Comprehensive Healthcare Plan

Preventive health care services may be availed at forticare clinics and accredited providers.

  • Periodic monitoring of health concerns.
  • Consultation on wellness
  • Counseling on family planning
  • Immunization excluding the cost of the drug/vaccine
  • Inclusion in Forticare sponsored health seminars

Out-patient health care services may be availed at forticare clinics and accredited providers.

  • Up to fourteen (14) out-patient consultations each year
  • Up to ten (10) of pre-natal and post-natal consultation
  • Referral to our accredited medical specialist
  • Treatment of minor injuries
  • Surgery that does not require hospital confinement including cataract extraction except the cost of intraocular lens
  • Eye, ear, nose, and throat treatment
  • Special diagnostic and laboratory procedures when medically indicated and required by an accredited physician. (ex. CT scan, MRI, or other tests deemed appropriate by Forticare

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.

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 and diagnostic 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