Nolo's Guide to Social Security Disability covers the criteria for getting disability benefits for back problems, heart and cardiovascular disease, diabetes, cancer, autoimmune diseases, mental issues like depression and anxiety, and 200 more medical conditions.
Learn how to match the medical details of your disability to Social Security regulations to make sure you have the right evidence to qualify for the benefits you're due when you apply. This guide is written by a former Chief Medical Consultant for the Social Security Administration whose expert deciphering of the medical portions of SSA regulations will help you understand how you can get benefits. If you've been denied benefits already, this book will tell you how to find out why and what steps to take to prove that you should get benefits on appeal.
This edition is completely updated with the latest rules and information plus updated figures for 2018 and many updated medical listings.
|Edition description:||Ninth Edition|
|Product dimensions:||6.90(w) x 8.80(h) x 1.10(d)|
About the Author
David A. Morton has degrees in psychology (B.A.) and medicine (M.D.). For 14 years, he was a disability determination consultant for the Social Security Administration, serving as chief medical consultant for eight years. In his capacity as chief medical consultant, Dr. Morton hired, trained, supervised and evaluated the work of medical doctors and clinical psychologists, and made thousands of disability determinations for both adults and children. Dr. Morton has authored several books on Social Security disability for attorneys and judges.
Read an Excerpt
What is Social Security Disability?
The Social Security Administration (SSA) decides who is eligible for disability payments under rules established in the Social Security Act by the U.S. Congress. In this chapter we describe the two main SSA programs that administer disability payments. We briefly explain the requirements that any claimant must meet to receive benefits. We also provide a number of tips on how to deal with the SSA bureaucracy, including answers to some of the most frequently asked questions about Social Security Disability.
Once you qualify as disabled under the Social Security Act, the SSA makes disability payments under one of two programs:
Social Security Disability Insurance (SSDI), for workers who have paid into the Social Security trust fund (and their dependents), and Supplemental Security Income (SSI), for disabled individuals with limited incomes and assets (and their dependents). SSDI claims are also referred to as Title 2 claims because they are authorized under Title 2 of the Social Security Act. SSI claims may be referred to as Title 16 claims because they are authorized under Title 16 of the Social Security Act. A person claiming a disability is called a claimant. Some claimants apply under both Title 2 and Title 16; these are known as concurrent claims. When the SSA receives your application, it will determine whether you are eligible for disability benefits under SSDI or SSI, even if you have not specifically requested both. This means that if you apply only for SSDI benefits, the SSA will automatically process your claim for any SSI disability benefits to which you might be entitled. If your SSDI claim is turned down, you don't have to file another claim for possible SSI benefits. 1. Social Security Disability Insurance
SSDI provides payments to workers who have made contributions to the Social Security trust fund through the Social Security tax on their earnings. SSDI is also available to certain dependents of workers. If you are found eligible for SSDI, you might be entitled to retroactive (past) benefits if you can show that you were disabled before the date of your application. (See Chapter 10 for more details on when benefits begin.)
Comparing SSDI and SSI Social Security tax to qualify?
disabled before age 22
award Medicaid starts immediately in most states before actual approval of benefits? before decision. Claimant does not have to return payments if found not disabled. months months (blind claimants are exempt from duration requirement) financial factors may prevent eligibility for benefits? Gainful Activity: Work earning more than $860/month ($1,450/month if blind) as of year 2006 b. Nonwork income and other resources equivalent to income. to noncitizens in U.S.? exceptions
("closed period"), even if not currently disabled?
the work earnings of a relative or spouse? continued during a period of trial work? re-entitlement to benefits if work effort fails after termination of benefits U.S. citizens and noncitizens for noncitizens To qualify for SSDI, you must fall into one of the following categories:
i. You are a disabled insured worker under age 65 You must have worked both long enough and recently enough to qualify. It may not be sufficient that you worked for many years and paid Social Security taxes. When you worked is also important. The law requires that you earn a certain number of work credits in a specified time before you are eligible for benefits. You can earn up to four credits per year, each credit representing three months. The amount of earnings required for a credit increases each year as general wage levels rise. The number of work credits needed for disability benefits depends on your age when you become disabled. Most people need at least 20 credits earned over ten years, ending with the year you become disabled. Younger workers may qualify with fewer credits. In effect, you count backwards from the year that you became disabled to see whether you have the appropriate number of credits. That means that credits from many years before you became disabled are automatically wiped out, or expire. This can lead to a dangerous situation for people who haven't worked for many years before becoming disabled. Their credits may dip below the required amount, and they can lose eligibility for SSDI. The date on which they lose their eligibility is called the "date last insured," or DLI-often a subject of dispute in Social Security cases. If you think your DLI is too far in the past to qualify you for SSDI, talk to your local SSA Field Office to make sure-in certain rare circumstances, you may still qualify. The rules are as follows:
Before age 24. You'll need at least six credits earned in the three-year period ending when your disability started. Age 24 to 31. Credit for having worked half the time between age 21 and the time you become disabled. For example, if you become disabled at age 27, you would need credit for three years of work (12 credits) during the six years between ages 21 and 27. Age 31 or older. In general, you will need the number of work credits shown in the chart below. Unless you are blind (see Chapter 17 for definitions of legal blindness), at least 20 of the credits must have been earned in the ten years immediately before you became disabled.
Table of Contents
1. What Is Social Security Disability?
2. Applying for Disability Benefits
3. Disability Benefits for Children
4. Getting Benefits During the Application Process (SSI)
5. Proving You Are Disabled
6. Who Decides Your Claim?
7. How Claims Are Decided
8. Whether You Can Do Some Work: Your RFC
9. How Age, Education, and Work Experience Matter
10. When Benefits Begin
11. Reasons You May Be Denied Benefits
12. Appealing If Your Claim Is Denied
13. Once You Are Approved
14. Continuing Disability Review
15. Your Right to Representation
A. Glossary of Bureaucratic Terms
B. Examples of Technical Rationales for Denials
C. Medical-Vocational Rules
D. How to Use The Medical Listings on Nolo.com