Social Security disability options for terminal cancer patient before retirement age - urgent Medicaid question
My sister-in-law just got diagnosed with advanced lung cancer and it's progressing fast. She's still working but doctors say not for much longer. She'll be turning 65 in March 2025, but needs help NOW. Her medical bills are already piling up and she has zero savings to fall back on. Can she qualify for early Social Security benefits because of her diagnosis? And how does she get Medicaid coverage before Medicare kicks in? I've heard about SSDI but don't know if that's faster in terminal cases or if there's a special process. Any advice would be so appreciated - we're all scared and confused about how to help her.
22 comments
Freya Pedersen
I'm so sorry your family is going through this. Your SIL should immediately apply for SSDI (Social Security Disability Insurance). With a terminal cancer diagnosis, she would likely qualify for what's called a "Compassionate Allowance" which fast-tracks disability claims for certain serious medical conditions. Lung cancer that's advanced enough to prevent working typically qualifies. Here's what she should do: 1. Apply for SSDI online or call SSA directly 2. Make sure her medical records clearly document the severity and progression of her cancer 3. Have her doctor write a letter stating she cannot work due to her condition 4. Specifically mention "Compassionate Allowance" in her application For Medicaid, she'll need to apply through her state's Medicaid office, as requirements vary by state. Once approved for SSDI, she'll qualify for Medicare after 24 months, but given her situation, Medicaid is crucial for immediate coverage.
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Ravi Gupta
•Thank you SO much for this information. I had no idea about the Compassionate Allowance program! That sounds exactly like what she needs. Do you know how long the fast-track process typically takes compared to regular disability applications? And should she quit her job before applying, or can she apply while still trying to work? She's really struggling but afraid to leave her job before having any benefits in place.
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Omar Hassan
My mom went thru this EXACT thing with pancreatic cancer!!! The compassionate allowance thing is real but even with that it took almost 3 months for approval. Tell her NOT to quit her job yet!!! She should keep working as long as she possibly can because the bills won't stop and SS takes time. Also the first check doesn't come right away even after approval. It's all so stressful I know.
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Ravi Gupta
•3 months sounds like forever in her situation, but I guess it's better than the year+ I've heard disability can take. I'm so sorry about your mom. Did she end up getting both SSDI and Medicaid? Was there anything you wish you'd done differently in the process that could help us?
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Chloe Anderson
your sil needs to apply for SSI not SSDI if she don't have enough work credits. SSI is for people with no assets and SSDI is if you worked enough. both are though social security but different programs. a lot of people get them confused.
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Freya Pedersen
•Actually, if she's been working consistently, she likely has enough credits for SSDI. You need 40 credits total (about 10 years of work) with 20 earned in the last 10 years. SSDI also typically provides higher payments than SSI. But you're right that if she doesn't qualify for SSDI, SSI would be an alternative option for someone with limited resources.
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Diego Vargas
I had lung cancer 3 years ago and got approved for disability within 6 weeks through the Compassionate Allowance program. The key is having your oncologist fully document everything and be willing to complete the functional assessment forms ASAP. Make sure your sister-in-law explicitly tells SSA she has terminal cancer when applying - don't assume they'll figure it out from medical records. For Medicaid, she should apply IMMEDIATELY at her state agency. Many states have special provisions for people with terminal illness. In my case, I qualified for a Medicaid spend-down program even though my SSDI amount was technically over the limit. Also, many hospitals have financial assistance programs specifically for cancer patients. Have her ask to speak with an oncology social worker at her treatment center - they know all the resources.
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Ravi Gupta
•6 weeks would be amazing. Thank you for mentioning the oncology social worker - we hadn't thought of that! Did you apply online or in person for the disability? And did you have any issues with the 5-month waiting period I've been reading about? Some websites say you don't get paid for the first 5 months after disability approval.
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CosmicCruiser
So sorry about your SIL! My cousin had stage 4 cancer and got both SS disability AND medicaid but it was NOT quick or easy!!! The system is so broken even for dying people!! She had to get our congressman involved after getting denied the first time even with all her medical records. Don't give up if they deny her the first time!!!!!
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Ravi Gupta
•That's so frustrating and exactly what I'm worried about. We don't have time for denials and appeals. Was your cousin still able to work at all during this process? My SIL might be able to work part-time but I've read that could disqualify her.
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Anastasia Fedorov
A few months ago, I was trying to reach Social Security for my mom who had a similar urgent situation. After days of busy signals and disconnected calls, I found this service called Claimyr that got me through to a real SSA agent in about 20 minutes. They basically call SSA for you and when they reach an agent, they connect you. Saved us weeks of frustration. Their website is claimyr.com and they have a video showing how it works: https://youtu.be/Z-BRbJw3puU In situations like your SIL's, talking directly to an agent is much better than trying to figure everything out online. They can tag her application as a Compassionate Allowance case right from the start and make sure it gets fast-tracked properly.
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Sean Doyle
•does that really work? ive been trying to get through to SSA for 2 weeks about my own disability case
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Anastasia Fedorov
•Yes, it actually does. I was skeptical too, but my mom's situation was desperate so I tried it. Got through to an agent who was able to expedite her case, and it saved us from waiting who knows how long trying to get through the normal way. For something time-sensitive like terminal cancer, I'd definitely recommend it.
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Freya Pedersen
To answer your questions about timing and working: 1. Even with Compassionate Allowance, there is normally a 5-month waiting period before SSDI payments begin. However, in terminal cases, they sometimes expedite this. 2. She can apply while still working, but she can't earn more than what Social Security calls "Substantial Gainful Activity" (SGA) - currently about $1,550/month. If she's earning more than that, she should either reduce hours or stop working before applying. 3. For Medicaid, most states have emergency provisions for people with catastrophic or terminal illnesses. The hospital where she's being treated likely has patient advocates who can help with expedited applications. And yes, definitely connect with an oncology social worker as someone suggested. They're experts in navigating these exact situations and can often pull strings that family members can't.
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Ravi Gupta
•Thank you for these specific details. I just looked up her salary and she's making about $2,800/month right now, so sounds like she would need to reduce hours before applying. The 5-month waiting period is really concerning with how quickly her health is declining. Is there any way around that for terminal cases?
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Diego Vargas
Regarding the 5-month waiting period - unfortunately it's required by law for SSDI, even for terminal cases. However, there are two important exceptions: 1. If she has ALS (Lou Gehrig's disease), the waiting period is waived 2. Once she's been eligible for SSDI for 24 months, Medicare automatically begins For her immediate situation, this is why Medicaid is so crucial. And to answer your earlier question, I applied online but immediately followed up with calls to the SSA. With her earning $2,800/month, she's definitely above SGA limits. She has three options: 1. Reduce hours to earn under $1,550/month and apply for partial SSDI 2. Use sick leave/medical leave to reduce income while maintaining employment 3. If her doctor confirms she cannot work, stop working and apply immediately Option 2 might be best as she could potentially keep employer insurance longer while getting the SSDI process started.
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Ravi Gupta
•This is extremely helpful. She does have some sick leave available, so maybe that's the way to go. Her employer insurance isn't great but it's better than nothing while we wait for Medicaid. I'm going to call her state's Medicaid office tomorrow to see what emergency provisions they might have. Thank you so much for taking the time to share your experience and knowledge - it's truly making a difference for us right now.
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Sean Doyle
everyone's talking bout SSDI but what about retirement? since shes almost 65 couldn't she just take early SS retirement? my neighbor did that at 62
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Freya Pedersen
•That's actually a good point. At 64, she could apply for early retirement benefits rather than disability. However, there are important differences to consider: 1. Early retirement would be permanently reduced (about 6.7% reduction for claiming 1 year early) 2. SSDI would convert to full retirement benefits at her Full Retirement Age (66 or 67 depending on birth year) 3. SSDI approval through Compassionate Allowance might be faster than retirement processing 4. Medicare eligibility comes with SSDI after 24 months, but not until age 65 with early retirement Given her situation, applying for both simultaneously might make sense. If early retirement processes faster, she could start receiving those benefits, then switch to SSDI if approved (which would be the higher amount).
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Ravi Gupta
Just wanted to update everyone who's been so helpful. I talked to my SIL yesterday about all this. We're going to help her apply for both SSDI through the Compassionate Allowance program AND Medicaid through her state's emergency provision. She's also going to talk to HR about using sick leave/FMLA to stay technically employed while reducing her hours below the SGA limit. The oncology social worker at her hospital has been AMAZING - connected us with a patient advocate who's helping navigate everything. They also told us about special cancer assistance programs that might help with costs while we're waiting for government benefits to kick in. I'm still terrified about the timing of everything, but at least now we have a plan. Thank you all so much for sharing your experiences and knowledge. It's made such a difference knowing what to ask for and where to start.
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Anastasia Fedorov
•So glad to hear you're getting help from the oncology social worker! They really are amazing resources. If you run into any walls with SSA communication during this process, remember the service I mentioned. When dealing with something this time-sensitive, being able to actually speak with someone at Social Security can make a huge difference in how quickly things move forward. Wishing your SIL all the best during this difficult time.
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Omar Hassan
•so glad u have a plan now!! the waiting is still gonna be hard but at least ur moving forward. sending prayers for ur SIL 🙏
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