Title
Fortune Medicare, Inc. vs. Amorin
Case
G.R. No. 195872
Decision Date
Mar 12, 2014
A health care contract dispute arose when Fortune Care reimbursed only Philippine rates for emergency surgery abroad, despite the contract's ambiguity favoring the subscriber. The Supreme Court ruled in favor of the subscriber, holding that "approved standard charges" referred to actual expenses incurred, not Philippine rates.

Case Digest (G.R. No. 195872)
Expanded Legal Reasoning Model

Facts:

  • Parties and Contract
    • Fortune Medicare, Inc. (Fortune Care) is a health maintenance organization that entered into a Corporate Health Program Contract on January 6, 2000 with the House of Representatives, covering its permanent employees, including respondent David Robert U. Amorin.
    • The Contract’s Article V, Section 3 distinguishes between emergency care in accredited hospitals (Section 3(A)) and in non-accredited hospitals (Section 3(B)), and contemplates emergency confinement both within the Philippines and in foreign territories, prescribing reimbursement formulas and limitations.
  • Emergency Surgery and Initial Reimbursement
    • In May 1999, while on vacation in Honolulu, Hawaii, Amorin underwent an emergency appendectomy at St. Francis Medical Center, incurring professional fees of US$7,242.35 and hospitalization expenses of US$1,777.79.
    • Upon return to Manila, he filed a claim with Fortune Care, which reimbursed him ₱12,151.36 based on the Philippine average cost for appendectomy net of Medicare deductions. Amorin accepted the amount under protest and demanded full professional fees plus 80% of the “approved standard charges” as per the Contract’s emergency-abroad provision.
  • Judicial Proceedings
    • Fortune Care denied further liability, arguing the Contract covered only Philippine-territory emergencies and that payment of ₱12,151.36 extinguished its obligation. Amorin filed a breach-of-contract suit with damages in RTC Makati.
    • The RTC dismissed the complaint, ruling that “approved standard charges” must be Philippine rates. The CA reversed on September 27, 2010, ordering Fortune Care to reimburse 80% of the actual U.S. hospital and professional charges, less the ₱12,151.36 already paid. Fortune Care’s motion for reconsideration was denied (February 24, 2011), prompting this Rule 45 petition before the Supreme Court.

Issues:

  • Contract Interpretation
    • Does Section 3(B)’s phrase “approved standard charges” refer exclusively to Philippine standard charges even for emergency confinement in foreign territory?
    • Does the Corporate Health Care Contract cover hospitalization costs and professional fees incurred abroad?
  • Effect of Prior Payment
    • Did Fortune Care’s payment of ₱12,151.36 under protest fully discharge its contractual liability?
    • Can Amorin recover additional benefits despite having accepted partial reimbursement?

Ruling:

  • (Subscriber-Only)

Ratio:

  • (Subscriber-Only)

Doctrine:

  • (Subscriber-Only)

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