MediCard hotline, claims and licence
Medicard Philippines, Inc. is an HMO (health maintenance organization).
Licensed. Certificate of Authority no. HMO-2026-13-R.IC HMO list dated Aug 31, 2026. Its 2025 revenue of ₱14.9 billion was the 3rd highest of 27 HMOs in IC statistics. Of every peso of revenue in 2025 it paid 76 centavos in members' health care and claims (₱11.3 billion ÷ ₱14.9 billion, IC HMO statistics).
- For Approvals and 24/7 Customer Service, Hotline(02) 8841-8080
- Toll Free (PLDT & Smart)1-800-1-888-9001
- Toll Free (Globe & Touch Mobile)1-800-8-944-8400
MediCard hotline and claims
| Trunk line for other concerns | (02) 8884-9999 |
|---|---|
| CAMS@medicardphils.com |
From MediCard's contact page.
- Download the Reimbursement Claim Form and the EPayout Online Reimbursement Enrollment Form.
- Submit the requirements by email to reimbursementreceiving@medicardphils.com or in person at the MediCard Reimbursement Section, The World Centre Building, Makati.
- Submit the basic requirements within 30 calendar days from the date of availment.
MediCard claims page · Reimbursement · Accredited hospitals and clinics
- Claim refused or unpaid: the Insurance Commission regulates MediCard 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 MediCard 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.
MediCard products and plans
- For Individuals
- For Families
- For Senior Citizens
- Administrative Services Only
- For OFWs with Beneficiaries in the Philippines
- SME or Corporate Packages
- MediCard H.E.R.O. (Health Emergency Response On-demand)
IC records
| Revenue, 2025 (IC) | ₱14.9 billion, 3rd of 27 |
|---|---|
| Health care benefits and claims, 2025 | ₱11.3 billion |
Company details
- Licensed company
- Medicard Philippines, Inc.
- Certificate of Authority
- HMO-2026-13-R
- Official website
- medicardphils.com
- 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 Medicard Philippines, 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 MediCard.
- Pay Medicard Philippines, not a person. Keep the official receipts issued in Medicard Philippines's name.
Questions
Is MediCard legit?
Yes. Medicard Philippines, Inc. is licensed by the Insurance Commission (licence HMO-2026-13-R). A genuine contract names Medicard Philippines, Inc. and that number.
What is the MediCard hotline?
(02) 8841-8080 (For Approvals and 24/7 Customer Service, Hotline), or 1-800-1-888-9001, as printed on medicardphils.com.
How do I file a claim with MediCard?
Start from the claims page on medicardphils.com, 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 MediCard reimbursement?
MediCard explains reimbursement for services you paid for yourself on medicardphils.com; follow the page linked in the claims section above.
Which hospitals accept MediCard?
MediCard keeps its list of accredited hospitals and clinics on its own site, medicardphils.com. Check it before a planned visit, because networks change.