all about HMO

[GabBeaMariz]

from maxicare, cocolife now philamcare na ang healthcard namin 

[lclanzaderas]

i have just applied online for medicard. magre-resign na kasi ako, at yung next job ko, walang health insurance benefit. yung current job ko, maxicare, pero hindi ko maituloy kasi hindi pala puede sa family plan yung 8 month old. nagtataka nga ako e. samantalang covered si baby since 1 month old. don't know bakit ganon.

[beautz]

sis lclanzaderas its because your application will be considered as a new application for individual account. and yung mga benefits mo before na naeenjoy mo with your current company account would be a lot difference if you apply and individual account. mapapamura ka talaga pag magpapaaprove ka sa kanila.

[grace08]

sis pwede sa medicard from 3 mos kahit nga nwe born pa pwede mo na isama kaya lang start lang coverage nya pag 3mos na si baby

[chinita8]

chinita8
how did you apply?- through their website lang, online application. after a week, i received a statement of account na for payment of the premium -
http://www.maxicare.com.ph/Pages/IFGOnlineApplication.aspx

how much do you pay as your premium? - depende sa yun piliin mo na plan, at depende sa age ng plan holder. nasa website yung plan at rates.

do you have a dependent? can you make your spouse your dependent? - pwede dependent spouse and children

also -- once you have paid, are you automatically accredited and can use your card right away for doc consultations and tests (maxicare accredited clinics)? - 2 to 5 days from payment of the premium, magi-issue na ng ID card, then you can automatically use na, right away.

Sis, thanks so much for your reply. 

[grace08]

di ba talaga okay ang medikard pag individual plan ko pa naman mag apply ng family .  siya kasi mura para sa family of 7

[lclanzaderas]

sis beautz, transferee daw kami pag itinuloy namin ang maxicare. kaso, ako at si hubby lang ang puedeng tanggapin.

[beautz]

nice to hear that sis lclanzaderas we have a sis here na doctor and shes an HMO doctor I forgot the name of the HMO, she has a patient under a company HMO, when the company shifted to another HMO, the patient maintained the same HMO at her own expense dahil the patient like her as her doctor, then nung ginamit na ng patient yung card for labs and procedures, the HMO declines it because new account daw to. HMO can be tricky sometime. clarify mo sa kanila sis what they mean of transferee and if its under new account ba.

[yani090479]

hello,

is there HMO that can cover infertility?

yani

[$ale... seeker!]

wala pa din maxicare card ng son ko but as per advice, we can use it na din daw even if we don't have the card yet

[finally]

^ sis anong plan kinuha mo? covered ba ang mga vaccines??im giving birth kasi at the end of the year so plano ko pagkapangank ko kuha ko na ng healthcard kaming mag ina.
maxicare- so if pregnant ka na then mangangak ka, [textspeak!] akang benefits from them? not even the room accommodation? tama ba?

[tricks]

Hi po! my husband is selling value care hmo n needs naman po ng love ones nyo if ur interested just [textspeak!] him nlang s 09085007523 thanks!

[foxy_girlfriend]

yung maxicare ko COMPLETELY USELESS nung pregnant ako. kahit ngayong bagong panganak ako USELESS pa din kasi hindi kami covered ng pre-natal and post-natal. kahit sa internal medicine lang ako magpa-check-up irerelate nila yung complaint ko sa pregnancy ko tapos makakareceive na lang ako ng billing...nakaka-stress!!!

kesa ma-stress pa ko hindi ko na ginamit muna yung maxicare ko hanggang mag-end ang pregnancy ko until now kasi bibigyan lang ako ng sakit ng ulo ng maxicare.

[cristinaervas]

Covered po kaya ang surgery sa Macroadenoma ng Intellicare?

[Bosbly]

hi!

 ask ko lang kung anong HMO ang kasama ang vaccine sa coverage. I want to get for my family sana.pati yung mammogram..

sa nabasa ko sa ilang pages dito, Maxicare ang maganda ang feedback. nakita ko ang rates ng Icare mas mahal kesa sa maxicare. Medicard ay maganda din sana kaso ang pinakamalapit sa kin na hospital ay di pwede ang medicard.

[mskathie]

we are under Intellicare courtesy of my husband.. share ko lang experience ko sa isang doctor na accredited ng Intellicare. Last Aug. 10, nag start kaming ipa check up   baby ko sa metropolitan hospital regarding frequent coughing. Back then, I was so happy to find out na meron palang accredited na pedia ang Intellicare so dun namin sya dinala. Yung mother ko ang sumasama sa baby ko every check up so the initial check up was fine mukhang mabait naman ang doctor. Sa Intellicare kase 2 forms ang binibigay sa doctor: 1. yung colored paper wherein they have to write their diagnosis of the patient (heto yung maiiwan sa kanila)  2. yung long white paper wherein they have to write the prescription aside pa dun sa ibibigay nilang separate presciption ( this part ang ibabalik sa intellicare for reimbursement of the purchased prescription). So all things went well for the initial check up.

Then came Aug. 19, bumalik si kiddo para makita ang result ng x-ray, then afterwards niresetahan ulit kaso     binalik nung secretary ang white form telling my nanay na hindi na kailangan pirmahan ni doc yun. Since my nanay didn't know that time na kailangan pirmahan yun hinayaan na lang niya.

So yesterday balik sila ulit for check up, again another prescription but this time my nanay told the doc regarding the white form, then the doc finally blurted out na " kaya nga ayaw ko na magpa member ng Intellicare eh.. ang daming pinipirmahan, abala lang ito to think na ang mura mura lang ng binabayad nila sa akin, kung hindi ko lang kaibigan yung coordinator nito hindi na ako tatanggap ng pasyente, " she was saying those things while filling out the form. Hindi nakapag react si nanay kase naiirita na daw un doc. Nung  kinukuwento niya ito, i also dont know what to say, medyo nainis din ako kay doc kase kung masama pala sa kanila na tumanggap ng pasyente under HMO  eh bakit pa sila nagpapamember? hay never ko na ibabalik sa kanya ang anak ko baka pag nakita na niya agad yung name madaliin nya lang ang check up nya sa kanya.. Sorry medyo mahaba po pero na sad lang talaga ako. 

[emily2008]

sobra nman yung doctor na yun sis,    dapat i-report nyo yun sa Intellicare,   kailangan nilang malaman yun

[mskathie]

yep, thanks sis  ni-report na ni hubby kahapon. Well, we just have to wait kung anong action nila we're are hoping they do something about it, hindi lang sa doc na iyun kung hndi sa iba pa.

[aleng_maganda]

  Hi sisters, ibig ba sabihin mas okay na kumuha muna ng mas mababang plan for the first year kasi nga sayang lang because of pre existing condition?? tapos upgrade ka na lang sa 2nd year mo.

  And also ibig sabihin lahat ng nakalista sa mga PEC hindi yun pwedeng icover? or yung present ailment mo lang like me... i have hypertension. yun lang ang macoconsider ko na existing as of the moment. what if bigla ako mag ka amoebaiasis (do i spelled it correctly) pwede yun icover?

  Please enlighten me... thanks!

[beautz]

yes sis aleng maganda madaming scheme yung mga hmo. yung sau na hypertension subject for approval pa yan. basta declare mo lang.. mas mahigpit kasi sila sa individual plan compare sa company plan. yung amoebiasis pwede nila ata icover yun kasi di naman years yung pagdevelop ng sakit na yun... pwedeng days.. yung dengue, tonsillitis and appendicitis | think yun yung pwede nila icover. medyo nakakaloko kasi yung PEC nila.