* Applies to Family and Individual Accounts
NON DREADED CONDITIONS are as follows, but not limited to:
1. All tumors (benign masses)
2. Anal Fistulae
3. Arthritis
4. Bronchial Asthma
5. Buergher’s Disease
6. Cataract and Glaucoma
7. Cholecystitis, Cholelithiasis, Cholecystolithiasis
and Choledocholithiasis
8. Ear-Nose-Throat conditions requiring surgery
(except cancers which are considered dreaded
conditions)
9. Endometrioses/Dysfunctional Uterine Bleeding
(except if caused by uterine malignancies)
10. Gastric or Duodenal Ulcers
11. Hallux valgus
12. Hemorrhoids
13. Hernias (Congenital Hernia will have coverage
as listed in the Congenital Clause)
14. Migraine
15. Muscular Dystrophies (Duchenne, Becker,
limb girdle, facioscapsulohumeral, myotonic,
oculopharyngeal, distal, and Emery-Dreifuss)
16. Ovarian cysts (except Ovarian Malignancies)
17. Peripheral Nervous System Diseases (except
Multiple Sclerosis and GBS)
18. Tuberculosis (Pulmonary or Extrapulmonary
including Pott’s disease)
19. Uncomplicated Hypertension
20. Urinary Tract Stones/Calculi
21. All complications resulting from above list of
conditions
DREADED CONDITIONS are as follows, but not limited to:
1. All cancers (malignant masses) including
carcinoma in situ and related conditions
2. Blood Dyscrasias (Leukemia, Idiopathic
Thrombocytopenic Purpura, etc)
3. Central Nervous System Infections
(Poliomyelitis/Meningitis/Encephalitis)
4. Cerebrovascular Accident (Stroke, Cerebral,
Cerebellar and all Intracranial Hemorrhage)
and related conditions
5. Chronic Cardiovascular Diseases
(Complicated Hypertension and related
conditions, Aortic Dissection, Abdominal Aortic
Aneurysm, etc.)
6. Chronic Endocrine Disorders and their
complications (Dyslipidemia, Impaired Fasting
Glucose, Impaired Glucose Tolerance,
Obesity, Diabetes Mellitus, Hormonal
Dysfunctions, etc.) excluding surgical
treatment/procedures for obesity-exclusion
7. Chronic Gastrointestinal Diseases (ex. Irritable
Bowel Syndrome, Crohn’s disease)
8. Chronic Genito-urinary Disorders
9. Chronic Kidney Disease/Failure
10. Chronic Liver Parenchymal Diseases (Liver
Cirrhosis, Chronic hepatitis, etc)
11. Chronic Pulmonary Diseases except asthma
(COPD, emphysema, and other chronic lung
disease)
12. Collagen-Vascular/Connective Tissue/
Immunologic Disorders
13. Complications of immuno-compromised state
(except HIV/AIDS)
14. Injuries incurred prior to and up to one year
from date of effectivity and their subsequent
complications
15. Systemic Lupus Erythematosus including
Lupus Nephritis
16. Thyroid conditions (Hypothyroidism,
Hyperthyroidism) except Thyroid masses
17. Valvular Heart Diseases (except for surgeries
for valve correction, ie valvuloplasty)
18. Any illness other than above which would
require Intensive Care Unit Confinement
19. All complications resulting from above list of
conditions
For more information about Maxicare’s Pre Existing Conditions coverage, you may inquire at (02) 6228892; 09178046275 or email us at maxicareinquiry@gmail.com
Thank you.
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Direct Line: (02) 6228892
Email: maxicareinquiry@gmail.com
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