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.
There are two options to enroll as a Senior Citizen member of PhilHealth.
1. Through Office for the Senior Citizens Affairs (OSCA)
2. Through PhilHealth Local Health Insurance Office (LHIO)
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.
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.
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