Even as we live in post-pandemic times, life is still pretty much unpredictable. In an instant, an unexpected medical emergency can sweep our savings and turn our lives upside down. As such, while we often prefer to invest in more assets such as a house or car, we also need to prepare for the rainy days. This is where health insurance comes in.
With the rising healthcare costs in the Philippines, having a comprehensive and reliable health insurance plan to protect ourselves and our loved ones is a must. Health insurance companies in the Philippines offer a range of products that cater to different needs and budgets of individuals. It is crucial to carefully research and compare the various options available to find the best one that suits your unique requirements. Here are the top 10 health insurance in the Philippines:
10 Best Health Insurances in Philippines 2024 - Top HMO Rates
Table of Contents
Why It's Our Top Pick?
The Maxicare EReady Advance Titanium lands at the top of our list of best health insurance Philippines. Its comprehensive coverage and mid-range price offer great value for money. This prepaid plan covers emergency room care, in-patient and out-patient benefits, consultations with primary care physicians, and laboratory and diagnostic procedures. It also covers all pre-existing conditions, and you don't even need to undergo any preliminary check-ups.
Overview
Maxicare EReady Advance Titanium is a prepaid virtual health card for individuals aged 15 days to 65 years old. It has a 1-year validity from the activation date and does not need any paperwork nor require any preliminary checkups. It covers in-patient and out-patient expenses hospital and clinic expenses, except for the 6 major hospitals in Manila. However, the card can only be used once; but members may use multiple cards in a year.
Highlighted Features
From one of the best HMO in the Philippines, the Maxicare EReady Advance Titanium offers up to P50,000 coverage in emergency room treatment, including those that need confinement. It also offers unlimited consultations for free with primary care physicians. Additionally, this health insurance includes emergency medical assistance with Assist America for members traveling more than 150km from home, or in a foreign country, for up to 90 days.
Why Buy This
The Maxicare EReady Advance Titanium plan is a must-buy for individuals who want a comprehensive health insurance plan with 1-year coverage. It also comes with exclusive discounts on various Maxicare partner clinics and establishments. With its numerous affiliated hospitals and clinics, and partner merchants, you can have peace of mind knowing that you have access to a wide network of healthcare providers.
Overview
When it comes to affordability, MediCard Health Plus is our top pick. At a little more than P1,000, it provides 1-year coverage to individuals of any age. Additionally, it does not require any pre-acceptance medical exam. This virtual health card provides preventive and outpatient coverage to MediCard clinics, including unlimited check-ups for general practitioners.
Highlighted Features
With MediCard Health Plus, the member is entitled to an Annual Physical Exam (APE) that includes a comprehensive physical exam, CBC, urinalysis, fecal analysis, and chest x-ray. The cardholder may also avail 20% discount on laboratory and diagnostics procedures. Additionally, it includes a one-time free oral prophylaxis.
Why Buy This
Buy the Medicard Health Plus if you're looking for affordable health insurance. This health card aims to help you catch diseases early on through regular check-ups and comprehensive physical exams. With discounts on laboratory and diagnostics procedures, it also promotes cost-effective healthcare.
Overview
If you want health insurance for the whole family, the MediCard RxER is the best health card Philippines for you. It will cover anyone of any age for 1 year and provides various benefits for the cardholder. This prepaid health card also does not require any medical exam.
Highlighted Features
The MediCard RxER covers the maximum amount of P20,000 on select emergency cases in MediCard-accredited hospitals. It also covers medical and dental consultations in any MediCard free-standing clinic and offers one free tooth cleaning. Cardholders are also entitled to a 30% discount on laboratory and diagnostics, surgical, and dental procedures in MediCard clinics.
Why Buy This
If you want to protect every member of the family, the MediCard RxER virtual health card is a great choice primarily because it has no age limits. You can buy one for the youngest member to the oldest grandparents in the family. With one card for each family member, you can ensure that everyone is covered and has access to healthcare services whenever they need it.
Overview
From one of the most popular HMO providers in the Philippines, PhilCare, the IndieGo health card provides comprehensive health insurance coverage to various individuals aged 18 to 65 years old. This includes ER, hospitalization, and accident coverage along with medical and mental consultations. The insurance is valid for one year or until the coverage amount has been exhausted.
Highlighted Features
PhilCare IndieGo covers up to P80,000 worth of ER expenses, hospitalization due to viral and bacterial illnesses, or treatment of accidental injuries. It also includes an online consultation with a primary care physician and a 50-minute mental health counseling session. Additionally, it includes P50,000 accidental death and disability coverage.
Why Buy This
The PhilCare IndieGo is a great choice for individuals who are looking for comprehensive health insurance coverage. It offers a wide range of benefits at a budget-friendly price, making it a cost-effective option for anyone. More so, with more than 500 PhilCare-accredited hospitals, the cardholder has a wide network of healthcare providers to choose from.
Overview
Once people reach the age of 60, various health problems arise, which is why having health insurance is particularly important for senior citizens. While the Maxicare PRIMA Gold is quite costly, it offers extensive coverage that will surely benefit senior citizens. It even includes free dental services and ADD&D benefits.
Highlighted Features
The Maxicare PRIMA Gold covers all laboratory tests and diagnostics, unlimited consultations with Maxicare Primary Care Clinic doctors, and ER coverage at a maximum amount of P20,000 in Maxicare-affiliated hospitals. It also includes free dental care services and access to Maxicare teleconsult.
Why Buy This
The Maxicare PRIMA Gold is a highly recommended health insurance, particularly for senior citizens. It provides comprehensive outpatient and emergency coverage, including consultations and dental services. With this card, you will no longer have to worry about medical bills and laboratory expenses for your senior parents or yourself.
Overview
When it comes to kids, we always want to keep them protected from any sickness or accidents. While we can't stop unforeseen events from happening, we can protect our kids' health and well-being. In this case, the PhilCare - ER Vantage Plus can be a reliable tool. This comprehensive health insurance is primarily designed with kids' health in mind.
Highlighted Features
The PhilCare - ER Vantage Plus provides a one-time coverage of up to P60,000 for ER expenses, hospitalization due to viral and bacterial illnesses, and treatment of accidental injuries. This health insurance is specifically intended for kids aged 6 months up to 17 years old and is valid for 1 year after the activation date. It also provides a P50,000 AD&D benefit.
Why Buy This
The PhilCare - ER Vantage Plus is a great buy if you want to ensure that your kids are protected in case of emergencies or illnesses. With its wide coverage and benefits, you can have peace of mind knowing that your children's health and unexpected medical expenses will taken care of.
Overview
Self-employed individuals looking for affordable and comprehensive health insurance coverage should consider the PhilCare - Health Vantage for Adults. This prepaid health card is intended for adults aged 18-65 years old. It provides wide coverage of medical expenses, including inpatient, outpatient, and emergency care.
Highlighted Features
The PhilCare - Health Vantage offers up to P80,000 coverage for hospitalization due to accidental injuries, and treatment of viral and bacterial illnesses. It also covers laboratory and diagnostic procedures, along with ER treatments and medicines. It also includes P10,000 life insurance and 50,000 AD&D benefits to be supplied by the third-party provider.
Why Buy This
It's already hard enough to earn money to sustain our daily needs, and we don't want to spend a large portion on unexpected medical expenses. In this case, the PhilCare - Health Vantage for Adults is the perfect solution. With its extensive coverage, you no longer have to worry about breaking the bank every time you get sick. Since it can be used multiple times throughout its 1-year validity, you may seek medical care as much as you need.
Overview
If you are an OFW or expat, the Maxicare EReady Advance Platinum is our top recommendation for you. This health insurance provides a wide coverage that even includes the 6 major hospitals in Manila and its emergency medical assistance further extends abroad. It also covers all the cardholder's pre-existing conditions.
Highlighted Features
The Maxicare EReady Advance Platinum is an ideal health insurance for expats and OFWs because it includes emergency medical coverage worldwide through Assist America. Once home, this health insurance provides up to P50,000 ER and hospitalization coverage for accidents and illnesses. It also provides the cardholder with unlimited access to teleconsult 24/7 and free consultations with primary care physicians in its partner clinics.
Why Buy This
The Maxicare EReady Advance Platinum is a great buy for expats and OFWs, particularly because it continues to cover the members even when they are abroad. OFWs may also benefit from the free teleconsult for convenient medical assistance wherever they are. At a relatively affordable price, this health insurance offers comprehensive coverage that caters to various needs.
Overview
If you're looking for the best health insurance with out-patient coverage, the InLife ER Care All-in 80 Adults is the best option. It is a single-use virtual health card with 1-year validity that will provide access to more than 500 InLife-accredited hospitals. Aside from OPD coverage, it also includes ER and in-patient care.
Highlighted Features
With this virtual health card, you truly get all-in coverage. It provides the maximum amount of P80,000 coverage for ER, out-patient, and in-patient care. This includes laboratory, diagnostics, imaging, doctor's fees, medicines, and even the use of operating room, recovery room, and ICU. It also covers special modes of treatment such as arthroscopic and laparoscopic procedures.
Why Buy This
The InLife ER Care All-in 80 Adults is a great buy for individuals who want to have wide health insurance coverage that includes out-patient care. At a budget-friendly price, your medical expenses for OPD visits and treatments will be covered. With this health insurance, you can have peace of mind knowing that you are covered in case of accident, or viral and bacterial illnesses.
Overview
Last on our list of top 10 hmo in the Philippines is the InLife She’s Well Violet health insurance.
Primarily designed for women, it covers various diagnostic procedures and exams related to maternity care and women's health. It also covers out-patient, in-patient, and emergency care for other medical needs.
Highlighted Procedures
The She's Well Violet provides health insurance coverage to women aged 19-35 years old. Among the procedures and exams it covers are transvaginal or transrectal ultrasound, breast ultrasound, Pap smear, chest x-ray, urinalysis, and blood typing. It also includes pre- and post-procedure consultations and unlimited online or over-the-phone telemedicine consultations.
Why Buy This
The She's Well Violet health insurance is the best option for women, especially for those looking for maternity care coverage. It provides 1-year, single-use coverage to women aged 19-35 years old. It also offers various benefits, such as consultations and coverage of diagnostic procedures and exams.
How Important is a Health Insurance?
Having health insurance is extremely important, especially for people who want to have peace of mind. Since it provides financial protection in unforeseen events, such as sickness or accidents, you no longer have to worry about how you'll pay for the medical expenses. Aside from covering the cost of medical treatments, medications, and hospitalizations, comprehensive health insurance also offers preventive care services to help individuals catch sickness early on.
What is the Difference of Life and Health Insurance?
While both life insurance and health insurance provide financial protection, they serve different purposes. Primarily, life insurance provides a payout to the beneficiaries of the policyholder in the event of death, accident, or terminal illness. On the other hand, health insurance covers the cost of medical expenses and treatments when an individual falls ill or gets injured.
What Should I Look For in a Health Care Insurance Provider?
With the variety of health insurance providers on the HMO list Philippines, here are 3 important factors to help you decide from which provider will you avail your insurance
- Find a reputable health insurance provider that's known to provide excellent coverage and customer service.
- Look into the number and proximity of the hospitals and clinics affiliated with the health insurance provider. Doing so will ensure that you will have convenient access to medical services if needed.
- Check if they offer a plan that matches your needs.
Buying Guide: How to Choose a Health Insurance in the Philippines
After choosing a provider, here are the factors you may want to consider in selecting a specific health insurance product:
- Find one that will cover all your needs. You can choose from various health coverage from diagnosis to hospital confinement.
- Set your reliable budget on the coverage you wish to have. They offer health plans that include various packages that you can afford.
- Identify the age limit set by the insurer, as some health insurance plans may have age restrictions and may not provide coverage for individuals beyond a certain age.
- Look for any additional benefits or perks offered by the health insurance provider, such as access to wellness programs or discounts on certain services.
Conclusion
Health insurance can significantly provide financial protection to members/cardholders by alleviating the burden of medical expenses and providing access to necessary healthcare services. There are many different plans available from various providers, so it's important to carefully review your options and consider the factors mentioned above.