I recently read two articles that provide a good summary and synopsis of the Social Security Disability system and eligibility which I am reproducing below:
Social Security disability insurance (SSDI, sometimes also abbreviated as SSD) is a Social Security program that pays monthly benefits to you if you become disabled before you reach retirement age and aren’t able to work. Some people know it as “workers’ disability.”
Eligibility for Social Security Disability
To qualify for the SSDI program, you must have worked a certain number of years in a job where you paid Social Security taxes (FICA) taxes. (If you haven’t worked long enough when you become disabled, and have low income and assets, you can apply for Supplemental Security Income (SSI) instead. Specifically, you need to have earned a certain number of work credits; you can earn up to four work credits per year.
Work Credits
How many work credits you need to qualify for SSDI benefits depends on how old you were when you became disabled. For example, if you are 50 years old when you become disabled, you need 28 work credits, or to have worked for seven years (and at least five of those years must have been within the last 10 years). For more information on eligibility for SSDI, see Legal and Financial Requirements for SSDI.
Medical Eligibility
You also must have a medical condition that meets the SSA’s definition of disability. SSDI benefits are eligible only to those with a severe, long-term, total disability.
Severe means that your condition must interfere with basic work-related activities. Long-term means that your condition has lasted is expected to last at least one year. Total disability, to the SSA, means that you aren’t able to perform “substantial gainful activity” (SGA) for at least one year. If you are currently working and make over a certain amount ($1,180 per month in 2018 for disabled applicants, $1,970 for blind applicants), the SSA will find that you’re performing SGA and that you are not disabled enough to qualify for SSDI benefits. For more information on whether you qualify medically for SSDI, see Medical Eligibility for Disability Benefits.
Approval for Disability Benefits
After you are approved for disability benefits, you won’t receive SSDI benefits until you have been disabled for five complete months, because SSDi has a five-month waiting period. If you are approved right away (for instance, because you just had a liver transplant), you would still have to wait five months for your checks to start.
However, it’s more likely you wouldn’t be approved for about six months to a year (and after at least one level of appeal). In that case, when you finally get approved, you would be paid disability backpay starting with the sixth month after your disability began (your disability onset date).
After you are paid any backpay owing, you would get a disability benefit check each month. If your household income is over a certain amount, you will have to pay taxes on your disability benefits.
Your family members may also be eligible for a partial monthly benefit. For more information, see How to Get Disability Benefits for Your Dependents.
You can keep receiving SSDI as long as your medical condition prevents you from working. The SSA will perform a continuing disability review (CDR) on your file every one to three years to determine if your condition has improved.
Denial of Disability Benefits
If your application for SSDI is denied (most initial applications are), you can appeal the decision. You have to request a review of the denial within 60 days of when you receive the denial letter. The first step of the appeal process in most states is the Request for Reconsideration, a review of your file by a different disability claims examiner. If you are denied again, you can appeal to the next stage, by requesting a hearing with an administrative law judge who works for the SSA.
General Program Requirements
To qualify for this benefit program, you must:
- Be unable to work because you have a medical condition that is expected to last at least one year or result in death.
- Not have a partial or short-term disability
- Meet SSA’s definition of a disability
- Younger than your full retirement age
Certain family members of disabled workers may be eligible to receive benefits based on the work of the disabled worker.
If you would like to find out if you may be eligible for any of the benefits SSA administers, take SSA’s Benefit Eligibility Screening Tool.
To see the listing of impairments that can qualify for disability, visit the “Adult Listing of Impairments” page. Even if your condition is not included in the listing, you still could get benefits.
Your Next Steps
The following information will lead you to the next steps to apply for this program.
Application Process
Once you know which benefits you may be eligible for, visit the Apply For Social Security Benefits webpage to apply online.
Program Contact Information
Visit SSA’s Publications home page for detailed information about SSA programs and policies.
Or for additional information on this and any SSA benefit, call:
1-800-772-1213 (TTY: 1-800-325-0778)
*Credits for this information come from the following websites:
https://www.benefits.gov/benefits/benefit-details/4382
If you have any questions regarding disability benefits, please contact me.
