Top HMO Providers in the Philippines for Businesses

With the high cost of medical care in the Philippines, getting a health card from a variety of HMO providers in the Philippines is one way to avoid the need of an emergency spending. A health maintenance organization (HMO) is an organization or a company that offers and provides health insurance on a monthly or a yearly basis. Getting an HMO plan for your business and employees provides the capability of healthcare when in times of need. Not to mention, providing an HMO, healthcare, or health card is compulsory for employers as benefits to their employees. In this article, we will dive into the importance of healthcare and the top HMO providers in the Philippines for your business that you can choose from.

Why HMO / Health Card is Important

Ensuring the well-being of your employees is paramount for the success of your business. Happy employees are productive employees, as they say. But with health concerns on the line, it would be impossible for employees to perform at their best. Recognizing the importance of healthcare coverage is the first step in fostering a positive well-being of your employees. With limited capabilities of our healthcare system in the country, it can be difficult for your business, especially your employees, to finance the bills of hospital care without the right healthcare coverage.

Recognizing the importance the healthcare coverage 

Things to Consider When Choosing from HMO Providers in the Philippines for your Business

Just like businesses, choosing the right HMO provider comes down to the value for money. When selecting an HMO provider for your business, here are three key factors to consider:

Price

Assessing the costs from different HMO providers in the Philippines is the first step. Compare the premiums, deductibles, co-payments, and other fees associated with the plans. Ensure that the price aligns with your budget while still offering comprehensive coverage and benefits.

Coverage

Evaluate the coverage provided by each HMO provider. Look for plans that cover a wide range of medical services, including hospitalization, outpatient consultations, preventive care, laboratory tests, and prescription medications. It is essential to consider the specific healthcare needs of your employees and select an HMO provider that can provide what your business needs for your employees.

Affiliation of Hospitals, Doctors, and Specialists

Another essential factor to consider is the affiliation of hospitals, doctors, and specialists of the HMO provider. Do a background check of the HMO if it has a robust network that includes reputable and reliable healthcare facilities and a broad selection of medical professionals. This ensures that your employees will have access to quality healthcare services without unnecessary inconvenience or additional out-of-pocket emergency expenses.

Standard Coverage of HMO Benefits in the Philippines

  • In-patient (admissions, laboratory, medicine, etc.)
  • Out-patient (check up consultations, laboratory tests, etc.)
  • Emergency Room Care (medicine, professional fees, treatments, etc.)
  • Preventive Care Exams (annual physical exams, diagnostics, vaccines, etc.)
  • Dental Care (optional or depending on the healthcare plan)

Top 5 HMO Providers in the Philippines for your Business

  1. Maxicare

Maxicare Philippines is one of the leading HMO providers in the Philippines. Established in 1987, Maxicare has been providing comprehensive healthcare services and coverage to individuals, families, and corporate clients across the country. 

Maxicare offers a range of healthcare plans and packages that cater to different needs and budgets, ranging from individuals, families, MSMEs, and corporations. These plans typically include coverage for hospitalization, consultations with doctors and specialists, preventive care, diagnostic tests, medications, and other medical services. Maxicare is affiliated with hospitals, clinics, and healthcare providers, around the country, providing accessible healthcare through Maxicare.

Maxicare HMO Benefits

  • Up to 200,000 maximum benefit limit
  • Monthly premium starts: ask for a quote at Maxicare’s website or directly call them at their product inquiry hotline (+632 7798 7770)
  • Out-patient (check up consultations, laboratory tests, etc.)
    • Emergency Room Care (medicine, professional fees, treatments, etc.)
    • Preventive Care Exams (annual physical exams, diagnostics, vaccines, etc.)
  1. Philhealth Care (PhilCare)

PhilCare is one notable HMO provider in the Philippines. With a history spanning over three decades, PhilCare has established itself as a trusted provider of comprehensive healthcare services and insurance coverage to individuals, families, and corporate clients.

PhilCare offers a range of healthcare plans designed to meet the diverse needs and preferences of its members. Philare plans include coverage for dengue, unli-consult, ER vantage, and single use medicards. PhilCare also provides comprehensive plans for individuals, families, and corporations. PhilCare has a nationwide reach of affiliations from hospitals, clinics, and healthcare providers nationwide, ensuring convenient access to quality healthcare services.

  • Up to 300,000 maximum benefit limit
  • Monthly premium starts: Monthly premium starts: ask for a quote at Maxicare’s website or directly call them at their customer care hotline (+63 (2) 8462 1800)
    • In-patient (admissions, laboratory, medicine, etc.)
    • Out-patient (check up consultations, laboratory tests, etc.)
    • Emergency Room Care (medicine, professional fees, treatments, etc.)
    • Preventive Care Exams (annual physical exams, diagnostics, vaccines, etc.)
  1. Medicard

Medicard is one of the most  well-established HMO providers in the Philippines, offering comprehensive healthcare coverage and services to individuals, families, and corporate clients. Founded in 1987, Medicard has a long-standing reputation for providing quality healthcare solutions and innovative programs. 

Medicard offers a variety of healthcare plans to suit the varying needs and budgets of its members. Medicard plans include regular and comprehensive HMO plans for individuals, families, and corporations. Medicard maintains an extensive affiliation of accredited hospitals, clinics, and healthcare providers in the Philippines, making healthcare accessible wherever you go.

Medicard Regular HMO Plans

  • Hospitalization care
  • Outpatient care
  • Preventive healthcare
  • Emergency care
  • Member’s financial assistance
  • Dental care

To get rates and corporate plans from Medicard, please fill-up this Inquiry form.

  1. Intellicare

Intellicare is another prominent HMO provider in the Philippines that has been providing comprehensive healthcare services and coverage since its establishment in 1995. As a subsidiary of the Filinvest Group, Intellicare has grown to become one of the leading healthcare providers in the country.

Intellicare offers a wide range of healthcare plans and services such as SME Fit and Corporate for businesses. Intellicare’s plans typically include coverage for hospitalization, consultations with doctors and specialists, preventive care, laboratory and diagnostic tests, medications, and other essential medical services. Just like any HMO providers in this list, Intellicare is affiliated with over 43,000 doctors and specialists to provide convenient healthcare experience around the country. 

To know more about Intellicare’s healthcare services, get in touch with Intellicare’s customer service hotlines (02) 8789-4000 | (02) 7902-3400

  1. ValuCare

ValuCare is an HMO provider established in 1997 by a group of medical practitioners providing extensive and comprehensive health care plans in the Philippines. ValuCare has grown ever since and has now become one of the leading Managed Care companies in the Philippines. With ValuCare’s slogan “Healthcare You Can Count On”, it boasts one of the highest renewal rates in the healthcare industry in the Philippines. ValuCare is affiliated with 1,700+ accredited hospitals and clinics, 1,000+ dentists, and over 17,000+ physicians all over the country, providing convenient, affordable, and accessible healthcare services in the country.

For ValuCare’s health care plan for individuals and families, check out I-Apply on their website. For corporate and business HMO services, check out their Request for Quotation webpage. 

  1. ALLCARE

ALLCARE is not an HMO, but rather provide SME’s and freelancers access to affordable and relevant work benefits such as HMO, life & death insurance, mental health programs, dental care, APEs, optical care, and other medical health assistance benefits. If you are a startup or a freelancer, ALLCARE is perfect for you as they have affordable plans with quality health service. ALLCARE is partnered with Etiqa, their HMO provider, with over 1,600 accredited hospitals and clinics, and 30,000 doctors and specialists. If you’re a business owner on a budget or a freelancer, you should give them a look.

ALLCARE Package Plans

ALLCARE SME Benefits Package – P15,000 per member per year, minimum of 3 employees
ALLCARE Prepaid Bundles – P 5,999/year (Lite), P 8,999/year (Optima), and P 13,999/year (Complete)

  • Healthcare Benefits up to P100,000 coverage
  • Life and death Insurance
  • Dental and oral care
  • Vision and optical care
  • Free Teleconsultations
  • Mental health wellness consultations

Conclusion

Subscribing to an HMO provider is of significant importance for businesses in the Philippines. The rising costs of healthcare services, coupled with inflation, make it crucial for employers to provide their employees with comprehensive coverage that helps manage and control expenses. By offering HMO benefits, businesses can provide access to a network of healthcare providers, ensuring employees receive necessary medical services without the worries of high out-of-pocket and emergency costs. This not only promotes employee well-being but also helps attract and retain top talent, enhancing productivity and employee satisfaction. 

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