FAQ

APE is available only at Forticare-accredited clinics and providers on scheduled dates.

Steps to avail:

  1. Call the PAMAG Hotlines to request a Letter of Authorization (LOA) at (02)5314-2273 local 114/115, Mobile Hotlines (0969)3531884, (0915)6541701, Email Address: loa.forticare@gmail.com /mrd.forticare@gmail.com / prd.forticare@gmail.com
  2. Provide the required information for verification.
  3. Once approved, the LOA will be sent to the provider and to your registered email.
  4. On your scheduled date, proceed to the provider’s HMO department for validation. Present your Forticare HMO Card ID and a valid ID.
  5. Coordinate results and further evaluation with your Primary Care Physician.

Reminder: Fast for 8–10 hours before your scheduled APE.

Consultations and diagnostics are available only at Forticare-accredited clinics.

Steps to avail:

  1. Request an LOA via the PAMAG Hotlines at (02)5314-2273 local 114/115, Mobile Hotlines (0969)3531884, (0915)6541701, Email Address: loa.forticare@gmail.com /mrd.forticare@gmail.com / prd.forticare@gmail.com
  2. Provide required details for verification.
  3. Once approved, the LOA will be sent to the provider and your email.
  4. Follow LOA instructions, then present your Forticare HMO Card ID and valid ID upon visit.
  5. Coordinate results with your Primary Care Physician.

Note: Always secure a LOA before your visit. Coverage may vary depending on your plan’s terms and conditions.

For Accredited Hospitals/Providers:

  1. Go directly to the ER and present your Forticare HMO Card ID.
  2. Ask the HMO Department to contact Forticare’s PAMAG Hotlines immediately.
  3. Once approved, the LOA will serve as your guarantee of coverage.
  4. If hospitalization is needed, choose a room according to your plan.
  5. Notify Forticare Call Center & PAMAG Group within 24 hours of confinement.
  6. Submit PhilHealth forms before discharge.

For Non-Accredited Hospitals/Providers:

  1. Proceed to the ER and pay for your treatment.
  2. Secure official receipts, charge slips, and an ER medical certificate.Request a Reimbursement Form from Claims & Reimbursement Division.
  3. Ensure to file your reimbursement within 30 days of discharge.

Note: Non-emergency treatments in the ER are not covered.

  1. Inform Forticare’s PAMAG Hotlines for approval before the procedure.
  2. Complete pre-surgery requirements (cardiopulmonary clearance, PhilHealth forms, scheduling, etc.).
  3. Once approved, a LOA will be issued for the Operating Room or Admitting Office.
  4. On the scheduled date, proceed to the hospital’s Admitting Office (for confinement) or Operating Room (for out-patient). Present your Forticare ID.
  5. If confined, notify the Forticare Call Center & PAMAG Hotlines within 24 hours of admission.
  6. Submit PhilHealth forms before discharge.
  7. Settle non-covered charges (if any) prior to release.
  1. Schedule an appointment with an accredited dental provider.
  2. Request a LOA/PA by contacting our 24/7 PAMAG Group, before your visit.
  3. Present your Forticare HMO Card ID during your appointment.

Contact our Customer Care Group at (02)53142273 local 120, (0927)2230304, customercare.forticare@gmail.com, and provide necessary information as requested by our Associate for account verification and security.

  1. Contact our Membership Support Group at (02)53142273, membership.forticare@gmail.com
  2. Pay ₱200 replacement fee via:
  3. Account Name: Forticare Health Systems International, Inc. BDO Account No.: 011718000548
  4. Send proof of payment to forticare@gmail.com.
  5. Your replacement card will be delivered within 5–7 working days.

Yes! Freelancers are welcome. Contact our Marketing Support Group to learn about our different plan options.

  • Emergency due to accidents: Coverage starts immediately after a verified initial payment.
  • Other benefits (consultations, labs, confinement): Coverage begins once you receive your Forticare ID Card (processing: 2–3 weeks after submitting complete requirements).
  • A pre-existing condition whether known, unknown, rule-out or through medical profiling of any illness, injury, or symptom that existed prior to enrollment, and/or conditions that develops during the 1st initial year of the policy.
  • These conditions are not covered during the first year.
  • After 12 months of continuous membership, Forticare may cover pre-existing conditions, provided there was no concealment or misrepresentation during application.
  • Some conditions may be permanently excluded, subject to written notice.