SSDI Appeals Guide

SSDI vs. Long-Term Disability Insurance

Updated April 2026 · 5 min read

If you have long-term disability (LTD) insurance through your employer or a private policy, you may be eligible for both LTD and SSDI. They work together, but there are important differences.

Quick Comparison

SSDI

Source: Federal government

Eligibility: Work credits + disability

Benefit: Based on earnings history

Duration: Until full retirement age

Health insurance: Medicare (after 24 months)

LTD

Source: Employer or private policy

Eligibility: Policy terms + disability

Benefit: 50-70% of pre-disability salary

Duration: Per policy (2 years to retirement)

Health insurance: Varies by policy

The Offset Rule

Most LTD policies require you to apply for SSDI and include an offset provision. If you're approved for SSDI, your LTD benefit is reduced by the SSDI amount.

Example: Your LTD pays $3,000/month. You're approved for SSDI at $1,800/month.

• LTD reduces by $1,800 → LTD now pays $1,200

• Your total: $1,800 (SSDI) + $1,200 (LTD) = $3,000 (same total)

Why You Should Apply for Both

  • LTD is faster. Most LTD claims are decided in weeks, not years. You get income while waiting for SSDI.
  • LTD requires SSDI application. Most policies require you to pursue SSDI. If you don't, they can cut off your LTD benefits.
  • SSDI provides Medicare. After 24 months on SSDI, you get Medicare — something LTD doesn't provide.
  • SSDI lasts longer. LTD policies often max out at 2-5 years or age 65. SSDI continues until full retirement age.
  • SSDI back pay. When your SSDI is approved, you'll receive back pay — and your LTD carrier may want reimbursement for the months they paid you the full amount.

Important: LTD Reimbursement

If your LTD policy paid you while your SSDI claim was pending, the LTD insurer may be entitled to reimbursement from your SSDI back pay. This is called a "lien" or "overpayment." Your attorney can often negotiate this amount down.

Have Questions About SSDI and LTD?

A disability attorney can coordinate both claims to maximize your total benefits.

Talk to a Disability Attorney — Free