Fortune Care HMO - Online Inquiry Form
FortuneCare 2015 TV Commercial: Live Your Dreams (30s)
Are you interested to buy Fortune Care's HMO plan or Emergency Health card?
HMO (This includes preventive medical check ups,consultations and other hospital/medical clinic based services)
Emergency Health Card (Yes Premium)
You are inquiring for how many persons?
Just for my personal use.
I am inquiring for our company. 100+ on top of a separate plan for our CEO and Board of Directors.
Are you based in the Philippines?
I am an OFW and planning to buy for Family members in the Philippines
How much is your budget for HMO?
YES Premium has a fixed price tag of 1,500 pesos per policy and additional 500 pesos for processing fee.
PHP 12,500 a year (SEMI-PRIVATE)
PHP 14,500 a year (PRIVATE)
PHP 17,300 a year (DELUXE)
PHP 20,200 a year (SUITE)
Do you want a Health Maintenance Organization (HMO) plan that is offering a higher coverage and includes travel insurance?
If YES, You will be endorsed to a personal account executive for Fortune Care Prestige program.
YES! Php 20,000-Php50,000 annually is not a problem for us.
NO, I am fine with the previous options.
Kindly put your contact details and we will assign an Account Executive to you.
Cell Phone Numbers and Email Addresses
Where did you saw this Online Inquiry Form?
Fortune Care HMO needs to validate what online marketing campaign is effective in reaching out to more Filipinos all around the world.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service