Title
Supreme Court
Guidelines for RA 9257 Senior Citizens Benefits
Law
Doh Administrative Order No. 171, S. 2004
Decision Date
Oct 1, 2004
Implementation of Republic Act 9257 provides benefits and discounts for senior citizens in healthcare services, including subsidized services in government health facilities, discounts in private health facilities, and the purchase of unbranded generic medicines, with penalties specified for violations.

Law Summary

Coverage and Application

  • Applies to all government and private hospitals, healthcare professionals, Philippine Health Insurance Corporation (PhilHealth), and medicine-dispensing establishments.
  • Ensures inclusivity across public and private health sectors and related services like drug stores and pharmacies.

Definitions of Key Terms

  • Medicines: Includes prescription and non-prescription drugs approved by the Bureau of Food and Drugs (BFAD), excluding foods and devices.
  • Unbranded Generic Medicines: Non-patented drugs labeled by generic names without brand names.
  • Medical Devices: Instruments or apparatus used for diagnosis or treatment excluding chemical or metabolic action.
  • Medical Services: Hospital rooms, professional services, medical supplies, and diagnostic/laboratory tests necessary for treatment.
  • Dental Services: Oral care including examination, cleaning, fillings, extractions, and other necessary dental procedures.
  • Diagnostic and Laboratory Tests: Various medically necessary tests such as X-rays, blood chemistry, urinalysis, serology, etc.
  • Health Care Professionals: Licensed practitioners including doctors, dentists, nurses, and midwives.
  • Establishments Dispensing Medicines: Licensed pharmacies, hospital pharmacies, and clinics authorized to dispense medicines.
  • Government Health Facilities: Public hospitals, clinics, laboratories, and specialty government medical facilities.
  • Private Hospitals and Medical Facilities: Privately-owned inpatient and outpatient health facilities.
  • Identification Document: Issued by recognized authorities, includes local OSCA IDs, passports, or other credible proof for senior citizen status.

Policy Provisions on Health-related Privileges

  • Free subsidized medical, dental, diagnostic, and laboratory services for senior citizens confined in government service wards when medically necessary.
  • Twenty percent (20%) discount on medical and dental services in government pay wards and private health facilities, including professional fees and use of specialized equipment.
  • No discounts on non-medically necessary services such as cosmetic surgeries, executive check-ups, or special reagents.
  • Twenty percent (20%) discount on purchase of unbranded generic medicines exclusively for senior citizens.
  • Encouragement of PhilHealth membership for senior citizens to access broader health insurance benefits.
  • Funding for governmental facilities to be charged to Office of the President initially, then included in General Appropriations Act; private sector bears part of discount costs with tax benefits.

Procedures for Availment of Privileges

  • Free or discounted hospital beds, diagnostic/laboratory tests, dental services, and professional fees in accordance with Clinical Practice Guidelines (CPGs).
  • Designation of Medical Officers for Senior Citizens to determine medical necessity of requests.
  • Specific conditions on outpatient and inpatient services, including verification of physician status for laboratory requests in government facilities.
  • PhilHealth benefits applied so that discounts do not overlap with insurance coverage.
  • Strict regulation of generic drug sales with required prescriptions and documentation to prevent abuse.
  • Senior citizens must present valid identification documents for verification.

Responsibilities of Stakeholders

  • Government Health Facilities: Post prices publicly, issue official receipts showing discounts, no income means tests for senior citizens, ensure accessibility of the order.
  • Private Hospitals and Medical Facilities: Post price lists, issue receipts with discounts, maintain grievance mechanism, report non-compliance.
  • Health Care Professionals: Provide detailed prescriptions with license numbers, ensure prescriptions are for exclusive senior citizen use, inform about fees and discounts.
  • Drugstores: Provide generic drug menus and official receipts specifying usual and discounted prices.

Penalties and Sanctions

  • For individuals: First violation carries fines from P50,000 to P100,000 and imprisonment of 6 months to 2 years; subsequent violations entail higher fines and longer imprisonment.
  • Abuse of senior citizen privileges results in fines and imprisonment.
  • Foreign offenders are subject to deportation following sentence service.
  • For corporations: Responsible officials held liable; possible revocation of business permits and franchises following due process.

Effectivity

  • The Administrative Order takes effect immediately upon publication in two national newspapers of general circulation.

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