A new diagnosis or disability
What to do first
- Make sure you have health coverage. Apply for Medicaid if money is tight.
- If you cannot work, apply for Social Security disability benefits soon. A decision can take months.
- Ask your job about leave and changes that help you keep working.
- Ask your state's vocational rehabilitation office about help getting back to work.
Talk it through
Tell us more about what happened. We answer first, then show the programs that fit, then ask a few questions to narrow it down.
Dates that matter
These windows are set by federal rules. Your state may have its own dates too, so ask the agency.
5 full months
Social Security disability (SSDI)
SSDI payments start after you have been disabled for five full months, so apply as soon as you can. People with ALS do not have to wait.
Source: SSA.gov24 months
Medicare with SSDI
People who get SSDI get Medicare on their own after 24 months of disability benefits. People with ALS get it as soon as their benefits start.
Source: SSA.gov
Help from North Dakota
North Dakota programs that fit what happened. Each agency decides who qualifies.
North Dakota Health and Human Services
North Dakota Medicaid
Medicaid helps eligible North Dakota residents pay for health care.
Ways to apply:OnlinePaperIn person
North Dakota Insurance Department
Health Insurance Marketplace
North Dakota residents use the federal HealthCare.gov marketplace to enroll in individual health insurance coverage.
Ways to apply:OnlinePhone
North Dakota Health and Human Services
Vocational Rehabilitation
Vocational Rehabilitation helps people with disabilities prepare for, find or keep employment.
Ways to apply:OnlinePhone
North Dakota Health and Human Services
Developmental Disabilities Services
Developmental Disabilities Services helps people with developmental disabilities and their families access community supports.
Ways to apply:PhonePaperIn person
North Dakota Health and Human Services
Behavioral Health Services
Behavioral Health Services connects residents with mental health and substance use services and resources.
Ways to apply:Phone
North Dakota Health and Human Services
Supplemental Nutrition Assistance Program
SNAP helps eligible households buy food each month.
Ways to apply:OnlinePaperIn person
Checked on October 8, 2026
Federal help
These work the same in every state. Each agency decides who qualifies.
DOL.gov
Unpaid leave that protects your job
The Family and Medical Leave Act lets many workers take up to 12 weeks of unpaid leave in a year and keep their job. Reasons include a new baby, your own serious health condition, and caring for a spouse, child or parent who is seriously ill.
Social Security Administration
Social Security Disability Insurance (SSDI)
Monthly payments for people who worked and paid Social Security taxes and now cannot work because of a disability that will last a long time.
Apply online at SSA.gov or call Social Security. Have your medical records and work history ready.
Social Security Administration
Supplemental Security Income (SSI)
Monthly payments for people with little income and few resources who are 65 or older, blind, or have a disability, including children.
Apply online at SSA.gov or call Social Security to make an appointment. Bring proof of age, income and any medical records.
Centers for Medicare & Medicaid Services
Medicare
Health insurance for people 65 or older and for some younger people with a disability or kidney failure.
Most people sign up through Social Security, online at SSA.gov or by phone. Medicare.gov compares plans.
Centers for Medicare & Medicaid Services
HealthCare.gov
The federal marketplace for health insurance plans. Many people can get lower monthly costs based on their income.
Apply online at HealthCare.gov or by phone during open enrollment, or after a big change like losing other coverage.
Checked on October 9, 2026
Help near you
Find county and state offices near you, or call 211 to talk to someone about help in your area.
Talk to a person
- FirstLink 211
Free help finding food, housing, bills and more near you.
Call 211 - 988 Suicide and Crisis Lifeline
Call or text 988 if you are in crisis or worried about someone. Any time.
Call 988Text 988