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Corporate Health Program
COVERAGES OF PRE-EXISTING & DREADED DISEASES:
1. Fortune CARE may cover Pre-existing diseases during the first year of membership, provided that the company
shall enroll more than one hundred (100) employees as principal members, otherwise they are all subject to one
year contestability period.
2. For Dreaded Diseases not classified as Pre-existing Disease, these shall be covered up to Dreaded Disease Limit
depending on selected plan.
BENEFITS AND COVERAGES:
OUT-PATIENT CARE
Provided for the diagnosis and treatment of illness or injury which does not require hospitalization. The following
Out-Patient services can only be availed in any Fortune Care owned clinics or through our Medical Coordinator in
Fortune CARE affiliated hospitals.
IN-PATIENT CARE
Extended for the treatment of illness/injury requiring hospitalization or any medically necessary confinement at
FORTUNE CARE accredited hospitals.
EMERGENCY CARE
Fortune CARE shall cover all emergency services of treatments to any member, should he/she require emergency
care for an accidental injury or for a sudden and unexpected onset of illness of such serious nature that failure to
obtain immediate care would place the patient's life in jeopardy or cause serious impairment, or loss of bodily
functions if not immediately attended to.
For emergency care in a non-accredited hospital, whether as an in-patient or out-patient, Fortune CARE shall
reimburse eighty percent (80%) of the approved covered fees and charges to a Company employee or employee's
dependent who has received and paid for emergency care but not to exceed the amount of what it could have cost if
treatment was done by a Fortune CARE physician in an affiliated provider.
SPECIAL DIAGNOSTIC PROCEDURES
The member may avail of the specialized laboratory examinations and computer-based diagnostic procedures,
provided that the examination is made upon the request of a Fortune CARE affiliated physician or even without prior
approval of Fortune CARE if required during Emergency Care.
1. Fortune CARE may cover Pre-existing diseases during the first year of membership, provided that the company
shall enroll more than one hundred (100) employees as principal members, otherwise they are all subject to one
year contestability period.
2. For Dreaded Diseases not classified as Pre-existing Disease, these shall be covered up to Dreaded Disease Limit
depending on selected plan.
BENEFITS AND COVERAGES:
OUT-PATIENT CARE
Provided for the diagnosis and treatment of illness or injury which does not require hospitalization. The following
Out-Patient services can only be availed in any Fortune Care owned clinics or through our Medical Coordinator in
Fortune CARE affiliated hospitals.
IN-PATIENT CARE
Extended for the treatment of illness/injury requiring hospitalization or any medically necessary confinement at
FORTUNE CARE accredited hospitals.
EMERGENCY CARE
Fortune CARE shall cover all emergency services of treatments to any member, should he/she require emergency
care for an accidental injury or for a sudden and unexpected onset of illness of such serious nature that failure to
obtain immediate care would place the patient's life in jeopardy or cause serious impairment, or loss of bodily
functions if not immediately attended to.
For emergency care in a non-accredited hospital, whether as an in-patient or out-patient, Fortune CARE shall
reimburse eighty percent (80%) of the approved covered fees and charges to a Company employee or employee's
dependent who has received and paid for emergency care but not to exceed the amount of what it could have cost if
treatment was done by a Fortune CARE physician in an affiliated provider.
SPECIAL DIAGNOSTIC PROCEDURES
The member may avail of the specialized laboratory examinations and computer-based diagnostic procedures,
provided that the examination is made upon the request of a Fortune CARE affiliated physician or even without prior
approval of Fortune CARE if required during Emergency Care.
