The first four stages are within the Social Security Administration, and the last stage is independent of Social Security. The judge told us the medical records were complete and my claim was allowed. If your claim for Social Security Disability (SSD) benefits has been denied, or if you are simply considering filing for benefits, it is crucial to have experienced legal counsel at your side. Your impairments must interfere with basic work-related activities for you to be considered disabled. Assuming you meet the qualification requirements and you indeed do have a severe enough disability, the next step in the process is to actually fill out an application for benefits. Now what? Once your application is filed, it will take about four to six months for Social Security to make a decision about your eligibility for benefits. The treatment of my condition by a medical specialist had been interrupted, because I didn’t have health insurance. STEP 2: Is your condition severe? They may also ask that you see one of their doctors. In 2016, 10.6 million Americans collected over $142 billion in government Social Security disability benefits. Substantial: Work that requires significant physical or mental activities. To determine this, the SSA will send your file to the Disability Determination Service (DDS) agency in your state for a medical review. I recommend Attorney Roberts as thorough, and dedicated to helping the disabled workers he represents. 1. Listed below are frequently asked questions about Step 4 and Step 5 of the process. The Social Security Administration (SSA) uses a five-step Disability determination process to decide whether or not you qualify for benefits. Ready to apply? The difference is a conversation for another day. Rarely, … SSA-16: Social Security Disability Application Form, SSA-3369: Social Security Disability Work History Report, SSA-827: Social Security Disability Medical Release Form, SSA-3441: Social Security Disability Appeal Form, HA-501: Request for Hearing by Administrative Law Judge. The initial stage of the Social Security Disability process involves the initial filing of your Social Security Disability application and the Social Security Administration's review of your initial claim. In part 2 of our six-part blog series, we gave an overview of Step 1 of the Sequential Evaluation Process used by the Social Security Administration in determining eligibility for benefits under the Social Security Act. During the third step of the Disability Determination process, the claims examiner will refer to an impairment listing manual ― called the Blue Book ― that contains more than 100 physical and mental conditions that qualify for Disability as long as certain criteria are met. The first step in the Social Security Disability claim process is to file an application for disability benefits. Once you’re approved there’s a lot less stress. If your condition is on the list and meets the criteria, you will be awarded benefits. You may obtain applications from your local social security office, or by visiting the disability section of the Social Security Administration website. If your condition is not on the list, Social Security has to decide if it is of equal severity to an impairment on the list. Best of all, our services will not contribute to your financial hardship. This can be filed at your local Social Security office, over the phone or online. This can be done by beginning an application for disability benefits on SSA.org or by visiting your local Social Security Administration Office for an application. The first step of the appeal process is the reconsideration level. Grant @KelliGrant.money @kelligrant When your first apply for disability benefits, you complete an Initial application. At McDonald Law Firm, we will gather the necessary information, prepare a solid claim and submit it on your behalf. “Substantial Gainful Activity” Monthly Earnings Amount. I continued working for many years, even though the disability was severe. They may request medical evidence or other additional information. Links to Listings. If it doesn’t (meaning you can still work at one of your old jobs), your claim will be denied. Call (413) 567-5600 for a free case evaluation. If you are in need of an SSDI attorney at any crucial step of the social security disability process, please contact Linay Haubert R.N., Esq of the Doylestown office of High Swartz law firm at 215-345-8888. But all five steps may not be needed in your case. Took a complicated case, followed through and won for us. whether a person has the ability to engage in SGA. The disability decision may be made with a denial of your claim at Step 1, 2, or 5, or an award of benefits at step 3 or step 5. Steps to successfully apply for Social Security disability Published Mon, Feb 1 2016 10:05 AM EST Updated Mon, Feb 1 2016 10:05 AM EST Kelli B. I had already been denied twice and this was going to be my 3rd time. Review All 4 Steps in the SSI Application Process Step 1: Initiating Your Claim. The “Substantial Gainful Activity” Monthly Earnings Amount for 2021 is $1,310. Consider each step in this process in numerical order except where policy specifically permits a deviation. STEP 1: Are you working? equal severity to an impairment on the list. By continuing to browse or by closing this banner, you indicate your agreement. How do you apply for Medicare Disability benefits? Your disability decision will be made properly as soon as Social Security gets the evidence it needs to answer all 5 questions in your favor. I contacted Attorney Roberts, and he organized the Social Security case for us. Fort Worth Texas 76107, Disclaimer, Privacy Policy, Site Terms & SMS Opt-In, Surprising Mental Health Facts That’ll Get Your Attention. See every step in the application process and claim review timeline below. However, the Social Security Administration (SSA) denies approximately 65% of all claims filed. STEP 4: Can you do the work you did previously? Suite 230 . We know what the SSA is looking for and how to present the information in a way that will most benefit you. Don’t take Early Retirement if you are disabled. Attorney Roberts explained how I could get health insurance coverage, so I could go back... Read more », ATTORNEY JOHN L. ROBERTS The kit contains a: Factsheet - The factsheet includes the definition of disability and answers questions about applying for disability benefits. The person who decides your claim must use the logic of a doctor, a lawyer, and a rehabilitation counselor to decide if you are eligible for benefits. Call 855-702-9061. If for some reason your claim gets denied, we will take it to the next level and appeal the decision. When you start the SSI application process, there are three ways to file your claim with the Social Security Administration. If you are not working or make less than $1,130 per month, Social Security’s decision-makers go to Step 2 of the Disability Determination process. We need to find out about your past work to decide if you can still do it. A Social Security Program Policy Statement talks about whether a person has the ability to engage in SGA. We file Disability claims every day. Step 1: Intent to File. Think again. The decision combines your medical records and your work history with Social Security’s complex regulations and policies. I have a close family member who lives in Attorney Roberts area. The 5 Stages of the Social Security Disability Process. This means that you have worked and earned money during the time prior to your disability. It’s a sequential method, meaning the steps are followed in order. If, at any point during the evaluation, you are found not to be disabled, the process will terminate and your claim for disability … If your condition doesn’t meet a Blue Book listing, the claims examiner will next evaluate whether it prohibits you from performing past work. When I could no longer work, I applied for Social Security Disability, but my application was denied. Let us handle the Disability process for you. SSA evaluates income and time at work to see if earnings average more or less than the established Substantial Gainful Activity (SGA) amount. During the initial stage you will submit your application to the SSA along with all of your medical evidence and supporting documentation outlined in the Blue Book . I have DDS which is Dissolving Disc Disease in my lower lumbar and I have had spinal surgery for that; I’ve had surgery on my leg as well and I had hip surgery. In this stage of the process you will be filling out your initial application and providing the SSA with the documentation necessary to process your claim for Social Security Disability benefits. At Step 1, the SSA determines whether a claimant is working at the Substantial Gainful Activity level. We know how to cut through the red tape to help get the benefits you need. One less thing to do and I can concentrate on getting myself better. I will explain to Social Security how the combined effects of your impairments prevent you from working. Social Security Regulations explain “substantial gainful activity” and whether work activity is not gainful activity, or is done under special conditions or is an unsuccessful work attempt. If it is not on the list, but your ailment is of equal severity to another condition on the list, you will be approved for benefits. The Social Security office will then send your file to be reviewed for approval or denial based on the information provided in your initial appl… I worked with Attorney Roberts on a case involving what is often described as an “invisible disability.” The Claimant was severely impaired, but the disability was not understood or believed by the Social Security personnel who reviewed the written treatment records, and the Claimant’s testimony. How long do you have to be disabled before you can get Disability benefits? Most Social Security disability claims are initially processed through a network of local Social Security Administration (SSA) field offices and State agencies (usually called Disability Determination Services or DDSs). Disability Application Process Initial Application. To start, the Social Security Administration looks at an individual’s work activity. The law requires the people at Social Security to consider all of the evidence, and all of your impairments, when they make a disability decision. It’s what we do. When a claim is initially filed for Social Security disability benefits the Social Security Administration (SSA) will apply a sequential evaluation that consists of five steps. If at any step in the process the SSA’s decision-makers decide you are disabled ― or not ― the evaluation ends. After completing its development of the evidence, trained staff at the DDS makes the initial disability determination. © 2020 All Rights Reserved. We only get paid if we are successful and our fee is paid directly by the Social Security Administration out of a portion of the back pay award when the case is over. STEP 3: Is your condition found in the list of disabling impairments? ... these require extra work on Social Security’s behalf, and so the process tends to take longer; ... Find out if you qualify for Social Security Disability benefits now. —TD. (This will open another browser window.) Longmeadow, Massachusetts 01106. physical and/or mental impairment must be determined (proved) by medical evidence. After an application for disability benefits is made to social security, the case is transferred to the state agency responsible for making disability determinations, DDS. Springfield, Massachusetts Social Security Disability In a perfect world, applying for Social Security disability would be quick and painless, but we don’t live in a perfect world. Getting the medical evidence delivered directly to the person who is deciding your claim is an important part of the service that we provide to you when you become a client. STEP 5: Can you do any other type of work? Here are the five steps: First, the SSA will check to see if you are working. Social Security definition of disability and the five-step process An attorney can help to explain the somewhat complex law and procedure that govern your application for SSDI or … The Social Security Administration (SSA) uses a five-step Disability determination process to decide whether or not you qualify for benefits. If you are working and you make more than a certain amount ($1,130 per month in 2016), then the SSA will determine you can engage in “substantial gainful activity” (SGA). If at any step in the process the SSA’s decision-makers … They consider your age, education, past work experience, and transferable skills, and they review the job demands of occupations that were determined by the Department of Labor in a Dictionary that was last updated in 1991. McDonald Law Firm . SGA or substantial gainful activity is a monetary amount of earnings the Social Security sets each year as a self-supporting wage amount. If it has been more than five years since you stopped working, you will not be entitled to Social Security Disability Insurance and will instead have to apply for Supplemental Security Income. STEP ONE: Are you performing substantial gainful activity (working)? The federal government pays us when the case is over – and only if we win. There were times I... Read more », After my first application for disability was denied by Social Security, I called Attorney Roberts, and he started working on my case. If it does, the claims examiner moves to Step 3. These 5 evaluation steps are about you, your work history, and your disability. Call 855-702-9061. If it doesn’t, your claim will be denied. These 5 evaluation steps are about you, your work history, and your disability. Attorney Roberts helped... Read more ». You have nothing to lose but plenty to gain. Social Security Disability Reconsideration. As you can see, the SSA’s Disability evaluation process can be complicated. To answer the 5 questions, Social Security has to review the reports from all of the doctors, hospitals, and clinics that have treated you. (The amount fluctuates each year.) The field office then sends the case to a DDS for evaluation of disability. Each step is a question geared to determine the significance and measure of your impairment, as it affects your ability to work full time. Steps in the SSD Process Sacramento Social Security Disability Appeal Lawyer. Social Security Disability 5-Step Qualification Process Philadelphia Area Social Security Disability Qualification Criteria. I called Attorney Roberts. Call us today at 855-702-9061 or just fill out the contact form on this page. The Social Security Disability claims process can have many steps depending on how many times your claim is rejected and you appeal. You'll never pay anything up-front. The five steps used in the sequential evaluation process are: Step 1 - Social Security must determine if an individual is working and if they are still working are the working at the SGA limit or over. Your first option is simply picking up the phone and calling the SSA office. Need help filling out your Disability application? If you are working, and your earnings averaged more than $1,260 per month last year (during the year 2020), that is considered Substantial Gainful Activity, and Social Security probably won’t consider you to be disabled. He prepared a summary of all my treatment records going back many years, and he obtained a report from my doctor that... Read more ». Social Security Disability Approval Process Overview. My family member has cognition problems and physical health problems. Applications are taken at the local Social Security Administration offices. McDonald Law Firm has helped me when I needed it most. It was horrible! If the DDS found that the claimant is disabled, SSA completes any outstanding non-disability development, computes the benefit amount, and begins paying benefits. Social Security averages your income when determining Substantial Gainful Activity. But all five steps may not be needed in your case. must have lasted or be expected to last for a continuous period of at least 12 months, or be expected to result in your death. I missed a Disability appeal deadline. For a free Social Security Disability case evaluation. Don’t think you can afford an attorney? We’re here to help. If it is, your claim is approved. The first step, once you decide that you are going to apply for Social Security Disability, is to obtain and review the Adult Disability Starter Kit. ALJ Hearings in Springfield, Massachusetts and Hartford, Connecticut, Appeals Council Review of Disability Claims Denial by an Administrative Law Judge, Appealing An Unfavorable Social Security Decision To Federal Court. The first step in this process is called making your “intent to file.”. Social Security has a listing of impairments for each of the major body systems. I live hundreds of miles away. Here are the steps for how your claim will be decided by Social security. It’s that simple. Overall, there are five stages, each with its own format, rules, and decision makers. If you cannot do any other kind of work, your claim will be approved. Your claim will be denied. The first thing you need to do is apply for Social Security disability benefits. Call 855-702-9061. He worked with the nurse, social worker, and doctor’s offices, to obtain documentation of... Read more ». Disability Hearing before an Administrative Law Judge, Requesting a Social Security Appeals Council Review. If your condition is not on the list or doesn’t meet the SSA’s criteria, the Disability claims examiner goes to Step 4. FIVE Steps to Your Social Security Disability Determination 1. 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