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The document provides information on Fortune Care, a leading player in the managed healthcare industry in the Philippines. It outlines Fortune Care's mission to provide affordable and accessible healthcare services. It also details Fortune Care's vision, assets, affiliated medical providers and clinics nationwide. The summary highlights key benefits available to members, including outpatient, inpatient and emergency room care services, as well as diagnostic and reimbursement procedures.

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[object Object],[object Object],[object Object],[object Object]
FORTUNE CARE ,[object Object],[object Object],[object Object]
FORTUNE CARE ,[object Object],[object Object]
FORTUNE CARE OWNED CLINICS ,[object Object],[object Object],[object Object],[object Object]
FORTUNE CARE OWNED CLINICS ,[object Object],[object Object],[object Object],[object Object],[object Object]
FORTUNE CARE OWNED CLINICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SISTER COMPANIES of FORTUNE CARE ,[object Object],[object Object],[object Object],[object Object]
SISTER COMPANIES of FORTUNE CARE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SISTER COMPANIES of FORTUNE CARE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SISTER COMPANIES of FORTUNE CARE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SISTER COMPANIES of FORTUNE CARE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WHAT BUSINESS ARE WE IN? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OUR MAJOR CLIENTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FORTUNE CARE ,[object Object],[object Object],[object Object],[object Object]
FORTUNE CARE CORPORATE ACCOUNT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FORTUNE CARE Corporate Account ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FORTUNE CARE B E N E F I T S ,[object Object],[object Object],[object Object],[object Object]
FORTUNE CARE OUT-PATIENT BENEFITS ,[object Object]
FORTUNE CARE OUT-PATIENT BENEFITS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FORTUNE CARE OUT PATIENT BENEFITS ,[object Object],[object Object],[object Object],[object Object],[object Object]
FORTUNE CARE OUT PATIENT BENEFITS ,[object Object],[object Object],[object Object],[object Object]
FORTUNE CARE OUT PATIENT BENEFITS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FORTUNE CARE OUT PATIENT BENEFITS ,[object Object],[object Object],[object Object],[object Object],[object Object]
FORTUNE CARE OUT PATIENT BENEFITS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FORTUNE CARE OUT PATIENT BENEFITS ,[object Object]
AVAILMENT PROCEDURES FOR OUT-PATIENT SERVICES IN AREAS WITH FORTUNE CARE OWNED CLINICS ,[object Object],[object Object],[object Object]
[object Object],[object Object],AVAILMENT PROCEDURES FOR OUT-PATIENT SERVICES IN AREAS WITHOUT FORTUNE CARE OWNED CLINICS (accredited Hospitals Only)
FORTUNE CARE IN-PATIENT BENEFITS ,[object Object],[object Object],[object Object]
FORTUNE CARE IN-PATIENT BENEFITS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AVAILMENT PROCEDURES FOR IN-PATIENT SERVICES IN AREAS WITH FORTUNE CARE OWNED CLINICS ,[object Object],[object Object],[object Object]
AVAILMENT PROCEDURES FOR IN-PATIENT SERVICES IN AREAS WITH FORTUNE CARE OWNED CLINICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],AVAILMENT PROCEDURES FOR OUT-PATIENT SERVICES IN AREAS WITHOUT FORTUNE CARE OWNED CLINICS (accredited Hospitals Only)
EMERGENCY ROOM CARE SERVICES ,[object Object]
How then do we say that we are in Emergency case? ,[object Object],[object Object],[object Object],[object Object]
BASIC EXAMPLE OF EMERGENCY CASES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EMERGENCY ROOM CARE SERVICES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EMERGENCY ROOM CARE SERVICES ,[object Object],[object Object]
AVAILMENT PROCEDURES FOR EMERGENCY CARE SERVICES IN ACCREDITED HOSPITAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AVAILMENT PROCEDURES FOR EMERGENCY CARE SERVICES IN NON-ACCREDITED HOSPITAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLAIMS:REIMBURSEMENT OF EXPENSES ,[object Object],[object Object],[object Object]
DOCUMENTS REQUIRED ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DOCUMENTS REQUIRED ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SPECIAL DIAGNOSTIC PROCEDURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SPECIAL DIAGNOSTIC PROCEDURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SPECIAL DIAGNOSTIC PROCEDURE ,[object Object],[object Object],[object Object],[object Object],[object Object]
OTHER FEATURES ,[object Object],[object Object],[object Object],[object Object]
DENTAL CARE SERVICE ,[object Object]
DENTAL CARE SERVICES (Optional) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WORLDWIDE EMERGENCY CARE ,[object Object]
THIRD PARTY LIABILITY (TPL)/WORK RELATED (ECC) AND UNPROVOKED ASSAULTS ,[object Object]
MATERNITY ASSISTANCE ,[object Object],[object Object],[object Object],[object Object],[object Object]
LIMITATION ON ROOM & BOARD ACCOMODATION ,[object Object]
LIMITATION ON ROOM & BOARD ACCOMODATION: St. Lukes Medical City Cardinal Santos Medical Ctr Makati Medical City The New Medical City Asian Hospital Ward Yes Yes Yes Yes No Semi-Private Yes Yes Yes Yes No Private Yes Yes Yes Yes No De Luxe Yes Yes Yes Yes No Suites Yes Yes Yes Yes No
LIMITATION ON ROOM & BOARD ACCOMODATION: ,[object Object],[object Object],[object Object],[object Object]
LIMITATION ON SPECIAL SURGICAL PROCEDURES: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LIMITATION/CONDITIONS OF A PRE-EXISTING DISEASE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The following are considered Pre-existing Disease (PED) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pre-existing conditions that require a voluntary execution of “Waiver” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Coverage of a Pre-Existing Disease No. of Membership years 1 st year 2 nd year 3 rd year thereafter Types of Treatment Medical/Minor Surgery No Coverage Covered Covered Covered Major Surgery No Coverage No Coverage Covered Covered Waived Disease No Coverage No Coverage No Coverage No Coverage
Coverage of Consultations and Lab/Work-ups to “Rule Out” (R/O) or “To-Consider” (T/C) a Pre-existing Disease ,[object Object],[object Object]
DREADED DISEASE ,[object Object],[object Object]
The following are classified as dreaded diseases: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The following are classified as dreaded diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The following are classified as dreaded diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The following are classified as dreaded diseases ,[object Object],[object Object],[object Object],[object Object]
GENERAL EXCLUSIONS Medical Nature ,[object Object],[object Object],[object Object],[object Object],[object Object]
GENERAL EXCLUSIONS Medical Nature ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GENERAL EXCLUSIONS Medical Nature ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],GENERAL EXCLUSIONS Medical Nature
GENERAL EXCLUSIONS Non-Medical Nature ,[object Object],[object Object],[object Object]
GENERAL EXCLUSIONS Non-Medical Nature ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PREPARATION OF MANUAL NOTICE TO PREPARE CONTRACT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Fortunecare

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  • 53. LIMITATION ON ROOM & BOARD ACCOMODATION: St. Lukes Medical City Cardinal Santos Medical Ctr Makati Medical City The New Medical City Asian Hospital Ward Yes Yes Yes Yes No Semi-Private Yes Yes Yes Yes No Private Yes Yes Yes Yes No De Luxe Yes Yes Yes Yes No Suites Yes Yes Yes Yes No
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  • 59. Coverage of a Pre-Existing Disease No. of Membership years 1 st year 2 nd year 3 rd year thereafter Types of Treatment Medical/Minor Surgery No Coverage Covered Covered Covered Major Surgery No Coverage No Coverage Covered Covered Waived Disease No Coverage No Coverage No Coverage No Coverage
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