• Menu
  • Skip to right header navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

Before Header

Has your disability claim been wrongfully denied or terminated? Call us today for help!  (888) 321-8131

  • Facebook
  • Instagram
  • LinkedIn
  • Twitter
  • YouTube

OLF Ortiz Law Firm National Disability Attorneys

We appeal wrongful long term disability insurance and Social Security Disability denials.

  • ABOUT US
    • Our Team
    • Our Results
    • Areas We Serve
    • Core Values
  • PRACTICE AREAS
    • Initial Application
    • Request for Reconsideration
    • Hearing Before an Administrative Law Judge
  • RESOURCES
    • Top 10 Mistakes That Will Destroy Your Social Security Disability Claim
    • SSD Training Webinar: Knowing What Wins
    • Physical RFC Form
    • Mental RFC Form
  • BLOG
  • Search
  • CONTACT
  • ABOUT US
    • Areas We Serve
    • Testimonials
    • Our Team
      • Nick Ortiz
    • Our Office
    • Core Values
    • Referring Attorney Program
  • PRACTICE AREAS
    • Long Term Disability Claims
      • Administrative Appeals
      • Lawsuits
      • Lump-Sum Buyout Offers
    • Social Security Disability Claims
      • Initial Applications
      • Request for Reconsideration
      • Hearing Before an Administrative Law Judge
    • Personal Injury Claims
  • DISABLING CONDITIONS
    • Long Term Disability
    • Social Security Disability
  • INSURANCE CARRIERS
    • Cigna
    • Guardian
    • Hartford
    • Lincoln Financial
    • Matrix Absence Management
    • MetLife
    • Mutual of Omaha
    • Northwestern Mutual
    • New York Life
    • Principal
    • Prudential
    • Reliance Standard
    • Standard
    • Unum
  • RESOURCES
    • Blog
    • Free Downloads
    • Lump Sum Disability Buyout Calculator
    • FAQ: Long Term Disability
    • FAQ: Social Security Disability
    • Abbreviations in Social Security Disability Claims
  • Search
  • CONTACT

Mobile Menu

Schedule A Free Consultation Now!

Find out how our law firm can help you win your case or you don’t pay a cent.

(888) 321-8131

  • ABOUT US
    • Areas We Serve
    • Testimonials
    • Our Team
      • Nick Ortiz
    • Our Office
    • Core Values
    • Referring Attorney Program
  • PRACTICE AREAS
    • Long Term Disability Claims
      • Administrative Appeals
      • Lawsuits
      • Lump-Sum Buyout Offers
    • Social Security Disability Claims
      • Initial Applications
      • Request for Reconsideration
      • Hearing Before an Administrative Law Judge
    • Personal Injury Claims
  • DISABLING CONDITIONS
    • Long Term Disability
    • Social Security Disability
  • INSURANCE CARRIERS
    • Cigna
    • Guardian
    • Hartford
    • Lincoln Financial
    • Matrix Absence Management
    • MetLife
    • Mutual of Omaha
    • Northwestern Mutual
    • New York Life
    • Principal
    • Prudential
    • Reliance Standard
    • Standard
    • Unum
  • RESOURCES
    • Blog
    • Free Downloads
    • Lump Sum Disability Buyout Calculator
    • FAQ: Long Term Disability
    • FAQ: Social Security Disability
    • Abbreviations in Social Security Disability Claims
  • Search
  • CONTACT
  • Facebook
  • LinkedIn
  • Twitter
  • YouTube
You are here: Home / Social Security Disability Frequently Asked Questions / Other Social Security Disability Benefits If You Win Your Case

Other Social Security Disability Benefits If You Win Your Case

If you are approved for Social Security disability insurance (SSDI or SSD) benefits, you may be eligible to receive more than just a monthly cash benefit. You may also qualify for a “lump sum” back payment and Medicare (however, there may be an additional wait time before Medicare starts.
[Note: If you have been approved for Supplemental Security Income (SSI) benefits, see our article on SSI benefits.]

Monthly Payments

The monthly benefit amount for SSDI is determined by the claimant’s work history and the amount he or she contributed though payroll taxes to the Social Security system. Learn more about how much your may receive in SSDI benefits.

Lump-Sum Back Payments

If your claim takes a long time to process, you will not be limited to benefits from the approval date going forward. You are eligible to receive past due benefits, or “backpay,” for the time during your application and appeal period, which is payable in a lump-sum payment.

You can receive back pay from the date you filed your application, plus as many as 12 months of benefits before the application date. Whether you qualify for an additional full year of back pay depends on your “alleged onset date” or when you became disabled. Your disability onset date is the date your disability is determined to have started. This date determines your date of entitlement to benefits. In an SSDI claim, your actual entitlement date is five months after your disability (due to a five-month waiting period for SSDI). So if your disability onset date is 17 months or more before the date of your application, you will receive a full year of backpay benefits. In some cases, the amount of backpay can amount to thousands of dollars simply because disability cases often take so long to be decided. Click here to learn more about backpay in Social Security disability cases.

Medical Benefits

If you win your claim for Title II disability insurance benefits, then you are eligible for federal Medicare benefits. The one caveat is that there is a long waiting period before these benefits are payable. In short, Medicare benefits begin two years and five months after the disability onset date in disability insurance claims.

Note: This does not necessarily mean that Medicare benefits are available two years after you are approved for SSDI or two years after the payments finally begin. Instead, you will receive Medicare benefits two years after your eligibility for SSDI benefits has been established (in other words, two years after your date of entitlement). Remember, your date of entitlement is your disability onset date plus the five month waiting period.

For example, let’s take someone who stopped working on December 31, 2009 due to a disability. He does not apply for Social Security disability until January 1, 2011, and alleges a disability onset date January 1, 2010 in his claim for benefits. The claim takes two years and is finally approved on January 1, 2013. In this situation, the claimant’s “date of entitlement” is June 1, 2010, which is five months after January 1, 2010. Under these facts, the claimant is also eligible for Medicare as of June 1, 2012. This is two years after the date of entitlement of June 1, 2010 (or two years plus the five-month waiting period that applies to all Social Security disability cases).

In many cases, because the Social Security Administration takes so long to decide cases, you may be approved for Medicare benefits around the same time you are approved for SSDI benefits. In other words, because many claims take two years to get to a judge, you may have already “served” the required two-year wait for Medicare benefits by the time you receive your first Social Security disability check.

In Title XVI Supplemental Security Income claims, you are eligible for state Medicaid benefits. There is no waiting period for Medicaid. A disabled claimant is eligible for Medicaid benefits as of the disability onset date.

In “concurrent claims” where the claimant is eligible for both disability insurance benefits and SSI benefits, then the claimant may be eligible for Medicaid during the first 2 years and 5 months of the disability, and then eligible for Medicare after the 2 year 5 month elimination period.

Auxiliary / Family Benefits

You may be eligible to receive additional benefits for your spouse or minor or disabled children. These are commonly referred to as “auxiliary” SSDI benefits.

For more information on applying for disability benefits or appealing a denial, call Pensacola attorney Nick A. Ortiz for a free case evaluation.

FacebookTweetPinLinkedInPrintEmail

Primary Sidebar

Disability Academy

Watch the Knowing What Wins Training Webinar

Top Ten Mistakes That Will Destroy Your Social Security Disability Claim

View All Social Security Disability Resources


Robby S.

When I was denied my second appeal for disability, I had to find an attorney to represent me. When I went online, I found dozens and dozens of attorneys that specialize in disability. So I read many reviews, and I selected Nick Ortiz. Selecting Nick Ortiz's firm was one of the best choices I have ever made. Nick Ortiz's law firm has an excellent staff. Sarah (one of the staff) has over 10 years of professional experience in the legal field, and she could answer my questions and put me at ease when I called. Tory, the paralegal assigned to my claim, has over 20 years experience. She was very empathetic to my situation and did a great job calming me down and gathering the records from the nine doctors I am seeing. Tory and Sarah were always accessible and patient no matter what questions I had. Nick is a no-nonsense man. My conversation with him put my mind at ease. They also have online courses called the Disability Academy that address everything you need to know before the hearing with the ALJ (the Administrative Law Judge). The veteran staff is there to answer all of your questions and treat you with compassion. I asked Nick what he thought my chances were, and he replied, "I have looked at your case, and I am in it to win." And win, he did. I received full disability. I would highly recommend Nick Ortiz to represent you! The firm provides everything to help you prepare for your hearing.

https://youtu.be/3_sfwSkG0pI

View All Testimonials

Learn More About Social Security Disability

  • Areas We Serve
  • Frequently Asked Questions
  • Denials and Appeals
  • Common Mistakes
  • Insider Tips
  • Non-Medical Eligibility
  • Conditions That May Qualify
  • Social Security Disability Blog

Complete This CONFIDENTIAL Form for a FREE Social Security Disability Case Evaluation

  • This field is for validation purposes and should be left unchanged.

Footer

Location

ORTIZ LAW FIRM
(888) 321-8131

316 S Baylen St
Ste 590
Pensacola, FL 32502
Monday - Thursday: 9:00 AM - 5:00 PM Friday: 9:00 AM - 2:00 PM
Saturday - Sunday: Closed

Our Team

  • Nick Ortiz
  • Jessica Ortiz
  • Dawn Keller
  • Tory Nelson

Practice Areas

  • Long Term Disability Insurance and ERISA Disability Insurance Claims
  • Social Security Disability Claims
  • Personal Injury Claims
  • Facebook
  • LinkedIn
  • Twitter
  • YouTube

Site Footer

©2020 Ortiz Law Firm, All Rights Reserved. Reproduced with Permission | Disclaimer | Privacy Policy

Share this ArticleLike this article? Email it to a friend!

Email sent!