Disability Benefits And Coverage
Summary
Short-term disability typically covers around 60% of salary and doesnt need to be work-related. It lasts for a specified period, often up to a year. Long-term disability requires medical documentation and follows after short-term benefits. Since you work in New York, your benefits align with New Yorks policies, and New Jerseys Temporary Disability Insurance might not apply. Confirm specifics with your employers policy and consult United Healthcare for treatment coverage. Consider legal advice for navigating disability claims and rights.Full Conversation
Client is in her late *’s, in server pain daily - still working but barley getting through day to day. Also has severe pain in mid/lower back and legs (only told her doctor of the neck/shoulder thus far as it was the most painful/needed urgent attention). *. Her short term disability she’s opted in for years through her employer - how does this work and how long is this/what is the payout (if up to *% what constitutes this). She needs to attend to her health immediately and understand her options short term and long term, and her rights (as well if she can pay her mortgage) as she needs to get extensive treatment and must begin the process of the other areas of issue (and subsequent testing, specialists ect…). *. She is employed in New York but lives in New Jersey - how does this affect short term disability (through employer) and then if deemed by doctors after treatment and all testing - long term disability?
Navigating short-term and long-term disability can indeed be complex, especially when you're dealing with health issues. Here are some general points to consider:
- Short-Term Disability (STD): Typically replaces a portion of your income, usually around *%, depending on your employer's policy. Check your specific policy for details on duration and percentage.
- Location Impact: Since you work in New York, your employer may offer New York's statutory disability benefits. New Jersey has its own Temporary Disability Insurance (TDI) which might not apply if your employer is in NY.
- Long-Term Disability (LTD): Often kicks in after STD benefits end. Requires medical documentation confirming inability to work over a longer period.
- Insurance: Contact United Healthcare for coverage details on treatments and full body scans.
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*. She’s not sure if it matters for the short term disability (and if deemed necessary by doctors long term disability) if it is relevant or that is must be work related? She is a director of operations for an office - *-* workdays sitting at a desk (demanding desk job, no “in the field” or walking to/from needed) for over a decade with the same company. Surely desk work contributes to her issues (neck, shoulders, back, spine). *. Considering she needs the immediate treatment plan discussed followed by the multiple other medical testing needed that will be *-12 months if not more, assume that the client is advised and deemed eligible for long term disability after her short term leave of up to a year (specify and expand on this please). Please provide and in depth roadmap and plan for the client explaining and outlining
It sounds like there's a lot to consider regarding short-term and long-term disability. Here’s a general roadmap:
- Short-Term Disability (STD):
- Typically covers around *% of your salary.
- It's not necessary for it to be work-related.
- Lasts for a specified period, often up to a year.
- Confirm specifics with your employer's policy.
- Long-Term Disability (LTD):
- Requires extensive medical documentation.
- Usually follows after STD benefits.
- Covers long-term inability to work due to health issues.
- Location Impact:
- Since you work in NY, your benefits align with NY's policies.
- NJ TDI might not apply if your employer is NY-based.
- Action Plan:
- Check your employer's disability policy for specifics on coverage.
- Consult with United Healthcare regarding treatment coverage.
- Consider legal advice for navigating disability claims and rights.
Would you like help connecting with a local lawyer to guide further on this?