Medical

VMware provides a health insurance through Maxicare Healthcare Corporation.

Eligibility

All regular full-time employees and their eligible family members may enroll in health insurance. Eligible family members include:

  • If you are married: (1) Legitimated spouse under 65 years old; (2) Unmarried legitimate, legitimated, adopted children residing with the Principal member who are at least 15 days old up to 26 years old, not gainfully employed and have no children of their own.
  • If you are single: Parents under 65 years old OR domestic partner with 18 to 65 years old, including same sex partners.
  • If you are single parent (including widow/widower): (1) Unmarried legitimate, legitimated, adopted children residing with the Principal member who are at least 15 days old up to 26 years old, not gainfully employed and have no children of their own; (2) Domestic partner with 18 to 65 years old, including same sex partners.

Benefits

Out-Patient Benefits

  • All outpatient consultations and procedures, as long as medically necessary, covered up to 500,000 PHP
  • Review Maxicare insurance flyer for specific limitation

Optical Assistance Program – reimbursement basis

  • Prescribed Eyeglasses (Lenses and Frames), and contact lenses, covered up to 10,000 PHP per person

Outpatient Medicines – reimbursement basis

  • Prescribed Outpatient Medicines including Take Home Medicines, covered up to 25,000 PHP per family

Inpatient Care

  • Room and board accommodation, cover Platinum (Open Private) up to 500,000 PHP
  • All other items directly related in the medical management of the patient, covered up to 500,000 PHP
  • Review Maxicare insurance flyer for specific limitation

*Out of network availment for IP and OP: Reimbursable up to 100.00% of hospital bill and professional fee based on Maxicare rate

*Pandemic coverage: Cover Infectious diseases that are declared epidemic or pandemic by the Department of Health, World Health Organization or any recognized health authority up to 500,000 PHP

Annual Check Up

  • Platinum, conducted at a designated Maxicare affiliated clinic or mobile clinic (except Healthway Medical Clinic) once a year

Maternity Benefits

  • Caesarean delivery, covered up to 25,000 PHP
  • Normal delivery or home delivery, covered up to 20,000 PHP
  • Miscarriage / Abortion, covered up to 10,000 PHP

General Exclusions

There are exclusion conditions which may be excluded under the Plan. You will need to review the Maxicare insurance flyer for the relevant details.

Enrolment

Eligibility begins as of your hire date or the date life event happen. Review enroll or change benefits for more details.

When Coverage Begins

Coverage begins on your first day of employment with VMware.

VMware Contributions

VMware pays 100% of the premium costs for you and your eligible family members.

When Coverage Ends

Coverage for you and your eligible family members will end on the last day of your employment with VMware.

Contact Us

HR Source
ASK HR [VMware network access required]


Maxicare 24/7 Customer Hotline
(02) 582-1900 and (02) 798-7777


Maxicare Provincial Toll-Free Numbers:
1-800-10-582-1900 (PLDT) or 1-800-8-582-1900 (GLOBLE)


Maxicare SMS Inquiry Service:
0918-889-MAXI-(6294)

Resources

VMWARE PHILIPPINES INC. (Maxicare) Flyer 2020-2021


Group Medical Insurance Orientation


Customer Information Form
(CIF)


FO-CL-0.034 Claims Reimbursement Form (MRC)


Member Gateway Manual Registration Instruction


LIST OF AFFILIATED TELEMEDICINE PHYSICIANS AS OF JULY 10, 2020


Member Gateway_EDM


Member Gateway_Registration


Reimbursement thru Member Gateway