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Are You Insured?
When you apply for Social Security Disability Insurance (SSDI), Social Security does two tests that look at your work history. If you pass both tests, you are insured by the program. If you do not pass either one of these tests, you are not insured and do not qualify for SSDI, even if you have a disability.
If you are insured and Social Security also says you have a disability, you may qualify for SSDI benefits.The amount you get each month depends on your work history.
Note About DAC for Adults Whose Disabilities Began Before Age 22:
If you are an adult and you have a disability that began before you turned 22, you may be able to get a Social Security benefit called Disabled Adult Child (DAC), even if you haven't worked.
To qualify for DAC, one of your parents must:
- Be getting SSDI benefits or Social Security retirement benefits, or
- Have died and worked long enough to qualify you for DAC.
For DAC, you must be 18 years old or older and you must have a disability. Social Security does the same disability determination for DAC that it does for SSDI. As with SSDI, Medicare health coverage begins two years after you start getting DAC benefits.
SSI, DAC, and MA
When DAC benefits begin or when they go up, you might stop getting Supplemental Security Income (SSI). Even if SSI stops, you might be able to keep your Medical Assistance (MA) health coverage, because MA has a special rule that helps people who stop getting SSI due to DAC. If you get DAC and stopped getting SSI because of your DAC benefits, Chat with a Hub expert and see whether MA's DAC disregard applies to you.
You can check your Social Security earnings and benefits information online. Your online statements say if you will qualify for SSDI if you become disabled and how much you might get in benefits. You can also make sure your earnings have been accurately recorded in your Social Security records.
Work History Test 1: Have You Worked Recently?
This is also called the Recent Work Test. You need to have worked enough during the last several years and paid Social Security taxes to pass this test. Here’s how it works:
Age your disability began |
You generally must have worked: |
---|---|
Before Age 24 |
1.5 years during the last 3 years. |
Age 24-30 |
Half of the time since you turned 21. |
Age 31 or older |
5 years during the last 10 years |
If you don’t pass the Recent Work Test, you are not insured and do not qualify for SSDI benefits.
Work History Test 2: How Long Have You Worked?
This is also called the Duration of Work Test. You need to have worked and paid Social Security taxes a certain number of years during your entire lifetime to pass this test. Here’s how it works:
Age your |
In your lifetime, |
---|---|
Before Age 43 |
Same as recent work test (1.5 – 5 years, |
Age 44 |
5.5 years |
Age 46 |
6 years |
Age 48 |
6.5 years |
Age 50 |
7 years |
Age 52 |
7.5 years |
Age 54 |
8 years |
Age 56 |
8.5 years |
Age 58 |
9 years |
Age 60 |
9.5 years |
Note: If you have worked in another country, Social Security may count those years of work. Read more about “totalization” benefits.
If you don’t pass the Duration of Work Test, you are not insured and do not qualify for SSDI.
If you pass both of these work tests and have a disability, you may qualify for SSDI benefits.
Social Security doesn’t actually count the number of years you work. Instead, they count the number of work credits you have. They give you up to four work credits per year based on the Social Security taxes you’ve paid. (Social Security taxes are usually automatically deducted from paychecks, unless you are self-employed.) So, if you are 31 or older, you need to have earned 20 work credits (worked five years) in the last ten years. The tables here are simplified to just show how many years you generally must have worked.
Learn more
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