Going months without income is stressful. The payment delay for Social Security Disability Insurance (SSDI) can add to that stress. Why is there a five-month waiting period for SSDI claims? This article explains the rule, when payments will start, and how back pay works.
Read on for better understanding.
The five-month waiting period is a rule for SSDI, not Supplemental Security Income (SSI). It requires you to wait five full calendar months after the date the Social Security Administration’s (SSA) determined date of onset to get payments.
This SSA rule ensures that benefits go to people with genuine long-term disabilities, not short-term conditions.
The SSA reviews your medical records, doctor notes, test results, and your work history to determine an official disability start date. You may see terms like “alleged onset date” or “established onset date,” but in this article, we’ll call it your disability start date. This date is important because it sets when the five-month waiting period begins and when you’ll get benefits.
Monthly payments begin no earlier than the sixth full month after your disability start date. The SSA pays benefits one month behind. For example, the benefit for June is paid in July.
If your claim takes longer than five months to approve, the SSA counts the months you were entitled to be paid. You’ll get back pay for those months after the waiting period.
In the previous example, if your disability start date was in July and the SSA doesn’t approve you until the following March, you’re owed back pay for those months.
Most SSDI claims have a five-month wait for payments but there are a few exceptions that shorten or remove that wait.
If your SSDI ended because you returned to work, and you become disabled again for the same or related reason within a set time frame, you may not have to wait five months again. The SSA treats this as a continuation of your earlier entitlement, which can speed up payments resuming.
Compassionate Allowances are a list of serious conditions that the SSA flags for fast-track approval. Having a condition on the list helps you get a decision sooner, but it doesn’t remove the five-month waiting period. The only exception is ALS, which has no waiting period under current law.
If you meet the SSA’s definition of statutory blindness, the rules are different for your work, earnings, and sometimes waiting period for benefits. However, many people with statutory blindness still have to wait five months for SSDI payments.
Family members, such as a spouse or child, may qualify for benefits based on your SSDI record. Their payments start when your SSDI benefits start. Your family doesn’t have an additional five-month waiting period.
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Get EvaluationBack pay is the total of all past-due benefits, including retroactive pay. Retroactive pay is for months between your disability start date and when you applied and are approved. You can get retroactive pay for up to a year before you applied, if you prove you were unable to work in those months. Past-due benefits are for the months between when you are determined to be disabled and when you were approved. So, your total back pay could be for up to 17 months of benefits.
There are three key dates in every SSDI back pay calculation:
These dates work together. The SSA determines your disability start date (disability onset date). That’s when you became unable to work due to your medical condition. If approved, you may get benefits for up to 12 months before you applied.
Back pay often includes retroactive payments and past-due payments from your waiting period.
If you’re approved for both programs, SSDI back pay and SSI back pay are figured out separately. The SSA coordinates payments so you don’t get paid twice for the same months. SSDI back pay may reduce your SSI payments both in the past and going forward because of income/resource rules and the windfall offset. SSA issues SSI retro pay differently than SSDI, so timing and amounts won’t always line up neatly.
Your first monthly SSDI payment usually arrives one to two months after you receive your award notice. SSDI back pay often arrives around the same time, usually as a lump sum. SSI back pay may take longer and may come in installments.
Delays can happen if:
No. If your claim is approved quickly, you may not get back pay or a small amount because eligibility hasn’t built up yet. Likewise, if your disability start date is close to your approval date, you may not have back pay.
The waiting period and back pay rules are confusing and can be overwhelming. It’s hard to budget when you’re already stressed or unwell. You don’t have to figure this out on your own.
Advocate can help by:
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