SSS Sickness Benefit Coverage

SSS provides significant Sickness Benefit Coverage that offers financial assistance during times of illness or medical issues and conditions. With this coverage, you can concentrate on getting better from diseases and medical ailments with less worry. Some of you may prioritize your health and feel secure knowing you have financial support with this benefit. Find out how SSS Sickness Benefit Coverage can work as a trustworthy companion to help you take care of your financial and health demands.

List of Sickness Covered by SSS

The SSS provides extensive coverage for a variety of illnesses to help its members reduce their financial strain. This comprehensive list of illnesses covered by SSS is meant to provide you with more financial support and aid.

Chronic Illnesses

SSS assists with chronic diseases such as diabetes, arthritis, and cancer. Continual payments may be made to eligible members based on several factors, including the severity of the sickness. Costs for prescription drugs, doctor visits, and other essential medical expenses may be partially covered by these payments.

Maternity Benefits

Maternity benefits are available to pregnant women who are SSS members as long as they fulfill specific requirements. A minimum of three months of employment before becoming pregnant and coverage via PhilHealth or an HMO are eligibility prerequisites. This benefit reduces the monetary cost of childbirth by reducing the high expenditures associated with pregnancy preparation, delivery, and following the birth.

Disability Benefits

If you experience an injury or disease that causes you to be incapable of undertaking daily activities, SSS will provide you with monthly cash assistance. This assistance lessens the financial burden of your illness preventing you from working. Your disability benefit is calculated using your pre-disability income. 

SSS is committed to assisting with your recuperation in addition to providing financial aid. They provide you with access to programs for rehabilitation that are intended to help you heal and enhance your quality of life. The goal of these programs is to assist you in regaining your freedom and doing as much of your everyday duties as you can.

Death Benefits

In the unfortunate circumstance that a member dies as a result of a covered injury, accident, or disease, SSS pays death payments to their beneficiaries. The duration of the member’s employment and the presence or absence of dependents influence the benefit amount. This assistance provides the remaining family with monetary security and helps with funeral costs.

Members of SSS must be fully aware of the criteria and conditions of eligibility related to the benefits provided. Acquiring knowledge of these particulars guarantees that you can effectively utilize and fully access the resources offered during trying times. You can better understand the application process and get the help you require if you are familiar with the precise requirements and guidelines.

How to Claim SSS Sickness Benefits?

Take these crucial actions to guarantee a seamless and effective process when requesting SSS sickness benefits:

Step 1: Fill out all required forms

Start by completing the required forms related to the illness benefit you are requesting. These forms are available for download from the SSS website or picked up at the SSS office that is closest to you. To prevent delays, ensure that you accurately complete each component.

Step 2: Submit your forms and any supplementary documents

When the forms are filled out, send them in with the necessary supporting documentation. You have two options for doing this: using the SSS online portal or going in person to an SSS office. Typically, required documentation consists of:

  • Copy of your Philippine ID card
  • Copies of medical bills and receipts
  • A doctor’s certification detailing your illness and any prescriptions
  • Any other significant paper

Making sure you send in all required paperwork will speed up the claim processing period.

Step 3: Wait for processing

Following submission, SSS personnel will check and confirm your eligibility for benefits. Be patient, as this procedure may take up to two weeks. During this period, SSS will review your claim to make sure it satisfies all of the necessary criteria.

Step 4: Receive your SSS Sick Benefits

If your claim gets accepted and approved, you will get your illness benefits either by electronically deposited into your bank account or via notification by email. Be certain to check your account or email for updates on the status of your claim.

How to Calculate SSS Sickness Benefits? 

Did you know that you may use an online calculator to quickly and easily determine your SSS sickness benefits? To use the calculator, just click this link: https://ssscalc.com/sss-sickness-benefits-calculator/ 

To calculate the amount of your sickness benefits, use the instructions below.

  1. Compile The Required Information
  2. Access The Sickness Benefits Calculator
  3. Enter your information 
  4. Analyze your details

You can more easily calculate your SSS sickness benefits by following these procedures, which will also help you have a better idea of the kind of support you can anticipate.

FAQs

Can a self-employed person receive SSS sickness benefits?

Yes, as long as they have made the necessary contributions, self-employed people who are SSS members and fulfill the criteria for eligibility are also qualified to receive illness benefits.

If my claim for illness benefits is rejected, what should I do?

If your claim is rejected, go over the explanation given in the denial notice and take care of any problems or shortcomings. By providing any other information or supporting documents that SSS requests, you can challenge the judgment.

Should I disclose my SSS Sickness Benefit claim to my employer?

Yes, it is important to let your employer know about your SSS sickness benefit claim especially if you’re claiming while still working. Your employer may need to confirm the details of your illness or confinement.

What happens if I don’t submit my sickness benefit claim by the deadline?

You might still be able to submit a claim if the deadline passes, but you might have to pay fines or receive less money. For advice on what to do and the possible repercussions of submitting your work beyond the deadline, get in touch with SSS.

How can I find out how my SSS Sickness Benefit claim is progressing?

By calling SSS customer care or using the SSS online portal, you can keep track of the progress of your claim. To guarantee accurate information, make sure you have your claim reference number and personal information available.