What Happens to Your Social Security if You Are Disabled and Cannot Contribute Anymore

IF YOU ARE DISABLED OR Bullheaded

WHAT Nosotros Hateful BY "DISABLED"?

WHAT DO We Hateful BY "Blind"?

See the definition of blindness for an adult or child in the department, WHAT IS "BLINDNESS" FOR AN Adult OR CHILD?

WHAT HAPPENS WHEN I APPLY?

When you lot file an awarding for Supplemental Security Income (SSI) benefits based on inability or blindness, we volition first decide whether you meet the income and resource criteria and other eligibility requirements. If you do, nosotros volition inquire you for the:

dates, places, and types of work yous take done in the 15 years before you became unable to piece of work because of your illnesses, injuries, or atmospheric condition, including your daily duties for the blazon of work you lot did and why your employment ended;

information about your physical or mental impairment(s);

names, addresses, and phone numbers of doctors, hospitals and whatsoever other medical sources you lot have seen;

dates of treatment and the kinds of treatment you lot have received from your doctors, hospitals and other medical sources;

names of each prescription and non–prescription medicine that you take and the doctor who prescribed it;

the kinds of medical tests you take had, when and where they were done, and who sent y'all for them; and

for a disabled child, the name, address, and telephone number of the kid's school and teacher and a third party to assist with the claim.

It IS VERY IMPORTANT TO Requite United states Consummate Information.

As function of the disability or incomprehension determination, Social Security also looks at any work y'all are doing.  More often than not, if y'all are working and earning more than $1,350 per month (effective Jan 2022) we volition not find you lot disabled. We telephone call this Substantial Gainful Activity (SGA). We use a college SGA, $2,260 if you are blind (effective January 2022).

The local Social Security office personnel do not make the inability decision. The local Social Security part sends the merits to a State agency that nosotros telephone call the Disability Conclusion Services (DDS). The DDS decides whether or not yous are disabled co-ordinate to the SSA definition of disability.

Nosotros, or the DDS, may inquire you to fill out forms virtually your disability or blindness. If you need help, a Social Security or DDS employee will help you lot. If we mail the forms to yous, you lot can also ask someone to assistance y'all.

OBTAINING EVIDENCE About YOUR Harm(Southward) AND FUNCTIONING

The DDS contacts doctors, hospitals, schools, teachers, therapists, relatives or others who tin can provide useful information about your impairment(s) and functioning.

The DDS does non examine yous and they usually practise not come across with you. They may contact you for boosted data. While they will not base their decision solely on your statements nigh yourself, (for instance, the fact that y'all are enrolled in special teaching classes), that kind of data is very important and useful.

If the DDS cannot become enough information from your doctors and other people to decide if you are disabled, they will arrange and pay for an test or testing by a qualified medical professional (who may be your own physician, psychologist, optometrist, or speech/language pathologist or other health intendance provider).

WHAT IS SUBSTANTIAL GAINFUL ACTIVITY (SGA)?

We employ the term substantial gainful activity (SGA) to describe a level of work activity and earnings that is both substantial and gainful. SGA involves performance of pregnant concrete or mental activities, or a combination of both. For your piece of work activity to be substantial you do not need to work total fourth dimension.  Work activeness performed on a part-fourth dimension basis may also be SGA. If your impairment is anything other than blindness, earnings averaging over $1,350 a month (for the year 2022) mostly demonstrate SGA.

Gainful work activity is:

work performed for pay or profit, or

piece of work of a nature generally performed for pay or profit; or

piece of work intended for turn a profit, whether or not a turn a profit is realized.

For SSI purposes, the SGA provision in initial eligibility cases does not apply to blind individuals.

HOW LONG DOES THE MEDICAL Decision TAKE?

The timeframe can vary widely, but the decision usually takes near 3 to 4 months from the date of application.

Individuals with CAL conditions may receive a decision on their claim in a affair of weeks instead of months or years.

It can vary depending on several factors, but primarily on:

• How quickly we obtain medical testify from a medical source;
• Whether a medical examination is necessary in lodge to obtain evidence to support the claim; and
• If the claim is randomly selected for quality assurance review of the decision.

Sometimes, nosotros can make a "presumptive" disability or blindness decision and start paying you while waiting for the DDS to brand the last determination. See expedited payments for more than information.

WHO DECIDES IF I AM DISABLED OR Bullheaded?

Subsequently helping y'all complete your application, the Social Security office will review it to brand sure that  you meet the basic non-medical requirements for disability or incomprehension benefits. Then the Social Security office volition send your awarding to the DDS office in your State. The DDS will decide whether y'all are disabled or bullheaded under the Social Security police force.

The DDS will consider all the facts in your case. They will consider what your doctors or other sources have said almost your harm(southward), when it began, how it limits your activities, what the medical tests have shown, and what treatment you lot have received. They will utilize medical testify from your doctors and from hospitals, clinics, or institutions where you accept been treated, and all the other information they have about your condition.

The DDS looks at the information you accept given us. They also review your medical records, information about how you lot are functioning, and, if applicable, your work history, and then decides if you are disabled or blind for SSI purposes.

If they cannot brand a determination based on the information they have, the DDS volition schedule a special medical exam or test for you and will pay for this exam or test. They may pay for your travel expenses to this examination or examination. It is of import that you lot go to the special medical test or test if ane is scheduled. If yous do non keep the date, the DDS could deny your claim.

In deciding if yous are disabled, the DDS team uses a process called the sequential evaluation process.

WHAT IS THE SEQUENTIAL EVALUATION Process?

If you announced to meet all the non–medical eligibility requirements (income, resources, residency, citizenship, etc.), we employ a footstep–past–footstep process to determine if you are disabled. These steps are called the sequential evaluation procedure. The post-obit sections describe how we use the sequential evaluation process for adults and children.

SEQUENTIAL EVALUATION FOR INDIVIDUALS Age eighteen OR OLDER

Step ane: ARE YOU WORKING?

If you are performing substantial gainful activity (SGA), nosotros cannot consider you disabled, and the procedure ends here. Nosotros make this decision in your local Social Security function.

We generally consider earnings over $1,350 per calendar month (effective January 2022) to be SGA.

If you are not performing SGA, we will transport your case to the DDS for a conclusion concerning your harm(s). We refer to the DDS as "nosotros" in the following sections considering Social Security uses the DDS to determine whether y'all are disabled co-ordinate to Social Security'due south definition of inability.

STEP 2:  DO Y'all Accept A SEVERE Harm?

If you are not performing SGA, we so determine if yous have medically determinable physical or mental impairments.  We need objective medical evidence to establish a medically determinable damage.  Adjacent, we make up one's mind if your medically determinable impairments or combination of impairments is "severe."  An damage is considered astringent if it significantly limits your concrete or mental power to do basic work activities.

Examples of basic work activities are:

physical functions such as standing, walking, sitting, lifting; pushing, pulling, reaching, carrying, or handling;

seeing, hearing, speaking;

understanding, remembering and conveying out simple instructions;

using judgment;

responding appropriately to supervision, co–workers and usual work situations; and

dealing with changes.

If your impairment (s) is not severe, we will find that you are not disabled. If your impairment (s) is astringent, nosotros will go to the next step.

Stride 3: DO YOU HAVE AN Damage THAT MEETS OR MEDICALLY EQUALS A SOCIAL SECURITY "Listing"?

If your impairment(s) is severe, then nosotros decide if it meets or medically equals a listing in our List of Impairments (the listings).

Y'all are disabled if y'all have an impairment that:

meets the criteria of i of the listings; or

medically equals the criteria of one of the listings.

We make up one's mind if your damage(s) "meets" ane of the listings past comparing it to the specific requirements in the listings. It is not enough to have a diagnosis that is named in the listings. We decide if your impairment(s) medically equals one of the listings if it is at least equal in severity to any listed impairment. If your impairment(south) meets or medically equals the requirements of a listing, and meets the 12-month elapsing requirement, we will discover you lot disabled and the process ends here.

If your impairment(s) is severe, but does not meet or medically equal a listing, nosotros can nevertheless find you disabled at a later stride in the procedure.  Nosotros decide the about you are physically and mentally able to practice, despite the limitations resulting from your impairments.  Nosotros phone call this a "Residue Functional Chapters" (RFC) assessment.

STEP 4: ARE YOU ABLE TO Practise YOUR By Piece of work?

We next consider whether, given your RFC, y'all are physically and mentally able to do any task that you did in the past (more often than not the last 15 years).  At step four, nosotros practice not consider whether you can go a particular task, simply whether you lot can do a particular job. If, you are able to do work you did in the past, nosotros volition find you are not disabled.   If yous cannot practice your past work, we consider the fifth stride of the sequential evaluation process.

Step v: Tin can YOU DO ANY OTHER KIND OF WORK?

At stride five, we consider your RFC limitations, vocational factors such as age, education and work experience, and piece of work existing in the national economy.  More often than not, your ability to practice other work is greater if you lot are younger, take more didactics, or accept learned transferrable skills in previous work. If you lot cannot perform other work that exists in significant numbers in the national economy, nosotros will find you disabled.

SEQUENTIAL EVALUATION FOR CHILDREN (INDIVIDUALS Under Age eighteen)

STEP i: IS THE Child WORKING?

If a kid is working and performing SGA, nosotros cannot consider the child disabled, and the sequential evaluation process ends here.  Your local Social Security office determines whether a kid is performing SGA.  We define SGA for children in the same fashion that nosotros define it for adults.  We define "SGA" in the section WHAT IS SUBSTANTIAL GAINFUL Action.

STEP 2:  DOES THE Kid HAVE A SEVERE Harm?

If the kid is not performing SGA, nosotros will determine if the child has a medically determinable physical or mental damage or combination of impairments established by objective medical testify (hereafter referred to as damage(s)) and whether information technology is severe. An harm(s) is not severe if it is only a slight abnormality or a combination of slight abnormalities that causes no more than minimal functional limitations. If the kid does non accept a medically determinable impairment(s), or the kid has an medically determinable impairment(s) but it is non severe, we will find that the kid is not disabled. If the child has a severe medically determinable impairment(s), we will become to the next pace.

STEP 3:DOES THE CHILD'S Damage Encounter, OR MEDICALLY EQUAL A LISTING, OR FUNCTIONALLY EQUAL A THE LISTINGS?

If the child'southward damage(due south) is severe, then nosotros make up one's mind if information technology meets or medically equals a listing.

A child is disabled if he or she has an harm that:

meets the criteria of one of the impairments in the listings;

medically equals the criteria of ane of the listings; or

functionally equals the listings.

We determine if a child's impairment(s) "meets" one of the listings by comparing it to the specific requirements in the listings. Information technology is not enough to have a diagnosis that is named in the listings. We determine a child'south impairment(south) medically equals one of the listings if information technology is at least equal in severity to any listed damage. If a child's impairment(s) meets or medically equals the criteria of a listing, and meets the duration requirement, nosotros will discover the child disabled.

If a child's impairment(s) is astringent only does non run into or medically equal a listing, nosotros determine whether the harm(s) "functionally equals" the listings". This means that nosotros evaluate the effects of the impairment(s) on the kid'south ability to function at dwelling house, at schoolhouse, and in the customs.

Nosotros will consider factors such as:

How well the child tin can initiate and sustain activities, how much extra assistance the child needs, and the effects of structured or supportive settings;

How the child functions in schoolhouse; and

The effects of the child's medications or other treatment.

Once we have a articulate picture of a child's functioning in all activities and settings (at home, at school, and in the community), nosotros consider how evaluate the child' s functionings in these activities in half dozen 6 domains. These domains are broad areas of functioning intended to capture all of what a kid can or cannot do. The domains we use are:

acquiring and using information;

attention and completing tasks;

interacting and relating with others;

moving virtually and manipulating objects;

caring for yourself; and

health and physical well-being.

If a child's damage(s) results in "marked" limitations in two of these domains of functioning, or an "extreme" limitation in one domain, then his or her impairment(southward) functionally equals the listings.

We define "marked" and "farthermost" limitations in several means in our rules. The most full general definition of a "marked" limitation in a domain is when a child'southward impairment(s) interferes seriously with the kid'south ability to independently initiate, sustain, or complete activities. An "farthermost" limitation in a domain is when a child'south damage(due south) interferes very seriously with these abilities.

THIS INFORMATION IS Full general.  FOR MORE INFORMATION, Call ane-800-772-1213 (TTY 1-800-325-0778), OR CONTACT YOUR LOCAL SOCIAL SECURITY Part.

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Source: https://www.ssa.gov/ssi/text-disable-ussi.htm