Are You Eligible For Disability?
SSD vs SSI
Social Security disability refers to two completely different programs, the biggest of which is Social Security Disability Insurance (SSD). People on SSD are between the ages of 18 and 65, have worked and paid FICA taxes in the past, and are eligible for Medicare after two years of enrollment. SSD has a five-month waiting period to receive benefits, and can be extended to your spouse and children.
Meanwhile, Supplemental Security Income (SSI) is completely need-based, and benefits are delivered during the first month after your approval. SSI recipients may also enroll in their state's Medicaid program, and most qualify for food stamps.
How much can you get from disability, exactly?
Every case is unique, since the Social Security Administration uses a complex formula to calculate benefits. As a general guide, most people receiving SSD get between $300 and $2,200 per month, with the average monthly payout in 2014 at roughly $1,150. SSD payments in 2014 are capped at a maximum of $2,642.
Total auxiliary benefits (see below, Eligibility For Dependents) may not exceed 50–80% of the disabled individual's benefits per dependent, and are capped at 150% of his or her benefits for the entire family.
For example, if Mr. Jones receives disability insurance at $500 per month, and his wife and two sons are also eligible, their total aid may not exceed $1,500 per month—$500 for Mr. Jones, and $1,000 divided between his wife and sons.
However, each individual dependent could not (typically) receive more than $400 per month.
SSI usually pays about $720 every month, or roughly $1,100 to eligible couples—with an increase for cost of living adjustments. In addition, all states add a supplement to the federal payment, except for:
- West Virginia
State supplements range from $10 to $200, and depend on your marriage status and living arrangement.
If you qualify for SSD but receive low payment amounts, you can jointly enroll in SSI to meet its minimum monthly payout of $720. So, if you are only eligible for $360 from SSD, you will also receive $360 per month from SSI.
However, you must meet both programs' enrollment requirements to receive joint benefits.
Each program has separate eligibility rules, though there is some overlap.
Social Security doesn't use the same definition of “disability” as other government programs. Their coverage is only available to people who are totally disabled, and does not extend to partially disabled or short-term disabled individuals.
According to the Social Security Administration, you are considered disabled if:
- You can't do the same work you did before;
- You are unable to perform other work because of your condition; and
- Your condition has lasted, or is expected to last, for at least a year or result in death.
These strict rules assume that you have other ways to find short-term relief, such as workers' compensation, savings, or insurance.
The Social Security Administration also maintains a list of impairments here, and some are considered severe enough for immediate benefits approval.
Social Security Disability Work Credits For SSD
To get Social Security disability insurance, you need insured Social Security status, meaning you paid enough in FICA taxes taken from your paychecks in the years leading up to your disability application.
To determine your eligibility, the Social Security Administration takes your past earnings and converts them to work credits. You can earn up to four work credits per year. For example, in 2013, $1,160 of earnings was needed to receive one work credit, and $4,640 to get the maximum credit amount.
The older you are, the more credits you will need to be eligible for disability benefits. The next step is to pass two tests regarding your work history: the “Recent Work Test” and the “Duration of Work Test.”
Recent work refers to credits earned in the years right before you became disabled, and is broken down by age.
- 31 and older: you need to have worked 5 out of the 10 years before your disability, or earned 20 credits.
- 24 to 21: worked 4 of the last 8 years before your disability, or earned 16 credits.
- Under 24: worked 1.5 of the last 3 years before your disability, or earned 6 credits.
Duration of work is similar, but your hours do not have to fall within a certain period of time. People who became disabled before age 28 generally must have worked for 1.5 years, while people of age 60 or older require a 9.5-year work history. For the full chart, visit page 6 of the Social Security eligibility brochure.
Remember, you could still qualify for Supplemental Security Income (SSI) if you do not have enough work credits to receive SSD if you can demonstrate financial need.
Income Limits for SSD and SSI Benefits
Your assets, unearned income, and income earned by your spouse do not affect your eligibility for SSD—unlike SSI.
However, if you engage in “substantial gainful activity” or SGA (earning more than a certain amount of money per month), you will not be eligible. In 2014, the monthly cap on SGA was $1,070 for most applicants and $1,800 for the blind.
Money gained from your spouse, interest, or investments does not count toward your monthly SGA limit.
People applying for SSI need to have less than $2000 ($3000 for couples) in assets and an extremely low income.
Eligibility For Dependents
Many times, an entire family can receive benefits from SSD if one or both parents are eligible.
Minor, dependent children and stepchildren, and sometimes grandchildren and step-grandchildren are eligible for auxiliary SSD benefits until they turn 18, or 19 in the case of full-time students.
Spouses and ex-spouses of the disabled can also get auxiliary benefits if they care for the disabled worker's children, up until the child turns 16. If the child is also disabled, the parent can receive disability insurance as long as the condition continues.
The spouse of a disabled worker on SSD can get auxiliary benefits if the spouse is over 62 years old and they cannot get benefits on their own.
Impairment-Related Work Expense Deductions
For those who are disabled but still choose to work (as long as they are earning less than the SGA cap), they are able to deduct certain items and services from their monthly earned income. To be eligible for deduction:
- It must be necessary for work;
- It must be necessary because of your impairment;
- You are not already being reimbursed for the item or service (Medicare, Medicaid, etc.); and
- Its cost is reasonable compared to other items or services in your local area.
Categories available for deduction vary, and include transportation, attendant care services, medical devices, and changes to your home—but remember, they MUST be work-related.
How To Apply
You can also call 1-800-772-1213 between 7 a.m. and 7 p.m. Monday to Friday to apply by phone, or TTY 1-800-325-0778 for the deaf and hard of hearing.
To apply in person, find your local Social Security office, but make sure to call first to schedule an appointment.