< Back to Social Security Administration

Kennedy Morrison

Filing Social Security disability for adult son in coma - what happens when/if he recovers?

My 35-year-old son suffered a severe traumatic brain injury in a motorcycle accident two months ago. He's still in a coma and his doctors say recovery will take a minimum of 12-18 months before he might be able to return to work (if at all). I'm completely overwhelmed with his medical care and finances. His disability insurance through work only covers 6 months. I'm thinking about applying for SSDI on his behalf since he clearly can't do it himself. Does anyone know the process for filing as a representative for someone? And I'm worried about what happens if he DOES recover in a year or two - would going on disability now affect his future benefits when he retires? Would there be penalties if he returns to work? I'm trying to plan for every scenario here while dealing with so many unknowns.

Wesley Hallow

•

I'm so sorry about your son. Yes, absolutely file for SSDI right away! The approval process takes months even in clear-cut cases like this. Since your son can't apply himself, you'll need to become his representative. Call SSA at 1-800-772-1213 to start the process of becoming his authorized representative. You'll complete form SSA-1696. As for his future benefits - SSDI won't negatively impact his retirement benefits. If he recovers enough to work again, SSA has work incentive programs that allow beneficiaries to test their ability to work without immediately losing benefits. Look up the Trial Work Period (TWP) and Extended Period of Eligibility (EPE).

0 coins

Thank you for the information. I had no idea about the Trial Work Period. That relieves some anxiety about what happens if he does recover. Do you know approximately how long the approval process takes? His savings won't last forever.

0 coins

Justin Chang

•

I'm in almost the EXACT same situation with my daughter (31) who had a brain aneurysm last year. It took FOREVER to get through to anyone at Social Security!!! I called that 800 number for WEEKS and either got disconnected or was on hold for 2+ hours!!! Their offices are still appointment only in my area. The stress on top of dealing with her medical situation was UNBEARABLE!!!

0 coins

Grace Thomas

•

I had the same nightmare trying to reach someone about my husband's disability claim. Tried for 3 weeks straight! Finally found this service called Claimyr that got me through to a real SSA agent in 20 minutes. They bypass the hold system somehow. Saved my sanity. Check out their demo at https://youtu.be/Z-BRbJw3puU or just go to claimyr.com. Worth every penny when you're dealing with something this stressful.

0 coins

my brother had same thing happen. been on ssdi 4 years. when he got better and started working again they have this thing called trial work period where u can work 9 months (dont have to be in a row) and still get payments. after that theres like a 3 year period where if u cant work again u can get benefits again without reapplying. its actually pretty flexable.

0 coins

Dylan Baskin

•

I want to clarify something important here. The Trial Work Period (TWP) is indeed 9 months where you can earn any amount and still receive SSDI. But after that comes the Extended Period of Eligibility (EPE) which lasts 36 months. During the EPE, you'll stop receiving benefits in any month where you earn over Substantial Gainful Activity (SGA) level - which is $1,550/month in 2025 for non-blind individuals. It's not that you automatically get 3 more years of payments.

0 coins

Lauren Wood

•

Sorry to hear about your son. This happened to my cousin's wife last year and they had all kinds of problems with the disability application. The thing no one tells you is that they will deny almost EVERYONE the first time! It's like their policy or something. Be prepared to appeal!

0 coins

Ellie Lopez

•

This is a common misconception. While SSDI does have a high initial denial rate (around 65-70%), clear-cut cases like the OP's son often do get approved on the first application. A medically-documented coma and severe TBI with hospitalization records will likely qualify under SSA's Compassionate Allowance program, which expedites certain severe medical conditions. Not all cases require appeals.

0 coins

doesnt he need work credits to qualify for disability? if hes 35 he probably has enough but thats important

0 coins

Wesley Hallow

•

Yes, excellent point. To qualify for SSDI, he needs 20 work credits, with at least 5 earned in the last 10 years. At age 35, if he's been working regularly since his early 20s, he should have sufficient credits. The OP mentioned he had disability insurance through work, so he was employed and likely meeting these requirements. If for some reason he doesn't have enough work credits, he might still qualify for SSI instead, which is needs-based.

0 coins

Dylan Baskin

•

To address your question about checking work credits: You can help your son create/access his my Social Security account at ssa.gov where you can see his earnings record and approximate benefits. As his representative, you should be able to access this information. Regarding SSDI vs. SSI: - SSDI (Social Security Disability Insurance) is based on work history and FICA tax contributions. Benefits are typically higher. - SSI (Supplemental Security Income) is needs-based with strict income and resource limits ($2,000 in assets for individuals in 2025). Benefit amounts are lower. With your son's work history, SSDI is the program you want to pursue. Also important to know: Medicare eligibility begins 24 months after SSDI entitlement, which could be important for his long-term care.

0 coins

That's really helpful information, especially about the Medicare after 24 months. His employer health insurance will only continue for 12 months while he's on their disability plan, so I was worried about that gap. I'll definitely create that online account to check his work credits.

0 coins

Justin Chang

•

Don't forget to apply for Medicare too!!! My son got approved for SSDI but I DIDN'T KNOW I needed to separately enroll him in Medicare after 2 years and we MISSED important enrollment period!!! Now we have to wait and pay penalties. The system is DESIGNED to confuse people!!!

0 coins

Ellie Lopez

•

Medicare enrollment is actually automatic for SSDI recipients after the 24-month waiting period. You'll receive Medicare information and a card about 3 months before coverage begins. However, you do need to actively enroll in Part B if you initially declined it, and that's where penalties can occur. Part A (hospital insurance) has no premium for most people, but Part B (medical insurance) does have a monthly premium that would be deducted from the SSDI payment.

0 coins

Lauren Wood

•

So sorry about your son! My brother was in a similar situation after a stroke but I just wanted to say don't worry about hurting his retirement in the long run. When disability converts to retirement at full retirement age, they use a special calculation to make sure the years on disability don't count against your lifetime earnings average (they call it a "disability freeze"). So those zero income years while he's recovering won't drag down his retirement amount later.

0 coins

That's a huge relief to hear about the "disability freeze" - that was one of my biggest concerns. He's only 35 so retirement is far off, but I was worried those potential years of lost income would permanently reduce what he can get later in life.

0 coins

Wesley Hallow

•

One more important point: gather as much medical documentation as possible before applying. Get detailed statements from his neurologists about prognosis and expected recovery timeline. The more medical evidence you have upfront, the smoother the process. Also, get a letter from his employer confirming his last day worked and any workplace disability coverage details. You mentioned his workplace disability only covers 6 months - be aware there's a 5-month waiting period for SSDI benefits to begin after the onset date. So apply immediately to minimize any gap between his workplace coverage ending and SSDI beginning.

0 coins

I didn't know about the 5-month waiting period - that's really important. His workplace disability started right after the accident in January, so it would run out in June. I'll start gathering all his medical records right away. Thank you so much for this advice.

0 coins

CosmosCaptain

•

I'm so sorry to hear about your son's accident. As someone who went through the SSDI application process for my disabled spouse, I want to emphasize a few key points that haven't been fully covered: 1. **Apply immediately** - Don't wait for his workplace disability to run out. The application process can take 3-6 months even for clear cases, and there's that 5-month waiting period before benefits begin. 2. **Representative payee vs. authorized representative** - Since your son is incapacitated, you'll likely need to become his representative payee (not just authorized representative). This gives you legal authority to manage his benefits if approved. 3. **Document everything** - Keep detailed records of all medical appointments, treatments, and communications with doctors. This will be crucial if you need to appeal or provide additional evidence. 4. **Consider contacting a disability attorney** - Many work on contingency (no upfront fees) and can help navigate the system, especially for complex cases involving brain injuries where recovery timelines are uncertain. The good news is that severe TBI cases like your son's often qualify under the Compassionate Allowance program, which can significantly speed up the approval process. Wishing you and your son the best during this difficult time.

0 coins

Royal_GM_Mark

•

Thank you so much for this comprehensive information. The distinction between representative payee and authorized representative is really important - I hadn't realized there was a difference. Given that my son is in a coma, representative payee does sound like what I need. I'm definitely going to look into contacting a disability attorney. With everything else I'm managing right now, having professional help navigate this system would be worth it. Do you know if there are attorneys who specialize specifically in brain injury cases? I imagine the medical complexities might require someone with that specific experience. The Compassionate Allowance program gives me some hope that this might move faster than the horror stories I've been hearing about years-long waits. Every bit of information helps right now when I feel so overwhelmed by all of this.

0 coins

Noland Curtis

•

I'm so sorry to hear about your son's accident - this must be an incredibly difficult time for your family. As someone who works in disability advocacy, I want to add a few practical tips to the excellent advice already given: **Timing is critical** - File the application now, even while he's still in a coma. The "established onset date" will be the date of his accident, so you're not losing any time by applying early. **Medical documentation strategy** - Request a comprehensive medical summary from his treating neurologist that specifically addresses his functional limitations and prognosis. SSA needs to understand not just his diagnosis, but how it affects his ability to work. Brain injury cases can be complex because recovery varies so much. **Financial planning** - If approved, SSDI benefits are retroactive to 5 months after the established onset date. So if his accident was in January, benefits would start in June, but he'd receive back pay for those months when the claim is approved. **State resources** - Contact your state's disability determination services office - they often have expedited processing for cases involving coma/severe brain injury. Also check if your state has a Protection & Advocacy organization that provides free assistance with disability claims. The uncertainty about his recovery is heartbreaking, but the work incentive programs really do provide flexibility if he's able to return to work eventually. You're being a great advocate for him during this crisis.

0 coins

Social Security Administration AI

Expert Assistant
Secure

Powered by Claimyr AI

T
I
+
20,095 users helped today