Skip to main content

CAN YOU GET DISABILITY BENEFITS FOR DRUG OR ALCOHOL ADDICTION?


 No, you cannot get Social Security disability benefits FOR an addiction.

But you may be able to get benefits WITH an addiction.

There is a big difference.

 In 1996, Congress passed Public Law (P.L.) 104-121—which terminated benefits for Supplemental Security Income (SSI) and Disability Insurance (SSDI) beneficiaries whose primary impairment was drug addiction, alcoholism, or both. As a result of the 1996 legislation, those individuals became ineligible for benefits, effective January 1, 1997.

Claimants may not get SSDI or SSI benefits if addiction is their primary impairment.  However, if the claimant has other severe impairments in addition to an addiction, he/she could qualify for benefits based on the other impairments.

Here's an example:  Mr. John Claimant has a substance addition which is severe.  In addition, he has severe congestive heart failure which is not related to his addiction.  Social Security cannot find Mr. Claimant disabled because of his addiction.  But they may find him disabled because of the heart failure.  So, he may be disabled WITH an addiction, not because of an addiction.

Here are the two tests Social Security will use to determine if the addiction is material to the other disability:

1.  Would the other disability exist in the absence of the addiction?

2.  If the claimant stopped using the addictive substance would he still be disabled by reason of the other impairment?  If so, the addiction is not material and will not be used to deny benefits.

__________

Charles W. Forsythe is president of The Forsythe Firm in Huntsville, Alabama.  He handles complicated Social Security disability claims, appeals and hearings.  Free consultations by calling (256) 799-0297.

Comments

Popular posts from this blog

CAN YOU WIN YOUR DISABILITY APPEAL WITHOUT A LAWYER?

The Social Security Administration does not require you to have a lawyer to file an appeal or to appear at a hearing.  However, most people heading for a disability hearing will hire a lawyer or advocate to help them.   Studies have shown that you are about twice as likely to win with a lawyer.  A recent study found that claimants with no lawyer win about 30 percent of the time while claimants with a lawyer or advocate win 60 percent of the time.   " He just cooked his own goose." These statistics cover only one aspect of a disability appear--your odds of winning. The other important aspects are time and convenience. If you prepare and adjudicate your own disability appeal, expect to spend 12 to 24 months working on the case.  You will be collecting, reading and submitting hundreds or thousands of pages of medical records.  These records are complex and often difficult to understand.  And you must know how each medical record helps (or hurts) your dis...

GET YOUR APPLICATION RIGHT - GET PAID SSDI B ENEFITS

  Get your Social Security application right - get paid.   There are hundreds of ways to mess up a Social Security disability application.  One of the most common ways that I see?  Blank lines.  Questions left blank.  One way or another, these questions will get answered before a decision is made on your claim.  They may get answered 6 months later when the Social Security office calls you--but you have just wasted 6 months.   Worse yet, Social Security may assume that since you didn't answer the questions, all the answers are "no," so nobody bothers to call you. This will lead to a negative action on your claim.   The complete disability application will consist, not just of the basic application, but several forms.  Many of those forms will be mailed to you AFTER you file the claim.  The following is always required for a complete application: The basic disability application (5 pages)  Disability Report (14 p...

HOW TO PASS A SOCIAL SECURITY DISABILITY EXAM

  So, Social Security is sending you to one of their doctors for an exam.  The first thing you may ask is, How do I pass this exam?   First, I should say that Social Security exams are not "pass or fail."  The doctor or examiner cannot tell Social Security whether or not you are disabled or whether you should get a benefit.  The doctor is going to check certain facts. For example, the doctor may check the range of motion in your joints and list the measurements. They may check your grip strength. (S)he may determine if you have difficulty walking, squatting, kneeling standing from a seated position.  The examiner may answer specific questions asked by Social Security: Is the use of a cane or assistive device medically necessary? Why is it necessary? Can the claimant use his/her hands to grasp and hold objects? Is the claimant able to understand and follow simple directions?  Here is advice I give my clients for a Social Security examination:  ...