Suppose $M$ is a module and let $M', M''$ be submodules of $M$.
Suppose there are modules $N \cong M'$ and $N' \cong M''$.
Under what conditions is $N\oplus N' \cong M' \oplus M'' \leq M$?
Suppose $M$ is a module and let $M', M''$ be submodules of $M$.
Suppose there are modules $N \cong M'$ and $N' \cong M''$.
Under what conditions is $N\oplus N' \cong M' \oplus M'' \leq M$?
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$M'+ M''=M'\oplus M''$ is direct (as a sum of these two submodules) iff $M'\cap M''=\{0\}$.
$N\oplus N'\cong M'\oplus M''$ always (as external direct sums) using the obvious isomorphism built out of the ones between $N\cong M'$ and $N'\cong M''$. Here, it does not matter whether or not $M'\cap M''=\{0\}$ or not.
So the answer to your question seems to be just "When $M'\cap M''=\{0\}$."