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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 two (2) copies 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 two (2) copies 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.

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