May 23, 2024

The Best Affordable Prepaid HMO Card

0


maxicare eready advance

In an unpredictable world, having a reliable and efficient healthcare solution is paramount. Maxicare EReady Advance offers a proactive approach to safeguarding your well-being. Moreover, this prepaid health card is not just an insurance product; it’s your partner in preparedness. Additionally, it provides comprehensive coverage for medical emergencies that can arise unexpectedly.

Who Can Avail Maxicare EReady Advance?

Maxicare EReady Advance is tailored to a wide spectrum of individuals seeking affordable and accessible healthcare options. This prepaid health card is available for the following:

  • 15 days old to 65 years old
  • Members can enroll in another EReady card after 15 days from the date of the first registration.
  • can be used after 7 days of registration.

Available Variants:

Maxicare EReady Advance offers two variants, each tailored to meet your specific needs:

1. EReady Advance Platinum

  • Php 5,999/year
  • with access to six (6) major hospitals
maxicare eready advance platinum

2. EReady Advance Titanium

  • Php 4,999/year
  • without access to six (6) major hospitals
maxicare eready advance titanium

Hospitals Access:

For Eready Advance Platinum, access is available to all Maxicare-affiliated hospitals, including the six major hospitals. Meanwhile, for Eready Titanium, access is available to all Maxicare-affiliated hospitals, excluding the six major hospitals.

Six (6) major hospitals include the following:

  • Asian Hospital Medical Center
  • Cardinal Santos Medical Center
  • Makati Medical Center
  • St. Luke’s Medical Center-Global City
  • St. Luke’s Medical Center-Quezon City
  • The Medical City-Ortigas

READ: Sun Fit and Well | A Comprehensive Health Insurance of Sun Life

EReady Advance Benefits

  • It covers illnesses or injuries as defined in the definition of an emergency, as long as they are not part of the program’s exclusions and limitations.
  • An emergency is any life-threatening or unexpected onset of a condition or illness that requires the immediate alleviation of pain or discomfort within 24 hours.
  • Additionally, it provides up to Php 50,000 one-time coverage on illnesses or injuries that arise from medical-related emergency conditions, including those requiring confinement in a regular private room.

Outpatient Coverage

  • Doctor’s services for emergency treatment
  • Emergency room fees
  • Medicines used for immediate relief and during treatment
  • Oxygen, IV fluids, whole blood, and human blood products
  • Dressings, casts, and sutures
  • X-ray, laboratory, and diagnostic exams

Inpatient Coverage

  • Room and board accommodations in a regular private room
  • Use of the operating room, Intensive Care Unit (ICU), Isolation Room (if prescribed by the attending accredited physician), and Recovery Room
  • Professional fees
  • Standard nursing services
  • Medicines while in confinement
  • Whole blood products and IV fluid transfusions
  • X-rays, laboratory tests, and diagnostic tests
  • Anesthesia, oxygen, and its administration

READ: MyMaxicare | Comprehensive Health Card for You and Your Family

How to Use for Emergencies?

  1. Upon arrival at any covered affiliated hospital, simply present the Maxicare EReady Advance card or e-card along with one valid ID.
  2. Subsequently, hospital personnel will swipe the card or input the policy number into the POS terminal to release a Letter of Eligibility (LOE).
  3. Afterwards, should the ER case require confinement, the hospital will contact the Maxicare customer care hotline for approval and the issuance of a Letter of Authorization (LOA).

How to Avail Unlimited Consultations?

  1. Go to the nearest Maxicare Primary Care Center.
  2. Then, tap or swipe your Maxicare EReady Advance card or input the e-card number and policy number at the POS queueing system.
  3. Finally, indulge in unlimited consultations with specialists to address your healthcare needs.

Exclusions and Limitations:

Here are the exclusions and limitations of Maxicare EReady Advance. Read this before you avail yourself of this product.

  1. Services obtained for emergency conditions from physicians and hospitals in any of the following circumstances:
    a. Non-affiliated physicians in non-affiliated hospitals
    b. Affiliated physicians in non-affiliated hospitals or other non-affiliated
    healthcare facilities
  2. Injuries, infections, or conditions resulting from negligence, alcoholic liquor intake, unauthorized use of prohibited drugs or regulated drugs, violation of law or ordinance, unnecessary exposure to imminent danger, direct or indirect participation in the commission of a 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, and 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 if within 150km from the place of residence

Important Reminders:

  1. The Maxicare EReady Advance card or e-card must be presented at all times together with any valid ID (i.e. government/ company/school-issued ID) when availing of the services covered by the Maxicare EReady Advance card or e-card.
  1. The card will be considered used and will automatically be cancelled once swiped at the POS terminal in the Emergency Room.
  2. For one-time coverage of up to P50,000 only.
  3. A member can only avail themselves of one (1) Maxicare-affiliated hospital within 24 hours.
  4. Card validity is up to one (1) year upon activation.
  5. This card or e-card is not equivalent to cash or a credit card.
  6. This card or e-card is non-transferable once activated.
  7. “No card, no e-card, no avail” policy applies. NO REIMBURSEMENT.
  8. Coverage is subject to exclusions and limitations.
  9. Subject to the 15-day free-look period. But only refundable if the product has not
    been used.

Secure your future with Maxicare EReady Advance today!



Source link

Leave a Reply

Your email address will not be published. Required fields are marked *