Physicians that accept medicaid assignment
The Social Security and Supplemental Security Income disability programs are the largest of several Federal programs that provide assistance to people with disabilities. Social Security Disability Insurance pays benefits to you and certain members of your family if you are "insured," meaning that you worked long enough and paid Social Security taxes.
Must suffer from a permanent condition that prevents you from working. The disabling condition must have lasted, or be expected to last, a minimum of 12 months and you must be unable to earn an income greater than $1,070 per month (110% FPL). You also need to have earned sufficient work credits, which depend on how old you were when you became disabled. Common examples of necessary work credits:
Your first Social Security benefit will be paid for the sixth full month after the date Social Security determines your disability began. The amount of your monthly disability benefit is based on your lifetime average earnings covered by Social Security. If you don't already have an estimate, you can use one of these Benefit Calculators to determine what your payments may be.
$0 to apply. Amount of monthly benefit is dependent on your lifetime average earnings covered by Social Security.
Social Security pays benefits to people who can't work because they have a medical condition that's expected to last at least one year or result in death. Federal law requires this very strict definition of disability. While some programs give money to people with partial disability or short-term disability, Social Security does not.Certain family members of disabled workers can also receive money from Social Security.
In general, to get disability benefits, you must meet two different earnings tests:
There are two ways that you can apply for disability benefits. You can
You should apply for disability benefits as soon as you become disabled. Processing an application for disability benefits can take three to five months. To apply for disability benefits, you'll need to complete an application for Social Security benefts. You can apply online at www.socialsecurity.gov. SSA may be able to process your application faster if you help us by getting any other information SSA need.
The information SSA need includes:
SSA will review your application to make sure you meet some basic requirements for disability benefits. SSA will check whether you worked enough years to qualify. Also, SSA will evaluate any current work activities. If you meet thest requirements, SSA will process your application and forward your case to the Disability Dertermination Services office in your state.
This state agency completes the initial disability determination decision for us. Doctors and disability specialists in the state agency ask your doctors for information about your condition. They'll consider all the facts in your case. They'll use the medical evidence from your doctors, hospitals, clinics, or institutions where you've been treated and all other information. They'll ask your doctors about Your medical condition(s); When your medical condition(s) began; How your medical condition(s) limit your activities; Medical tests results; and What treatment you've received.
They'll also ask the doctors for information about your ability to do work-related activities, such as walking, sitting, lifting, carrying, and remembering instructions. Your doctors don't decide if you're disabled.
The state agency staff may need more medical information before they can decide if you're disabled. If your medical sources can't provide needed information, the state agency may ask you to go for a special examination. SSA prefer to ask your own doctor, but sometimes the exam may have to be done by someone else. Social Security will pay for the exam and for some of the related travel costs.
SSA use a five-step process to decide if you're disabled.
If you disagree with a decision made on your claim, you can appeal it. Your request must be in writing and delivered to any Social Security office within 60 days of the date you receive the letter containing the decision. The steps you can take are explained in The Appeals Process (Publication No. 05-10041), which is available from Social Security.
Generally, SSA mail or call you when they want to contact you about your benefits, but sometimes, a Social Security representative may come to your home. SSA representative will show you identification before talking about your benefits. Calling the Social Security office to ask if someone was sent to see you is a good idea.
If you're blind or have low vision, you can choose to receive notices from us in one of the following ways:
SSA will send a letter to you telling you your application is approved, the amount of your monthly benefit, and the effective date. Your monthly disability benefit is based on your average lifetime earnings. Your first Social Security disability benefits will be paid for the sixth full month after the date your disability began.
You'll also receive What You Need To Know When You Get Disability Benefits (Publication No. 05-10153), which gives you important information about your benefits and tells you what changes you must report to SSA.
Certain members of your family may qualify for benefits based on your work. They include:
If you're getting other government benefits, the amount of your Social Security disability benefits may be affected.
You'll get Medicare coverage automatically after you've received disability benefits for two years. You can find more information about the Medicare program, in Medicare (Publication No. 05-10043).
After you start receiving Social Security disability benefits, you may want to try working again. Social Security has special rules called work incentives that allow you to test your ability to work and still receive monthly Social Security disability benefits. You can also get help with education, rehabilitation, and training you may need to work.
If you do take a job or become self-employed, tell SSA about it right away. SSA need to know when you start or stop work and if there are any changes in your job duties, hours of work, or rate of pay. You can call SSA toll-free at 1-800-772-1213. If you're deaf or hard of hearing, you may call SSA TTY number, 1-800-325-0778.
For more information about helping you return to work, ask for Working While Disabled—How We CanHelp (Publication No. 05-10095). A guide to all SSA employment supports can be found in its Red Book, A Summary Guide to Employment Support for Individuals with Disabilities Under the Social Security Disability Insurance and Supplemental Security Income Programs(Publication No. 64-030). Also visit website, www.socialsecurity.gov/work.
Under the law, your payments can't begin until you've been disabled for at least five full months. Payments usually start with your sixth month of disability.
When Social Security tells you that you'll be receiving disability benefit payments, the notice explains how much your disability benefit will be, and when your payments start.
NOTE: If your family members are eligible for benefits based on your work, they'll receive a separate notice and booklet.
Generally, your disability benefits will continue as long as your medical condition has not improved and you can't work. Benefits won't necessarily continue indefinitely. Because of advances in medical science and rehabilitation techniques, many people with disabilities recover from serious accidents and illnesses. We'll review your case periodically to make sure you still have a qualifying disability.
Social Security benefits are paid each month. Generally, the day on which you receive your benefit depends on the birth date of the person on whose work record you receive benefits. For example, if you receive benefits as a retired or disabled worker, your benefit will be determined by your birth date. If you receive benefits as a spouse, your benefit payment date will be determined by your spouse's birth date.
Some people who get Social Security have to pay taxes on their benefits. About one-third of our current beneficiaries pay taxes on their benefits. You'll be affected only if you have substantial income in addition to your Social Security benefits.
Please notify Social Security promptly by phone, mail, or in person whenever a change occurs that could affect your benefits. Family members receiving benefis based on your work also should report events that might affect their payments. Information you give to another government agency may be provided to Social Security by the other agency, but you also must report the change directly to Social Security. The changes include:
How often your medical condition is reviewed depends on how severe it is and the likelihood it will improve. Your award notice tells you when you can expect your first review.
SSA will send a letter to you telling you that they are conducting a review. Soon after that, someone from your local Social Security office will contact you to explain the review process and your appeal rights. The Social Security representative will ask you to provide information about your medical treatment and any work that you may have done.
Physicians that accept medicaid assignment
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