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Maxicare

Aetna works with Maxicare in the Philippines to provide healthcare access for missionaries without out-of-pocket costs. Maxicare will arrange appointments, issue Letters of Authorization (LOA) to approved providers to allow for direct billing, and pay providers directly. The missionary presents the LOA to the provider and is not required to pay. Any questions can be directed to Henry Newton at Aetna or Maxicare.

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60 views2 pages

Maxicare

Aetna works with Maxicare in the Philippines to provide healthcare access for missionaries without out-of-pocket costs. Maxicare will arrange appointments, issue Letters of Authorization (LOA) to approved providers to allow for direct billing, and pay providers directly. The missionary presents the LOA to the provider and is not required to pay. Any questions can be directed to Henry Newton at Aetna or Maxicare.

Uploaded by

Jason Cortez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Instructions for Maxicare

It continues to be Aetna’s intention that the missionaries should have access to


healthcare without having to pay out of pocket. For the care approved for the
missionary’s medical condition for which Medical Assistance was granted, we want
to try to assist in accessing care for the which we will try to coordinate direct
payment for. In Philippines we work with a network provider called Maxicare and
they will assist in arranging appointments and issuing the chosen medical providers
with Letters Of Authorisation (LOA’s) to allow for direct billing. I have attached the
overview which explains the process, the preferred process is also included below.

PREFERRED PROCESS
1. The mission or missionary should make appointment directly with the
medical provider within Maxicare Network if direct settlement is required.
2. The mission or missionary should call or Email a request to the following
email address at Maxicare. If contacting Maxicare by email you will need give
them your Aetna ID number (begins with a W).

Calling or texting (632) 5821965


Email - aetnasupport@maxicare.com.ph

3. Maxicare will then place a Letter of Authorization (LOA) with the provider
(referral office) requested by the mission or missionary in the Maxicare
network. 2 LOAs will be issued, this includes one LOA for the initial
consultation and one for any additional care (e.g., lab, x-ray) if necessary.
Maxicare will confirm back to the missionary with a copy of the LOA and
provide instructions for the missionary to pick up a copy of the LOA from
Maxicare referral office within the same building of the doctor’s office (any
of the Maxicare Primary Care Centers practices have a referral office in the
hospital building to print the LOA for the missionary to bring to the doctor’s
office, as doctors often do not have the capability to print the LOA
themselves). If the missionary can print a copy of the LOA or collect from the
mission office they are not required to go to the provider’s referral office.
LOAs are valid for 10 business days from date of issue.

4. The missionary will go to Maxicare Referral Office (where one is available) to


pick up a copy of the LOA prior to going to the doctor’s office (if a copy of the
LOA can be printed by missionary, it is not required to go to the Referral
Office) and not be required to pay for the services because Maxicare will pay
the provider directly. Upon completion of the consultation/treatment,
missionary needs to sign on the LOA. If the missionary is asked to provide a
form of payment, please have the facility contact Maxicare directly.

Any questions or problems that you have can be directed to myself (Henry Newton)
in the first instance, and my details are below. I work for Aetna International in
London and work a 9a.m-5p.m (UK time) Monday-Friday working week.

Should you wish to contact Aetna later then this please either call the general
number below.

If you would prefer to contact Aetna for any reason rather than Maxicare the
numbers below are still available:
AT&T International toll-free: 888-219-0477
Direct/Collect Number in US: 813-775-0451

Escalated Concerns or General Feedback:


If you have any questions about the plan or the processes please feel free to get in
touch with Henry Newton.

If you ever do have a need to escalate something above Customer Service, or you
would like to express or share any concerns you may encounter or have, please do
not hesitate to either call us or send us an email. The escalated contacts do work
normal business hours US or UK time so an email might be more appropriate
depending on the time of day.

 newtonh@aetna.com (Henry Newton’s email)


 Henry Newton’s Work Line +44 203 680 5235
If you pay for any medical services or prescriptions drugs with your own money,
you can request reimbursement. Please send a completed claim form and copies of
your receipts to Aetna at aiservice@aetna.com .
The claim form is on this website:
http://www.aetnainternational.com/sites/lds/index.html
Under the section Post Mission Medical Assistance for Young Missionaries, select
your preferred language. Claim form is located under Quick Tools.

We are here to help!

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