OBJECTIVES: The incidence of infections in elderly people is higher than in the general population1. Pneumonia is an infection associated with more significant morbidity and mortality in older patients compared to younger adults; Streptococcus pneumoniae is the most common etiologic agent associated with this disease2. Pneumonia by pneumococcal infection is also associated with huge economic burden3. Therefore, this study presents the percentage of elderly people with recurrent episodes of pneumonia as well as related costs from PHS perspective. METHODS: The percentage of recurrent hospitalizations for pneumonia episodes, as well as the related hospitalization costs usage for PHS was identified comprising elderly patients (age of > 50 years), between October 2010 and December 2013, using a database containing approximately 18 million patients4. Pneumonia episodes were identified using ICD-10 codes A40.3, B95.3, G00.1, J13, J15, J15.0, J15.3, J15.4, J15.8, J15.9, J18, J18.0, J18.9, J20.2, P23.3. RESULTS: RESULTS: From 16.227 users identified in all age groups, 8,048 patients were over 50 years old. The analysis showed that 11% of the patients between 50 and 74 years old experienced two pneumonia episodes and 3% experienced three pneumonia episodes. The results for patients over 75 years old were of 17% and 7%, respectively. The average cost associated with hospitalization per event in all age groups was BRL 11,399, compared with BRL 18,800 in patients over 50 years old.  CONCLUSIONS: Recurrent hospitalizations for pneumonia in elderly adults and the associated costs are higher compared to the general population in the PHS. Pneumonia-related admissions, as well as healthcare costs, may potentially be reduced in this population, if prevention strategies be considered.