[2022 UPDATE] How to apply for PCSO Medical Assistance Program

PCSO's medical assistance program aims to provide timely and responsive financial assistance to indigent Filipinos. Read to know how to get help.

The Philippine Charity Sweepstakes Office (PCSO) has medical assistance program running since 1993. The main objective is to provide financial assistance — especially to indigent Filipinos — by augmenting their medical funds, in partnership with a government hospital (and private), health facilities, medicine retailers, and other government agencies like DSWD.

PCSO Medical Assistance Program criteria

If you are a patient or someone who has a patient that has medical needs or medical bills, you can request PCSO assistance for the following scenarios:

  • confined in any health facility
  • receiving any health care management as an outpatient
  • seeking treatment in foreign countries provided that no health facility within the Philippines is capable of delivering a particular procedure.

Medical assistance coverage

1. Hospital Confinement

Eligible patients who are currently admitted or have been discharged with a promissory note duly acknowledge by the health facility or medical center.

2. Dialysis

Eligible patients who are undergoing, such as, but not limited to Hemodialysis and Peritoneal (Continuous Ambulatory Peritoneal Dialysis or CAPD).

3. Cancer Treatment

Cancer patients who are undergoing medical treatment, such as, but not limited to:

  • Chemotherapy
  • Radiation therapy
  • Brachytherapy
  • Radioactive Iodine
  • Stereotactic Radiosurgery / Gamma Knife

4. Medicines

Financial aid including but not limited to:

  • Anti-rabies
  • Factor 8 and 9
  • Psychiatric
  • Post-transplant medicines or post-operative
  • Antibiotics
  • Intravenous Immunoglobulin (IVIG)

5. Surgical supplies

6. Implant

  • Bone
  • Cochlear

7. Laboratory / Diagnostic Procedure

8. Medical devices

  • Medical devices like pacemaker device, septal occluder, Percutaneous Coronary Intervention (PCI) devices
  • Assistive devices like hearing aid, wheelchair, prosthesis such as leg, arm or eye, pulmonary apparatus (rental of ventilator or respirator)

9. Non-invasive and minimally invasive procedures

  • Extracorporeal Shock Wave Lithotripsy (ESWL)
  • Laparoscopic surgery
  • Endoscopic procedures

10. Transplant procedures

  • Kidney Transplantation Package
  • Liver Transplant Package

11. Cardio Procedures

  • Pacemaker surgery
  • Congenital Heart Surgery (ASD, PDA, VSD)
  • Coronary Artery Bypass Graft
  • Aneurysm surgery
  • Peripheral bypass surgery
  • Percutaneous Coronary Intervention (Angioplasty)
  • Diagnostic procedures for Coronary Angiogram or Cardiac Catheterization

12. Rehabilitative Therapy

Physical, occupational, and speech therapy.

PCSO Medical Assistance requirements

At a minimum, the beneficiary will be asked to submit the following documents to apply for the PCSO IMAP Medical Assistance.

  1. Duly accomplished PCSO IMAP Application Form.
  2. Original or Certified True Copy of the updated Clinical Abstract or Medical Abstract signed by the attending physician with license number.
  3. Any valid ID (patient and representative)
  4. Authorization Letter from the patient in cases where there is no immediate relative available for interview.

RELATED ARTICLE: VALID IDs THAT YOU NEED TO HAVE IN THE PHILIPPINES

Specific requirements

Confinement

  1. Original copy of the Final Statement of Account/ Latest Hospital bill with printed name duly signed by the Billing officer/Credit Supervisor with PhilHealth, Senior Citizen, HMO, MSS/ Discounts deductions
  2. If Discharged: Validly-executed Promissory Note duly signed by the hospital representative or Certification with remaining balance from the hospital
  3. For Medico-Legal Cases: Copy of the Vehicular/Police Report

Chemotherapy

  1. An original prescription with printed full name, signature, and license number of oncologist/ attending physician
  2. Original copy of treatment protocol with signature, name, and license number of oncologist/attending physician
  3. Photocopy of Surgical/Histopathology/Biopsy Result
  4. Index Card for patients with previous assistance

Dialysis (Hemo/PD/Erythropoietin)

  1. Acceptance Letter from the Dialysis Center/ Hospital accepting PCSO guarantee letter
  2. Official Quotation from the Dialysis Center/ Hospital (for dialysis)
  3. A prescription with printed full name, signature, and license # of the attending physician (for Erythropoietin)
  4. Photocopy of relevant laboratory result/s within the last three (3) months
  5. Index Card for patients with previous assistance
  6. For PhilHealth Members:

Medical expense (Hemophilia and Post-transplant medicines)

  1. A prescription with the printed full name, signature, and license number of the attending physician
  2. Photocopy of relevant laboratory result/s within the last three (3) months
  3. Index Card for patients with previous assistance
PCSO Medical Assistance Program Requirements - Test Pinoy
PCSO Medical Assistance Program Requirements

PCSO Medical Assistance process

Here are the steps on how you can apply for the Individual Medical Assistance Program or IMAP Program of the Philippine Charity Sweepstakes Office (PCSO):

  1. Obtain a Clinical abstract from the patient’s doctor. You will also need to present the official hospital billing statement from the hospital’s Accounting/Finance Department.
  2. You may also need to ask for a certification from your barangay captain, certifying that you are a relative of the patient and that your family has no means of paying for the hospital bills.
  3. Make a letter addressed to the PCSO General Manager, Regional Manager, or Chairman of PCSO, stating the condition of the patient and the help that you need.
  4. Complete a PCSO IMAP Application Form. The form can be downloaded online through PCSO’s website, a link is provided under the ‘Documents to Use’ section. Or you can also get a copy of the application form at the PCSO Lung Center of the Philippines Satellite Office, PCSO Branch Offices, and ASAP Partner Hospitals.
  5. You will also need to submit specific requirements depending on the patient’s case.
  6. Make sure that you have all the required documents before you go to a PCSO center. Also, do not forget to bring a valid ID with you (Patient and Representative).
  7. It might be a good idea if you go to a PCSO center very early in the morning to avoid waiting for so long. There are a lot of people also applying for the program.
  8. The PCSO guarantee letter will be given to partner hospitals, health facilities, or service providers. This is how they provide medical assistance to patients who need it. The guarantee letter assures the hospital that it will be PCSO who will be paying for the patient’s medical bill.

PCSO financial assistance online process

The online application system only applies to indigent patients located only in NCR. It operates on a first come first serve basis. Just follow the instructions in the following link:

Questions?

You may call the PCSO desk at the following numbers: