Skip to main content

HOW SOCIAL SECURITY DECIDES IF YOU CAN GET DISABILITY BENEFITS

If you have suddenly become disabled and had to stop working, Social Security may be the largest, most substantial benefit available to you.  However, it may also be the slowest, most difficult benefit to get started.

The average person receives about $1,150 per month when approved for Social Security disability. Some can get more, depending on age and past earnings. Minor children or other dependents may get an additional benefit.  Also, you may qualify for Medicare insurance to help pay medical bills.

Here are basic requirements for getting a Social Security disability check.

  • You have enough work history to be covered:  usually meaning, you have worked at least 4 out of the most recent 10-year period.
  • You have a severe, medically determinable impairment severe enough to prevent you form working either any of your past jobs or any other type of job available in the US economy.
  • This severe impairment has (a) lasted for at least 12 consecutive months, (b) is medically expected to last for at least 12 consecutive months, OR (c) is expected to end in death.  Short term disabilities (under 12 months) are not covered.
  • Finally, you have adequate medical treatment to prove the nature, severity and duration of the medical impairment or disability.
WHAT IS THE PROCESS TO APPLY FOR DISABILITY?

  • File an application for disability benefits online (www.socialsecurity.gov), at the Social Security office, or at an attorney or advocate's office (who can file for you).
  • Complete and return all forms sent to you by Social Security.
  • Attend any examinations Social Security asks you to attend at their expense.  (These usually will not help you get benefits but you must attend).
  • You will wait an average of 3 to 4 months for a decision.  In Alabama, about 75 percent of applications will be denied.
  • If denied, file a written appeal (within 60 days), in which you request a hearing before an administrative law judge (ALJ).
  • Continue to submit new medical evidence of your disability to keep your evidence up to date.
  • Consider getting professional legal help to assist you in getting ready for the hearing, which will probably be about 2 years in the future.
KEY FACTS ABOUT SOCIAL SECURITY DISABILITY

  1. Not everyone is covered.  SSDI is for workers and you must work enough (and recently enough) to have active coverage under Title 2.  If not, there is no benefit because you have not paid into the system.  Even if you once had coverage, it expires after about 5 years of not working.
  2. SSDI does not cover the first 5 months of a disability.  This is called the "waiting period."  For example, if you are found disabled according to Social Security rules on June 1, your first benefit will be payable November 1 and will not be paid until December because benefits are paid one month in the arrear.  (November benefits are paid in December).
  3.  There are no income restrictions or wealth restrictions for SSDI benefits.  Other income does not generally restrict Social Security benefits, as long as the income is not derived from wages or work-related activity. 
  4. You may claim benefits for up to 12 months prior to filing an application.  Benefits may be paid from the date of disability onset, not from the date of the application.
  5. You are not required to have an attorney to file for disability.  However, you may want to consider representation, especially if you are denied and must appeal.  About 90 percent of appellants choose to get representation because of the complex and confusing nature of Social Security laws and regulations.
Is There Other Help While Waiting on Social Security?

Various state and local agencies, and private charities, may provide some financial help while you try for Social Security benefits.  The link below is from one of my web posts and it shows some of the sources of help available in Alabama--for things like mortgage payments, food and medical care:

Comments

Popular posts from this blog

WHAT YOU WILL BE ASKED AT A DISABILITY HEARING

Most Social Security disability claims will be denied twice:  First at the end of the Application process, and again after the "Reconsideration" process.  The third stop will be a hearing before a federal Administrative Law Judge (ALJ). It is here at the hearing level that most SSDI claims are paid.  So, what do you need to know about your Social Security disability hearing?     First, the judge will follow the rules established by the Social Security Administration.  His or her job is to determine whether you meet the particular laws and rules to receive disability payments.  So, it is a legal proceeding where you must prove certain things in order to get paid. Among the things you must prove:  Your insured status with Social Security:  You have worked recently enough and paid into the Social Security trust fund to gain the required "work credits" to support your claim.  You have a severe medical or mental impairment supported by adequa...

MISTAKES THAT RUIN A SOCIAL SECURITY DISABILITY APPLICATION

MISTAKES THAT RUIN A SOCIAL SECURITY DISABILITY APPLICATION  The paperwork for Social Security disability is daunting:  page after page of never-ending questions.  But, since most applications will be denied, it behooves you to complete the application correctly.  Here are some mistakes on your Social Security disability application that may ruin your claim.   Failing to Fill Out the Forms —The Social Security Administration (SSA) will send you a lot of forms to fill out. It’s up to you to make sure that you fill out every part of those forms correctly.  Don’t forget: if a question doesn’t apply to you, put “not applicable” or “N/A” in the provided space.   Do not leave anything blank. Return all forms within 10 days. If you don't your application may be discarded or withdrawn. Writing Illegibly —If your case reviewer can’t read your answers, then he/she can’t really say that you answered that question. Be sure the  answers to questions are nea...

WHAT TYPE OF DENIALS DOES SOCIAL SECURITY ISSUE?

In Social Security disability, the most common denials are medical denials.  This means that Social Security doesn't believe the medical evidence in your case meets the exacting standards for an award of disability.  There are technically two kinds of medical denials: 1.  You are able to perform some of your past relevant work.  They have looked at your work history for the past 15 years and judged that your medical conditions permit you to perform one or more of your past jobs.  This is what we call a "Step 4 denial." 2.  You are not able to perform any of your past work - but there is other work in the national economy that you are able to do.  This is called a "Step 5 denial" because it occurs at the 5th and final "step" in the decision making process. There are other types of denials, not nearly as common as the two above.  We sometimes think of these as "automatic" denials or "technical denials."  They are not medical decisions...