When you get Social Security Disability Insurance (SSDI), you may get Medicare. SSDI is funded through your payroll taxes and is available if you worked a certain number of years and contribute to Social Security. According to the Social Security Administration (SSA), to receive SSDI, you must be younger than full retirement age and have earned a designed amount of work credits.
The SSA also states that once you have received Social Security Disability Insurance for two years (24 months), then you will then be eligible to receive Medicare. In addition, your spouse or children may also be eligible to receive partial benefits as dependents.
If you need legal help or want to understand what insurance you would get with your Social Security disability benefits, call Berger and Green at (412) 661-1400 for a free case evaluation.
Qualifying for Social Security Disability Insurance
To qualify for Social Security disability benefits, you must meet the government’s definition of disability. The government uses a five-point process to determine if you meet the criteria, including:
Current Employment Status
It is possible to continue working and still apply for disability insurance. To receive the benefit, you must earn less than the monthly earning limit set by Social Security. Additionally, you must report any changes in your job or home conditions after you receive the benefit. These changes may include getting a new job, job-related expenses, or a raise.
The Severity of Your Disability
Not all disabilities qualify for SSDI or Medicare. To receive your insurance benefit, your disability must be severe enough to hinder you from performing substantial gainful activity for at least 12 months. Substantial gainful activity includes any physical or mental task that you are required to perform for your job.
Disability Listed by the Social Security Administration (SSA)
The SSA updates and outlines medical conditions that are considered disabilities. If your disability is listed, then you may be eligible to receive your Medicare benefits. If your condition is not listed, SSA may assess if it is similar to a condition on the list.
Inability To Perform Previous Work
One of the main criteria for qualifying for Medicare is your inability to perform work that you performed before the accident. The administration will assess whether your current disability prevents you from performing your job. If it does, then your request may be approved. If it does not, then they may look at the other criteria.
Ability To Perform Other Jobs
The last criterion that the SSA assesses is your ability to do other work that is either like your previous job or that you have the skills to perform. Your work experience and skills may put you in a position to do another job.
For a free case review of the insurance you may get with Social Security disability benefits, call Berger and Green at (412) 661-1400 to discuss your options.
For a free legal consultation, call (412) 661-1400
Social Security Disability Insurance Benefits
How much the SSA pays out depends on several factors, such as:
- Your average income of the span of your career
- The current rate of inflation
- Your primary insurance amount (PIA)
- The family maximum (100% to 188% of your PIA)
Addressing SSDI/Medicare Benefits Denial
Once you turn in a request for Social Security benefits, the SSA will assess your situation. They will either accept your request, accept your request with conditions, or reject your claim. If so, you may feel like you are out of options. However, you may be able to hire a disability benefits lawyer who can advocate for you to help you get your benefit.
An attorney can perform a wide range of legal services, such as:
- Consult you on moving forward with your case
- Investigate the accident or incident that led to your disability
- Prepare and submit all documents to the SSA
- Engage the SSA on your behalf and plead your case
- File a lawsuit if another party is responsible for your disability
If you are considering applying for benefits or received a denial for benefits from SSA, a disability benefits attorney can evaluate your case and fight for your benefits.
Contact Berger and Green To Get Help With Your Medicare Case
If you have questions about the insurance you may get with Social Security disability benefits, Berger and Green can help. Being denied benefits from SSA can be devastating to you or your family. However, you do not have to fight for your rights alone. We have helped numerous clients just like you. Call our law firm at (412) 661-1400 for a free case evaluation.