Maxicare PRIMA Gold - Unlimited lab tests, diagnostics, and consultations for seniors 60 and up

Highlights

• Unlimited availment of over 200 prescribed lab tests and diagnostics
• Unlimited consultations
• Valid at any Maxicare Primary Care Clinic (PCC) and MyHealth Clinics
• Annual emergency room coverage of up to ₱20,000 across Maxicare-affiliated hospitals
• Single usage per type of dental service
• Eligible for 60 years old and up
• Valid for 1 year from activation date
• Covers preexisting conditions
• No preliminary checkup and paperwork needed

*Consultation and prescribed laboratory and diagnostic out-patient procedures are only available at Maxicare Primary Care Clinics or MyHealth Clinics

✅ Stand-alone Maxicare Primary Care Clinics (PCCs)

National Capital Region

Luzon

Visayas

Mindanao

Coverage

Includes

Consultation and Diagnostics

• Ear-Nose-Throat (ENT)
• Medical Dermatologist
• Internal Medicine (IM) / Family Medicine (FM) / General Practitioner (GP)
• Obstetrician-Gynecologist (OB-GYN)
• Ophthalmologist
• Cardiologist
• General Surgeon
• Endocrinologist
• Laboratory and diagnostic Procedures (as prescribed by a Maxicare-affiliated physician or MyHealth physician)

*Consultation and prescribed laboratory and diagnostic out-patient procedures are only available at Maxicare Primary Care Clinics or MyHealth Clinics

Emergency Coverage of  ₱20,000 at Maxicare-affiliated hospitals 

Dental Service

• FREE Dental Care Services with MetroDental (once within a year)
• Mild oral prophylaxis (cleaning)
• Full mouth panoramic X-Ray
• Dental consultation
• Emergency relief of dental pain through medication
• Cosmetic or oral rehab treatment planning
• Dental nutrition and counseling
• Dental health education
• Preparation of dental certificates
• Safekeeping of dental records as required by law or client

Teleconsult

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

Excludes

Hospital admission or confinement

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. Epidemic or pandemic infectious diseases

5. Aesthetic, cosmetic and reconstructive surgery

6. Oral surgery and dental treatments

7. All types of vaccines 

8. Pregnancy test

9. Take-home medicines

10. Medico-legal fees

11. Ambulance service

How to Activate Your Maxicare PRIMA Gold

After purchase, you need to register your card before you can use it.

Via ONLINE

1. Visit the Online Card Registration Page
2. Fill in the Reference Number, which you’ll find in your purchase receipt email
3. Provide the required personal details and click “Submit”
4. Once successfully registered, you will receive your PRIMA Gold electronic health card (eCard) via email along with your policy and card number via SMS
5. You may avail of your unlimited consultations and laboratory as soon as you receive eCard
6. Your Emergency Care benefit will be activated 15 days after successful registration
7. Your Maxicare PRIMA Gold membership card will be delivered to your nominated address 15 working days after your registration

Via SMS

This service is only applicable to those who buy from this website.

1. Text the reference number (which you’ll receive by email after purchase) and your personal details in the following format:
   
   MAXI REG 13 Digit reference number/First name/Middle name/Last name/Extension/ Birthdate/Gender/Civil status/Email
   
   Please include asterisk (*) for fields that are not applicable
   
   Example:
   
   
2. Send SMS to 2086 for GLOBE subscribers and 4629 for SMART subscribers
3. Once successfully registered, you will receive your PRIMA Gold policy and card number via SMS
4. You’ll also receive your electronic health card (eCard) at the email address you provided
5. You may avail of your unlimited consultations and laboratory as soon as you receive your PRIMA Gold electronic health card via email and SMS
6. Your Emergency Care benefit will be activated 15 days after successful registration
7. Your PRIMA Gold membership card will be delivered to your nominated address 15 working days after your registration

Reminders

• Present your Maxicare PRIMA Gold card or eCard along with 1 valid ID with photo upon availing the services offered in this healthcare plan
• No card or eCard, no availment
• Membership is valid up to 1 year from the date of activation
• The card is non-transferrable once registered
• See the FAQ for a list of valid IDs
• Subject to 15-day free-look period, but you may only refund the product if you haven’t used the card