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How can I tell if I am disabled enough to apply for social security disability benefits?

Social Security regulations make it easier to be found disabled as you get older. It becomes easier for a few people at age 45 (those unable to read English), for more people at age 50, for most people at age 55, and even more people at age 60. If you’re over age 55 and you cannot do any job you have done in the past 15 years, you should definitely apply. If you’re over age 50 and have a severe impairment that keeps you from doing all but the easiest jobs, you ought to apply.

But even if you’re a younger person, you don’t have to be bedridden in order to be found disabled. If you’re under age 45 or 50 and you cannot do your past jobs and you cannot work full time at any regular job, that ought to be enough.

Nevertheless, being unable to work and being found “disabled” by the Social Security Administration (SSA) are two different things. It is often difficult to convince SSA that someone is “disabled” even when he or she genuinely cannot work. But it is not impossible.

If you really cannot work, we can help you apply for disability benefits from SSA.If you are denied, we can help you appeal and prepare your case for a hearing before an administrative law judge. If you have already lost at a hearing, its not too late – we can step in and review your denial and help you appeal to the Appeals Council. Call and setup a free consultation and no matter what stage you’re at, we’ll give you sound guidance.

How do I apply for Social Security Disability or SSI benefits?

The Social Security Administration (SSA) offers three ways for you to apply for Social Security disability benefits: by telephone, in person at a local Social Security office, or via the Internet. If you want to use the Internet to apply, go to www.socialsecurity.gov/applyfordisability/adult.htm. If you want to apply for SSA’s other disability program — Supplemental Security Income (SSI) — you may be able to complete an SSI application online.

If you want to complete an application for SSI or Social Security disability by telephone or in person, you must first telephone SSA at 1-800-772-1213. If you choose to go to a Social Security office to complete the application, the person at the 800 number above will schedule an appointment for you, give you directions to the Social Security office, and tell you what papers you need to bring along. If you want to apply by phone, you will be given a date and an approximate time to expect a phone call from someone at the Social Security office who will take your application over the phone. The application will then be mailed to you for your signature.

Do you have any advice about applying for disability benefits?

Yes. Give SSA all the information it asks for in a straightforward way. Be truthful. Do not exaggerate or minimize your disability.

Should I contact an advocate to help me apply for Social Security Disability or SSI benefits?

Yes, we can help you determine when you became disabled according to Social Security’s rules. This is called your “onset date". Getting this date wrong could potentially cost you thousands of dollars. After we help you determine the basic issues of your claim, we’ll schedule an appointment for you with Social Security or under certain circumstances, complete your claim ourselves. We have filed thousands of claims and appeals with Social Security and are very comfortable and competent in doing so.

Where do your services begin and how can you help me?

After you have filed your initial claim, as described in the previous section, we can help you fill out the forms that Social Security sends in the mail. These forms are a critical component in Social Security’s disability determination process. Normally, you will receive these forms in the mail, complete them, and bring them to our office for our staff to review and offer advice. We can also mail or fax these forms to Social Security for you convenience. Most forms have a 10 day time limit so contact our office and arrange the review in order not to miss the deadline.

We help you by managing the following aspects of your claim:

  • Responding to requests for information from Social Security and DAS
  • Reporting changes in your contact information
  • Reporting new medical evidence such as: tests, procedures, providers etc. that may be relevant to your case
  • Reviewing and submitting forms and appeals to Social Security

Some adjudicators may call and attempt to get you to discuss your impairments or work history – if you are represented in your case, this is improper. Never speak to disability adjudicators directly as they may use their conversations with you to make judgments that may be detrimental to your case. Always refer calls from adjudicators and social security employees to our office.

What happens if I am denied benefits and I do not appeal within 60 days?

You’ll have to start over with a new application — and it may mean that you’ll lose some back benefits. So it’s important to appeal all denials within 60 days. It’s better if you appeal right away so that you get through the bureaucratic denial system faster. The quicker you can get to the hearing stage the better.

How do I appeal?

Your denial letter will tell you about appealing. The first appeal is called a “reconsideration.” You must request reconsideration and then, after the reconsideration is denied, you must request a hearing within the 60-day time limit.

You can appeal in one of three ways. (1) Telephone the Social Security Administration and make arrangements for your appeal to be handled by phone and mail. (2) Go to the Social Security office to submit your appeal. If you go to the Social Security office, be sure to take along a copy of your denial letter. And be sure that the Social Security representative gives you a signed copy of your appeal paper showing that you appealed on time. Or (3) appeal online at https://secure.ssa.gov/apps6z/iAppeals/ap001.jsp. Be sure to print and retain the receipt for your appeal so that you can prove you appealed on time.

If you are a client of ours, we will give you a form to complete and we will go online to you file your appeal for you.

What are the biggest mistakes people make when trying to get disability benefits?

Failing to appeal. More than half of the people whose applications are denied fail to appeal. Many people who are denied on reconsideration fail to request a hearing.

Another mistake, although much less common, is made by people who fail to obtain appropriate medical care. Some people with long-term chronic medical problems feel that they have not been helped much by doctors. Thus, for the most part, they stop going for treatment. This is a mistake for both medical and legal reasons. First, no one needs good medical care more than those with chronic medical problems. Second, medical treatment records provide the most important evidence of disability in a Social Security case.

Since medical evidence is so important, should I have my doctor write a letter to the Social Security Administration and should I gather medical records and send them to SSA?

SSA will gather the medical records, so you don’t have to do that. Whether you should ask your doctor to write a letter is a hard question. A few people win their cases by having their doctors write letters. You can try this if you want to. The problem is that the medical-legal issues are so complicated in most disability cases that a doctor may inadvertently give the wrong impression. Thus, obtaining medical reports may be something best left for your representative to do.

At Southeastern Disability, we have a library of professionally designed “medical source statements" that you can have your doctor complete that address condition specific issues and how these conditions limit your ability to work. We typically use these forms in hearing preparation as they are often vital to winning your case. We will review your file and depending on the severity of each individual condition we determine which form or combination of forms would be appropriate in your case.

How much do you charge?

Almost all of our clients prefer a “contingent fee,” a fee paid only if they win. The usual fee is 25% (one-quarter) of back benefits up to a maximum amount set by SSA, currently $6,000.00. That is, the fee is one-fourth of those benefits that build up by the time you are found disabled and benefits are paid. No fee comes out of current monthly benefits.

Although the usual fee will not normally exceed $6,000.00, if we have to appeal after the first administrative law judge hearing, our contract drops the $6,000.00 limit on fees. Even in this circumstance, though, our fee will not be greater than 25% of back benefits.

Sometimes at the request of a client, we charge a non-contingent hourly or per case fee. There is also the rare case where a contingent 25% fee arrangement is insufficient to allow for an adequate fee. In such a case, we use a different method of calculating the fee.

In addition to the fee, you will be expected to pay the expense of gathering medical records, obtaining medical opinion letters, etc.

If I have other questions, will you answer them by telephone?

Yes. If this website doesn’t answer all of your questions, please telephone us at 877-895-4312.