30/07/2025
SOCSO claim for critical illness
1. Cancer
A patient must be diagnosed by a registered medical practitioner. The employee must also be unable to work due to the effects of cancer, which could include the physical toll of the disease itself or the side effects of treatment such as chemotherapy or radiation.
2. Heart Attack
Similar to cancer and other critical illnesses, an employee must prove that he/she has suffered a significant loss of earning capacity due to a heart attack. This would mean that the heart attack has severely limited the person’s ability to work or has left them completely unable to work.
3. Stroke
A stroke can lead to different undesirable aftermaths, like memory loss, paralysis, speech difficulties, and more. Depending on the severity of it, a patient may be eligible for SOCSO benefits, including medical treatment and financial support, especially if the stroke has made them unable to work or has impacted their job performance. This illness must also be confirmed by a medical practitioner as a critical condition that has impaired the employee’s cognitive abilities.
4. Kidney Failure
The patient must be severe enough that they require ongoing treatment such as dialysis or a kidney transplant. Just like the other illnesses, a certified report must be given to show that the patient’s ability to work was impacted. SOCSO may provide support for medical expenses, as well as a monthly pension if the illness leads to permanent disability.
5. Chronic Liver Disease
The patient’s condition must be severe enough to impact their working ability and their financial state. Benefits from a successful claim may include financial assistance, coverage for medical treatment, and, in cases of permanent disability, a monthly pension.
SOCSO Claim Procedure
Step 1: Obtain Medical Certification
The doctor will assess your condition and provide a medical report that confirms your critical illness and how it affects your work.
Step 2: Notify Your Employer
Your employer will then be required to submit a claim to SOCSO on your behalf, and/or provide an employer's report on the matter.
Step 3: Submit the Claim
You or your employer must submit the SOCSO claim form along with the medical report and other necessary documents to the nearest SOCSO office. The documents required may include:
*Medical report, Employer report, Employment details, Identity card (MyKad) copy, Bank account details & SOCSO claim form*
Step 4: SOCSO Assessment
After receiving your claim, SOCSO will then assess your eligibility. This step may involve further medical examinations or interviews.
Step 5: Claim Approval and Payment
If your claim is approved, SOCSO will credit the benefits directly to your bank account. The payment amount depends on a number of conditions, like your average monthly wage, the severity of your illness, and other factors.
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Can we claim SOCSO after resignation?
Yes, you can claim SOCSO benefits even after resignation, provided that the illness or injury occurred while you were still employed and contributing to SOCSO.
