  (Name of Company, Nature of Business, Company TIN etc)
b.           Principals/Employees to be enrolled (fullnames/ birthdates/ positions/ gender/ civil status)
c.           Dependents to be enrolled (fullnames/ birthdates/ positions/ gender/ civil status )
2.           BIR 2303
3.           Any gov’t issued ID of the signatory

4.           KYC Requirements. See Pages 38-40 for the list of KYC Requirements. (to be submitted to us after we prepare the conforme for your signature).


Maxicare Requirements for Quotation for Companies with 100 Heads & Up

Companies with 100 heads either as combined heads of the employees or dependents or a company has 100 employees or more have a different pricing category which is called corporate. The pricing is not readily available as this has to be quoted separately. In order for us to provide you with a quotation, the company must provide the following requirements:

Maxicare Rated & Ineligible Industries

Maxicare's corporate pricing can also be categorized under three (3) categories. First is the Standard Pricing for Standard Industries. Rated are for Rated Industries and Ineligible for the Ineligible Industries. In our previous proposals, we labeled the rates as Standard and Rated. For the ineligible industries, the pricing is different as this has to be customized on a per company basis. Visit http://tinyurl.com/maxicareineligible to view the requirements for quotation for Ineligible Industries

To know which industries fall under Rated and Ineligible, see the image below.



Maxicare Requirements for Quotation for Ineligible Industries


Some industries are not accepted under the Maxicare MaxiPlus Program. For the ineligible industries they can be accommodated but under a different plan which is the corporate plan. These companies must submit the following documents first for a quotation to be provided.


INELIGIBLE COMPANIES | Companies whose nature of business falls under the list of Ineligible Industries
REQUIREMENTS FOR QUOTATION
1. minimum of 10 employees enrolling
2. Signed Maxicare Prospective Account Form. (see attached)
3. BIR 2303
4. Filled out Detailed Masterlist (see attached)
List of Ineligible Industries
Construction (Field Based or combined)
Drillers (oil/water/gas)
Firemen
Full Time athletes
Government Institutions
Groups involving special hazards
Logging or Forestry
Manufacturers of Ammunitions
Medical Groups or any healthcare related
Mining / Underground mine workers
NGO, Foundations, Cooperatives, Associations (if enrolling with members, if employees only yes)
Oil production
Pharmaceutical (manufacturing)
Political groups
Private households
Protection services (security guards)
Existing Maxicare Plus Accounts
Lapsed / Suspended/ Cancelled Maxicare Plus accounts w/ a high loss ratio (>120%)
Previous blacklisted accounts (fraudulent / bad payment habit)

If you are interested to get a corporate plan or individual & family plan, you may contact us at (02) 6228892; 09178046275 or email us at eastwesthealthcareinquiry@gmail.com