Avega hotline, claims and licence
Avega Managed Care, Inc. is an HMO (health maintenance organization).
Licensed. Certificate of Authority no. HMO-2026-09-R.IC HMO list dated Aug 31, 2026. Its 2025 revenue of ₱1,270.7 million was the 8th highest of 27 HMOs in IC statistics. Of every peso of revenue in 2025 it paid 16 centavos in members' health care and claims (₱208.4 million ÷ ₱1,270.7 million, IC HMO statistics).
- Head Office Makati, 24/7 Customer Service Hotlines(02) 7902-3430
- Head Office Makati, 24/7 Customer Service Hotlines(02) 8789-4030
- 24/7 Call Support Only, Globe(0917) 840 4894
Avega hotline and claims
| 24/7 Call Support Only, Smart | (0920) 970 4724 |
|---|---|
| css.info@avega.net.ph |
From Avega's contact page.
- Get the AVEGA Reimbursement form from the website's Downloadables section.
- Complete the required documents and attach them to the form.
- Submit to your HR representative and email your assigned Account Officer.
Avega claims page · Reimbursement · Accredited hospitals and clinics
- Claim refused or unpaid: the Insurance Commission regulates Avega and sets the rules for adjudicating HMO claims, so the complaint goes to the IC.EO 192 sec. 4(a)
- If the HMO fails: the IC can appoint a conservator, receiver or liquidator to protect members.EO 192 sec. 4(e), 4(i)
Complaints
- Write to Avega first. Put the policy or plan number, what happened and what you want in one letter or email, and keep proof of the date.
- Then go to the Insurance Commission. The IC takes requests for assistance on claims and complaints through its public assistance forms, by email to publicassistance@insurance.gov.ph or by phone on (02) 8523-8461 local 103 or 127.
- Report anyone selling without a licence to the IC Regulation, Enforcement and Prosecution Division, repd@insurance.gov.ph.
Avega products and plans
- Premier TPA
- Healthcare Network Services
IC records
| Revenue, 2025 (IC) | ₱1,270.7 million, 8th of 27 |
|---|---|
| Health care benefits and claims, 2025 | ₱208.4 million |
Company details
- Licensed company
- Avega Managed Care, Inc.
- Certificate of Authority
- HMO-2026-09-R
- Official website
- avega.com.ph
- Licensed for: prepaid health care plans: agreed health services for enrolled members, for a fixed fee paid in advance for a set period.EO 192 sec. 2
- Licence: every HMO needs a licence to operate from the Insurance Commission, which issues, renews, suspends and revokes HMO certificates.EO 192 sec. 4(b), 5
- Not an insurer: life insurance comes from a company on the life list, under a different licence.
How tax applies to the plan
- Premiums you pay: employees on pure compensation income cannot deduct HMO or health insurance premiums. Since TRAIN, Sec. 34 allows them no deductions, and the old ₱2,400 health premium deduction is gone. Self-employed people and businesses work under the business-expense rules instead. See health insurance for the self-employed.NIRC Sec. 34 as amended by RA 10963, from Jan 1, 2018
- Worked example: an employee on salary only pays ₱15,000 a year for a family HMO plan. Deduction allowed on the income tax return: ₱0, so taxable income stays the same (Sec. 34 as amended by TRAIN).
Before you sign or pay
- Match the company and number. Your contract should name Avega Managed Care, Inc. and the licence number shown at the top of this page.
- Ask for the seller's IC licence. Ask which HMO they represent and confirm it with Avega.
- Pay Avega Managed Care, not a person. Keep the official receipts issued in Avega Managed Care's name.
Questions
Is Avega legit?
Yes. Avega Managed Care, Inc. is licensed by the Insurance Commission (licence HMO-2026-09-R). A genuine contract names Avega Managed Care, Inc. and that number.
What is the Avega hotline?
(02) 7902-3430 (Head Office Makati, 24/7 Customer Service Hotlines), or (02) 8789-4030, as printed on site.avega.com.ph.
How do I file a claim with Avega?
Start from the claims page on site.avega.com.ph, which lists the forms and documents for each claim type. If the HMO refuses or delays, complain to the Insurance Commission, which adjudicates HMO claims under EO 192.
How do I get an Avega reimbursement?
Avega explains reimbursement for services you paid for yourself on site.avega.com.ph; follow the page linked in the claims section above.
Which hospitals accept Avega?
Avega keeps its list of accredited hospitals and clinics on its own site, avega.com.ph. Check it before a planned visit, because networks change.