Congratulations! You’ve Won Your Disability Claim…Now What?

Finally, after all of the paperwork, appointments and waiting you have received your approval for Social Security disability benefits. You know that approval means you will begin to receive a monthly check, but what else does it mean?

#1. Monthly Check.

Of course, the monthly check is the most important part of your disability claim. After you receive a decision letter from the Social Security Administration (SSA), the next course of action is for your monthly payments to be processed. This is handled by the payment center at SSA, and it usually takes about 1-2 months for your benefits to begin.

In addition to your monthly check and depending on your disability date, you may be eligible for retroactive benefits. If SSA found you disabled in 2011 but approved your case in 2013 you will be eligible to receive back benefits beginning from your disability date. However, there is an exception. You are only eligible to receive retroactive benefits 12 months prior to your filing date. Another thing to keep in mind is there is a 5 month waiting period from your disability date for which you are not eligible to receive benefits. To maximize your retroactive benefits or back pay you want to show you became disabled 17 months prior to your filing date.

Here is a quick example:
SSA has determined your disability date to be April 1, 2011. You filed your initial application on December 1, 2012. This means, based on your filing date, you will be eligible to receive back benefits as of December 1, 2011. Because your disability date is April 1, 2011 you will be eligible to begin receiving benefits September 1, 2011 to account for the 5 month wait period. But since your filing date was December 1, 2012 you will not be paid any retroactive benefits until December 1, 2011 (12 months prior to the filing date). I know this is confusing, but this is just a brief overview of how your payments will be calculated.

#2. Attorney’s fees. 

If you have an attorney or representative assisting you with your case they will be paid out of your retroactive benefits ONLY. The general agreement that SSA will approve limits your representative fee to 25% of back benefits up to a maximum of $6,000. SSA needs to approve the fee agreement between yourself and your representative. If they approve of the agreement, SSA will handle paying your representative.

#3. Are other people eligible to be paid?

If you care for any children under age 18, they are entitled to additional benefits from your account. Depending on the state you live in, if you owe child support your back benefits may automatically be sued to pay that amount first.

#4. Are you eligible for medical benefits?

In most cases, yes, you will be eligible for Medicare. However, Medicare coverage will not begin until you have been disabled for 24 months. In the interim, you could be eligible for Medicaid or medically needy benefits. Call the Department of Children and Families to see what programs you may qualify for until your Medicare kicks in.

#5. Will Social Security Administration review your case again?

If your disability is not permanent, Social Security will review your file every so often to see if you are still disabled. It is important to continue treatment with your medical providers, so you are able to show SSA that your disability continues.

#6. Can you go back to work?

The answer is yes, but to an extent. Social Security has work incentive programs to help individuals who wish to return to work. Contact your local SSA office for information on the programs they offer.

Applying for disability benefits can be confusing no matter what stage of the process you are in. Having a representative will ensure you understand everything that is going on at every step. Call a trusted attorney who can walk you through the process step by step.

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We fight to win you more

Premises liability

PREMISE LIABILITY

$450,000

James was searching for equipment for painting at Home Depot. In the aisle next to him, there was a worker on a lift stocking the highest shelf. The worker pushed boxes so far across the shelf that they fell off the other edge and hit James in the head. The force almost knocked James unconscious. He sat down and the loud bang got the worker off the ladder to see what fell. When they saw James they offered him a bucket and made a report. James did not recall leaving the store or how he got home. He did not recall much except being at home depot and getting hit in the head. Home Depot told him that it was a small box of dust masks that hurt him. We discovered it was actually a large box of emergency kits that fell off the shelf.

Personal injury

PERSONAL INJURY

$850,000

In this case, our client slipped and fell on water that had accumulated near the hot tubs/showers on the Lido deck of a major cruise line ship. The client suffered torn ligaments to her shoulder that required 2 arthroscopic surgeries. The cruise line took the position that the condition on the floor was open and obvious.

Premises liability

PREMISES LIABILITY

$980,000

Georgia was visiting a friend in the hospital when she walked out of the elevator and into her friend’s room. As soon as she entered the room she slipped on a newly mopped floor without any wet floor sign present. The floor was so wet that Georgia’s entire outfit was soaked. Because of the muted tile floor, the water was invisible. Georgia needed a back operation which was unsuccessful and caused her to slip into a coma. She luckily survived.

Motor vehicle accident

MOTOR VEHICLE ACCIDENT

$1.1 MILLION

AUTOMOBILE REAR END COLLISION

Rodrigo was driving his work truck home when he was rear-ended at a stoplight. Rodrigo needed a fusion of his thoracic spine. A terrible and complex operation. Unfortunately, while Rodrigo was undergoing the spinal operation, one of his children died and he was unable to be with his grieving wife. It was a tragic case that eventually settled.

Bicycle vs car accident

BICYCLE VS CAR ACCIDENT

$1.45 MILLION

David was a teacher at a local high school. He rode his bike to school in the morning and after school would ride another 10 miles for exercise. On a sunny afternoon on his way home an older driver turned right into him as he was riding down the street. He hurt his shoulder and neck and needed two operations. Defendant felt his injury was due to playing football 10 years earlier and would not provide him a fair or reasonable offer.

Car vs commercial truck accident

CAR VS COMMERCIAL TRUCK ACCIDENT

$3.4 MILLION

Joe was driving his 18 wheeler on the Florida Turnpike headed south after a long-haul run.  He was “bobtailing” which means he did not have a cargo trailer on the back of his truck rig.  A drunk driver lost control of his car causing Joe to avoid the accident but drive off the highway and into a canal.  He was injured in the accident but also witnessed a child die when he climbed out of the truck and came to the accident site.  There the injured child was trapped under the car and he was powerless to save the child before it passed.

Auto accident T-Bone

AUTO ACCIDENT T-BONE

$4.5 MILLION

Xao, a Vietnamese immigrant was driving home after work at night to see his pregnant wife. He stopped at a 4-way intersection and looked both ways. He did not see anyone in either direction. As Mr. X when through the intersection he was hit on the passenger side door by a mid-sized black SUV driving without their lights on. Mr. X was catastrophically injured.

Personal injury

PERSONAL INJURY

$8.2 MILLION

This was a hard-fought pedestrian accident case, in which our client was struck by an SUV driven by a teen driver, as they attempted to cross North Military Trail in West Palm Beach, FL. As a result of the accident, our client suffered numerous fractures, partial loss of vision and frontal lobe brain injury that affected his speech, and other personal injuries that required him to be hospitalized for 58 days.

At the time of the accident, our client was a cashier at Walmart and has been unable to return to work.

“This case is the epitome of what we consider part of our Core Culture and broad vision – which is to be Warriors for Justice,” stated Brian LaBovick. “Mr. Jacobus has serious permanent injuries and will continue to fight to regain his life into the foreseeable future. This verdict will allow him to get the professional help he needs to safely navigate the rest of his life.”

Medical malpractice

MEDICAL MALPRACTICE

$15 MILLION

Brain damages child due to medical negligence.  Mother was misdiagnosed upon entry to the hospital while under contractions.  The child was born severely disabled.