Documents Needed to Claim SSS Sickness Benefits for OFWs Hospitalized Abroad

Friday, August 17, 2012

 SSS Sickness Benefits for OFWs Confined Abroad

If you're an OFW who got sick or hospitalized abroad, submit these documents to claim your sickness benefits:

1. Sickness Notification (SSS Form CLD-9N)

2. Sickness Benefit Application Form for Unemployed/Self-Employed/Voluntary Members (SSS Form CLD-9A)

3. Medical Certificate (SSS Form MMD-102)

4. Certified true copy of medical records:

- Hospital abstract
- Operation room record
- X-ray, CT scan, ECG, ultrasound results, if these were used
- Other clinical records or results of diagnostic procedures

NOTE:  Documents issued by the hospital must be in English or translated to English  and must be authenticated by the Philippine Embassy or Consulate office or notarized by a notary public in the country where the OFW got sick or hospitalized.

5. SSS ID (or 2 valid IDs with signature, with one ID with photo and date of birth)

- For those with no SSS ID, you may be required to apply for an SSS ID and to present your E6 application acknowledgment stub as one of your IDs for filing your claim.
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Additional Documents if Filed by Family Member, Relative or Representative:

- Authorization letter signed by SSS member and representative
- SSS ID of representative
- SSS ID of member (photocopy, because member is abroad)
- passport of member (photocopy, because member is abroad)

If there's no SSS ID, bring 2 valid IDs with signature (at least one ID should have photo and date of birth)

Where to file:

SSS branch nearest the member's residence
or SSS Diliman branch

Deadline for filing:

Within one year after last day of hospitalization, or start of sickness (if treated at home, and not hospitalized)

Who are eligible for sickness benefit?

You are eligible if you:

- Have paid at least 3 monthly contributions within the 12-month period immediately before the semester of sickness or injury

- Have used up all company sick leaves with pay

- Have been sick at home or confined in a hospital for at least 4 days

- Have notified SSS within 5 days after start of sickness or injury (if confined at home) 

- Have notified SSS within 1 year from start of hospitalization ( if confined in a hospital)

How much is the sickness benefit?

Daily sickness benefit is 90% of average daily salary credit -- this depends on your 6 highest monthly salary credits within the 12-month period before your semester of confinement

A member can avail of up to 120 days of sickness benefits in one year.

33 comments:

Jessica Sape said...
This comment has been removed by the author.
Jessica Sape said...

hi po, pwede rin po ba mag avail ang mga foreigner ng SSS? from the private sector po. tnx

vic orallo said...

hello good pm. may problema sa date of coverage ng contribution sa sss, at hindi malaman kung kailan marerefund ung binayad ko para magkaroon ako ng umid ID. here is my sss number: 01-1685489-4,i really hope for an answer sss in urdaneta give a dead end instruction in resolving, i need help.

Kaydee said...

Hi vic, wala ka bang Date of Coverage? Ibig sabihin nagbayad ka sa SSS na hindi ka properly registered as self-employed. Nag-submit ka na ba ng letter of request for refund of your contributions to SSS dahil you did not register properly before paying these contributions?
Hindi ka ba kailanman naging employed at hindi ka nagbayad sa SSS as Employed? Kung ganon, while waiting for your refund of your past payments, mag-register ka properly as self-employed sa SSS. Fill up SSS RS1 form. Bring proof of your source of income (puedeng affidavit, certification ng barangay or association, business permit, sales commission receipt, OR o CR ng tricycle o public vehicle). Kung approved na ang RS1 form mo, mag-start ka na all over again to pay your contribution. Pag na-post na ang first contribution mo, puede ka nang mag-apply ng UMID.

Kaydee said...

Hi Jessica, yes, basta permanent resident of the Philippines. can a foreigner be an sss member?

bentong said...

Is there a way to expedite the process of UMID? I badly need it, i might be loosing the opportunity to work abroad. I hope someone can help me out.

cecil caberte said...

Hi gd pm, My daughter has been hospitalized for 4days already and I have been absent from work for almost 1 week. Is it allowed to file a claim for the hospitalization of my daughter as my dependent?

Kaydee said...

Hi bentong, sorry I don't know how to expedite the process. You just have to wait for your ID to arrive through the mail. I'm not sure if you can follow up at the main branch.

Kaydee said...

Hi cecil, if you mean Philhealth, yes, your daughter can qualify as your dependent if she's younger than 21, unmarried and unemployed.
If you mean SSS, sorry, but the SSS sickness benefit is only for SSS members who get sick.

admin said...

Hi! My father was admitted Nov. 18 to Nov 22, 2013. Will this be the correct dates to be used for his sickness claim computation? But on his MMD-102 form, the doctor said that the convalescing or recuperation period (resting or times that cannot work I guess) is about 1 month. He is a voluntary member btw.

Also, his previous company already closed and the forms says to submit 'affidavit by the claimant to this effect'. What do this affidavit says? Do you have a sample affidavit of this one?

Hope to hear from you soon. Thank you for being a great help!

Jovelyn Hidol said...

Hello good am,paano po ba mag terminate ng employee through Online.gamit ang SUBMISSION OF CONTRIBUTION COLLECTION LIST (R3).kasi Meron kaming dalawang employee terminated month May and August 2013. Pero until now hindi pa po kami nakapag report sa SSS gamit ang online system.Nag ka penalty na po yung Company namin. meron kasi silang loan na hindi nabayan.Please help me..

Kaydee said...

Hi Jovelyn, merong instructions on how to delete employee names sa R3 user's manual: R3 file generator manual sa 2.2 Employee Information

Jennifer said...

Hi! i got hospitalized here in Japan. pabalik na ako ng pinas next week to give birth dyan on march but i got hospitalized for 10 days here. i am unemployed and i havent paid my contribution more than a year (to be exact 18 months from my last Contribution), is a change i can claim sickness benefit from sss?

Kaydee said...

Hi Jennifer, check this pag eligible ka, pareho ng maternity eligibility ang sickness eligibility: SSS sickness eligibility.
I suggest you pay this Dec 2013 your contributions for April 2013 to Sep 2013 as OFW(Kapag OFW, puede pang magbayad this Dec. Pag voluntary and self-employed, hindi na puede. Pag Jan 2014, hindi na puedeng bayaran itong Apr to Sep even as OFW) and file your MAT1 form with SSS asap so you can be eligible for maternity benefit.
Yong sa sickness (depende sa illness dates mo), baka hindi na puedeng habulin kasi nauna ang sickness bago payment of contributions. Yong maternity claim, puede pa kasi mauuna ang payment bago delivery.

romeo rebualos said...

mam tanong ko lang po..pwede ko po bang makuha ung register number ng letter ko galing sa sss checke po kasi un dec. 14 pa po kasi yon...salary loan po un. romeo rebualos po ako. ito po ss number ko 02-2325819-2. salamat po

Kaydee said...

Hi romeo, sorry this website is not administered by SSS. The SSS does not give registry nos. online. You need to go to the main branch where your check was generated. Wait for your postman to deliver your check to your address. Maybe this week or 1st week of January.

Geraldine S said...

Hi Good Day. Naconfined kc father ko last dec.8 till 18 from then hindi ko pa naproprocess SSS benefits nya. Till kelan po pwdeng ayusin ung SSS sickness benefits. BTW . anu po ung Requirement para makaqualify sa sickness benefits.

Kaydee said...

Hi Geraldine, file within 1 year, pero siempre file asap para makuha pa yong mga documents. To be eligible, dapat yong father mo merong at least 3 contributions within the 12-month period before semester of sickness. Pareho sa pag-check sa maternity benefit:
SSS maternity eligibility


in&out designs said...

Actually no, i am still working after i gave birth. And i am planning to process it myself if they wont advance it. What do i need to do. Thank you

Roderick Layug said...

hi anong loan type po ba ginagamit sa SLERP pag ipopost sa diskette? yung mga [payments ko kasi hindi na popost

Kaydee said...

Hi Roderick, sorry I'm not familiar with R3. You can ask Ms. Fehl Dungo; she has posts on R3: http://philpad.com/how-to-use-sss-r3-program-and-generate-file/

tanong ko lang po kung may makukuha po ako mula sa sss, dahil namatay po ang nanay kong teacher nung ipinanganak ako, july 3 1995, meron po ba akong benefits na makukuha?

pareply nalang po sa email ko..,
yma1021@gmail.com

thanks a lot!

Kaydee said...

Hi John, kung meron siyang at least 36 contributions sa SSS when she passed away, and younger than 21 years old ka noon, meron ka dapat pension until you turned 21. Kung less than 36 naman, meron kang lump sum. Ang problem lang is more than 10 years ago na ito. Merong 10-year prescription period sa claims; hindi ko lang alam kung ina-apply ito sa pension. Pumunta ka na lang sa SSS with your birth cert, your mother's death cert and your ID and ask how you can claim your benefit as beneficiary of your mother. Kung hindi mo alam ang SSS no. niya, puedeng i-verify mo muna ang SSS no. niya -- hingi ka sa guard ng SSS no. verification slip. I hope makapag-comment ka later on kung nakapag-claim ka, so we can also learn from your case. Thanks too!

Kaydee said...

Hi John, kung public teacher ang mother mo, baka meron kang ma-claim sa GSIS. By the way, wala bang nag-claim in your behalf noon? Halimbawa, your father or grandparents or aunts/uncles?

public teacher po ang momy ko, namatay po xa nung pinanganak nia ko nung july 3 1995 higit 3 years n daw po siyang teacher,may nakuha naman daw po si dady na 20k para sa burial ni momy, ung sa pension po kaya may makukuha ako, kasi 18 years ago a po iyon.

Kaydee said...

Hi John, kung public teacher siya, sa GSIS siya nag-member. SSS is for private employees. Burial benefit lang daw ang nakuha ng daddy mo? Hindi na siya nag-file ng claim for pension or lump sum? I checked the survivorship benefit claim form of GSIS, and nakasulat sa form na dapat i-file ang claim within 4 years of date of death. Kung burial benefit lang ang nakuha, kasi baka akala ng father mo ay yon na lahat yong benefit, puede kang magtanong sa GSIS kung puede pang mag-file ng claim kasi sabihin mo hindi ibinigay lahat ng benefits nio noon, at burial benefit lang ang nakuha nio, at para maintindihan nila na ang alam ng daddy mo ay yong claim for burial ay yon na yong claim for pension or lump sum. When going to GSIS to ask, bring your ID, your birth cert and your mother's death cert. para ma-entertain ka nila.

ang pagkakaalam daw po ni dady dati eh ung nakuha nyang 20k para sa burial eh un na din po ung lump sum ni momy. . ,tapos wala daw po siyang idea na may pension na pwedi ma claim kasi ang alam daw po niya ang pension ay para lang sa mga retired personnel.

hello, nagfile ako ng salary loan nung Jan. 20. Nareleased and nacertify nung Jan 21. Pero more than 2weeks na wala pa rin. Di ko alam kung di lang ginagawa ng HR namin yung trabaho nila. First time ko kasing magloan sa SSS.

Kaydee said...

Hi John, sa SSS kasi, pag namatay ang member at nakaipon ng at least 36 contributions, merong pension ang beneficiaries (spouse and children under 21). Kapag kulang sa 36, ang makukuha ay lump sum. Bukod itong benefit na ito sa burial.
Sa GSIS (mas familiar ako sa SSS kasi sa SSS ako member), I checked their website, at wala akong mabasa na minimum no. of contributions para magpension ang beneficiaries. Pero dapat merong makuha ang beneficiaries, bukod sa burial benefit, na either pension or lump sum, depende sa rules nila. I hope makapag-appeal ka sa GSIS, at tingnan nila ang iyong situation.
May other benefits din ang GSIS, kagaya ng life insurance, pero ito ay optional, meaning depende kung kumuha ang mother mo noon ng life insurance or other plans sa GSIS.

Kaydee said...

Hi Marie-Len, mag-register ka sa sss.gov.ph so you can check the status of your loan. Ask your employer's SSS no. -- you need it for registration. "For Review" kapag natanggap na ng SSS. Pag naprocessed na, meron ng check no. and amount. From date of check, wait for about 2 to 4 weeks na madeliver sa office ninyo.

salamat po ng marami sa pag entertain ng mga tanong ko. . ,

Kenji Icabandi said...

HI! ASK KO LANG ABOUT DUN SA SSS HOME CONFINEMENT, ANG SABI PO 5 CALENDAR DAYS KELANGAN MA-IFILE WHAT IF NGAYON KO PO IPINASA THEN TOMORROW WILL MAUNDY THURSDAY, SO WALANG OFFICE UNTIL SUNDAY, KASAMA PO BA SA BILANG ANG HOLIDAYS AT WEEKENDS? THANK YOU!

Shy said...

Hi Kenji, kasama ang holidays and weekends sa bilang. Pero if you submitted your notification to your employer Wed, your employer has until Monday to submit it to SSS. Meron ding 5 days for the employer to file after receiving your notice.

Thank you very much for your comments.
Note: This site is NOT administered by SSS.