A: Members will be given thirty (30) days from the effectivity date to enroll their eligible dependents. After the enrollment period, dependents can be enrolled on your renewal date, EXCEPT for the following:

- Newly hired or newly regularized employees can enroll their dependents within thirty (30) days from the date of employment or regularization.

- Newly married employees can enroll their dependents/spouses within thirty (30) days from the date of marriage.

- Newly born child of employees can be enrolled within thirty (30) days of the child’s eligibility All these require the approval of the Medical Department.

A: In the event that you lose your Fortune CARE ID, you should:
1. Immediately report to our office the loss of your Fortune CARE ID.
2. Submit the following requirements for the processing of your replacement ID.

2.a. Duly accomplished Lost ID Form

2.b. Photocopy of any Valid ID

2.c. Pay a processing fee

3. Replacement ID will be released within 7 days from date of receipt of all required documents.

A: To add an eligible new member to your coverage, simply:
1. Contact your Employers’ Personnel/Benefit Officer or call up your Official Agent at 638-0872 to 77
2. Fill up an Application Form(s) and your company will forward these to the Fortune CARE office for evaluation and approval.

A: If in case you wish to convert to another health program, you should:
1. Apply for conversion during the renewal period and resignation from the company
2. You shall be required to fill-up an Amendment form.
3. Your request shall undergo medical and lay underwriting. Please note that any dreaded disease utilization prior to conversion will be deducted from your Lifetime limit
4. Once your application is approved by the Underwriting Department, a new policy contract will be issued to you but old contract number shall be retained.
5.Residency (for purposes of determining coverage of pre-existing disease) shall be considered continuous provided that you apply for conversion within 30 days from notice of deletion from your employer/account.

A: No, membership will continue until the end of the current contract year. But no renewal will be applicable after reaching the age of 65 under the standard program. Membership can be amended to the Senior Citizen Program subject to medical underwriting.

A: To convert your Individual Program to Senior Citizen Program, you should apply for conversion when you turn 65 years old, on or before the expiration of the current contract year. You shall be asked to fill up an Amendment form and M-1B form to be submitted to PhilHealth. The old ID is also needed for verification. Since you are an old member, medical evaluation is no longer necessary but the previous or existing dreaded disease utilization shall be carried over the new program. Then you will be issued with a new policy contract of the program but the old contract number shall be retained. Once enrolled, you must start paying the new rate.

A: Your contract with Fortune CARE is declared and agreed that it is integrated with PhilHealth coverages. The benefits under PhilHealth shall be deductible in the computation of Fortune CARE coverage. You shall be obligated to secure and submit the necessary PhilHealth claim forms, duly accomplished, before your discharge from the hospital. If ever you fail to submit such forms, it is understood and agreed upon that you shall pay before discharge from the hospital the equivalent amount of your PhilHealth benefits.

A: In the event that you wish to continue your Health Care coverage even after resignation from your present employer:
1. Apply for the new program by filling up an Amendment form and undergo Medical and Lay underwriting.
2.You should meet the minimum requirement of the new program
3.You must start paying the new rate.
4.You may only apply for conversion upon renewing the contract and resignation from the company.