To be eligible for SSS medical assistance, members must have made at least three monthly contributions to the Social Security System within the 12-month period prior to the medical condition or hospitalization. Members must also be certified by a physician as requiring medical treatment or confinement for illness or injury. Additionally, the member must have been unable to work for a minimum of four days due to their condition to qualify for sickness benefits.

To apply for SSS medical assistance, members must submit the necessary documents, such as a medical certificate from their attending physician, a hospital bill (if applicable), and the sickness notification form. After submission, SSS will evaluate the claim and determine the appropriate benefit amount. By meeting these requirements, members can access the support provided through the SSS medical assistance program to help cover medical expenses.