SSS Sickness Benefit Tool
SSS Sickness Benefit Calculator 2026
Estimate your possible SSS sickness benefit using your qualifying contributions and approved sickness days, then use the complete guide below for eligibility, requirements, filing, payment, and common claim problems.
This calculator is an estimate. Final qualification, approved sickness days, posted contributions, medical evaluation, and benefit amount remain subject to SSS records and validation.
Member and confinement details
Select how you are registered with SSS and where the confinement took place.
Sickness date and approved days
The month your sickness started determines the semester of contingency and qualifying period.
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At least three monthly contributions must fall within this qualifying period. The benefit amount uses the six highest Monthly Salary Credits in the period.
Enter MSC or SSS contribution
Enter one value per month. MSC and contribution fields sync automatically.
Enter your total SSS contribution when using contribution amounts. Historical contribution rates are handled automatically. Do not add EC.
The estimate uses the six highest benefit MSCs in the qualifying period, divides their total by 180, and applies the 90% daily sickness rate.
Estimated SSS sickness benefit
Sickness benefit summary
Quick answer
SSS sickness benefit at a glance
SSS still determines the final compensable days, medical approval, filing compliance, posted contributions, and final amount.
Who may qualify for SSS sickness benefit?
SSS sickness benefit is a daily cash allowance for a qualified member who cannot work because of sickness or injury and is confined at home or in a hospital for at least four days.
How SSS sickness benefit is computed
- Determine the applicable 12-month qualifying contribution period.
- Identify the six highest Monthly Salary Credits in those 12 months.
- Add the six highest MSCs.
- Divide the total by 180 to get the Average Daily Salary Credit (ADSC).
- Multiply the ADSC by 90% to get the daily sickness allowance.
- Multiply the daily sickness allowance by the approved number of sickness days.
₱666.67 × 90% = ₱600 daily sickness allowance
₱600 × 10 approved days = ₱6,000 estimated benefit
Why the calculator caps the benefit MSC at ₱20,000
Benefits under the Regular SSS Program are computed using contributions up to a Monthly Salary Credit of ₱20,000. Contributions corresponding to MSC above that level go to the provident fund / pension-booster component and do not increase the Regular SSS sickness-benefit computation.
SSS sickness benefit requirements and documents
The exact documents can depend on the member's situation and medical evaluation, but the basic sickness documents normally start with the following:
If the sickness or injury happened abroad
Foreign-issued medical documents should have an English translation and be duly authenticated by the Philippine Embassy/Consulate or duly notarized by a notary public in the host country, following SSS requirements.
An SSS Medical Specialist may still require additional medical records when needed for evaluation.
How to apply for SSS sickness benefit
If you are employed or a kasambahay
Notify your employer and submit the required proof of illness or injury. The employer submits the sickness notification to SSS through the Employer My.SSS account.
If you are Self-Employed, Voluntary, OFW, NWS, or separated
- Log in to your My.SSS account.
- Open Benefits and select Sickness Benefit.
- Complete the online sickness benefit application.
- Upload the required documents.
- Review the information and complete the certification.
- Submit and save the transaction number. SSS forwards the claim for medical evaluation.
Some cases still require branch filing
SSS identifies certain exceptions to online filing, including a denied claim reconsidered for payment, an unclaimed benefit of a deceased member, and an unclaimed reimbursement of an inactive, closed, terminated, or retired employer.
SSS sickness filing deadlines
Employee — home confinement
The employee generally notifies the employer within five calendar days after the start of confinement. The employer generally notifies SSS within five calendar days after receiving the employee's notice.
Employee — hospital confinement
Employee-to-employer notification is not necessary for hospital confinement. The employer generally has one year from hospital discharge to notify SSS.
SE / VM / OFW — home confinement
The sickness benefit application is generally submitted within five calendar days after the start of home confinement.
SE / VM / OFW — hospital confinement
The sickness benefit application is generally due within one year from hospital discharge.
Employer reimbursement
For home confinement, the employer generally files the reimbursement application within one year from the start of confinement. For hospital confinement, the period is generally one year from hospital discharge.
What happens if the sickness claim is filed late?
When the five-day notification rule applies and the member notifies SSS late, SSS may treat the confinement as having started no earlier than the fifth day immediately before the date of notification. That can reduce the number of compensable days.
A late case should still be checked against the exact confinement type and filing route because hospital cases and employer reimbursement have different prescriptive periods.
How sickness benefit works for employees
In the normal employee process, the employer advances the approved sickness benefit to the employee and later files a Sickness Benefit Reimbursement Application (SBRA) with SSS.
Important: confirm receipt of the advance payment
When SSS sends the confirmation email, the employee generally has 7 working days to confirm or certify receipt of the employer's advance payment through the email link or My.SSS. If the employee confirms non-receipt or does not act within the period, the employer's SBRA can be rejected and may need to be filed again as a new transaction.
SSS states that this employee confirmation is not required for claims tagged as separated, AWOL, or deceased.
How SSS sickness benefit is paid
SSS uses enrolled disbursement channels. Depending on the qualified payee and available channel, payment may be made through an eligible UMID ATM card, PESONet participating bank, e-wallet, or accredited remittance/cash payout outlet.
If you resigned, were separated, AWOL, or cannot get employer documents
A separated member may still have a sickness-benefit filing route, but the documents depend on when the confinement happened relative to the separation date.
SSS generally asks for a Certificate of Separation stating the effective separation date and that no advance sickness-benefit payment was granted.
SSS generally asks for a Certificate of Separation showing the effective date of separation.
SSS also lists alternative supporting-document routes when a normal Certificate of Separation cannot be obtained because of a strike, company closure/dissolution, a pending separation case, AWOL, or strained relations with the employer.
Depending on the situation, the alternative may include a notarized Affidavit of Undertaking, DOLE documentation, or other proof required by SSS.
SSS sickness benefit rejected or delayed: what to check
SSS does not publish one short list covering every possible rejection reason. If a claim is rejected, reduced, or delayed, check these rule-based problem areas first:
How many sickness days can SSS pay?
SSS may grant sickness benefit for a maximum of 120 days in one calendar year. Unused compensable days cannot be carried forward to the next year.
Sickness benefit for the same illness is generally limited to 240 days. If the sickness or injury persists after that period, SSS may treat the case as a disability claim.
SSS Sickness Benefit vs Employees' Compensation (EC)
Regular SSS sickness benefit and Employees' Compensation are not the same program. EC is specifically for covered work-related sickness, injury, or death.
If your illness or injury is connected to your work, check the EC rules as well because the qualifying conditions, benefit limits, filing process, and supporting documents are different from the Regular SSS sickness-benefit rules.
Official SSS Employees' Compensation GuideFrequently asked questions
Important limitation
This calculator and guide provide an estimate and general filing guidance only. SSS determines the final compensable days, medical approval, qualifying contributions, filing compliance, disbursement eligibility, and final benefit amount using official records.