Medicare Blog

just won my ssd case and got retroactive medicare, now what?

by Camron Hintz Published 2 years ago Updated 1 year ago

Can I receive retroactive Social Security disability benefits?

You’ve won your Social Security disability case. Now what? ... The date you will become eligible for Medicare or Medicaid . The amount of your monthly Medicare premium . Whether the Administrative Law Judge (ALJ) who presided over your case at the Social Security disability hearing has suggested a continuing disability review in the future.

What is Social Security disability retroactive pay and back pay?

Retroactive Social Security disability benefits can easily result in thousands of dollars and it is, therefore, important that you know about your right to fair retroactive compensation. Before you apply for Social Security disability retroactive pay, it …

How long after SSDI can I receive Medicare (and why)?

After the SSA approves your claim, you won’t automatically get health insurance right away. Once you receive SSD approval, you must wait 24 months. Then, you receive automatic enrollment into into Medicare Part A (hospital insurance) and Part B (health insurance). The federal government manages Medicare to specifically cover individuals aged ...

What happens after SSD is approved by SSA?

But, because Social Security only allows a maximum of 12 months of retroactive benefits, plus the 5-month waiting period for benefits, the earliest that you can become eligible for Medicare is one year after you apply for Social Security disability. For instance, let’s pretend you became disabled in July 2016.

Do I have to spend my SSDI back pay?

Retroactive SSDI Benefits If the SSDI beneficiary is only receiving SSDI benefits, (and not SSI ), the SSDI beneficiary does not have to “spend down” this Retroactive payment because there are no resource limits for SSDI benefits; therefore, Retroactive payments will not affect ongoing SSDI eligibility.

How does SSDI retroactive pay work?

The SSDI retroactive payments are payments made to disability applicants for the time passed between the onset of the disability to the date that the application was passed. Retroactive payments are paid for 12 months prior to the date of the application being passed.

What does it mean when benefits are retroactive?

What Are Retroactive Benefits? Retroactive benefits go back further than, and may be awarded in addition to, regular back pay. This type of benefit is designed to compensate an individual for the time they were unable to receive assistance going back all the way to the original onset date of their disability.

What happens after fully favorable decision?

If you receive a fully favorable decision, the SSA approved your application with the onset date of disability that you originally noted. You will then start receiving disability benefits as soon as your elimination period or waiting period has ended.

How far back does SSDI backpay go?

By law SSDI benefits have a five-month waiting period — they start the sixth full month after the onset date — so you're entitled to 10 months of past-due benefits. Social Security typically pays past-due SSDI in a lump sum within 60 days of the claim being approved.

What is the difference between back pay and retroactive pay?

Retroactive benefits cover the period of time between the date you became disabled and the date you applied for disability benefits. Back pay refers to the time between the date you applied for benefits and the date you were approved for benefits.

Are Social Security benefits retroactive?

If you've already reached full retirement age, you can choose to start receiving benefits before the month you apply. However, we cannot pay retroactive benefits for any month before you reached full retirement age or more than six months in the past.

How do you calculate retroactive pay?

How to Calculate Retro PayNew rate of $25 per hour – Old rate of $22 per hour = $3 per hour difference.4 days X 8 hours per day = 32 hours of payment at the old rate.$3 per hour X 32 hours = $96 due in retroactive pay.Feb 16, 2021

How do I check my disability back pay?

Call the national Social Security Administration's toll-free number, 1-800-772-1213, to receive information about your retroactive payment. The line is open 24 hours a day for you to find out your claim status and if your back payment has been processed.

Do you get back pay for the 5 month waiting period for SSDI?

SSDI benefits are subject to a five-month waiting period. If your application is approved, you will not receive benefits for five full calendar months. This policy also affects your back pay. For example, if your claim was approved within five months of applying, you will not receive any back pay.May 13, 2021

How long after I receive my award letter will I get my money?

You can usually expect your back pay and first monthly check to start 30-90 days after the award letter.Feb 1, 2022

What is the monthly amount for Social Security disability?

Social Security disability payments are modest At the beginning of 2019, Social Security paid an average monthly disability benefit of about $1,234 to all disabled workers.

How long does it take to get back pay on Social Security?

While there is a five-month waiting period during which you are not entitled to benefits, you may receive back pay benefits for any time between when you initially filed your application ...

What is the alleged onset date?

The “alleged onset date” is the date you claim to have become unable to work. This date is required information on your initial application. It is the date that will be used to calculate your retroactive benefits, unless the Social Security Administration disputes it.

Is back pay retroactive?

Back pay and retroactive pay can be important to your financial future. Therefore, it is important that you contact an experienced Social Security disability lawyer as soon as possible.

When do you get your first Social Security check?

According to the Social Security Administration, claimants who win Social Security disability approval get their first payment during the sixth full month after the date their disability began . For example, if your disability started on June 1, you should get your first check in December – six full months after the condition’s onset.

Does Medicare cover older people?

The federal government manages Medicare to specifically cover individuals aged 65 and older. In addition, Medicare also provides healthcare coverage for younger people with qualifying disabilities.

Is disability insurance difficult?

For many Social Security disability insurance (SSDI) applicants, the claim process can be challenging. But upon receiving your Social Security disability approval, it’s important to have a good understanding of next steps. From knowing when your benefits will begin to knowing what types of medical coverage you may receive, ...

How long does it take for Medicare to kick in?

Medicare coverage kicks in for most SSDI recipients two years after the first month they are eligible for their monthly disability benefits. However, this doesn’t automatically mean that every person approved for SSDI must wait two years to get their Medicare coverage.

How long is the waiting period for Medicare?

The two-year Medicare waiting period generally gets calculated from the date of your SSDI entitlement (the date you are eligible to receive your monthly award). Normally, this is the date your disability began plus the five-month SSDI waiting period.

When will Medicare start?

Since it has been two years since your Date of Entitlement, you will start receiving Medicare benefits in December 2018. But, if you recently become disabled and were approved with an entitlement date of August 2018, you would not become eligible to receive Medicare benefits until August 2020.

How long can you wait to get Social Security?

But, because Social Security only allows a maximum of 12 months of retroactive benefits, plus the 5-month waiting period ...

How long does it take to get a disability retroactive?

Calculating disability retroactive pay benefits depends upon three factors: Application Date, Disability Onset Date, and the Five Month Waiting Period.

How long do you have to be disabled to get SSDI?

In other words, you cannot become disabled and seek SSDI 5 years later and expect the SSA to pay you for all of that time. So, given the 5 month waiting period, in order to receive the maximum amount of retroactive pay you would have to have been disabled for 17 months or more before your application date.

Why is retroactive pay important?

Because retroactive pay is used to compensate you for time you were eligible for SSDI benefits prior to the time you applied for SSDI, your application date is crucial in determining your retroactive pay amount, if any .

What is the AOD on SSDI?

When you complete your SSDI application, you will indicate the date upon which you became disabled. This is known as your Alleged Onset Date, or AOD. If the SSA determines that you are disabled, they will use your AOD to determine for how long you have been disabled.

How long does it take to get a lump sum from SSDI?

However, the processing times vary. On average, most people wait 1-2 months before receiving their lump sum back payment.

How long do you have to wait to get SSDI?

Once your disability onset date has been established, you must wait five months after that date before you will become eligible for benefits. This is referred to as the 5 month waiting period, and it applies to all SSDI benefit recipients.

What is retroactive pay?

Retroactive benefits are payments that cover the months you were unable to work before you applied for Social Security Disability benefits. They are based upon the day your Disability began (called your “onset date”) and the date that you filed an application for benefits.

How long can you get retroactive unemployment benefits?

These are the benefits that you were eligible for and would have received if you had applied for benefits earlier. You are entitled to receive a maximum of 12 months of retroactive benefits prior to your application date. Retroactive pay is not owed to everyone and is not affected by the backlog of Disability cases.

How do I get my Social Security disability check?

At some point after your claim is approved, you will receive a Social Security Disability award letter. This letter should answer most of your questions, including: 1 The amount of your monthly Disability check. 2 What day of the month to expect to receive your monthly check. 3 The amount you will receive in back pay. 4 The date you can expect to receive your back pay.

How long do you have to wait to collect Social Security?

There is a mandatory five-month waiting period before you can start collecting benefits. Basically, the SSA eliminates your first five months of benefits. Now, if you have been waiting a long time for benefits already – more than five months – then you won’t have to wait any longer. That time has already been served.

What is an award letter for disability?

An “Award Letter” will spell out the details. At some point after your claim is approved, you will receive a Social Security Disability award letter. This letter should answer most of your questions, including: The amount of your monthly Disability check. What day of the month to expect to receive your monthly check.

What is back payment?

Back payments are past due benefits. That is, the money the Social Security Administration (SSA) would have started to pay you if they had approved your application immediately after you filed. Back payments are owed to you from the date of your application to the date that the SSA approved you for Disability benefits.

How long does it take to get back pay on SSDI?

You can receive back pay from the time you filed your application, plus as much as 12 months retroactive to this date. Whether you'll get a full year of backpay depends on when you became disabled.

How long does it take to get Medicare?

You will receive Medicare benefits two years after the time you are deemed eligible for Social Security disability insurance benefits. This does not mean that Medicare benefits become available two years after you are approved for SSDI or two years after the payments have started. Instead, you'll receive Medicare benefits two years ...

How is disability insurance determined?

The benefit amount for Social Security disability insurance is determined by a person's work history and the amount they have contributed though payroll taxes to the Social Security system. Learn more about how much SSDI pays.

Do you get SSI if you are approved?

If you are approved for Social Security disability insurance (SSD or SSI) you'll receive an ongoing monthly benefit, back payments, and Medicare (however, there is usually a wait for Medicare -- see below). (If you have been approved for Supplemental Security Income, see our article on SSI benefits .)

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