 Please click on any question for the corresponding answer. A: No, that person will not be eligible for the Plan 700 but they can apply for the Senior Citizen program available in the Philippines.
A: Yes.
A: Yes, for as long as it is an emergency case and in the confines of an emergency room environment.
A: Reimbursement for worldwide ER care is up to 80% of what it would have cost in the Philippine setting. The beneficiary shall submit documents required by Fortune Care's claims department. The relative value scale is a list of standard rates for procedures.
A: HIV / AIDS is a dreaded disease that is excluded from coverage. Other dreaded diseases that are pre-existing are also excluded. However, dreaded diseases that are contracted after enrollment may be covered.
A: Coronary diseases are considered dreaded diseases. Heart conditions are covered for as long as they are not pre-existing.
A: more than 250,000 subscribers
A: The payor may claim a refund on the initial premium payment minus administrative costs. The beneficiary's dependents cannot claim the financial assistance benefit due to accidental death that occurs prior to the effective date of the policy.
A: The beneficiary can avail of all the benefits of the plan upon full payment. If the beneficiary opts for the semi-annual payment, he or she may avail of all the services offered by the plan except for the annual physical examination (APE), which can be availed only after full payment.
A: The costs of sera differ depending on the type of vaccine or serum to be used. Fortune Care does not provide sera as a benefit.
A: The Family program has recently been introduced and allows enrolled family members to enjoy a discounted premium for as long as hierarchical membership requirements are met.
A: No, it does not cover the cost of crowns, jackets, dentures or braces.
A: No, it does not provide for permanent fillings but only for temporary filling.
A: No.
A: All subsequent membership fee shall be paid on or before due date. During Grace Period of 15 days following due date within which the payor is given time to pay all unpaid dues so membership will not lapse, all services cease to be covered except for out-patient consultation. In-patient benefits are restored on the following day the unpaid dues are updated. Any confinement that precedes the time of payment shall not be covered. The membership is considered lapsed or suspended if the payor fails to remit membership dues beyond the Grace period of 15 days, in which case the member beneficiary ceases to be entitled to any medical benefits. Membership that has lapsed may be reinstated within 30 days following the lapsation by filing an application for reinstatement in the prescribed form, and upon payment of all unpaid dues to Fortune Care which shall be treated "Refundable Deposit" until the application is approved and validated. An approved and validated reinstatement to membership is free from the limiting provisions on pre-existing conditions being applied over again. Restoration of benefits shall commence after 72 hours from the date of reinstatement. The Contract is automatically cancelled or terminated after 30 days from lapsation where no reinstatement has been filed and approved. A cancelled / terminated membership, may be reactivated by reapplication, i.e. applying over again as a new enrollee.
A: No.
A: In case of doubt, Fortune Care will require the beneficiary to present a verifiable photo identification card. Fraudulent use of beneficiaries' membership card will result in the cancellation of that beneficiary's policy/plan.
A: The beneficiary should immediately contact the Fortune Care hotline number 1-800-10-633-888 for assistance. Fortune Care has highly-trained customer service specialists who will be able to resolve a variety of service-related issues.
A: Fortune Care is currently working to accredit Makati Medical Center.
A: Fortune Care does not provide discounts for the cost of medications, although a beneficiary may avail of dental care discounts from an accredited dentist for services or products not covered by the plans.
A: Once a policy or contract is cancelled and reactivated afterwards, the provisions on pre-existing conditions are reset and applied once more as if the beneficiary was a new applicant.
A: Yes, Fortune Care will continue to expand its provider network and add to its company-owned clinics.
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