Guide on SSS Sickness Benefit Requirements 2025 for Members
SSS SICKNESS BENEFIT REQUIREMENTS 2025 – You can check here the documents required in filing for claim to the Social Security System.
There is a huge member populace under the Social Security System. More popularly called SSS, the social insurance entity’s membership is open to individuals coming from different walks of life — private employees, overseas Filipino workers (OFWs), self-employed individuals, and voluntary members.
Most companies and offices in the private sector require an SSS membership from their employees to widen the resources of their workers. It is an assurance that their employees have something to turn to in times of different financial needs.
The Social Security System has several SSS loans as well as benefit offers. One of the benefit offers of the social insurance entity is the SSS Sickness Benefit. The said benefit offer includes both hospital confinement and home confinement cases.
With regards to the amount that a member may get, it is dependent on the average daily salary credit (ADSC) of the member which he/she can get for up to 90%. Every member may get up to 120 days of sickness benefits per year.
Who are qualified to avail the benefit offer? Here are the eligibility requirements for the SSS Sickness Benefit offer:
- sick or injured and cannot report to work due to the condition
- has paid at least three (3) months of contributions within the 12-month period immediately before the semester of sickness or injury
- confined at a hospital or at home for at least four (4) days
- has duly notified his or her employer
- has used up all company sick leaves with pay for the current year
With regards to the SSS Sickness Benefit requirements that are documentary, here are the documents that a member should prepare and submit to the social insurance giant:
- Sickness Benefit Application (SBA) Form
- SS ID/UMID card or any valid primary ID cards/documents, as follows:
- Passport
- Driver’s License
- National Bureau of Investigation (NBI) Clearance
- Voter’s ID Card
- Postal Identity Card
- Any other government-issued (secondary) ID cards/documents
- Supporting medical documents for prolonged confinement/sickness, if any:
- Laboratory
- X-ray
- ECG
- Other diagnostic results
- Operating room/clinical record supporting diagnosis
If the claim is processed by the member:
- original of any one (1) of the member’s primary ID cards/documents or two (2) secondary ID cards/documents, both with signature and at least one with photo
If the claim is processed by an authorized representative:
- original of any one (1) of the member’s and the authorized representative’s primary ID cards/documents or two (2) secondary ID cards/documents, both with signature and at least one with photo
Aside from the Sickness Benefit, the Social Security System also has the SSS Retirement Benefit offer.