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Short-Term vs Long-Term Disability Insurance: Which Do You Need?

Compare short-term and long-term disability insurance. Learn coverage periods, benefit amounts, waiting periods, and how to protect your income.

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Short-Term vs Long-Term Disability Insurance: Complete Guide

Disability insurance protects your income if you can’t work due to illness or injury. Understanding the difference between short-term and long-term coverage helps you build proper protection.

Quick Comparison

FeatureShort-Term DisabilityLong-Term Disability
Coverage Period3-6 monthsYears to retirement
Waiting Period0-14 days30-180 days
Benefit Amount60-70% of income50-70% of income
Common SourceEmployer benefitEmployer or individual
Monthly Cost$25-50$50-200
Best ForTemporary conditionsSerious, lasting disabilities

What Is Short-Term Disability Insurance?

Short-term disability (STD) provides income replacement for temporary disabilities that prevent you from working for a limited period.

Key Features

  • Waiting Period: 0-14 days before benefits start
  • Benefit Period: Typically 3-6 months (some up to 1 year)
  • Benefit Amount: Usually 60-70% of base salary
  • Common Causes: Surgery recovery, pregnancy, injuries, short illnesses

What Short-Term Disability Covers

  • Recovery from surgery
  • Pregnancy and childbirth
  • Temporary injuries (broken bones, sprains)
  • Short-term illnesses
  • Mental health conditions requiring time off

Limitations

  • Coverage ends after benefit period (usually 6 months)
  • May not cover all conditions
  • Pre-existing condition exclusions
  • Often tied to employer (lose it if you leave)

What Is Long-Term Disability Insurance?

Long-term disability (LTD) provides income replacement for extended disabilities that prevent you from working for months, years, or permanently.

Key Features

  • Waiting Period: 30-180 days (elimination period)
  • Benefit Period: 2 years, 5 years, to age 65, or lifetime
  • Benefit Amount: Usually 50-70% of income
  • Common Causes: Cancer, heart disease, chronic conditions, serious injuries

What Long-Term Disability Covers

  • Cancer treatment and recovery
  • Heart disease and stroke
  • Chronic back problems
  • Neurological conditions
  • Serious mental health conditions
  • Injuries requiring extended recovery

Policy Definitions

Own Occupation: You’re disabled if you can’t perform YOUR specific job. More favorable.

Any Occupation: You’re disabled only if you can’t perform ANY job suited to your education and experience. More restrictive.

Transition policies: Own occupation for first 2 years, then any occupation.

Cost Comparison

Short-Term Disability Costs

FactorTypical Range
Monthly Premium$25-50
Benefit Amount60-70% of salary
Waiting Period0-14 days
Often ProvidedBy employer (free or subsidized)

Long-Term Disability Costs

FactorTypical Range
Monthly Premium1-3% of annual salary
Benefit Amount50-70% of salary
Waiting Period30-180 days
For $5,000/month benefit$50-150/month

Example: A $60,000/year salary might cost:

  • Short-term: $30-40/month
  • Long-term: $50-150/month

How They Work Together

Short-term and long-term disability complement each other:

1Day 1-14:    [Waiting Period - Use sick leave/savings]
2Day 15-180:  [Short-Term Disability Benefits]
3Day 90+:     [Long-Term Disability Begins (if 90-day elimination period)]

The ideal setup:

  1. Use sick leave for the first few days
  2. Short-term disability kicks in after waiting period
  3. Long-term disability begins when short-term ends

When You Need Each Type

You Need Short-Term Disability If:

  • Your employer doesn’t provide adequate sick leave
  • You have limited savings for emergencies
  • You’re planning a pregnancy
  • You work in a physically demanding job
  • You want coverage for minor surgeries/injuries

You Need Long-Term Disability If:

  • You rely on your income (most people)
  • You don’t have 6+ months of expenses saved
  • You’re the primary earner for your family
  • Your employer doesn’t provide it
  • You want protection until retirement

You Need Both If:

  • You want comprehensive income protection
  • You have dependents relying on your income
  • You can’t afford any gap in coverage
  • Your long-term policy has a long elimination period

Employer vs Individual Policies

Employer-Provided Coverage

Pros:

  • Often free or heavily subsidized
  • No medical underwriting
  • Easy to enroll

Cons:

  • Lose it when you leave the job
  • Benefits may be taxable
  • Limited customization
  • May not be enough coverage

Individual Coverage

Pros:

  • Portable (keep it when you change jobs)
  • Benefits are tax-free (if you pay premiums)
  • Customize to your needs
  • More policy options

Cons:

  • More expensive
  • Requires medical underwriting
  • Must shop and compare yourself

Making Your Decision

  1. Check employer benefits first - Many employers provide short-term coverage
  2. Calculate your coverage gap - How long could you survive without income?
  3. Prioritize long-term if choosing one - Extended disabilities are more financially devastating
  4. Consider individual supplemental coverage - Even with employer benefits, you may need more
  5. Match waiting periods - Align STD end with LTD start

Tools

Data Sources

Disability insurance information in this guide comes from industry reports and insurer rate filings. Learn more about our data collection methods on our Methodology page.

Frequently Asked Questions

What is the difference between short-term and long-term disability insurance?
Short-term disability covers temporary disabilities for weeks to months (typically 3-6 months), with benefits starting quickly. Long-term disability covers extended disabilities for years or until retirement, but has longer waiting periods before benefits begin.
Do I need both short-term and long-term disability insurance?
Ideally, yes. Short-term covers the gap while waiting for long-term benefits to start. If you can only afford one, long-term is usually more important since extended disabilities pose greater financial risk.
How much of my income does disability insurance replace?
Short-term typically replaces 60-70% of income. Long-term usually replaces 50-70%. Combined coverage shouldn’t exceed 80-85% of pre-disability income to maintain incentive to return to work.
Does disability insurance cover pre-existing conditions?
Most policies have exclusion periods (6-24 months) for pre-existing conditions. After the exclusion period, pre-existing conditions may be covered. Some policies exclude certain conditions permanently.
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