Social Security has a very strict definition of disability, for both adults and children. Below you will find answers to your questions about: 

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Defining Disability

Employment & Worker’s Issues

When to Apply for Disability

Defining Disability 

In order to qualify for Social Security disability benefits, you must be found "disabled" under Social Security's definition. By law, Social Security has a very strict definition of who is considered disabled. To be found disabled:

  • You must have a severe impairment;
  • You must be unable to do substantial work because of your medical condition(s); and
  • Your medical condition(s) must have lasted, or be expected to last, at least 1 year, or be expected to result in your death. 

For your child to be found disabled:

  • The child must have a physical or mental condition(s) that very seriously limits his or her activities; and
  • The child’s medical condition(s) must have lasted, or be expected to last, at least 1 year or result in death. 

Some applicants have medical conditions that are so severe that their conditions obviously meet disability standards. To quickly identify and help these individuals, Social Security has a list of Compassionate Allowances, or conditions that that will qualify for benefits based on evaluation minimal, official medical records. There are also 14 categories of “listed impairments” where SSA will consider specific medical tests and limitations to make a faster disability determination, without the need to consider age, education, or work experience. Most types of illnesses, however, can vary from minor to severe. This makes defining disability tricky, as it depends on how badly the illness or disease has affected you.

I am 60% disabled. Do I get 60% of my Social Security disability benefits?

No. There are no percentages of disability in Social Security disability determination. For purposes of Social Security disability benefits, you are either disabled or not disabled according to the strict Social Security standards. There are no percentages of disability, nor any percentages of disability benefits.

I have several health problems, but no single one disables me on its own. It is the combination that disables me. Can I get Social Security disability benefits?

Social Security will review the combination of impairments that an individual suffers in determining disability. Many claimants for Social Security disability benefits have more than one health problem and the combined effects of all of the health problems must be considered.

I got hurt in an automobile accident. I am disabled now, but I expect that I will be able to return to work after I recover. Should I file for Social Security disability benefits?

If you expect to be out of work for a year or more on account of illness or injury, you can file for Social Security disability benefits.

I am disabled because of a mental illness. Can mental illness serve as the basis for a Social Security disability claim?

Yes. Both mental and physical impairments must be considered by Social Security in evaluating disability claims.

Can people suffering from alcoholism or drug addiction get Social Security disability benefits for their addiction?

Congress prohibits Social Security from paying disability benefits on the basis of alcoholism or drug addiction alone. However, just like anyone else, people suffering from alcoholism or drug addiction can have heart attacks, get cancer or get sick in other ways. Those who become disabled apart from alcoholism or drug addiction can be eligible for Social Security disability benefits.

Employment & Workers' Issues 

My daughter has never been able to work because she has been disabled from birth by cerebral palsy. Can she get disability benefits from Social Security?

Possibly. If the child is under 18 and you have limited income and resources, the child may be able to qualify for SSI disability benefits. If the child is over 18, she may be able to qualify for SSI disability benefits without regard to the income of her parents. If either of her parents is drawing Social Security benefits of some type or is deceased, and the child's disability began before age 22, the child may be eligible for Disabled Adult Child (DAC) benefits. 

I used to work, but lately I have been staying home taking care of the kids. I recently became sick. Can I get Social Security disability benefits?

Possibly. If you worked five out of the last ten years before becoming disabled, you may have enough earnings to qualify for Social Security disability benefits. For individuals 31 or less, the requirements are a little different, since such individuals have not had such a long time to work. Unless a person has been staying home and taking care of their children for quite a long time, it is very possible that they will qualify for Social Security disability benefits based upon their own earnings. A homemaker, depending on their financial situation, may be able to qualify for Supplemental Security Income (SSI) whether or not he or she has worked in the past.

I am disabled, but I have never worked. Can I get Social Security disability benefits?

If you have very limited income and resources, you may qualify for Supplemental Security Income (SSI) if you are disabled, even if you have not worked in the past. It is also possible to qualify for Disabled Adult Child benefits on a parent's work history if you became disabled before age 22, or for disabled widow’s or widower’s benefits on the work history of a late husband or wife.

I am a widow. I have not worked in for many years, but I am disabled. Can I get Social Security disability benefits?

If you are over 50 and became disabled within seven years after your husband or wife died or within seven years after you last drew mother's or father's benefits from Social Security, you can get disabled widow’s or widower’s benefits. If you are age 65 or older, or have a disability, and very limited income and resources, you may be eligible for Supplemental Security Income benefits. 

I got hurt on the job and I’m drawing worker's compensation benefits. Can I get both worker's compensation and Social Security disability benefits?

Yes, you can receive both at the same time. However, either your worker’s compensation or your Social Security disability benefits will be reduced to make up for the dual enrollment. You do not have to wait until the worker's compensation ends. It is best to file the Social Security disability claim as soon as possible because otherwise there may be a gap between the time the worker's compensation ends and the Social Security disability benefits begin. 

I am still on sick leave from my employer. Can I file for Social Security disability now or do I have to wait until the sick leave is exhausted?

No, you do not have to wait until the sick leave is exhausted. You should file for Social Security disability benefits now, if you believe that you will be out of work for a year or more. More information is available online about Worker’s Compensation and Other Disability Payments May Affect your Benefits.

When To Apply for Disability 

How long do I have to wait after becoming disabled before I can file for Social Security disability benefits?

Not even one day. As a general rule, you should apply sooner rather than later. You can file for Social Security disability benefits on the very same day that you become disabled. Many individuals make the mistake of waiting months and even years after becoming disabled before filing a Social Security disability claim. There is no reason to file a Social Security disability claim if one has only a minor illness or one which is unlikely to last a year or more. However, an individual who suffers serious illness or injury and expects to be out of work for a year or more should not delay in filing a claim for Social Security disability benefits.

I am disabled, but I have sufficient amount money in the bank for now. Do I have to wait until this money is gone before I apply for Social Security disability benefits?

No. If you have worked in recent years or if you are applying for disabled widow's or widower's benefits or Disabled Adult Child (DAC) benefits, it does not matter how much money you have in the bank. There is no reason to wait to file for Social Security disability benefits. 

Can I receive Social Security disability benefits in addition to Medicare and/or Medicaid? 

Everyone eligible for Social Security Disability Insurance (SSDI) benefits is also eligible for Medicare after a 24-month waiting period. During this waiting period for Medicare, an individual may be eligible for health insurance through a former employer. The employer should be contacted for information about health insurance coverage.

Typically, a person receiving SSI is eligible for Medicaid. In most states, a decision will be made by the Social Security administration on an individual’s ability to receive Medicaid. However, in some states, a separate application is needed. Information on SSI and Medicaid in your state is available online. It is possible to get both Medicare and Medicaid if you have a low income and limited resources.

Adapted from a publication from Charles T. Hall, Esq., NOSSCR Past President. 

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