Social Security Disability Benefits
Supplemental Security Income and Social Security Disability Insurance are disability income benefits administered by the Social Security Administration that also provide Medicaid and/or Medicare health insurance to individuals who are eligible. The application process for SSI/SSDI is complicated and difficult to navigate. Nationally, about 37 percent of individuals who apply for these benefits are approved on initial application and appeals take an average of two years to complete.
For people who are homeless or who are returning to the community from institutions , access to these programs can be extremely challenging. Approval on initial application for people who are homeless and who have no one to assist them is about 10-15 percent. For those who have a mental illness, substance use issues, or co-occurring disorders that impair cognition, the application process is even more difficult yet accessing these benefits is often a critical first step in recovery.
Critical components of SOAR include:
- Serving as the applicants representative
- Collecting medical records
- Writing a medical Summary Report
- Conducting quality review
- Please contact a regional coordinator below to find your nearest SOAR Specialist:
Social Security Disability Benefits: An Overview
The Social Security Administration pays disability benefits under two programs:
Social Security Disability Insurance SSDI provides disability benefits to blind or disabled individuals who are insured based on federal insurance contributions paid into the Social Security Trust Fund. Certain family members can also receive benefits based on a worker’s contributions.Supplemental Security Income SSI provides benefits to individuals who are disabled, blind or elderly, with limited income and resources, including children under age 18, who are disabled, blind or elderly.
The medical requirements that determine who is eligible for disability payments are the same under both programs. Under the Social Security system, disability payments are based on inability to work. Individuals are considered “disabled” if they are unable to do any kind of work and their disabilities are expected to last for at least twelve months or result in death.
In The Middle Of Your Paid Leave From Pfml: Using Pto During A Continuous Leave Schedule
If you are taking continuous Paid Family and Medical Leave, you can only use paid time off in a single block of time, either at the start or end of your leave. Taking paid time off after the first 7 days of your leave may reduce your PFML payments to $0. You may need to reapply to receive PFML payments again.
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What You Need For Apply For Ssdi Or Ssi Benefits
You will get a faster decision when you apply for Social Security Disability Insurance or Supplemental Security Income with the Social Security Administration if you provide:
- Your Social Security number
- Medical records from your doctors, therapists, hospitals, clinics and caseworkers
- Laboratory and test results
- Names, addresses, phone and fax numbers of your doctors, clinics and hospitals
- Names of all medications you are taking
- Names of your employers and job duties for the last 15 years
If you are applying for a child, you also need school records regarding your child’s disability.
IMPORTANT NOTE: Don’t wait to file your claim for disability payments even if you don’t have all this information.
Information About Family Members
- Social Security numbers and proof of age for each family member who may qualify for benefits and
- Proof of marriage, if your spouse is applying for benefits, as well as dates of prior marriages, if applicable.
If you don’t have all the documents you need, don’t delay filing for benefits. We will help you get the information you need.
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What We Mean By Disability
The definition of disability under Social Security is different than other programs. Social Security pays only for total disability. No benefits are payable for partial disability or for short-term disability.
We consider you disabled under Social Security rules if all of the following are true:
- You cannot do work that you did before because of your medical condition.
- You cannot adjust to other work because of your medical condition.
- Your disability has lasted or is expected to last for at least one year or to result in death.
This is a strict definition of disability. Social Security program rules assume that working families have access to other resources to provide support during periods of short-term disabilities, including workers’ compensation, insurance, savings, and investments.
Is Going To A Social Security Disability Doctor Enough
Unfortunately, consultative examinations have a well-deserved reputation for being quick and not very thorough. By themselves, they hardly ever form the basis for an approval of benefits. That’s why it’s important to get as much treatment as you can on your own, and not rely on the consulting doctor’s report.
Even if you were treated years ago for your condition and haven’t been seen since, Social Security will consider those records as part of your claim.
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Coronavirus Ffcra And Cares Act
The federal response to COVID-19 includes new legislation that expands existing unemployment insurance benefits.
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The Families First Coronavirus Response Act , signed into law by President Trump on March 18, 2020, gives state unemployment insurance agencies greater flexibility and offers additional funding to help the agencies respond to the inordinate financial needs of unemployed workers.
The Coronavirus Aid, Relief, and Economic Security Act, signed into law on March 27, further expanded the ability of states to meet unemployment benefit needs for those who typically wouldnt be eligible for this relief.
How To Apply For Ontario Works
Follow the steps below to apply for Ontario Works online. It takes 20 to 30 minutes.
Only submit one application for you and your family that lives with you.
Before you start
Make sure all family members included in your application are with you when you fill out the form so they can provide their consent and confirm their information.
Have your familys identification and tax documents ready, such as:
- social insurance numbers
Step 1: fill in your personal information
You will be asked to fill out your familys:
- full names, dates of birth and status in Canada
- email addresses
- total monthly income and assets
- other expenses, such as child care
- bank account information to get your payment quickly through direct bank deposit
Step 2: Ontario Works reviews your application
A caseworker from your local Ontario Works office will call you within four business days of submitting your application to schedule an appointment. This does not include weekends and holidays.
Step 3: meet with Ontario Works
Meet with a caseworker for your verification appointment.
The caseworker might ask you to provide more information, like copies of bills or other documents, so we can verify the information you included in your application.
You will be also be asked to sign your application package, including a consent form to allow Ontario Works to access information about you from other government programs or organizations . This information will help to determine if you qualify for assistance.
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Appealing Denied Social Security Disability Application
Its common for applicants to be denied. In fact, only about 1 in 3 applicants are initially approved for SSDI benefits. The two main reasons for denial are usually a lack of work credits, or that applicants do not meet the criteria for disability.
If you have been turned down, you do have the right to go through a Social Security Disability appeal process. Either you or your designated representative can file a Request for Reconsideration. Your initial appeal will then be turned over to Disability Determination Services, who will thoroughly review your file.
If you are denied again, you can proceed to the next level of appeal which is to appear in front of an Administrative Law Judge. An Administrative Law Judge will conduct a hearing in which all of your medical records and testimony will be heard before the judge renders a decision in the form of a written notice.
If you are still denied benefits, then you have a final appeal step you can take: filing a lawsuit in U.S. district court. You will need an attorney for this step if you havent already retained one. This can be an expensive and time consuming option, and as a result, less than 1% of disability claimants take their cases to this level.
Hiring A Disability Attorney
If you believe you were wrongly denied coverage for a medical procedure under a short-term disability plan, you may want to consult with a disability lawyer. A lawyer can review the plan and help you figure out your entitlement to coverage if you decide to appeal the denial, the lawyer can assist with that as well.
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Adult Disability Starter Kit
If you’re homeless or on a program such as General Assistance or Housing Support, you can get free help from a Social Security advocate.
A Social Security advocate can:
- Do things on your behalf, like fill out forms and talk to Social Security
- Answer your questions
- Talk to you about your disability and your needs
- File an appeal if your application is denied
- Represent you at legal meetings
To connect with an advocate, check the Social Security Advocacy directory from the Minnesota Department of Human Services. This service is free.
The Hub can also help you connect with an advocate. Contact us to get started.
The application process usually takes a few months, sometimes longer. To speed things up, make sure you include everything Social Security asks for with your application. If you’re approved, Social Security will pay benefits going all the way back to the date you applied. That’s why it’s important to apply as soon as you can.
Social Security says you have a disability if you can’t work enough to support yourself because you have a physical or mental condition that’s expected to last more than a year or result in death. You must show medical records that confirm your disability.
Social Security follows a five-step process to see if your condition meets their standards for disability.
Meeting The Medical Criteria For Social Security Disability With Heart Failure
When applying for Social Security Disability benefits, the SSA will compare your condition to a listing of conditions known as the Blue Book. Each condition that could potentially qualify an individual for disability benefits is listed in this Blue Book, along with the criteria that must be met to qualify with each specific condition.
Chronic heart failure is addressed in Section 4.02 of the Blue Book. According to the Blue Book, in order to qualify for Social Security Disability benefits due to heart failure, you must be able to prove that:
- You have been diagnosed with chronic heart failure while undergoing prescribed treatment and
- There is medically documented evidence of systolic failure with left ventricular end diastolic dimensions greater than 6.0 cm or ejection fraction of 30 percent or less during a period of stability or diastolic failure with left ventricular posterior wall plus septal thickness totaling 2.5 cm or greater on imaging with an enlarged left atrium greater than or equal to 4.5 cm with normal or elevated ejection fraction during a period of stability and
- Persistent symptoms of heart failure are present that seriously limit the ability to independently initiate, sustain, or complete activities of daily living or there are three or more separate documented episodes of acute congestive heart failure within a 12-month period or you suffer an inability to perform on an exercise tolerance test at a workload equivalent to 5METs or less.
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How To Apply For Disability Based On Depression
If you’re applying for Social Security disability insurance , you can file your whole claim online on Social Security’s website. Applying online is generally the fastest way to apply for benefits, but you can fill out the application at your own speed. Most individuals filing for SSI only can’t file the entire application online, but they can get started on Social Security’s website. If you’re not comfortable online, you can call Social Security at 800-772-1213 to start your claim. For more information, see our article on applying for Social Security disability benefits.
If you’d like help with your application, or you just can’t get started, think about working with an SSDI expert. According to a survey of our readers, applicants who filed an initial application without expert help were denied 80% of the time. Click for a free case evaluation with a legal professional to determine whether your depression is severe enough to qualify for benefits.
Laws Against Medical Condition Discrimination
The U.S. Department of Labor explains that the Family and Medical Leave Act is a federal law that requires companies to allow medical leave to covered employees under certain circumstances. Eligible employees may receive unpaid, job-protected and health-insurance-protected leave for 12 workweeks during a 12-month period. Covered conditions include the birth and care of a newborn or adopted child, a serious health condition, and caring for a child, spouse or parent with a serious health condition.
Also covered under FMLA is if the employees spouse, child or parent were in covered active military duty and became injured or ill. Under these circumstances, the covered employee could be entitled to 26 workweeks of leave in a 12-month period.
The Americans With Disabilities Act is another piece of federal legislation. The ADA makes it illegal for employers to discriminate against employees based on mental or physical impairments that significantly restrict major life functions. The ADA laws can sometimes also apply to non-disability medical conditions.
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Talk To A Disability Lawyer
Need a lawyer? Start here.
How To Apply For Social Security Disability Benefits
Other questions revolve around the process of filing for Social Security. As an advocate, Francine begins by looking at the applicants mental and physical health and abilities. Then I make sure they get the info they need to win the case. Theyve got to have the right physical and mental health records. You can be missing a limb, but if theres no record, it doesnt count. Then we prove they are too disabled to work.
Applying for SSI benefits for a child or dependent with a disability is relatively simple, Francine says, and your local SSA office can help. But she suggests that adults filing for SSI or SSDI utilize the services of a professional, as advocates understand how eligibility is verified, can collect the necessary paperwork, and designate a payee if the applicant is not capable of managing their benefits.
Having a professional in your corner can also be important if youve been denied benefits and want to file an appeal: A Government Accountability Office study found that people with representatives are nearly three times more likely to be successful in disability benefits hearings.
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Ive Heard That My Ssdi Payments May Be Reduced If I Receive Other Benefits How Does This Happen
If you receive other disability benefits such as Workers Compensation, your benefits may be recalculated or reduced. This may take place based on the SSDI index which is also the same index used to compute all Social Security benefits. The SSDI index looks at average wage indexes and applies them to a beneficiarys average current earnings.
Using The Grids For Age 60
Below are the grid rules for people aged 60 and over. To see how the SSA would decide your case based on the grids, first find the table that discusses your RFC level. Next, find the row that describes your education level and previous work experience. The third column shows the decision the SSA will make based on those two factors.
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The Benefits Of Applying For Social Security Online
There are many benefits to applying for Social Security benefits online. For example:
- You can start your disability claim immediately. There is no need to wait for an appointment.
- The process is quick and easy. You can submit all required materials online from your home or any convenient location.
- You can stop and return to your saved application before submission.
- Easy access to the Social Security online portal from any device with an internet connection.
- You will have all your Social Security notices in one location. You can also quickly access them.
- You can regularly check for updates and the status of your application.
- Printing documents such as your benefit verification letter and SSA forms is easy.
Building Successful Futures For Iowans With Disabilities
The Iowa DDS assists Iowans with disabilities through our consistent effort to process disability determinations with accuracy, speed and care. Our DDS staff have been recognized by the the Social Security Administration Regional Commissioner for clearing more than 41,000 claims yearly, while maintaining an impressive 95.7% accuracy rate!We also determine Military Casualty/Wounded Warrior cases. Wounded Warrior cases are determined by specially-trained staff with DDS, who are dedicated to processing these cases in the most accurate and timely manner possible. These expedited determinations help United States military service members in Iowa receive Social Security disability benefits if eligible.Due to the effort of DDS staff, more Iowans with disabilities who are eligible for Social Security benefits have access to these benefits today.
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