maxicare.com.ph Avaliações 24

While the medical staff at the PCC-BTC branch are professional, I am writing this to warn other members about the significant transparency issues regarding their diagnostic equipment and the poor administrative handling of service failures.

I paid approx. PHP10k for a Plain MRI of the Left Shoulder. Despite giving them a detailed summary of my case, it was not disclosed prior to the procedure that it might not be suitable for my purpose. Only after I had inquired about the "suboptimal" remark in the report I received, was I informed that this facility utilizes a 0.5 Tesla (low-field) magnet. Because this was a standard closed-bore machine, there was no clinical trade-off (such as patient claustrophobia) to justify using a magnet that falls below the 1.5T clinical baseline for high-detail orthopedic imaging.

The facility’s own radiologist admitted in the final report: “Due to machine technical limitations, images are suboptimal for proper evaluation”. This rendered the study useless for my orthopedic surgeon.

My attempt to resolve this was met with a frustrating lack of substance:
(1) Avoidance: The clinic initially proposed an orthopedic consultation to "interpret" the results, which I declined because a specialist cannot fix a faulty data foundation. Having an expert look at blurry images does not make the images clearer.
(2) Non-commitment: I received multiple identical template emails from "Customer Care" that ignored my specific technical evidence and formal demands. Some of them even had grammatical and/or typographical errors. At one point, they threatened to close my ticker if I don't respond within 48 hours, as if the fault is not on their end.
(3) Resolution: Despite giving them reasonable time to find and coordinate for a redo at a more suitable facility, they were unable to deliver. After citing the Consumer Act (RA 7394) regarding non-disclosure of material limitations, a full refund was eventually offered. I was told that a refund takes a month to process.

If you require specialized imaging, do not assume the equipment is suitable. The put it on the patients shoulders to verify the suitability ourselves. My advice would be to proactively inquire and advocate for yourself. Maxicare’s refusal to facilitate a redo at a capable facility, opting instead for a refund and a "case closure" threat, shows a lack of commitment to actual patient health outcomes.

KUNG ME MAS BABABA PA SA 1 NA RATE BAKA YUN PA. WHAT HAPPENED PO. BAKIT ALL HOSPITAL NA PUPYNTAHAN MO ANG PAG PAPA APPROVED TAKES 2 HRS . WE KNOW ITS FREE FROM OUR COMPANIES PRO ETO NA PO BA TLGA REALIDAD MAXICARE ?

Waited for 6.5 hours to get an LOA just to end up not being able to go home due to pending approval. Sh*tty insurance company.

Maxicare prima gold dows not invlude common tests that seniors actuaĺly need. Almost useless...
Staff tell u t show up n walk in for tests and when i did for mine v earky i was told my test is kot available aftet all. Not renewinf anymore...cjeck tests avail for ur specific card
Staff give different guodelines; they keep asking others staff eho didmt seem t lnow the snswers as well.
They took my blood, a lot, and eventuslly i was told its mot coversble in my card. Thzts after i alreDy said t just do the test my card is suppossed t cover. Not the first time, this mess haplened

Enroll ko pa sana anak ko pero wag nalang. Disappointed with my experience with the doctor and the staff.

I GOT MY 2D ECHO DONE IN PCC NUVALI BY THIS LONG HAIR WAVY GIRL WITH MEDIUM TO LARGE BUILT.

I AM HONESTLY DISMAY BY THIS 2D ECHO WORKPLACE AND PROCEDURE.

I CAME IN FOR A 2D ECHO BECAUSE OF MY CHEST PAIN CONCERN. INSTEAD OF FEELING UNEASE I FELT HELD BACK WITH THIS MOUTH OF DISRESPECTFUL TECH AND VERY DISRESPECTFUL MANNER. I AM HINESTLY VERY DISSAPOOINTED AND UNSATISFIED WITH MY EXPIRIENCE.

I DONT FEEL WELCOME. I HAD MY 2D ECHO DONE BEFORE BUT THE TECH WAS SO WELCOMING IVE DONE IT LAST 2023. THIS TECH SEEMED NEW SINCE THIS IS THE ONLY TIME I SAW HER.

SHE IS TAKING THINGS ABOUT HER CO- WORKER WHICH SEEMED UNETHICAL. SHE DOESNT REPRESENTS MAXICARE. I WAS GREETED AND ACCOMODATED WARMLY UPON MY ARRIVAL BUT SHE IS ONE OF THE MOST NEGATIVE PERSON I SAW AND ENCOUNTERED.

I AM HONESTLY DEVASTATED AND WOULD NEVER COME BACK TO HAVE MY 2D CONDUCTED IN PCC NUVALI. I DONT SEE HOW SHE GOT HER DIPLOMA WITH THIS ATTITUDE AND HOW WAS SHE EVEN HIRED???

DISGUSTING. I HEARED HER NAME CALLED BUT VERY UNCLEAR SHE WASNT WEARING HER ID I THING ITS “MAU”

PLEASE ACT IN THIS.

I need to request a Letter of Authorization (LOA) in order to access laboratory services and clinics. However, they often recommend their own accredited clinic, which is not practical due to its location. This leaves me with no choice but to use clinics near my area.

The issue arises when requesting an LOA for laboratory procedures—agents process the document, but some procedures are missing. It’s extremely frustrating because I end up unable to avail the services simply because the agent didn’t thoroughly check the details.

Additionally, I don’t understand why an LOA is even required when these clinics can simply scan my card. It feels as if Maxicare is discouraging the use of nearby clinics by making the process difficult and inconvenient.

Other insurance companies allow you to just swipe your card and everything is handled seamlessly. Unfortunately, this company does the opposite, making the entire experience unnecessarily cumbersome.

I had a very disappointing experience at this clinic. I got my queue number around 6 PM and was initially assisted at Nurse Station 1. I was told to wait for the doctor in Room 2 to call my name. After waiting for two hours, my name was still not called, while several patients who arrived after me were being seen ahead of me.

I followed up at Nurse Station 2, and the nurse there informed me that I had been placed in the wrong queue. What frustrated me even more was that no one even bothered to apologize for the long wait and inconvenience. Only after I followed up did a nurse rush to the correct doctor, who then finally called my name.

I wasted two hours of my time because of their mistake, and had I not followed up, I would have continued waiting until closing time. Very poor service and extremely frustrating experience. I hope the clinic addresses this issue to prevent it from happening to others.

Until now i did not receive my digital card it's been many days already! Nakakairita na. Tinatawagan ko numbers nila di rin makontak! I am plannig to avail other hmo's

Avoid this company at all costs! It's been a MONTH since I requested a refund and I'm still waiting. The lack of communication and customer service is appalling. Every promise they make is met with complete radio silence. I've tried to resolve this issue multiple times, but they just ignore me. If you value your time and money, stay far away from this company. One star isn't even enough. They’re scammer!!!!

I am feel disappoinment especially with Dr Ramos in Sm Bf Paranaque, she have an attitude and dont acknowledge patient I hope they must find more Dr that was eager to listen to patient when they are experiencing pain.

Today, I spoke with Maxicare customer care regarding a routine clinic bill for blood tests and urinalysis. Their response? Denied—because my doctor isn’t “accredited” in their system.

I’m being penalized for choosing continuity of care. For sticking with a doctor who knows my medical history, understands my sensitivities, and has guided me through a complex recovery journey. Apparently, the system prefers fragmentation—forcing patients to bounce between unfamiliar doctors just to satisfy bureaucratic checkboxes.

This isn’t just inconvenient. It’s dangerous.

Misdiagnosis is one of the leading causes of preventable death worldwide. In the U.S. alone, nearly 800,000 people suffer serious harm annually due to diagnostic errors—many of which stem from poor communication and fragmented care.

So why is Maxicare designing policies that encourage this fragmentation?

Health systems should be built around the patient, not the paperwork. Accreditation should enhance care, not obstruct it. And common sense—like trusting one doctor to oversee your health—should never be punished.

We need reform. We need accountability. And we need them to stop treating patients like line items on a spreadsheet.

I just want to share my disappointment and frustration with Maxicare.

To share my story: I was diagnosed with heart failure and was advised to undergo a CT Coronary Angiogram. The problem is, the only hospital that can do this procedure is Davao Doctors Hospital in Hilario St. I am aware that this hospital is not part of my coverage, so I did the right thing and reached out to Maxicare customer service to ask what I should do in order to still utilize my plan.

The customer service representative told me that I can pay in cash first and then just apply for reimbursement. I even asked for an assurance multiple times, and they gave me that assurance—that the procedure was covered under my plan.

Trusting their word, I proceeded and paid ₱31,900 in cash for the procedure. But after I submitted all the requirements for reimbursement, I was declined because the hospital is not covered. I explained that I only went through with it because their own representative assured me that I would be reimbursed. Still, they wouldn’t listen.

This whole experience has caused me so much stress and emotional burden. Imagine being in a health crisis, trusting the assurance of your HMO provider, only to be left hanging after spending such a big amount.

Maxicare, I expected honesty, transparency, and compassion—especially for members who are already struggling with their health. Instead, what I experienced was misleading information, false promises, and a complete lack of consideration.

I am posting this to make others aware, because I don’t want anyone else to go through the same pain, stress, and disappointment I went through.

TERRIBLE Customer service. Increasing renewals of premium with no agent or broker explaining. They love to take the money, send bill and even charge for 1 day delayed payment for the money that belongs to its clients.

This has been one of the most frustrating experiences I’ve ever had with a healthcare provider. Maxicare completely FAILED me when I needed them the most.

I was scheduled for an operation, but thanks to their ridiculously slow approval process, I had to reschedule a critical medical procedure. Do you even understand how stressful that is for a patient? It’s unacceptable.

What made it worse was dealing with their clueless customer service. They clearly had no idea how to read my medical history, ignored my chief complaint, and kept giving me vague, inconsistent answers. It's like they’re not even trained to handle real medical situations.

Maxicare is supposed to make healthcare more accessible — instead, they made it harder and more stressful. If this is how they treat their members, I honestly don’t know how they’re still operating.

I’d give them 0 stars if it was an option. Horrible process signing up, no onboarding, no actual anything other than them taking money and shipping a card. We have been with them for 4-5 months now and still haven’t gotten onboarded. Thank god I didn’t have the other 15 recently regularized employees under their plan. Will not be renewing or recommending to anyone. Stay away. Garbage company.

Ive been so patient speaking to multiple agents & supervisors promising to get back to me. Services suck but customer service sucks more. They will just keep on making you go around in circles & will keep you waiting. They do not have respect your time at all. Even supervisors do this. They should train these people more. Its been more than 2 weeks and Im still the one following up with them.

Very poor services and weak coverage.

Very poor services. If only I knew it from the start. It's been 8 weeks, you still haven't given my policy. No updates no calls from you. Two hospitalizations have passed, still, I cannot avail your services.

I was disappointed to hear that my nephew discovered that Maxicare will not shoulder the hospital bill if the doctor is not credited on Maxicare. So, what happened next of course we shoulder all the expenses including the doctor's fee.
For more than a year, we are wasting our money. We are giving useless donations to them.