Did you know that you can claim SSS disability benefit for hysterectomy?
Yes, you can file for SSS partial disability benefit after having hysterectomy.
Hysterectomy is a surgical procedure to remove the uterus or the womb.
In some cases of uterus removal, the ovaries, fallopian tubes and cervix are also removed.
In the SSS Guidebook’s list of partial disabilities covered, hysterectomy is not on the list, but there’s “Removal of Organ.” Based on my own personal experience and other women’s experiences, removal of the uterus is one of the organ removals covered by the SSS disability benefit program.
At age 43, I had my uterus, fallopian tubes and ovaries removed at the UST Hospital in a surgical procedure called Total Abdominal Hysterectomy with Bilateral Salpingo-oophorectomy or TAH-BSO. I was able to avail of 60 days of sickness benefit and 30 months of partial disability pension.
Like many others, I didn’t know that I can claim partial disability benefit for my hysterectomy. Thankfully, one of my friends knew about it and she advised me to file my claim. I filed my claim after my 60-day SSS sick leave, got physically examined by an SSS physician and later got approved. I received a monthly disability pension over a period of 30 months.
At that time, I did not know that I was just two years away from being disqualified for partial disability benefit. It was only recently that I found out that the SSS partial disability benefit for hysterectomy can only be availed of by women under the age of 45 years.
Why Is SSS Partial Disability Benefit for Hysterectomy Only Given to Women Under the Age of 45 Years?
Because many are asking our blogs about this, I researched and I found out the reason: The specific disability being covered by SSS when a woman undergoes hysterectomy is the incapacity to conceive or get pregnant after hysterectomy. Ang disability ay yong hindi na puedeng mabuntis ever, kasi wala na yong womb or uterus.
According to research, women under age 45 have the ability to conceive or get pregnant, so kung magpa-hysterectomy sila, matatanggal itong ability nila to get pregnant, so ito ang kanilang disability at ito ang susuportahan ng monthly SSS partial disability pension.
Yong mga women over age 45 ay hindi na raw talaga mabubuntis. Age 45 daw ang average age of losing the ability to conceive, so kung magpa-hysterectomy ang isang woman age 45 or older, hindi na siya covered under this SSS partial disability benefit program kasi wala naman na talaga siyang ability to get pregnant. In short, walang nawala sa kanya. Dati nang wala. Hahaha confusing ba?
Sa worker compensation insurance program ng Taiwan, women younger than 45 can receive disability benefits if they undergo hysterectomy. Nagkaroon pa nga sila ng studies para tingnan kung totoo yong rumors na marami raw mga women employees with uterine fibroids na malapit nang mag-age 45 ay nagpapa-hysterectomy or oophorectomy na bago mag-45 para lang makakuha ng disability benefit.
Malaki kasi ang cash benefit — it’s equal to about 5 months of salary.
Hysterectomy is removal of the uterus while oophorectomy is removal of both ovaries.
Ito yong mga studies, if you’re interested:
- Disability benefits as an incentive for hysterectomy: Uterine fibroid patients in Taiwan
- Uterus at a Price: Disability Insurance and Hysterectomy
Usually, kung magtanong ka sa SSS about disability, ang sagot nila is around this statement “Kasi sumusunod lang naman ang SSS sa mga standards and definitions ng World Health Organization….”
Here below is the statement of the World Health Organization on DISABILITY:
Disabilities is an umbrella term, covering impairments, activity limitations, and participation restrictions. An impairment is a problem in body function or structure; an activity limitation is a difficulty encountered by an individual in executing a task or action; while a participation restriction is a problem experienced by an individual in involvement in life situations.
Ito naman ang statement ng United Nations:
The UN Convention on the Rights of Persons with Disabilities (UNCRPD) recognises that ‘disability is an evolving concept’ (UNCRPD, 2006, p. 1). ‘Persons with disabilities include those who have long-term physical, mental, intellectual or sensory impairments which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others’ (UNCRPD, 2006, p. 4)
You can see here the International Classification of Diseases
Here are the other diseases covered under the SSS Disability Benefit program:
- Fracture — File 4 months after injury or operation
- Coronary Artery Disease/Heart Attack
- Cerebrovascular Attack (Stroke) — File 4 months after onset
- PTB, Minimal — File 2 years after onset
- PTB, Moderate — File 6 months after onset
- PTB, Far Advanced
- Pulmonary Diseases (COPD)
- Mental Illness — File 2 years after onset
- Diabetes Mellitus — File 2 years after onset
- Removal of Organ
- Malignancy (Cancer)
- Kidney Diseases
- Hearing Loss
- Cataract Operation — File 3 months after operation
Total permanent disabilities covered:
- Complete loss of sight of both eyes
- Loss of two limbs at or above the ankles or wrists
- Permanent complete paralysis of two limbs
- Brain injury resulting to incurable imbecility or insanity
- Other cases identified and approved by the SSS.
Partial permanent disabilities covered:
A complete and permanent loss or use of any of the following body parts:
- one arm
- one hand
- one thumb
- one index finger
- one middle finger
- one ring finger
- one little finger
- one foot
- one leg
- one big toe
- one ear
- both ears
- hearing of one ear
- hearing of both ears
- sight of one eye
List of Documents Required to Claim Your SSS Disability Benefit
1. SSS Disability Claim Application Form
2. Member’s/Claimant’s Photo and Signature Form (for initial claims only)
3. SSS Medical Certificate Form, accomplished by attending physician within 6 months
from date of filing
4. Supporting medical records (Certified True Copy)
The SSS Medical Specialist will inform you if you need to submit additional medical records or documents.
5. Member or Filer’s SS card, UMID card, passport, PRC card, seaman’s ID and record book or other valid ID cards/documents (original and photocopy)
If you don’t have any of the above IDs, submit 2 secondary IDs or identification documents, both with your signature, and at least one with photo.
Who is qualified for SSS disability benefit?
An SSS member who suffers partial or total permanent disability, with at least 1 monthly contribution paid to the SSS prior to the semester of contingency.
What are the 2 types of disability benefits?
– Monthly pension – given to you from month to month if you have paid at least 36 monthly contributions to the SSS prior to your semester of disability.
– Lump sum amount – given to you as a one-time payment if you have less than 36 monthly contributions prior to semester of contingency.
How much is the monthly pension?
Your monthly pension amount will be based on your disability, the total number of your monthly contributions, and the total number of your credited years prior to your semester of contingency.