Social Security Administration

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Ask the community...

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I'm going through a very similar situation with my 8-year-old daughter who has severe autism and intellectual disability. We were initially worried about our income disqualifying her, but we got approved after appeal! Here's what helped us: The SSA worker explained that they use a "parental allocation" formula - they don't just look at your total income. They subtract amounts for basic living expenses for you, your spouse, and any other children before determining what counts against your disabled child's eligibility. For the medical side, make sure your son's evaluations use specific language about his "marked" or "extreme" limitations in areas like social functioning, communication, and activities of daily living. The SSA has very specific criteria they're looking for in autism cases. Also, start tracking EVERYTHING autism-related financially - copays, gas to appointments, special foods if he has dietary restrictions, weighted blankets, sensory equipment, respite care, etc. These can sometimes be deducted as disability-related expenses. The whole process took us about 8 months with the appeal, but the monthly payment plus automatic Medicaid coverage has been life-changing for accessing services. Don't give up if you get that first denial letter - most autism cases I know of got approved on appeal with better documentation.

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Thank you so much for sharing your successful experience! It's really encouraging to hear from someone who went through the same worries about income and got approved. The "parental allocation" formula explanation is super helpful - I didn't realize they subtract living expenses for other family members first. That makes me feel much more hopeful about our situation. I'm definitely going to start tracking all those autism-related expenses you mentioned. We spend so much on specialized foods, sensory equipment, and gas driving to multiple therapy appointments each week that I never thought to document as potential deductions. Your point about making sure the evaluations use specific language like "marked" and "extreme" limitations is really valuable too - I'll review our recent assessments to see if they need to be more explicit about his functional limitations. Eight months sounds long but totally worth it for the financial support and Medicaid access. Thanks for the encouragement not to give up if we get denied initially!

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I want to add something that hasn't been mentioned yet - timing can be really important with SSI applications for children with autism. If your son is approaching age 18, the eligibility criteria completely changes and they'll evaluate him as an adult rather than using the childhood disability rules. Adult evaluations are often harder to qualify for since they focus more on work capacity rather than developmental milestones. Also, I'd strongly recommend applying even if you're unsure about income eligibility. The worst they can say is no, but if you don't apply, you'll never know if those deeming rules would have worked in your favor. Plus, if your family's financial situation changes in the future (job loss, medical expenses increase, etc.), having an established case file can make reapplying much faster. One practical tip: when you call SSA or visit the office, bring a detailed list of questions written down beforehand. The workers deal with so many cases that having specific questions about deeming calculations, medical documentation requirements, and timeline expectations will help you get clearer answers. Good luck with your application process!

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This is such an important point about timing that I hadn't considered! My son just turned 6, so we have plenty of time before the age 18 transition, but it's good to know about that potential complication for the future. Your advice about applying even if unsure about income eligibility really resonates with me - I keep going back and forth about whether we should even try, but you're absolutely right that we'll never know unless we apply. The tip about bringing written questions is brilliant too. I tend to get overwhelmed during phone calls or appointments and forget half of what I wanted to ask. I'm going to start making a comprehensive list right now of all the specific questions about our situation. Thank you for the practical advice and encouragement!

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wait i'm confused about something - if you're making 65k why do you even care about survivor benefits? thats way more than most of us get from ss and work combined. just curious

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That's a fair question. I'm fortunate to have a good income now, but I'm planning to reduce my hours significantly in the next couple years. I'm trying to make the best long-term decision to maximize benefits throughout retirement, even if I don't need them immediately. Also, my husband worked for 40+ years and paid into the system, so these are benefits he earned that I want to make sure I utilize optimally when the time is right.

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Just wanted to chime in as someone who works in retirement planning - you're absolutely making the right call to wait until FRA. With your current income situation, the earnings test would essentially negate any benefit from claiming early anyway, so you'd be taking a permanent reduction for no real gain. One thing I'd add that others haven't mentioned: when you do switch to your own retirement benefit at 70, make sure you understand that your survivor benefit stops at that point. You can't collect both simultaneously. But given that your own benefit will be higher (especially with the delayed retirement credits), that's still the optimal strategy. Also, keep excellent records of your application dates and any SSA communications. The transition from survivor benefits to retirement benefits can sometimes get messy administratively, and having documentation helps resolve any issues quickly. Your overall strategy sounds very solid - maximize the survivor benefit by waiting for FRA, then maximize your own retirement benefit by waiting until 70. That's textbook optimal planning for someone in your situation.

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I want to thank everyone for the incredibly helpful advice. I've gathered all our documents (birth certificates, marriage certificate, my wife's medical records) and plan to start my application online tomorrow using Chrome as suggested. I'll clearly note my wife's terminal condition in the remarks section and hope it gets flagged for the TERI program. After I get my application submitted, I'll help my wife apply for her benefits and clearly indicate she's applying for both her retirement and spousal benefits. Based on the calculations shared, she should receive around $1,350 total between the two, which will really help with our expenses. I'm also going to check out that Claimyr service since it sounds like I'll need to speak with SSA at some point about the spousal benefits. Being able to avoid long wait times would be a huge relief given my caregiving responsibilities. You've all been so supportive and informative - it's made a stressful situation much more manageable. I'll update on how things go after we submit our applications.

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Best of luck man, hope it all goes smooth for you both

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Glad we could help. The Claimyr service saved me hours of frustration during a similar time. Wishing you and your wife all the best during this difficult time.

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I'm so sorry to hear about your wife's diagnosis. As someone who works with seniors navigating Social Security, I wanted to add a few practical tips that might help: First, when you submit your online application, save a copy of everything before hitting submit. The system can be glitchy and you don't want to lose your work. Also, after submission, you'll get a receipt number - keep that handy as it helps SSA locate your case quickly. For your wife's application, consider doing it as soon as possible after yours is processed. There's no advantage to waiting, and given her condition, getting benefits started sooner rather than later is important. One thing I haven't seen mentioned - if you're caring for her full-time and she qualifies for disability benefits due to her terminal illness, that could potentially change the benefit calculation. Terminal cancer often qualifies for expedited disability processing under their Compassionate Allowances program, which could provide higher monthly payments than regular retirement benefits. You might want to ask about this when you speak with SSA. The disability route could be worth exploring alongside the retirement/spousal benefits path. Sending you both strength during this challenging time.

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This is really valuable information that I hadn't considered. The disability benefits angle through the Compassionate Allowances program sounds like it could potentially provide more financial support than the retirement route. Do you know if she can apply for both disability and retirement benefits simultaneously, or does she need to choose one path? Also, would applying for disability affect my ability to claim spousal benefits on her record later if needed? I want to make sure we're maximizing all available options given our circumstances.

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To summarize what's been discussed and add a bit more clarity: 1. The earliest your husband could receive spousal benefits is age 62, with a reduction (approximately 30-35% less than at his FRA). 2. If he significantly reduces his work or stops completely at 57, this could affect his own future benefit calculation since SSA uses the highest 35 years of earnings. Low-earning or zero years could reduce his personal benefit. 3. The spousal benefit would be up to 50% of your Primary Insurance Amount (your benefit at your FRA), but is reduced if claimed before his FRA. 4. He will always receive the higher of either his own benefit or the spousal benefit, not both. 5. For survivor benefits, he could claim as early as age 60 if you predeceased him, with a reduction. At his FRA, he would receive 100% of your benefit. 6. If your husband is considering reducing work significantly at 57, you might want to evaluate other retirement income sources to bridge the gap until he can claim Social Security benefits.

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Thank you for this clear summary! I think our new plan will need to be a combination of his reduced work (but still some income) at 57 plus our savings to bridge until 62. I appreciate everyone's help sorting through this complicated system.

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One thing to keep in mind is that when you switch from survivor benefits to your own retirement benefits at 70, make sure you understand how this affects the spousal benefit calculation for your husband. The spousal benefit will be based on YOUR Primary Insurance Amount (what you'd get at your FRA), not the higher amount you'll receive by waiting until 70. So even though you're maximizing your own benefit by waiting, your husband's potential spousal benefit won't increase beyond that 50% of your PIA. Also, since you mentioned you both had comparable earnings, definitely run the numbers on his own projected benefit vs. the spousal benefit before making any decisions about him reducing work at 57.

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As someone new to this community but dealing with similar questions, I wanted to share what I've learned from researching this topic extensively. The key thing that helped me understand spousal benefits is that there are really two main scenarios: **Scenario 1: Your own benefit is higher** - You'll receive your own benefit amount - You won't get any additional spousal benefit **Scenario 2: 50% of your husband's benefit is higher than your own** - You'll receive your own benefit PLUS a spousal "top-up" to reach 50% of his benefit - This only happens after he files for his benefits One strategy some couples use is having the lower-earning spouse claim their own reduced benefit at 62, then when the higher-earning spouse files at 67, they automatically get bumped up to the higher spousal amount if it applies. But like others have mentioned, the earnings test and permanent reductions make this tricky. I'd definitely recommend using the calculators on ssa.gov and maybe even getting a professional consultation. The peace of mind is worth it when you're talking about decisions that affect decades of income! Hope this helps clarify things a bit. This stuff is genuinely confusing even for people who research it extensively!

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Welcome to the community! Thank you so much for breaking this down so clearly - this is exactly the kind of explanation I needed. The two scenarios you outlined make perfect sense and really help me understand when spousal benefits would actually kick in. I hadn't fully grasped that it's essentially a "top-up" system rather than getting both benefits separately. Your point about claiming at 62 and then getting bumped up later is interesting - I'll definitely need to run those numbers to see if it makes sense in our situation. Really appreciate you taking the time to share your research!

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As a newcomer here, I just wanted to say how helpful this entire thread has been! I'm in a very similar situation to Kevin - my husband is a few years older and we're trying to navigate the best Social Security strategy. One thing I learned from reading everyone's responses is that timing really is everything with these decisions. It sounds like the key factors are: - Your respective earnings histories and benefit amounts - Whether you need income before your husband files - Your health and life expectancy expectations - Whether you'll still be working I'm definitely going to follow the advice about creating a my.ssa.gov account and potentially consulting with a specialist. The point about this potentially being a difference of tens of thousands of dollars over a lifetime really hit home. Thanks to everyone who shared their experiences and knowledge - it's clear this community is a great resource for navigating these complex government benefits!

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