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| Terms and Conditions of Membership |
- Payment of Membership Fees
- The full amount of annual membership fees is due and payable on the effectivity date unless a mode other than annual payment is chosen, in which case, only the initial membership fee and charges are due. Subsequent payments shall be payable on or before the due dates corresponding to the mode chosen and duly documented.
- Membership fees are payable to Fortunecare USA with mailing address at:
P.O. Box 4035 Glendale, CA 91222-0035
It shall be the primary responsibility of the payor to keep their dependent’s health program membership on an active status by paying on or before due date. In case no billing statement is received by the payor or no authorized agent comes to the payors’s residence or office to collect on or before due date, the payor should forward payment directly to Fortunecare USA at the address given above.
- Any request for change in mode of payment, i.e. annual, semi-annual, or change in type of plan shall be subjected to the prevailing policies and conditions at the time of request for change of mode or before renewal.
- Grace Period, Lapsation, Reinstatement and Cancellation
- All subsequent membership fees shall be paid on or before due date. During Grace Period of fifteen (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 fifteen (15) days, in which case the member beneficiary ceases to be entitled to any medical benefits.
- Membership that has lapsed may be reinstated within thirty (30) days following the lapsation by filing an Application for Reinstatement in the prescribed form, and upon payment of all unpaid dues to FortuneCare, which shall be treated as “Refundable Deposit” until the application is approved and validated. An approved and validated reinstatement of membership is free from the limiting provisions on pre-existing conditions being applied over again. Restoration of benefits shall commence after seventy-two (72) hours from the date of reinstatement.
- The Contract is automatically cancelled (or terminated) after thirty (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.
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