HMO FOR BEGINNERS | HEALTH MAINTENANCE ORGANIZATION 101 PHILIPPINES | What you need to know

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  • Опубліковано 19 чер 2024
  • We’re finally talking about HMOs! The basics, why it’s important, the difference between Health insurance and HMO, How to get one, requirements, and many more!
    Dealing with personal finances, especially since it’s not taught in school can be quite hard and confusing. I hope this video and this channel will help you out in the challenges we are facing right now with personal finance, entrepreneurship and adulting in general.
    ►Outline :
    0:00 - Intro
    1:00 - What is an HMO
    1:25 - Terms to Note
    4:14 - HMO Coverages
    5:33 - HMO vs Health Insurance
    6:24 - Types of HMO
    9:07 - Why one should get an HMO
    11:29 - Requirements
    11:48 - PROS
    14:19 - CONS
    16:47 - Final Thoughts
    ►Sources/Links
    ► www.maxicare.com.ph/
    ► hrnation.ph/philippine-hmo-fa...
    ► grit.ph/hmo/
    ► www.bworldonline.com/what-you...
    ► Previous Videos :
    INSURANCE CHECKLIST ► • 20+ DIFFERENT TYPES OF...
    KWIK.INSURE ► • SHOP FOR AFFORDABLE IN...
    MY INSURANCE COVERAGES ► • MY 7 INSURANCE COVERAG...
    HOW TO CHOOSE A LIFE INSURANCE► • HOW MUCH INSURANCE COV...
    LIFE INSURANCE 101► • LIFE INSURANCE FOR BEG...
    ► Music Credit: DJ Quads
    Track Name: “IT’S NEAR”
    Music by: Dj Quads @ / aka-dj-quads
    Official UA-cam Channel HERE: / channel
    ►Ready2Adult Ph
    Instagram: / ready2adultph
    Instagram: / deleoncharmaine
    Facebook Page: / ready2adultph
    Facebook Group: / ready2adultph
    Email: hello@ready2adultph.com
    ua-cam.com/users/CharmdeLeon?s...
    Disclaimer:
    This video and description contains affiliate links where I may or may not receive a commission. This helps support the channel and allows me to continue to make videos such as this. I am not a financial advisor. Always do your due diligence.
    KEYWORDS:
    HMO Philippines, HMO 101, HMO for beginners, Adulting 101, How to Adult, Personal Finance, HMO ph, Maxicare, MyMaxicare, HMO, Individual HMO plan, HMO for self employed, affordable HMO, health insurance vs HMO, health insurance, health card, prepaid health card, Health Maintenance Organization, PhilHealth, Insurance Philippines, ready2adult ph, charm de leon

КОМЕНТАРІ • 113

  • @CharmdeLeon
    @CharmdeLeon  2 роки тому +12

    Learn more on how you can start investing on you and your loved ones' worry-free lifestyle by clicking this link: www.maxicare.com.ph/healthcare-program-for-me-and-my-family/my-maxicare/

    • @tamcyrillemaglaqui4380
      @tamcyrillemaglaqui4380 2 роки тому +1

      Wow thank you for the wonderful infos. Thank you po 🥰

    • @What_I_Discovered
      @What_I_Discovered Рік тому

      Hi Ms charm. I'm interested to take a HMO but may tanong lang ako pwede mag apply ng HMO kahit ung philhealth ay NHT's meaning philhealth ng Masa which is free from government and renewable yearly. And also dependent lang ako dahil sa asawa ko naka name ung philhealth. Thank you po

  • @garys5540
    @garys5540 2 роки тому +2

    Thanks so much for providing much needed information! Much appreciated.

  • @hiippocampus
    @hiippocampus 2 роки тому +21

    THANK YOU THANK YOU for thinking of us self-employed people ❤️

    • @CharmdeLeon
      @CharmdeLeon  2 роки тому +2

      Of course! We’re on the same boat! Hehe

  • @jessyespiritu1657
    @jessyespiritu1657 2 роки тому +2

    Well explained! Thanks, Charm! ♥♥♥

  • @nancymccord6421
    @nancymccord6421 7 місяців тому

    I want to say thank you. You are amazing. I appreciate all your knowledge and thank you for sharing it. It has helped me a lot. I am an advocate in the healthcare insurance field for HMOs. You’ve made things more understandable for me as I learn this new industry.
    I wish you much success and all you choose to do .

  • @arvinsabales9947
    @arvinsabales9947 2 роки тому +2

    I really love the way how you discuss it 🥰🥰

  • @jellyannbautista3559
    @jellyannbautista3559 2 роки тому +1

    Super helpful. Thank you for this vid

  • @laurennemarieangel2332
    @laurennemarieangel2332 Рік тому

    Thank you Charm, very well explained . I like how you covered each section so clearly. Keep it up with the great content!

  • @chriseldaladia892
    @chriseldaladia892 2 роки тому +35

    Getting individual hmo plans could could get tricky, they said that there's a lot of common diseases(Pre-existing conditions) that aren't covered with using the HMO for an individual plan unlike with HMO when you're employed where there's no limit to which diseases are covered. Hoping for a next video on how you chose your HMO and what were your choices

    • @carahbontuas5118
      @carahbontuas5118 Рік тому +2

      update about this please

    • @jubencore1950
      @jubencore1950 Рік тому +1

      Yes po, update this please

    • @jandanielpayumo6626
      @jandanielpayumo6626 4 місяці тому

      Yes script nila yun kapag nakita nila individual ka agad nila sasabihin pre-existing condtion. Pero pwede siya ilaban magaask sila ng mga bloodchem, etc to prove na hindi siya pre existing

  • @qcrctgavarcesxrfab8015
    @qcrctgavarcesxrfab8015 2 роки тому +6

    wow! super great content!! kakatuwa. can you please do a review/comparison din po of medical insurances like pacific cross or kaiser? or what medical insurances/hmo we can look for our senior parents. thank you! more power to your channel!

  • @AmirChristopher
    @AmirChristopher 2 роки тому

    yeyyyyyy new videooo 😊😍 Thank you for thisss 😊

  • @tinedilao
    @tinedilao 2 роки тому

    thank you Ms. Charm

  • @marielbohol1
    @marielbohol1 2 роки тому +1

    THANK YOU AND GOD BLESS

  • @maureenuzochukwu9533
    @maureenuzochukwu9533 9 місяців тому

    Thanks , I love your video❤❤

  • @irenebalili2182
    @irenebalili2182 2 роки тому

    Love love ur videos. Thank yuo

  • @shanec.2423
    @shanec.2423 5 місяців тому

    Very Informative! Thank you

  • @GhostedStories
    @GhostedStories 2 роки тому +3

    Hello Charm!

  • @jenamarienubla6714
    @jenamarienubla6714 2 роки тому +1

    Wowww My Maxicare covers pre-existing?? 😮

  • @fieryfbc536
    @fieryfbc536 2 роки тому

    Ms. charm , ur video is great..wats ur take with Caritas ?

  • @daviduntalan
    @daviduntalan Місяць тому

    greatly explained! ^_^

  • @rodelscreation
    @rodelscreation 2 роки тому +1

    I am self employed thank you

  • @samperez8535
    @samperez8535 2 роки тому +4

    can you talk about hospital stocks? and where to invest? thanks!

    • @kiane9465
      @kiane9465 2 роки тому

      $Medic and $MPI have some exposure in medical industry.

  • @tamcyrillemaglaqui4380
    @tamcyrillemaglaqui4380 2 роки тому +2

    Hi Ms. Charm thank you for the video, just to confirm much better to purchase HMO even were self-employed right? Thank you for the answer

    • @CharmdeLeon
      @CharmdeLeon  2 роки тому +1

      It really depends on your needs but generally yes kasi it serves a different purpose from health/life insurance din.

  • @anasmith5397
    @anasmith5397 2 роки тому +1

    how do u apply for medical bill reimbursement? where can i get the form?

  • @anjcalonzo15
    @anjcalonzo15 2 роки тому

    Mag vlogmas ka rin ba Charm? Hahah exciting 🤗

    • @CharmdeLeon
      @CharmdeLeon  2 роки тому

      Haha! I don’t know what/how to vlogmas 😅😂

  • @shaydaison
    @shaydaison 2 роки тому +1

    Teka lang. Pa drop naman ng skincare. :D

    • @CharmdeLeon
      @CharmdeLeon  2 роки тому +7

      😂😂 only Kiehl’s touches my skin haha

  • @marytolen6776
    @marytolen6776 Рік тому

    How much the membership fee ? Is it renewable every year? You only mention the coverage.

  • @lyslys4062
    @lyslys4062 2 роки тому +3

    Can you talk about group life insurance provided by employer

  • @irismclight3766
    @irismclight3766 Рік тому +1

    Ahso pag na stroke or nagka cancer hndi ma ccovered? Kuha sana ako maxicare pero kung d pwede sa dalawang yan maghahanap nlang me ibang private insurances

  • @medyjavier8107
    @medyjavier8107 2 роки тому +3

    For individual HMO plan, best is Pacific Cross.

    • @Ian-sj7up
      @Ian-sj7up Рік тому

      Better po than maxicare? Covered po ba pre existing conditions?

    • @peachy-maxicarehealthbenef8658
      @peachy-maxicarehealthbenef8658 Рік тому

      @@Ian-sj7up Pacific Cross doesn’t cover Pre-existing conditions. And this is permanent exclusion from your coverage. Hope this helps.

  • @ericgamboa6185
    @ericgamboa6185 4 місяці тому

    hi.can i enroll my self in hmo even i im employed?i mean for my self that not going to my company?

  • @user-yu5ux7lz3y
    @user-yu5ux7lz3y 2 роки тому +3

    Why would you get an HMO limited to 200k when you could get health cards that give higher coverages at almost same rate? and diba Avega and Intellicare has the highest network? not sure, nabasa ko lang somewhere

  • @Gojosaturo963
    @Gojosaturo963 Рік тому

    Covered din po ba ng hmo ang raspa?

  • @noreleisantiago4314
    @noreleisantiago4314 3 місяці тому

    Gusto ko mg pa labtest using HMO ? Can you advise where?

  • @alyssahenneseygonzales5830
    @alyssahenneseygonzales5830 2 роки тому +4

    Hello. Does philhealth share the cost with HMO for outpatient transactions?

  • @teacherdianaingente1184
    @teacherdianaingente1184 6 місяців тому

    Can you share your HMO products? Please 🙏

  • @hazc5091
    @hazc5091 2 роки тому +4

    Hello po, im about to finish my life insurance payments and next target ko is on health naman..which is better to prioritize between hmo and health insurance? Unless my income increases, I can only afford one right now unfortunately huhu. Thank you 😊

    • @Erikaphoebes12
      @Erikaphoebes12 Рік тому +1

      It is really depends on ano ang mas important sayo, Critical Illness ba or preventive health care lang like lab costs consultations and emergencies.

    • @jaze_ph
      @jaze_ph Рік тому

      Start your health insurance then maybe for HMO, bili ka nung affordable lang around 3-6k sa lazada (maxicare, etc.)for emergencies,

  • @irenebalili2182
    @irenebalili2182 2 роки тому +1

    Miss charm pls give link for maxicare. Thnx

    • @CharmdeLeon
      @CharmdeLeon  2 роки тому

      www.maxicare.com.ph/healthcare-program-for-me-and-my-family/my-maxicare/

  • @shanaflamehaze1379
    @shanaflamehaze1379 4 місяці тому

    ask lang, worth it pa ba mag activate ng Maxicare HMO if malapit na ko mag resign sa company?

  • @user-js9hh2ri7i
    @user-js9hh2ri7i Місяць тому

    I'm curious if Maxicare is still considered a good option in 2024.

  • @japhethelcarte390
    @japhethelcarte390 Рік тому

    Kailangan ko parin bang kumuha ng Life insurance, Health insurance, SSS, Pag-ibig if ever sundalo ako. Kasi meron naman ganyan ang mga sundalo diba?

  • @medyjavier8107
    @medyjavier8107 2 роки тому +6

    Only pre natal and post natal consultations are covered in HMO. Laboratories for pregnant women are not covered.

  • @godslittleflocklearningcen2001

    If over 65...can we enroll HMO, maxicare?

  • @micahjanedaculos9711
    @micahjanedaculos9711 2 роки тому +1

    Hello po. My father is currently unemployed and he is a dependent of my mom sa philhealth. Will maxicare accept it in case he gets hospitalized or need talag mag open ng philhealth volunteer account for him?

    • @CharmdeLeon
      @CharmdeLeon  2 роки тому

      Pwede dependent if married 🙂

  • @iliveinduniverse
    @iliveinduniverse 4 місяці тому

    So you can’t apply for hmo without philhealth?

  • @madaamjo6249
    @madaamjo6249 2 роки тому +1

    Does my children also get the same benefits as mine?

    • @CharmdeLeon
      @CharmdeLeon  2 роки тому

      You can choose which package you will get for them

  • @nielarro1032
    @nielarro1032 3 місяці тому +1

    how to apply

  • @markjosepharcilla4994
    @markjosepharcilla4994 Рік тому

    Samin kasii walang fill Up .
    Bigay lang tapos Kaltas
    Ang matindi po samin
    Eyy company den po namin
    Ang may Hawak nang Aming
    HMO .
    Pag kakaalam kopo kasii
    Sa ibang Company po kukunin
    Po yan ehh . At may exp po
    Saken po kasii
    5years na pero hindi pa
    Na expired .
    At hindi po sila
    Nag cocovered nang Laboratory
    Like MRI .
    Need pa daw EMERGENCY at hindi
    Daw pwede Out Patient
    Pano po yun may case po ba

  • @ralpushiyeyo
    @ralpushiyeyo 2 роки тому +1

    You mentioned PhilHealth, I'm not paying my contributions for PhilHealth but I'm planning to buy an HMO insurance. Does it mean that I need to pay my PhilHealth contributions first before buying an HMO insurance?

    • @shaineangela3693
      @shaineangela3693 2 роки тому

      Yes po 💯

    • @peachy-maxicarehealthbenef8658
      @peachy-maxicarehealthbenef8658 Рік тому

      You can avail of HMO plan even if you’re not a Philhealth member. However in the event that you get hospitalized, the supposed Philhealth share in your charges will be covered by you as an out-of-pocket expense. Your HMO provider will only cover the charges net of Philhealth share. Hope this helps.

    • @What_I_Discovered
      @What_I_Discovered Рік тому

      Hi Ms. Dependent ako sa husband ko ng philhealth nya pero ang philhealth nya ay NHT'S provided by the government renewable annually. Is there a chance I can apply HMO pa din?

    • @teresitaandal3278
      @teresitaandal3278 9 місяців тому

      Okay lang bang mag apply ng HMO if yung asawa ko lang naghuhulog ng PhilHealth then sa akin lang yung HMO?

  • @nilorcruzimjr1738
    @nilorcruzimjr1738 Рік тому

    mam employee po ako may maxicare po ako galing sa company
    sakop po ba nito ang varicose veins?

    • @shirleytablico
      @shirleytablico Рік тому

      Yes. Schelotherapy is part of the benefits but on a certain limit. Consult your HR.

  • @perlitatabian5167
    @perlitatabian5167 2 роки тому +1

    I mam how about Kaiser its good hmo provider ?

    • @dorissam5833
      @dorissam5833 2 роки тому

      Yes, it's a good HMO provider, ma'am.

  • @giesharingstylevlog1694
    @giesharingstylevlog1694 2 роки тому

    Pwedi sa sunod Tagalog😁

  • @kelvindelosreyes4564
    @kelvindelosreyes4564 Рік тому

    Miss charm, do HMO have maternity benefits?

    • @CharmdeLeon
      @CharmdeLeon  Рік тому +1

      Yes, but usually for pre natal lang

    • @kelvindelosreyes4564
      @kelvindelosreyes4564 Рік тому

      @@CharmdeLeon miss charm, can I use my HMO like maxicare for my wife or parents and also to my siblings?

    • @shirleytablico
      @shirleytablico Рік тому

      For individual, NOPE but for company, they can add it to their benefits. Individual plan is non comparable with corporate plan.

  • @kylynmrls
    @kylynmrls 2 роки тому

    Hi, Ms. Charm! Ilang months po after approval of membership pwede na magamit ang HMO?

    • @CharmdeLeon
      @CharmdeLeon  2 роки тому +1

      Depends but usually 3-6 months

    • @shirleytablico
      @shirleytablico Рік тому

      @@CharmdeLeon correction from the first day of membership you use your HMO.

  • @cherrylayoso706
    @cherrylayoso706 Рік тому

    Charmsendmo yung order ko ha kc kailangan ko yun paspasyal kami sa 17 thank

  • @EdwinDumlao
    @EdwinDumlao Рік тому

    Ung panganganak po covered po ba?

    • @addstersen5135
      @addstersen5135 5 місяців тому

      Depende po sa policy ninyo. But usually pregnancy related is not covered..

  • @johnmichaelparut5031
    @johnmichaelparut5031 Рік тому

    ung company hmo namin half binabayaran ng company tapos ung half kinakaltas sa sahod namin tama lng ba un??

    • @addstersen5135
      @addstersen5135 5 місяців тому

      Depende sa policy ninyo. Usually may counterpart ang employer at employee..

  • @chloee2309
    @chloee2309 10 місяців тому

    Can you please a video for senior citizen HMO po? meron po ba?

  • @mr.fishbonetv6755
    @mr.fishbonetv6755 Рік тому

    What umalis kana sa company pwede pa Rin ba magamit Ang hm0?

    • @addstersen5135
      @addstersen5135 5 місяців тому

      Nope, since your HMO is corporate-based, once aalis ka sa company surrender mo rin ang HMO mo..

  • @Leonardo-zc4jo
    @Leonardo-zc4jo 2 роки тому +2

    I love your videos but the thumbnails are distracting. Maybe you can try one without your mouth wide open

  • @ardeduenas
    @ardeduenas Рік тому

    Pwede tgalog?

  • @vergiemaesenosin7308
    @vergiemaesenosin7308 2 роки тому +4

    Mas maganda po ang longterm healthcare (HMO) kasi hindi kna po magrenew every year, tsaka life time napo yung coverage.

    • @pepaymayoh5317
      @pepaymayoh5317 2 роки тому

      Hello po, like anong Hmo? Plan to get po. Thank you po

    • @dorissam5833
      @dorissam5833 2 роки тому

      That's true. Meron na ako nyan.

    • @dorissam5833
      @dorissam5833 2 роки тому

      @@pepaymayoh5317 hello po. I can give you details about a longterm healthcare. Pm me nalang po thru fb.

    • @paulinecustodio367
      @paulinecustodio367 Рік тому

      @@dorissam5833 what company po? Planning to purchase a plan po kasiako.

    • @Erikaphoebes12
      @Erikaphoebes12 Рік тому +2

      @@paulinecustodio367 HMO is not for long term. The plan is only good for one year. Then kanilang mong kukuha ulit ng HMO para covered ka pa rin for the next year. Though meron naman pong Health insurance na with HMO benefits po sa AIA.

  • @zedrickpadua4511
    @zedrickpadua4511 2 роки тому

    Im covered hmo by the company pwede ko sya gamitin pang pa braces?

    • @Erikaphoebes12
      @Erikaphoebes12 Рік тому +2

      You should ask your HMO company or even the dental clinic if included ba yan sa plan mo. Usually kasi hindi yan covered nila.

    • @peachy-maxicarehealthbenef8658
      @peachy-maxicarehealthbenef8658 Рік тому +1

      Braces aren’t considered medical treatment. By usual standards kasi, for aesthetic purposes kaya nagpapabrace. So hindi po magagamit ang HMO sa pagpapacheckup or pagpapa-adjust ng braces. If you’re enrolled in a corporate account, check with your HR for your coverage details. Hope this helps!

  • @abegailgarcia1900
    @abegailgarcia1900 2 роки тому

    So disappointed with my HMO, me and my business partners got our personal MEDICARD paid annually but here in Bataan they do not honour this HMO, we should pay the service first (Annual physical exam, dental check, etc) before we can use it and just file a refund to reimburse such a BIG hassle. 😩

    • @CharmdeLeon
      @CharmdeLeon  2 роки тому

      Usually, it’s by reimbursement unless you have an LOA (letter of authority).

    • @crisdevilla6056
      @crisdevilla6056 2 роки тому

      Good day!
      If you want to change your HMO provide, I’m HMO HealthCare consultant 🙋🏻‍♀️

    • @triciarica5772
      @triciarica5772 2 роки тому

      Hi. Also from Bataan. I want to get an HMO but there are limited/ no accredited clinics here. I'm curious, did you change your HMO?

    • @pepaymayoh5317
      @pepaymayoh5317 2 роки тому +2

      @@crisdevilla6056 hello can i get hmo for my daugther in ph? Im ofw po

    • @janenielizabethparcon797
      @janenielizabethparcon797 2 роки тому +1

      @@crisdevilla6056 hi details im interested