Social Security Disability provides monthly funds for disabled individuals to support themselves financially. Supplemental Security Income helps individuals who have never worked and have a disability. Social Security Disability Insurance helps individuals who worked previously but developed a disability that prevents them from working any longer. With the claims, the individual must show proof of why they cannot work and support themselves. All claimants must file an application through the Social Security Administration to get a claim started. They cannot sue the SSA unless they were denied disability benefits, and they have an eligible disability that qualifies them for benefits.
Documentation Showing a Denial of Benefits
After a claimant is denied disability benefits, they receive a letter from the Social Security Administration explaining exactly why they were denied. If the agency needed more information about the claimant’s condition, the agency sends a letter to collect these details. If the claimant fails to provide the information, the SSA could deny the claim. However, the SSA must follow all guidelines for evaluating these claims, including getting information through doctor’s appointments with their doctors. The claimant must provide all their medical records for their condition when applying for Supplemental Security Income or Social Security Disability Insurance. If the claimant was denied Social Security Disability benefits, they can start looking at Jacoby & Meyers for help now.
What is an Eligible Condition?
An eligible condition must be either physical or mental, and it must prevent the individual from becoming and remaining employed. Physical disabilities may include a loss of limb, paralysis, or blindness. Mental conditions must cause a debilitative state that prevents the individual from working because of their symptoms. Mental conditions that could be controlled completely with medication may not qualify the individual for disability benefits. However, if the medication just manages some symptoms, and the individual cannot work in any industry, they would be eligible for benefits.
Can Individual Work?
The individual’s ability to work is the primary focus of the claims. With SSI, the individual never had a job, and their condition prevents them from working completely. With SSDI, the individual has a work history and developed a disability that prevents them from continuing to work. Medical assessments must show that the individual cannot work because of their disability.
With SSDI, the claimant will not get approved if they could get a job in a different industry other than where they’ve worked previously. If they qualify for SSDI but don’t have the skills to get a job in a different industry, they may qualify for occupational rehabilitation services. These services pay for training programs or college degree programs for giving the individual new skills. After they complete their training program, the individual gets help through the program to find a new job in a different industry.
Medical Records Starting When the Patient Was Diagnosis
Medical records for the claim must start on the date the individual was diagnosed with their disability. Caseworkers recommend maintaining physical records for all medical services related to the patient’s disability. Some hospitals and private practices purge their patient records after ten years, and after the records are discarded, patients cannot get copies of these files. Maintaining a collection of all medical records provides records starting on the diagnosis date. The records for the claim must expand from this date until the current day.
The records must show the doctor’s findings and how they treat the patient. These assessments must determine if the individual’s condition could prevent them from working. If the individual was denied previously, these records could help them with a new claim. The SSA needs complete records showing the condition and how it affects the patient. Without records, the SSA will deny the claim. Keeping all these medical records helps the claimant present a more effective case in court.
The Findings from the SSA Doctors
The Social Security Administration will send all claimants applying for SSI or SSDI to the agency’s doctors for an assessment. The claimants visit a general medicine doctor and a psychiatric doctor for evaluations. The doctors report their findings to the federal agency, and their assessments help the caseworker determine if the individual is eligible for these disability benefits. If they are denied, the individual may have a viable claim through court. All claimants turned down for benefits have the right to file an appeal.
A Doctor’s Testimony
The claimant’s doctor can testify in court about the individual’s condition and its effects on the patient. With the claimant’s permission, the doctor can answer the court’s questions about the disability including how the disability prevents the person from becoming employed and maintaining a job. They can substantiate their patient’s claim by providing vital information to the court.
Does the Claimant Qualify for Backpay?
Backpay is provided to all claimants who are approved for SSI or SSDI. When applying for disability benefits, the amount of backpay they receive is based on the date they filed. The claimants receive a lump sum of all monthly payments they didn’t receive starting on the application date. However, if they win their claim in court, the individual could get backpay starting on the date they were diagnosed if they didn’t receive disability benefits previously. Any months for which the claimant was eligible and wasn’t paid through the SSA are included in the monetary award if they win.
What Claimants Can Expect
During the court hearing, the claimant and the SSA provide testimony about the disability and the claim. Each party has a chance to question witnesses and acquire information about the case. Discovery enables both sides to stay informed about any new findings. A jury decides if the individual is eligible and how much money they receive through a monetary award.
Social Security Disability gives individuals monthly monetary benefits to support themselves financially. The benefits pay the individual’s monthly expenses and enable some disabled people to live on their own. Anyone who qualifies for SSI or SSDI could be approved for Medicaid insurance. Reviewing the current Social Security Disability laws explains the claimant’s rights.