Who can request for PCSO Medical Assistance?

All Filipinos with health-related needs may request for financial assistance from PCSO.
You may either apply personally or through a representative provide you qualify in the
following criteria:

 In-Patients or those confined in any health facility

What Health Services are covered by IMAP and what are the
Requirements?

The IMAP covers the cost of hospitalization confinement, medicines, chemo drugs,
dialysis solutions, and other medical needs of patients.

To apply and avail of this program, you need to submit the general documentary
requirements and the additional requirements specific to your needs which you can find
below.

General Documentary Requirements

1. Duly accomplished PCSO IMAP Application Form

2. Original/Certified True Copy of the updated Clinical Abstract duly signed by the
attending physician with license number
3. Valid ID (Patient and Authorized Representative)
• Government issued ID
• Company ID
• Student ID
4. Authorization letter from the patient and Social Case Study in cases where there
is no immediate relative available for interview
Specific Requirements

1. CONFINEMENT

Patients who are currently admitted or have been discharged with promissory note duly
acknowledged by the health facility may avail of the PCSO medical assistance program.
Requirements:

 Hospital Bill or Statement of Account signed by the Billing Officer (original copy)
 Endorsement Letter from the Medical Social Services of the Hospital or Health
Facility for charity or service patients
 PCSO IMAP Application Form – must be completely filled-out (you can get this
from the hospital or at PCSO)
 Updated Clinical Abstract – original or certified true copy and duly signed by the
attending licensed physician
 Valid ID of the patient and representative