PhilHealth

Who are Qualified?

• Filipino citizens who are residents of the Philippines, aged sixty (60) years or above and are not currently covered by any membership category of PhilHealth; 
• Qualified dependents of senior citizen members who are also senior citizen themselves; and
• Qualified dependents of members belonging to other membership categories, with or without coverage who are senior citizens themselves.

Senior Citizens who are gainfully employed or who remain to have regular sources of income shall continue to pay their premium contributions to PhilHealth under the applicable membership categories.

Be A Member

Registration Procedures

There are two options to enroll as a Senior Citizen member of PhilHealth.

1. Through Office for the Senior Citizens Affairs (OSCA)

• Fill out one (1) copy of the PhilHealth Member Registration Form (PMRF);
• Submit duly accomplished PMRF to the OSCA in the city or municipality where the elderly resides
• Await Member Data Record and Identification card issued by PhilHealth through OSCA

2. Through PhilHealth Local Health Insurance Office (LHIO)

• Fill out one (1) copy of the PhilHealth Member Registration Form (PMRF);
• Attach 1 x 1 photo taken within the last six months;
• Present Senior Citizens’ Identification Card issued by the OSCA in the city or municipality where the elderly resides or a valid government issued ID.
• Submit duly accomplished PMRF
• Await Member Data Record and PhilHealth Identification Card

Premium Contributions

The premium contributions of those who will be enrolled under the Senior Citizen category shall be sourced from the proceeds of Republic Act No. 10351, commonly known as the Sin Tax Law.

Benefit Availment

In hospitals with installed HCI Portal, Senior Citizens only need to present their senior citizen card, MDR or any accepted proof of identity and age. The Hospital shall print a PhilHealth Benefit Eligibility Form (PBEF). A PBEF that says “YES” means that the patient is entitled to the benefits and shall serve as a basis for automatic deduction.

In case the hospital has no HCI portal installed, or the PBEF says “NO”, or the senior citizen was not able to enroll before discharge, the following should be attached to the usual claim documents:

a. duly accomplished PhilHealth Member Registration Form (PMRF); and
b. an acceptable proof of status as a senior citizen, including but not limited to the Senior Citizens' Identification Card.