Maxicare hotline, claims and licence
Maxicare Healthcare Corp. is an HMO (health maintenance organization). One other company on the IC lists shares the name, each with its own licence.
Licensed. Certificate of Authority no. HMO-2026-10-R.IC HMO list dated Aug 31, 2026. Its 2025 revenue of ₱29.2 billion was the highest of 27 HMOs in IC statistics. Of every peso of revenue in 2025 it paid 75 centavos in members' health care and claims (₱21.9 billion ÷ ₱29.2 billion, IC HMO statistics).
- 24/7 Customer Hotline (PLDT)+632 8582 1900
- 24/7 Customer Hotline (GLOBE)+632 7798 7777
- Teleconsult Hotline+632 8582 1980
Maxicare hotline and claims
| Product Inquiry Hotline | +632 7798 7770 |
|---|---|
| customercare@maxicare.com.ph |
From Maxicare's contact page.
- Download the Claims Reimbursement Form.
- Fill out the form and gather the required documents listed on it.
- Attach a medical certificate or have your doctor sign the form.
- Send the form with original documents to the Maxicare claims office for Luzon, Visayas or Mindanao (Member Gateway filing also possible, originals still required).
Maxicare claims page · Reimbursement · Accredited hospitals and clinics
- Claim refused or unpaid: the Insurance Commission regulates Maxicare 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 Maxicare 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.
Maxicare products and plans
- For Individual and Family
- For Micro, Small, and Medium Enterprises
- For Corporations
- Prepaid Health Cards
- PRIMA by MaxiHealth
- LifesavER
IC records
| Revenue, 2025 (IC) | ₱29.2 billion, 1st of 27 |
|---|---|
| Health care benefits and claims, 2025 | ₱21.9 billion |
This company shares the Maxicare name but hold separate licences. Your contract shows which one you deal with.
| Maxicare Life Insurance Corporation | life insurer, 2025/27-R |
|---|
Company details
- Licensed company
- Maxicare Healthcare Corp.
- Certificate of Authority
- HMO-2026-10-R
- Official website
- maxicare.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 Maxicare Healthcare Corp. 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 Maxicare.
- Pay Maxicare Healthcare, not a person. Keep the official receipts issued in Maxicare Healthcare's name.
Questions
Is Maxicare legit?
Yes. Maxicare Healthcare Corp. is licensed by the Insurance Commission (licence HMO-2026-10-R). A genuine contract names Maxicare Healthcare Corp. and that number.
What is the Maxicare hotline?
+632 8582 1900 (24/7 Customer Hotline (PLDT)), or +632 7798 7777, as printed on maxicare.com.ph.
How do I file a claim with Maxicare?
Start from the claims page on maxicare.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 a Maxicare reimbursement?
Maxicare explains reimbursement for services you paid for yourself on maxicare.com.ph; follow the page linked in the claims section above.
Which hospitals accept Maxicare?
Maxicare keeps its list of accredited hospitals and clinics on its own site, maxicare.com.ph. Check it before a planned visit, because networks change.