Does A Medical Condition Have To Be In The Blue Book
A Social Security disability claimant doesn’t even have to have an impairment that is listed in the Social Security disability blue book to be awarded disability benefits. For instance, migraine headaches are not included in the blue book, but if a claimant’s migraines are severe enough and are well documented, the SSA may grant disability benefits if the migraines make it impossible for the disability applicant to work a full-time job. The keys here are that the condition be a medically determinable impairment and that it reduces someone’s RFC enough so that they can’t do their prior job or any job. In this case, an applicant could qualify for benefits under a medical-vocational allowance. Other common impairments that aren’t listed in Social Security’s blue book include carpal tunnel syndrome, fibromyalgia,chronic regional pain syndrome,reflex sympathetic dystrophy, celiac disease, and degenerative disc disease.
Adults Disabled Before Age 22
An adult who has a disability that began before age 22 may be eligible for benefits if a parent is deceased or starts receiving retirement or disability benefits. We consider this a âchildâsâ benefit because it is paid on a parentâs Social Security earnings record.
The disabled âadult childâ including an adopted child, or, in some cases, a stepchild, grandchild, or step grandchild must be unmarried, age 18 or older, have a disability that started before age 22, and meet the definition of disability for adults.
It is not necessary that the disabled âadult childâ ever worked. Benefits are paid based on the parentâs earnings record.
- A disabled âadult childâ must not have substantial earnings. The amount of earnings we consider âsubstantialâ increases each year. In 2021, this means working and earning more than $1,310 a month.
More Than 200 Disabilities Qualify
The Compassionate Allowances List is the SSAs running list of more than 200 disabilities and health conditions that can immediately qualify for a compassionate allowance. Some types of cancer appear on the list, such as pancreatic cancer, breast cancer, or esophageal cancer, along with musculoskeletal disorders like ALS or other forms of muscular dystrophy.
In some cases, a health condition must be significantly debilitating to immediately be approved for fast track benefits. In those cases, a diagnosis alone isnt enough to guarantee approval a level of severity must also be shown. For example, when it comes to breast cancer, a stage IV or a metastasized diagnosis would qualify for compassionate allowance. When your application can show that you are suffering from a condition on the Compassionate Allowances List, your claim can be fast-tracked and approved.
If you have a condition that isnt on the Compassionate Allowances List but that you believe is severe enough to qualify, the SSA also allows you to submit recommendations for additional conditions. So just because your condition isnt listed today doesnt mean it wont eventually be approved.
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‘apply As Early As Possible’
The first thing to realize about applying for Social Security disability benefits is that it is often a lengthy process, Geist said.
Once an initial application is filed with the Social Security Administration, it can take three months to five months to get a decision. If that initial application is denied, it can take four months to six months for the application to be reconsidered on a first appeal, Geist said.
From there, if the application has to be reviewed at a hearing, it can take up to 12 months just to get scheduled before a judge, Geist said.
“Apply as early as possible, because it is a long process,” Geist said.
A 2020 Government Accountability Office report found that about 1.3% of applicants filed for bankruptcy while waiting on their appeals, and 1.2% died before receiving a final decision.
“Many particularly those without legal representation end up wrongfully denied on multiple occasions before finally being approved with a lawyer’s help,” said Rebecca Vallas, senior fellow that the Century Foundation. “Untold numbers spend what savings they have to try to stay afloat while waiting for an appeal to be heard and countless more lose their homes in the process.”
There are about 8.2 million disabled workers collecting benefits, according to the Social Security Administration. Their average monthly benefit is $1,277.
Contributing Factors When It Comes To How Long It Takes To Get Disability
What factors impact how long it takes to get a Social Security Disability approval? The first thing that will impact how quickly you get a response to your application for Social Security Disability is whether your initial disability claim is approved or denied.
Initial claims usually take 30 to 90 days to process. If you are one of the lucky people who gets approval on their initial claim, it will take you 90 days or less for Social Security Disability approval. If, however, your claim is not approved then at this point you will have to go through the disability appeal process, and that means it will take longer to get your Social Security Disability benefits.
Another factor that will impact how quickly your Social Security Disability application is approved or denied is what medical records are needed to process your claim, and how long it takes your doctors to send in the records that have been requested. If the doctors are taking too long to get your records in, you may be able to speed the process up by getting copies of the records yourself and sending them in with your application.
The state in which you live also plays a part in how long it takes for your Social Security Disability application process to be completed. Some states have more of a backlog than others. For example, someone who lives in the State of Illinois will wait much longer than someone living in the State of Utah.
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How Much Work Do You Need
In addition to meeting our definition of disability, you must have worked long enough and recently enough under Social Security to qualify for disability benefits.
Social Security work credits are based on your total yearly wages or self-employment income. You can earn up to four credits each year.
The amount needed for a work credit changes from year to year. In 2021, for example, you earn one credit for each $1,470 in wages or self-employment income. When you’ve earned $5,880, you’ve earned your four credits for the year.
The number of work credits you need to qualify for disability benefits depends on your age when you become disabled. Generally, you need 40 credits, 20 of which were earned in the last 10 years ending with the year you become disabled. However, younger workers may qualify with fewer credits.
For more information on whether you qualify, refer to How You Earn Credits.
Getting The Help You Need
The Florida disability application process has its challenges, but receiving the SSDI or SSI benefits youre entitled to can be accomplished more easily with a disability advocate at your side. Our advocates know how to cut through the red tape to help get your disability application approved if its not, well go to work to ensure a fast appeal process. At Disability Experts of Florida, we have over 100 years of combined experience navigating the Sunshine States application process and have helped thousands receive the disability benefits they deserve. We can help you too.
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Social Security Disability Experts Can Help You File As Fast As Possible
This being a supplemental program, not everyone is familiar with the process in making a claim. However, there are Social Security disability experts that can help you to ensure a claim is filed and processed as fast as possible. With approximately two thirds of all applications being denied on the first attempt and the process taking as long as five months, you want to literally ensure all your Is are dotted and your Ts are crossed.
One of the fastest ways to process a claim is online. This can be done on the Social Security Administration website and inputting the information should not take you or your attorney very long. Once the application has been submitted with all supporting documentation, you can expect a decision in the next three to five months. Benefits will begin on the sixth month after the approved date of eligibility.
To ensure the application is completed properly, hiring a disability attorney is a very smart move. He or she will go over all information and documentation needed to ensure the application is completely processed the first time around. The last thing you want when you are in need of money is to have your application put on hold because you were missing a document or did not have the contact information for one of your health care providers.
When Your Benefits Start
Generally, if your application for Social Security Disability Insurance is approved, you must wait five months before you can receive your first SSDI benefit payment. This means you would receive your first payment in the sixth full month after the date we find that your disability began.
Example: Your disability began on June 15, 2020 and you applied on July 1, 2020. Your first benefit would be paid for the month of December 2020, the sixth full month of disability.
However, there is no waiting period if your disability results from amyotrophic lateral sclerosis and you are approved for SSDI benefits on or after July 23, 2020.
Example: We found that your disability began on November 3, 2020 and you applied on January 11, 2021. We would pay your first benefit for the month of December 2020, the first full month of disability.
We pay SSDI benefits in the month following the month for which they are due. This means that the benefit due for December 2020 would be paid to you in January 2021, and so on.
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The Other Parts Of Medicare
- Medicare Advantage Plan people with Medicare Parts A and Part B can choose to receive all of their health care services through plans that are offered by private companies and approved by Medicare. For more information, we recommend you read Medicareâs How do Medicare Advantage Plans work?
- Medicare Part D helps pay for medications doctors prescribe for treatment. For more information on the enrollment periods for Part D, we recommend you read Medicareâs How to get prescription drug coverage page.
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How Long Will It Take For Ssa To Pay Me
As a rule, it takes one to two months for back benefits to be paid and monthly benefits to begin in a Social Security disability case in which no SSI application was ever filed.
But these are only general rules. In some cases, it takes as long as 3 months for back benefits to be paid. When it takes more than 90 days for back benefits to be paid in a Social Security disability case, it may mean that there has been a bureaucratic mix-up somewhere in the system. In that case it will be necessary to take some sort of action to deal with the delayed benefits.
If 90 days pass from the date of the decision and I am still not paid my back benefits, is there anything that can be done to speed up payment?
It is possible that your attorney may be able to do something if you are not paid after 90 days. Be sure to telephone your attorney to explain that you havent gotten paid after about three months. It may be necessary at that point to contact the payment center.
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Persons With Disabilities Designation Application
Contact us to request an application. It has three sections:
- You fill out the applicant portion
- Your doctor or nurse practitioner fills out the medical report portion
- A prescribed professional fills out the assessor report portion. For example, this could be a doctor, registered nurse or social worker
After you submit your application, well review it. Well let you know if you meet the eligibility criteria for the PWD designation.
How Can I Increase My Chances Of Getting Disability
Top Ways to Increase Chances of Winning Disability Claim Ensure That Your Application is Complete. Keep Accurate and Complete Medical Documentation. Maintain a Good Relationship With Your Physician Keep Close Tabs on the Status of Your Claim. Follow up on all Treatment Recommendations. Hire an Experienced Social Security Disability Attorney. Additional Resources.
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At What Stage In The Application Process Do You Need A Lawyer
Ideally, you should hire a disability lawyer during your initial application. If you get approved at this stage, your waiting will be over and you can enjoy your benefits a lot sooner.
Sometimes, an initial application can get denied even with the help of a lawyer. This is mostly because, at this stage, the applicants medical condition isnt yet so severe to be considered a disability. In this case, getting a lawyer wont help much.
But if your application reaches the disability hearing stage, then legal representation is essential. Surveys show that getting the help of a lawyer at this stage significantly increases your chance of approval. Results from the survey suggest that half of those who availed of legal assistance secured an approval. While only 23% of those who represented themselves were able to get benefits.
Contact An Experienced North Carolina Ssd Benefits Lawyer
The SSA maintains a list of impairments that are considered so severe that they automatically qualify one for disability benefits as long as all other requirements are met. These conditions are found in the SSAs Blue Book, which describes the medical evidence that is needed to prove the impairment.
You can also be declared disabled if you have a condition that is considered to be equal in severity to a listed impairment.
Even if you dont have a listed impairment or one considered equal in severity to a listed one, you may still be deemed to be disabled if you can show that your medical condition keeps you from working or doing any other type of work.
Allow Hardison & Cochran to put its skill and experience to work for you in seeking disability benefits. In particular, we can help you to gather the medical evidence you need to show you are disabled.
Contact us today and receive a free and immediate review of your case.
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Qualifying For Retirement Benefits
Retirement benefits, like SSI and SSDI, are a type of monthly payment paid to eligible Americans by the SSA. Once you have amassed enough work credits, paid into Social Security through federal taxes, and reached age 62, you can begin collecting retirement benefits. The amount of your monthly benefit depends on how much you worked, how much money you made, and whether you decide to keep working past the age of 62.
If you wait until your full retirement age , your monthly benefit will increase. And, if you are able to and decide to keep working until you are 70 years old, you can maximize your monthly retirement benefits. Once you begin receiving retirement benefits, you will continue to receive them for the rest of your life.
Is There A Way To Get Automatically Approved For Ssi And Social Security Disability
disability claims that are approved more quicklyreceive a disability approvalcriteria of an impairment listingnon-disability requirements of SSIassessed on a residual functional capacitycriteria for being awarded disability benefitsthe grid rules that direct decisions on casesMost popular topics on SSDRC.com
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On The Record Decision
If your initial application got denied, you have the right to request a disability hearing. To skip the wait for the hearing, your lawyer can file for an on-the-record decision.
To help you get approval at this stage, your lawyer can:
- help you gather substantial medical evidence proving the extent of your disability
- present a clear and concise argument as to why you deserve the benefits
- negotiate your disability onset date
- convince the Attorney Adjudicator on the specific merits of your case
What We Mean By Disability
The definition of disability under Social Security is different than other programs. Social Security pays only for total disability. No benefits are payable for partial disability or for short-term disability.
We consider you disabled under Social Security rules if all of the following are true:
- You cannot do work that you did before because of your medical condition.
- You cannot adjust to other work because of your medical condition.
- Your disability has lasted or is expected to last for at least one year or to result in death.
This is a strict definition of disability. Social Security program rules assume that working families have access to other resources to provide support during periods of short-term disabilities, including workers’ compensation, insurance, savings, and investments.
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Does Everyone Get Denied Disability First Time
No, it is a myth that all disability claims are denied the first time around. The Social Security Administration has no regulation, policy, or formula that influences the disability system in such a way that most initial applications for Social Security disability benefits are automatically denied .
How Long Does It Take To Get Disability With A Lawyer
Should I get a disability lawyer? How can a disability lawyer help me with my claim?
These are all too common questions from people applying for disability benefits. Yes, the SSA doesnt give special considerations to applicants represented by lawyers. But hiring a disability lawyer can fast track your disability claim.
According to the SSA, theaverage processing time for disability benefit claims is 103 days in 2018. But somedisability reviews may take up to two years. Some factors that can affect the turnaround time include:
- whether you got approved at the initial application stage
- the availability of your medical records
- your medical condition
- the state you live in
A disability lawyer knows what the SSA wants to see and hear. Their experience and knowledge of the system can help you get approval during the initial application stage. You wont have to go through a lengthy case review and even an appeals process. This shortens your claims processing time to a few months.
Surveys also show that 60% of those who had legal assistance was approved for benefits. While only 34% of claimants got approved without a lawyer. These statistics are backed by government data which shows that applicants represented by lawyers are 2.9 times more likely to get benefits.
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