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Social Security disability review never happened for disabled adult child - appeal rejected without medical updates

I need help navigating SSDI for my daughter (24) who has severe disabilities. Her benefits as a child auxiliary on her father's record stopped when she turned 18, but we never received the review for Disabled Adult Child benefits that should have happened then. Now we're in a mess. We recently filed for benefits and just got denied on the initial appeal, but I noticed they didn't even consider the updated medical documentation we submitted! We called their office twice to tell them about new diagnoses and test results, but the denial letter doesn't mention any of it. The strangest part is we just submitted paperwork on November 1 (the deadline) and somehow got a decision letter today? That seems impossibly fast. I'm calling SSA tomorrow but would really appreciate advice from anyone who's been through this. Should we appeal again without an attorney? How do we get them to properly review her for DAC benefits? The whole system feels broken and my daughter really needs these benefits.

When you file the appeal, be sure to request a complete copy of your daughter's claim file through a Freedom of Information Act (FOIA) request. This will show you exactly what medical evidence they considered and what they overlooked. You might be surprised at what's missing from their files despite what you've submitted. Also, since your daughter was 18 when benefits on her father's record stopped, you should ask specifically about filing for both DAC benefits (on her father's record) AND SSI for the interim period if there's a gap in coverage.

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I didn't know about the FOIA request - that's really helpful! I'll definitely do that to see what they're actually looking at. And yes, there's been a significant gap since she turned 18 (she's 24 now), so I'll ask about SSI for that period too.

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I work with families navigating disability benefits and your situation is unfortunately very common. The fact that no one explained the DAC transition at 18 shows a major gap in SSA's communication. A few key points: 1) The rapid denial suggests they didn't properly review your November submission - definitely highlight this in your appeal, 2) Request expedited processing given the 6-year delay since she aged out, 3) Consider filing a complaint with your Congressional representative's office - they have caseworkers who can sometimes expedite SSA reviews when there are clear procedural errors like this. The DAC benefits should be retroactive to when she turned 18 if approved, so don't let anyone tell you it's "too late" to file. Document everything from your calls tomorrow and keep pushing - your daughter deserves these benefits.

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Can my wife get Social Security retirement or Medicare with only 4 work credits instead of 40?

I'm trying to figure out my wife's options as we approach retirement age. She's 64 now and spent most of her life raising our kids while I worked. She only has about 4 Social Security credits from a few part-time jobs over the years - nowhere near the 40 credits needed for retirement benefits on her own record. I've worked continuously and have well over 40 credits myself. Can she qualify for any Social Security retirement benefits based on my work record? Also wondering about Medicare - will she be eligible when she turns 65 even with so few work credits? We're trying to plan our finances and healthcare for the next few years. Any advice would be really appreciated!

Just wanted to add something that might help with your planning - since you're considering delaying your benefits until 70, you might want to explore the "file and suspend" strategy that used to be available (though it ended in 2016). However, there's still a consideration called "restricted application" if you were born before 1954. But more importantly for your situation: your wife's spousal benefit is based on your Primary Insurance Amount (PIA) at your full retirement age, NOT the delayed retirement credits you'd earn by waiting until 70. So her spousal benefit won't increase even if you wait. This means you might want to consider filing at your FRA (around 66-67) so she can start receiving her spousal benefits, rather than having both of you wait. The math can get complex depending on your ages and benefit amounts, so definitely consider running scenarios or consulting with SSA before making the final decision!

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Yes, there are several good calculators available! The Social Security Administration has their own retirement estimator at ssa.gov/benefits/retirement/estimator.html that can help with basic scenarios. For more detailed spousal benefit planning, I've found AARP's Social Security Calculator and the calculators at MaximizeMySocialSecurity.com to be really helpful - they let you model different filing strategies and show the cumulative benefits over time. Many financial advisors also use software that can run these scenarios if you want professional help with the analysis. The key numbers you'll want to plug in are both of your current ages, your estimated monthly benefit at full retirement age, and different potential claiming dates. Don't forget to factor in that your wife can claim as early as 62 (though at a reduced amount) while you continue working and delay your own benefits if that makes sense financially.

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Great questions! For the calculators, you'll generally want to use your current actual earnings and let the tools project forward. Most of the better calculators (like the SSA's own estimator) will automatically factor in average wage growth when projecting your future benefits - they typically assume around 2-3% annual wage growth. However, if you expect significant changes in your earnings (like a big promotion or planning to reduce hours), you might want to run multiple scenarios. As for COLA adjustments, the SSA calculator does factor these in when showing future benefit estimates, typically assuming around 2.6% annual COLA increases. The third-party calculators vary - some include COLA projections and some show benefits in today's dollars. Always check the calculator's assumptions or FAQ section to understand what they're including. One tip: create your my Social Security account at ssa.gov if you haven't already. It shows your actual earnings history and gives you personalized benefit estimates based on your real work record, which is more accurate than generic calculators for planning purposes.

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Great questions! For the calculators, you'll generally want to use your current actual earnings rather than trying to project future wage growth - the SSA's own calculator pulls directly from your earnings record and makes standard assumptions about future earnings based on your recent history. Most of these tools do factor in COLA adjustments using historical averages (usually around 2-3% annually), but keep in mind these are estimates since actual COLA can vary significantly year to year. The more sophisticated calculators like MaximizeMySocialSecurity will let you adjust these assumptions if you want to be more conservative or optimistic. One tip: make sure you have a recent copy of your Social Security statement (available at ssa.gov/myaccount) before using these calculators - it will show your actual earnings history and current benefit estimates, which gives you the most accurate starting point for any projections.

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Fighting Social Security overpayment after SSA office errors - do I have any recourse?

I'm at my wit's end dealing with an SSA overpayment issue that wasn't even my fault! Back in March, a representative at my local office in Henderson made several mistakes during my initial interview. They set up my payments incorrectly (among other errors) which was eventually caught during a review. When I was notified, I immediately went to the office to fix it. The Henderson office told me I needed to repay ALL the money I'd received. I specifically asked if I could just suspend my benefits until everything was sorted out, but they claimed that wasn't an option. The rep insisted I had to sign some form (can't remember the number now) for them to fix anything. When I asked if I'd get my correct payment amount back eventually, they just said "you should." Over the next few months, I made at least 5 trips to the Henderson office only to be told "it's under review" each time. I finally discovered they'd transferred my case to the Springfield office without telling me! Now I'm in an even worse situation. Since I hadn't received any payments since November, I was really struggling financially. The SSA gave me 3 months of benefits as an advance, but now they're trying to claw back almost the exact amount they originally owed me before catching their mistake! Do I have any grounds to fight this clawback? And is there any way to report that the Henderson office needs serious retraining? If I have any SSA issues in the future, I'll drive the extra 45 minutes to Springfield because the Henderson people clearly don't know what they're doing.

btw if ur gonna drive to springfield make sure u make an appointment first!!! they dont take walk-ins anymore at most offices. learned that the hard way after driving 40 mins

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Thanks for the heads up! I'll definitely call ahead for an appointment. Don't want to waste a trip.

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I went through something similar about 18 months ago - SSA error led to overpayment, then they wanted everything back. Here's what worked for me: First, don't panic about the timeline. Even though the 30-day rule exists, they can still approve waivers filed later if you have a good case (which you do). Second, when you file that SSA-632 waiver form, include a timeline of events with dates. Show how you tried to fix things immediately and how their staff gave you incorrect information. This demonstrates "good faith" on your part. Third, if you haven't already, request a copy of your entire case file. You can do this through a FOIA request or sometimes just by asking at the field office. This will show you exactly what mistakes were made and by whom. The fact that Henderson told you suspension "wasn't an option" when it clearly was shows they don't know their own procedures. Document that conversation if you can remember who said it and when. You've got a strong case here - SSA error, immediate attempt to fix it, misinformation from staff, and financial hardship. Stay persistent and don't let them wear you down!

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Social Security Disability children's benefits percentage and backpay for 5 years?

Can anyone help with understanding the children's benefits from SSDI? My brother just got approved for disability after fighting for 5 years (thank goodness!!). He has two kids (8 and 11) and we're trying to figure out what they might get. Does anyone know what percentage of his benefit amount the kids would receive? Also wondering about the backpay situation - since he's getting 5 years of backpay, will his children also get backpay for that whole period? The SSA website is so confusing on this and we can't get through on the phone. Thanks for any info!

Don't forget you need seperate bank accounts for kids benfits!!! SSA made me open seperate accounts for my kids money cuz they said the parents cant use that money except for the kids stuff. And they do check!!!!

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That's good to know! My brother was wondering how the payments work. He'll set up accounts for them once he gets this all sorted out.

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I'm going through a similar situation right now with my nephew's benefits, so I feel your pain! Just wanted to add that your brother should also gather all the kids' documents beforehand - birth certificates, Social Security cards, school records, etc. When I finally got my appointment, they needed everything right away and I had to reschedule because I wasn't prepared. Also, if the kids live with him full-time, make sure he has documentation of that too. The SSA is really picky about proving the children are in his care. Good luck to your family - 5 years is such a long fight and I'm so glad he finally got approved!

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SSDI back pay confusion - will my husband get retroactive payment for 5-month waiting period?

My husband finally got approved for SSDI after fighting for almost a year with Social Security. His first payment arrived about 10 days ago (thank goodness!), but we're confused about the 5-month waiting period he had to go through before benefits started. Are those months just lost money or will he get backpay for that waiting period? His disability onset date was set for July 2024. Also, we have a 7-year-old daughter. The SSA rep mentioned something about dependent benefits but wasn't clear about whether she would also get backpay for the same period. Does anyone know how this works? We're trying to budget for some medical equipment and need to figure out exactly what's coming our way.

One other important thing to mention: backpay sometimes comes in installments if it exceeds certain amounts. However, in your case with only a few months of backpay, it should come as a single payment. Just be aware that SSDI backpay deposits don't always have clear identifiers on bank statements - sometimes they just show as "US TREASURY" deposit without specifically saying "SSDI backpay.

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That's really helpful to know! I'll keep a close eye on our account. Looks like we should expect about 4 months of backpay for both my husband and daughter, so hopefully that's a single payment each. Thanks again for all this great information!

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Something that might help while you're waiting for the backpay - keep detailed records of all the payments you receive and their dates. I created a simple spreadsheet tracking every deposit from SSA because their payment schedule can be confusing, especially when backpay and regular benefits arrive at different times. Also, once you get your daughter's benefits sorted out, make sure to ask SSA about setting up a Representative Payee account if she's under 18. Sometimes they require this for children's benefits, and it's easier to set up proactively than to deal with payment holds later. The waiting is the worst part, but based on everyone else's experiences here, it sounds like your backpay should arrive soon. Hang in there!

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