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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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  • 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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