MyMaxicare — maximum care, minimum worry with MyMaxicare, a full HMO program for Individuals and Families.

Individual/Family Health Plan Application Form

Requirements Pre-Check

Have these ready before you start, so you can finish the application in one go.
Who are you buying coverage for?
Required Personal Information
  • PhilHealth Number
  • Contact Details (mobile number and email address)
  • Tax Details (TIN)

Choose who you're buying coverage for to see the documents you'll need.