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(+632) 5314 – CARE (2273)


 * Home
 * About Us
   * Corporate Management Team
   * Certifications & Awards
   * News & Updates
   * Join Us
 * Plan Benefits
   * Comprehensive Healthcare Plan
   * Forte Healthcare Plan
   * Fortiflex Plus
 * Affiliates
   * Hospitals
   * Clinics & Diagnostic Center
   * Dental Clinics
   * Therapy Clinic
 * Member Services
   * Services
   * Claims Reimbursement Procedure
   * Frequently Asked Questions
 * Contact Us

(+632) 5314 – CARE (2273)




FORTE HEALTHCARE PLAN

APE
Hospitalization and In-patient
Emergency Care Services
Dental Care
Special Laboratory
APE

Annual physical examination

May be availed of at Forticare clinics or any designated diagnostics and
laboratory procedure after six (6) months from the date of effectivity of the
contract.

 * Taking of medical history
 * Medical examination
 * Chest X-ray (PA)
 * Complete blood sugar count (CBC)
 * Fasting blood sugar (FBS)
 * Urinalysis and fecalysis

Hospitalization and In-patient

Hospitalization and In-patient health care services

 * Complex and non-complex diagnostic and laboratory examinations or procedures
   shall be covered up to the Annual Benefits Limits (ABL)
 * Assistance in administrative requirements through Forticare Liaison Officers.

Emergency Care Services

Emergency care services

May be availed of in emergency as defined on the contract agreement & coverage
after the enrollment on the health care program.

 * The member, directly or through his representative should inform FORTICARE
   within twenty-four (24) hours from the start of the emergency;
 * Up to Php25,000 per availment of ambulance service from a Non-Accredited to
   an Accredited Hospital;
 * Member or any of his representatives should inform FORTICARE within
   twenty-four (24) hours. However, in case the member, due to his medical
   condition, is unable to communicate directly or through his representatives,
   the 24 hours notifications period can be extended for twenty-four (24) hours
   from the time he is clinically able to do.

Dental Care

Dental care coverage

 * Up to six (6) Consultation per year
 * Up to two (2) Oral Prophylaxis, each year starting on the fourth (4th) month
   upon issuance of the health care policy
 * Tooth extraction, except surgery for the impacted tooth
 * Treatment of minor mouth lesions, wound,s and burns
 * Temporary filling and re-cementation of loose jackets, crowns, inlays, and
   onlays
 * Routine gum treatment

Special Laboratory

Special laboratory and diagnostic procedures – In-patient procedures, may be
availed at forticare clinics and accredited providers.

 * X-ray
 * Computed tomography scan (CT scan)
 * Ultrasound
 * 2D echocardiography with Doppler
 * Magnetic resonance imaging (MRI)
 * Electromyography (EMG)
 * Nuclear test
 * Other tests or procedures deemed appropriate by Forticare

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