-
8/9/2019 Pacific Clinics Benefits Advocacy Certification Course
Introduction
1/14
PACIFIC CLINICS
BENEFITS PRESENTATION
MICHAEL J. VAN ESSEN
Pacific Clinics
Westminster, CA
February 10, 2010
-
8/9/2019 Pacific Clinics Benefits Advocacy Certification Course
Introduction
2/14
These programs are complicated,
difficult to access and manage.
Finding an experienced Benefits
Advocate to help you navigate the
system is essential.
-
8/9/2019 Pacific Clinics Benefits Advocacy Certification Course
Introduction
3/14
Forging a chain of supports
link by link -- will ensure an
uninterrupted stream of income
as well as comprehensive health
care coverage.
-
8/9/2019 Pacific Clinics Benefits Advocacy Certification Course
Introduction
4/14
Those who are ill and in needshould have all the knowledge
necessary to make well-
informed decisions about
medical and financial Public
Benefits Programs.
-
8/9/2019 Pacific Clinics Benefits Advocacy Certification Course
Introduction
5/14
Understanding these programs
and how they work in concert
with one anotherwill provide
the disabled with the security
and reliability required to
maintain at minimum -- a
reasonable quality of life.
-
8/9/2019 Pacific Clinics Benefits Advocacy Certification Course
Introduction
6/14
DISABILITY
=INABILITY
DOES?
-
8/9/2019 Pacific Clinics Benefits Advocacy Certification Course
Introduction
7/14
There is no single definition ofdisability that is utilized by
allFederal, State and Regional
Disability Benefit Programs
THE
BASICS
CALIFORNIAS STATE DISABILITY INSURANCE:
The state of Californias State Disability Programusually
requires only a statement from any one
of a variety of health care providers.
SOCIAL SECURITY DISABILITY:
Social Securitys Supplemental Security Income(SSI) and Social
Security Disability Insurance(SSDI) Requires an individual must be
unable toperform "substantial gainful activity for no
less than one year.
1
2
-
8/9/2019 Pacific Clinics Benefits Advocacy Certification Course
Introduction
8/14
Diagnosis vs. Functional Limitation
Medically determinable marked orsevere Functional Limitations
prohibitingan ability to sustain uninterruptedemployment for an
indefinite period oftime are necessary to determine a
disability.
THEBASICS
-
8/9/2019 Pacific Clinics Benefits Advocacy Certification Course
Introduction
9/14
Diagnosis: Fractured Arm
Functional An inability to workdue to illness
Limitation: is a functional limitation
I work worked on a loading dock. I hurt my arm in
a motorcycle accident. I cant lift more than ten 10
lbs. Functional Limitation.
THEBASICS
-
8/9/2019 Pacific Clinics Benefits Advocacy Certification Course
Introduction
10/14
WHAT IS ADISABILITY?
-
8/9/2019 Pacific Clinics Benefits Advocacy Certification Course
Introduction
11/14
DISABILITY &
EMPLOYMENT
THE
BASICS
A disability is an inability to obtain
employment due to a physical and ormental illness, injury
and/orcondition.
A disability is an inability toconsistently sustain
gainfulemployment over an indefinite periodof time because of an
illness, injuryand/or condition.
1
2
-
8/9/2019 Pacific Clinics Benefits Advocacy Certification Course
Introduction
12/14
These are often visible conditions requiringassistive
technology, service animals, etc.
Visual impairmentImmobility
Inability to stand
Inability to control movement
Developmental delay
TRADITIONAL
orVISIBLE
DISABILITIES
-
8/9/2019 Pacific Clinics Benefits Advocacy Certification Course
Introduction
13/14
These are sometimes referred to as invisible
disabilities caused by conditions that manifesttheir symptoms
unpredictably.
SOME EXAMPLES:
Bipolar Disorder, Schizophrenia
Epilepsy, MS
Lupus , HIV/AIDS
EPISODIC
orCHRONIC
DISABILITIES
-
8/9/2019 Pacific Clinics Benefits Advocacy Certification Course
Introduction
14/14
A disability is not only an illness, injury ordiagnosis but more
likely a combination ofany of the above.
The approval of a disability claim requiresthe diagnosis(es) as
well as the symptomsand the resulting functional limitations
thatprohibit sustained employment for anindefinite period of
time.
SUMMARY
