Friday, August 17, 2012

Documents Needed to Claim SSS Sickness Benefits for OFWs Hospitalized Abroad

 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.

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.


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!

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

Kaydee said...

Hi Roderick, sorry I'm not familiar with R3. You can ask Ms. Fehl Dungo; she has posts on R3:

JK said...

Hi Tamlyn, yes, basta you're sure that you registered properly before, or you were employed before, and that your employer remitted your contributions to SSS. After paying your contribution, (wait for 3 to 5 days for posting) register online so you can check your SSS records. If you see that you have a Date of Coverage, then your SSS account is good.

Taj Dennis Morales said...

Good day,hi,pls. kindly help me to get the appropriate answer on why is it that my moms pension process has taking too much time. i think its coming 5 yrs now..her name was Zosima Blanca Morales,jan.13,1949,#036305950-7,she was former employed and then continue paid it as voluntary. she been to branch on qc and sta maria bulacan were the naerest branch were she reside. pls file a report and kindly inform them to why this is happening in your current system. the latest news i heard from my mom is that sta maria branch said she needed still to pay the penalty on late payment which she paid on same day then that they are now going to send it to tarlac branch with all completed transaction and that it is now for clearance as they called it.pls paki tulungan ang nanay dahil mahirap mag alala bilang anak sa ina na nilalakad mag isa ang proseso na di nya alam kung anong kahihinatnan,pang gamot na lang nya yung pang pension pinahihirapan pa sya,nakakagigil sistema nyo.putang ina mga empleyadong di makapag bigay ng lahat ng detalye para di na nagpapabalik balik ang kawawa kong ina.malaki na rin gastos ko sa pamasahet meryenda,tas mag aalala kapa sa tuwing lalakad ang matanda...sana naman maging mabait at gawin nyong produktibo ang sistema ng proseso ninyo ng sa ganon maging magandang halimbawa kayo sa mga neophytes ng inyong organisasyon yung mga lola na sa trabahong yan mag retiro na walang kwenta mag serbisyo, wag ka ng magtaka kasi myembro din ako. salamat sana makakuha ako ng kasagutan sa imbestigasyon nyo... Dennis dubai

JK said...

Miechell Manongas October 7, 2014
I applied for salary loan last September 9, 2014. They said processing will take 2 to 3 weeks. Till now October 7, I haven't received my loan check. The staff at sss pasay told me the check is already done and it's for mailing. Why is it like that? We apply for a loan because we need the loan. Why do they have to mail when we can just pick up the check?

Hi Miechell, it's really frustrating, but you just have to wait. Comment at the FB page of SSS. We hope that SSS will soon release checks through debit cards or bank accounts.

Einaffets Yasuham said...

I have undergone 1 day surgery due to neck lymhp node swelling.
Completely excision for biopsy.
What do i need to submit for my claimS?
Currently im in abu dhabi.
Planning to file for claims when i got home to davao.
What Necessary documents i need to comply?