Social Security Disability Insurance (SSDI) - ANSWER>>is authorized through Title II of
the Social Security Act. SSDI is an insurance that pays a cash benefit to people and
their families to partially replace earnings that are lost due to retirement, death, or
disability. Benefit amounts are based on lifetime earnings and contributions. People
who receive SSDI qualify for Medicare, which is a federal healthcare insurance
program.
Medical Continuing Disability Review (CDR) - ANSWER>>to determine if there has been
medical improvement since the initial determination of disability.
In SSA, the legal definition of disability is the - ANSWER>>"inability to engage in any
substantial gainful activity (SGA) by reason of any medically determinable physical or
mental impairment which can be expected to result in death or which has lasted or can
be expected to last of a continuous period of no less than 12 months."
Supplemental Security Income (SSI) - ANSWER>>is authorized through Title XVI of the
Social Security Act. SSI pays a cash benefit to help pay for basic living expenses such
as food, shelter, and clothing. To be eligible for SSI, individuals must have a disability
or be 65 years old or older, and demonstrate a financial need. Some states offer an
additional state supplement to those who receive SSI. People who receive SSI qualify
for Medicaid, which is a state-run healthcare insurance program partially funded
through the federal government.
Work Incentive Benefits Specialists (WIBS) - ANSWER>>assist people with disabilities
who are considering work to navigate the complex benefits systems. Information to
help individuals make informed decisions about how income could affect their cash
payments, medical benefits, and other publicly funded benefits is available. These
incentive programs may vary based on individual state laws.
Impairment-Related Work Expenses (IRWE) - ANSWER>>IRWEs are reasonable
expenses that an individual pays for out-of-pocket. The expenses need to be related to
the disability and needed in order to work.
, Unsuccessful Work Attempt (UWA) - ANSWER>>If work at Substantial Gainful Activity
(SGA) was not maintained for 6 months because of an individual's disabling condition
or the elimination of the special services, it can be considered an UWA. Local Social
Security offices make this determination on a case-by-case basis.
Expedited Reinstatement (EXR) - ANSWER>>If a person attempts to work but is unable
to maintain employment, EXR provides 6 months of provisional payments and health
care coverage while Social Security re-examines the case. A new application is not
needed. If the person is found not eligible, repayment is usually not required. If found
eligible, an individual can receive benefits for 24 months. The disability must be the
same as or related to the impairment for which initial eligibility was determined.
Ticket to Work - ANSWER>>This optional program offers beneficiaries a "ticket" that
can be used to receive services to help them get or keep a job. The service provider is
called an Employment Network (EN). The EN works with the individual to develop an
Individual Work Plan (IWP). As long as the individual is making timely progress on the
IWP, Social Security will not initiate a Medical CDR.
Trial Work Period (TWP)-SSDI - ANSWER>>During the TWP, beneficiaries are give 9
months in which they can earn as much as they want to try out their ability to work.
TWP uses a 60-month rolling timeframe; all 9 months need to be used within the same
60-month time period to result in cessation of benefits. TWP months roll off after 60
months if the TWP has not been completed. Beneficiaries receive full SSDI payment
during this time (plus a cessation and two grace period months, so there are actually
12 months of payments).
Extended Period of Eligibility (EPE) for SSDI - ANSWER>>The 36 months after the TWP
are called the EPE. During this time, people can work and get their cash benefit any
month they do not earn SGA. A new application is not needed.
Continuation of Medicare Coverage-for SSDI - ANSWER>>If payments stop because of
earnings, but the person is still disabled, the free Medicare Part A coverage will
continue for at least 81⁄2 years after the nine-month trial work period. After that,
people can buy Medicare Part A coverage by paying a monthly premium.