PRIMA Elite

After your purchase, you need to activate your PRIMA Elite eCard or physical card with the Reference Code before you can avail of the benefits.

The membership registration period is up to three (3) months from the date of purchase.

1. Click the registration link sent to your email
2. Complete your registration details
3. Once successfully registered, you will receive an email together with your PRIMA Elite by MaxiHealth electronic card (eCard) within 24 hours
   You may start enjoying your benefits once you receive your eCard!

You may schedule your clinic visit in 2 ways:

1. Online:
   • Visit the Online Scheduler
2. By Phone or Email:
   • Call or e-mail the Maxicare Clinic Concierge to schedule an appointment:
   ⠀⠀⠀• Hotline: (02) 7798-7739
   ⠀⠀⠀• Email: pcc.concierge@maxicare.com.ph
3. For Teleconsultation or Video Consultation
   You may enjoy unlimited Teleconsult access during the validity period of your card. No appointment is needed. You may consult with a doctor via hotline or video consult:

• Teleconsultation: Call our hotline anytime at (02) 8582-1980, (02) 7798-7798, or 0919-058-8933 to be connected with a doctor.
• Video Consultation: Visit the link to access a video consultation with a doctor. Specialist consultations with OB-GYNs, Dermatologists, and Pediatricians are available from 8:00 AM to 5:00 PM, Monday to Saturday.

4. For HomeLab Service:

• The HomeLab top-up may only be purchased once and is valid for one-time use only.   Once included in your plan, you may schedule your HomeLab visit via the link sent to your registered email. 

Note:

• A referral to a specialist is required and will only be issued after an initial consultation with a General Practitioner (GP) or Internal Medicine (IM) doctor. However, members may also see a specialist if they present a valid outside doctor referral.
• Laboratory tests can be scheduled but must be endorsed by a Maxicare Clinic doctor. Tests outside the plan coverage will be out-of-pocket. Members may also undergo laboratory tests if they present a valid outside doctor’s request.
  

Are PRIMA Prepaid Cards Covered by Insurance?
PRIMA cards activated on Jan 15, 2026 or later are automatically enrolled in Personal Accident Insurance at no extra cost. Coverage includes loss of life due to an accident, as well as accidental injuries resulting in permanent disability or being permanently bedridden.

What is the Validity Period of the Insurance Coverage?
The insurance coverage begins upon card activation and ends on the expiration date indicated in the Welcome Letter.
To know more details about the personal accident insurance coverage, visit here.

Who is Eligible for the Built-in Insurance?
All PRIMA members who activated their cards starting January 15, 2026 and are aged 0 to 69 years old at the time of enrollment are eligible for this built-in insurance coverage.

Starting June 15, 2026, coverage will be extended to members aged 0 to 99 years old.

What is the Life Insurance benefit and what does it cover?
The Life Insurance benefit is provided through Aspire Care, a voluntary top-up plan from Maxicare Insurance that offers supplementary coverage for death, accidents, or critical illness. Benefits include:

• Basic Life: ₱50,000 for loss of life.
• Accidental Death: Additional ₱25,000 if death is due to an accident.
• Critical Illness: ₱25,000 lump sum for Major Cancer, Major Stroke, or Heart Attack.
• Terminal Illness: 50% advance of the Basic Life benefit if diagnosed with a terminal illness.

Who is eligible for the Life Insurance benefit, and when does the coverage begin and end?
The Life Insurance benefit is available to PRIMA Consult, Consult+, Access, and Elite members aged 18 to 65 who activate their membership on or after July 1, 2026. Coverage begins upon receipt of the PRIMA card activation email and ends on the date indicated in the PRIMA Welcome Letter. 

How do I file a Life Insurance claim?
To file a claim, submit the required documents via email to claims@maxilife.com.ph. Soft copies may initially be submitted for evaluation; however, original hard copies must be received before any claim payment can be released.

Members can order via the ForwardMG website using a valid membership code and prescription. Orders are processed within one working day and delivered within 1–5 days depending on location.

The program covers 150+ subsidized medicines, subject to formulary availability.

Members gain access to counseling, diagnostic support, wellness services, and specialist recommendations through enrollment on the Gen Zen website. Ongoing follow-ups and co-managed care are also provided as needed, based on assessment.

Gen Zen Mental Health Wellness may be availed as early as the following working day.

HomeLab is available as a top-up and must be purchased together with PRIMA Elite. The HomeLab top-up may only be purchased once and is valid for one-time use only. Once included in your plan, you may schedule your HomeLab visit via the link sent to your registered email.

• Present your PRIMA Elite by MaxiHealth eCard at a Maxicare Clinic, along with 1 valid ID with a photo upon availing of the services offered in this healthcare plan
• No eCard, no availment
• Membership is valid up to 1 year from the date of activation
• The card is non-transferable once registered
• List of accepted valid IDs(must not be expired by the time of registration/availment):
  • Alien Certificate of Registration (for foreign nationals in the Philippines)
  • Company ID
  • Driver’s License
  • GOCC ID
  • Government System Insurance Service (GSIS) e-Card
  • Integrated Bar of the Philippines ID
  • National Bureau of Investigation (NBI) Clearance
  • Overseas Filipino Worker ID
  • Overseas Workers Welfare Administration (OWWA) ID
  • Passport
  • Police Clearance
  • Postal ID
  • Philippine Regulatory Commission (PRC) ID
  • Seaman’s Book
  • Senior Citizen ID
  • Social Security System (SSS) ID
  • Student’s ID
  • Unified Multi-Purpose ID
  • Voter’s ID
• Free cancellation and refund within 15 days if the product has not been used
• The benefits and accessibility to specific physicians and procedures provided by this product are subject to availability and may be amended upon general notice.
• PRIMA services are available at Maxicare Clinics nationwide.
• PRIMA Elite is a product of MaxiHealth, distributed by Maxicare