How To Apply for SSS Sickness Benefit Claim — Step-by-Step Guide & Requirements

Guide on How to Apply for SSS Sickness Benefit Claim for Eligible Members

HOW TO APPLY FOR SSS SICKNESS BENEFIT CLAIM – You can check the guide below for the steps in availing the SSSS benefit offer.

In times of sickness or injury, members of the Social Security System may apply for the SSS Sickness Benefit. It is a financial turn-to amid medical situations that cause a member to be absent at work.

How To Apply for SSS Sickness Benefit Claim
Photo Credit: SSSOnline

How to Apply for SSS Sickness Benefit Claim

Step 1 – Check the eligibility criteria.

The SSS Sickness Benefit offer is for members who were not able to report to work for at least four (4) days due to sickness or injury. The patient may either be confined at home or confined at the hospital.

Also, the SSS member must have paid at least three (3) months of contributions “within the 12-month period immediately preceeding the semester of sickness or injury”. Furthermore, it is required that the member has notified the social insurance institution directly of the fact of injury or sickness.

Step 2 – Prepare the requirements.

The Social Security System has set the documentary requirements for SSS Sickness Benefit Claim. The government agency recognized that the member-patient may not be able to process the claim thus it also set a different list of requirements in case the application will be processed by an authorized representative of the patient.

Requirements for SSS Sickness Benefit
Photo Credit: Requirements.com

Step 3 – Visit the SSS nearest to you.

Submit your requirements to a branch of the SSS nearest to you. If it is home confinement, the claim must be submitted to the government institution within five (5) calendar days after the start date of confinement. If the case is hospital confinement, the requirements must be submitted to the state institution within one (1) year from the date of the hospital release.

With regards to the amount of the SSS Sickness Benefit allowance, it would depend on the daily average credit of the member-patient and the total number of days that the member is absent from work. Each member is entitled to a maximum of 120 days of benefit coverage in a year.

In case of delayed submission of the claim requirements, the SSS has the right to implement reduction or denial of the benefit. Aside from the said benefit offer, the SSS also offers the SSS Retirement Benefits.

Under the retirement benefits, there are two (2) possibilities. The member-retiree will get either an SSS Monthly Pension or an SSS Lump Sum depending on the total contributions posted by the member.

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