Depending on the monthly budget, it's important to look at expenses after going out on LTD. If you have a family and the spouse doesn't work, the medical insurance costs can reduce your monthly income significantly.
A real time example is as follows:
Spouse is Captain - other spouse stays at home with three children - Frontier insurance coverage is as comprehensive as possible.
Frontier's monthly insurance bill after expiration of FMLA: 2300 bucks.
This leaves the monthly income to the family at 2700 bucks.
The above is from the old contract, but plug in the new numbers and contemplate the outcome.
I believe it's time to research and engineer a supplemental LTD which is not subject to offset by the provided LTD policy (and vice versa).
Sooner would be better than later.
By ALPA stats, 20% of pilots will lose their medical for a period of time in their careers.