Presumptive Disability: Eligibility and Filing Eligibility

Supplemental Security Income, or SSI, is a cash benefit paid to blind or disabled people; this is, they have a health condition that prohibits them from working and supporting themselves. Since applying for SSI disability benefits can be a very long process, the Social Security Administration gives benefits outright for certain disabilities. These benefits are known as presumptive disability benefits and are offered for the initial six months while your disability case is processed by the SSA. Presumptive disability payments are not readily available to SSDI applicants.

Conditions That Qualify for Presumptive Disability

In case you have any of these requirements, the claims agent at the Social Security office will prepare your Social Security presumptive disability form, notice of disability, and begin your advantages.

The SSA can give instant SSI payments, or presumptive disability (PD) in the event a plaintiff meets the PD criteria. Requirements that qualify presumptive disabilities involve severe impairments and assumes that the candidate is handicapped. Examples are complete deafness or blindness, Down’s syndrome, or cerebral palsy. It also includes:

  • HIV disease or AIDS
  • Down syndrome
  • Amputation of two limbs or of one leg in the hip
  • Spinal cord injury together with the inability to walk without a walking aid
  • Stroke with difficulty walking or using arm or a hand
  • Muscular dystrophy, cerebral palsy, or muscle atrophy that walking, talking, or use of arms or hands
  • Intense mental retardation (for people seven years old or older)
  • End-stage renal (kidney) disease (ESRD) requiring chronic dialysis
  • Amyotrophic lateral sclerosis (ALS), a.k.a. Lou Gehrig’s disorder
  • Low birth weight
  • Bed confinement and necessary use of a wheelchair, walker, or crutches due to an illness
  • A terminal disease, with six months or less to live in hospice

Low-Birth-Weight Babies

Infants born at a considerably low birth weight are qualified for presumptive disability (whether or not the baby was pre-term). To qualify for presumptive disability for low birth weight, your baby needs to be younger than six months and have a birth weight under:

  • 4 Pounds, 6 ounces (2,000 grams) should be born at 37 weeks or after
  • 4 pounds, 2 oz (1,875 g) if born at 36 weeks
  • 3 Pounds, 12 ounces (1,700 grams) should be born at 35 months
  • 3 pounds, 5 ounces (1,500 g) if born at 34 weeks
  • 2 Pounds, 15 ounces (1,325 grams) should be born at 33 months, or
  • Two lbs, 10 oz (1,200 g) is born at any given gestational age.

If your infant meets the above weight conditions, you may receive SSI payments while your case is determined. Your baby can get free medical care. Your SSA representative will need to confirm the infant’s birth weight by calling the hospital or doctor before awarding presumptive disability.

Will You Qualify for Presumptive Disability?

The number of your assets and family income will affect a variety of your presumptive disability payments. Presumptive Disability is available to SSI applicants and SSI is a needs-based program. If you don’t meet your cash requirements, you won’t obtain any Presumptive Disability payments, even if the Social Security Administration is convinced that it’ll be approving your situation for Social Security Disability benefits.

Typically, your own Presumptive Disability payment will be equivalent to the amount you want in SSI benefits. The SSI benefit amount is $674 a month for a person and $1,011 for an eligible couple.

Nonmedical Qualification for Presumptive Disability

You must also have limited income and financial resources based on criteria determined by the SSA to qualify for SSI payments because of a presumptive disability.

Temporary Payments

Monthly presumptive disability SSI payments may last for up to six months. The moment the SSA reaches a conclusion about the disability claim, the disability benefits will finish. When a determination has not been made by the SSA within six months, then the presumptive disability payments will cease. You aren’t accountable for repaying money obtained due to disability when the disability claim is denied by the SSA.

How to Apply

When you’re submitting your application for SSI at the SSA 18, you submit an application for disability benefits. In some circumstances, the SSA field office can make a presumptive disability determination (sometimes wanting to have confirmation from a trusted source of info, like a physician, a social worker, or school employees). In other circumstances, your document will proceed to the Disability Determination Services (DDS), the bureau responsible for making all SSI disability choices. The DDS can make a disability decision as well.

Can You Qualify for Presumptive Disability?

If your income and resources are limited and you have a medical condition that’s very likely to qualify you for SSI and Social Security Disability, you need to contact the Social Security Administration to ask about applying for Presumptive Disability payments.

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