Top 10 HMO & Health Cards Providers in the Philippines
HMO – Here are the top 10 health maintenance organization (HMO) and Health card providers in the Philippines
A network or company that provides health insurance for a monthly or annual fee is called a HMO. A group of health insurance companies known as an HMO restricts coverage to medical services provided by doctors and other providers with whom the HMO has an agreement.
An HMO is a type of insurance company that collaborates with a network of doctors to offer essential and supplementary medical care to members under its coverage when necessary.
Standard HMO Benefits
- In-patient care (hospitalization, operating room and recovery room, professional fees, etc.)
- Out-patient care (consultations, laboratory and diagnostic tests, etc.)
- Preventive care (annual physical exam, immunizations, etc.)
- Emergency care (professional fees, hospital bills, emergency room, medicines for treatments, etc.)
The Philippines’ Top HMO & Health Cards Providers are listed below:
Maxicare HealthCare
Over 1,000 hospitals and 56,000 affiliated doctors and specialists make up Maxicare’s connections with the over 1 million members it serves across the nation. In the Philippines, it is regarded as one of the largest and most recognized HMO service providers.
Intellicare
One of the Philippines’ first HMO providers, Intellicare, focuses on offering businesses and business owners an affordable HMO plan for their employees.
Medicard
One of the most well-known names in HMO, Medicard has provided healthcare services for almost forty years. Members only pay for what they use because unused money are repaid, and they offer a range of plans to satisfy diverse needs (OFW, family, business, etc.).
Caritas Health Shield
Since it began operating more than 20 years ago, Caritas Health Shield has grown to include 76 branches and 15 Clinica Caritas across the nation. With a network of 14,000 doctors, they have assisted over 800,000 patients.
Philhealth Care (PhilCare)
As one of the nation’s first HMO providers, PhilCare was established in 1982 as Philippine Health Systems. In 2019, it introduced DigiMed, a service that enables users to speak with medical professionals both verbally and visually.
ValuCare
With more than 1,300 accredited hospitals and clinics, 990 dentistry offices, and 19,000+ medical specialists, their objective is to “offer inexpensive quality health care and promote the well-being of our plan members.” A ValuCare service representative will be able to provide information on the maximum benefit limit (MBL); visit their website to do so.
Eastwest Health Care
EastWest Healthcare, established in 2002, aims to provide customers with practical healthcare options at affordable pricing. They offer comprehensive HMO and TPA plans, and more than 100,000 members from 500 local and international enterprises participate.
Avega Care
A managed-care organization called Avega offers medical services to customers who need insurance for their staff members. They work in partnership with 800 organizations and have a network of 12,000 physicians and medical specialists.
Insular Health Care
Over 1,200 medical facilities across the nation and over 18,500 accredited medical specialists make up IHC’s healthcare network. For people with limited resources who need quality medical coverage, they offer incredibly affordable HMO packages.
Pacific Cross Health Care
HMO, medical, travel, and personal accident insurance are all provided by Pacific Cross Insurance Company. With a significant concentration on the ASEAN region, it was established in the Philippines in 1949 and today has sister companies all throughout Asia.
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