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Grant @KelliGrant.money @kelligrant We know what the SSA is looking for and how to present the information in a way that will most benefit you. STEP ONE: Are you performing substantial gainful activity (working)? If your condition is not on the list or doesn’t meet the SSA’s criteria, the Disability claims examiner goes to Step 4. Your first option is simply picking up the phone and calling the SSA office. 3100 West 7th Street . 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. 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. If you’re still working when you apply for Social Security disability, the SSA will automatically reject your claim. I continued working for many years, even though the disability was severe. We need to find out about your past work to decide if you can still do it. You may obtain applications from your local social security office, or by visiting the disability section of the Social Security Administration website. 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. When I could no longer work, I applied for Social Security Disability, but my application was denied. This site uses cookies to enhance your experience, to display customized content in accordance with your browser settings, and to help us better understand how you use our website. Today we’re just discu… Substantial: Work that requires significant physical or mental activities. If it is, your claim is approved. I have a close family member who lives in Attorney Roberts area. 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. 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. Social Security has a listing of impairments for each of the major body systems. The Social Security Disability application process begins when an application is received by an applicant’s local Social Security Administration (SSA) field office. You have nothing to lose but plenty to gain. 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. I am a Licensed Clinical Social Worker. It’s that simple. If your condition is on the list and meets the criteria, you will be awarded benefits. If it is not, we go to the next step. STEP 4: Can you do the work you did previously? 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… If the DDS found that the claimant is disabled, SSA completes any outstanding non-disability development, computes the benefit amount, and begins paying benefits. Based on these findings, an individual may or may not pass the first step of the approval process. The first four stages are within the Social Security Administration, and the last stage is independent of Social Security. Call 855-702-9061. 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. What does “substantial gainful activity” (SGA) mean? They may request medical evidence or other additional information. Social Security averages your income when determining Substantial Gainful Activity. Step 1: When to Apply for Social Security Disability. I called Attorney Roberts. If, at any point during the evaluation, you are found not to be disabled, the process will terminate and your claim for disability … 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. When you start the SSI application process, there are three ways to file your claim with the Social Security Administration. What are the Social Security Disability requirements? In a perfect world, applying for Social Security disability would be quick and painless, but we don’t live in a perfect world. Your claim will be denied. FIVE Steps to Your Social Security Disability Determination 1. If it doesn’t, your claim will be denied. At McDonald Law Firm, we will gather the necessary information, prepare a solid claim and submit it on your behalf. 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. But all five steps may not be needed in your case. 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. Fort Worth Texas 76107, Disclaimer, Privacy Policy, Site Terms & SMS Opt-In, Surprising Mental Health Facts That’ll Get Your Attention. Best of all, our services will not contribute to your financial hardship. The first thing you need to do is apply for Social Security disability benefits. McDonald Law Firm . Steps in the SSD Process Sacramento Social Security Disability Appeal Lawyer. He prepared a summary of all my treatment records going back many years, and he obtained a report from my doctor that... Read more ». equal severity to an impairment on the list. 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. Your best chance of meeting Social Security’s strict criteria is to let an experienced Disability attorney handle your claim. Overall, there are five stages, each with its own format, rules, and decision makers. Call 855-702-9061. SSA evaluates income and time at work to see if earnings average more or less than the established Substantial Gainful Activity (SGA) amount. 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 first step of the appeal process is the reconsideration level. To determine this, the SSA will send your file to the Disability Determination Service (DDS) agency in your state for a medical review. Now what? Attorney Roberts helped... Read more ». 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. Here are the five steps: First, the SSA will check to see if you are working. As you can see, the SSA’s Disability evaluation process can be complicated. Social Security Disability Approval Process Overview. How long do you have to be disabled before you can get Disability benefits? It’s what we do. For a free Social Security Disability case evaluation. 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. If your condition doesn’t meet a Blue Book listing, the claims examiner will next evaluate whether it prohibits you from performing past work. Springfield, Massachusetts Social Security Disability “Substantial Gainful Activity” Monthly Earnings Amount. It’s a sequential method, meaning the steps are followed in order. But all five steps may not be needed in your case. Disability benefits is what we do. Suite 230 . The difference is a conversation for another day. How do you apply for Medicare Disability benefits? If you can’t adjust to any other work, your claim will be approved. STEP 2: Is your condition severe? Your physical and/or mental impairment must be determined (proved) by medical evidence. The first step in the Social Security Disability claim process is to file an application for disability benefits. If you can, you are not considered disabled and your claim will be denied. (The amount fluctuates each year.) 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. STEP 3: Is your condition found in the list of disabling impairments? I live hundreds of miles away. If the claims examiner finds you can’t do any past work, they move to Step 5. Once you’re approved there’s a lot less stress. I missed a Disability appeal deadline. STEP 1: Are you working? Disability Application Process Initial Application. The disability claims process take you down the path of the 5 evaluation steps. 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. Call 855-702-9061. If you cannot do the work you did in the last 15 years, Social Security looks to see if you can do any other type of work. By continuing to browse or by closing this banner, you indicate your agreement. It is important to keep in mind that 80% of people are denied during the initial claim level, therefore, it is encouraged to continue on in the Social Security appeals process. They may also ask that you see one of their doctors. Attorney Roberts explained how I could get health insurance coverage, so I could go back... Read more », ATTORNEY JOHN L. ROBERTS The “Substantial Gainful Activity” Monthly Earnings Amount for 2021 is $1,310. Here are the steps for how your claim will be decided by Social security. The case managers are on top of their game and know exactly what they are doing. We’re here to help. The federal government pays us when the case is over – and only if we win. The field office then sends the case to a DDS for evaluation of disability. Step one is: “Have you worked before and are you working now?” What that means is Social Security requires you to have worked five out of the past 10 years on a regular basis in order to be eligible to even apply for Social Security Disability benefits. We know how to cut through the red tape to help get the benefits you need. The Social Security Administration (SSA) uses a five-step Disability determination process to decide whether or not you qualify for benefits. If at any step in the process the SSA’s decision-makers … Rarely, … Disability Hearing before an Administrative Law Judge, Requesting a Social Security Appeals Council Review. Listed below are frequently asked questions about Step 4 and Step 5 of the process. Social Security Disability Reconsideration. If you cannot do any other kind of work, your claim will be approved. 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). It was horrible! The Social Security Administration (SSA) uses a five-step sequential evaluation process to evaluate Social Security disability applications and determine whether the claimant is entitled to receive disability benefits. © 2020 All Rights Reserved. —TD. If the determination is made that you can adjust to other work, your claim will be denied. I will explain to Social Security how the combined effects of your impairments prevent you from working. You'll never pay anything up-front. If it does, the claims examiner moves to Step 3. Longmeadow, Massachusetts 01106. physical and/or mental impairment must be determined (proved) by medical evidence. If at any step in the process the SSA’s decision-makers decide you are disabled ― or not ― the evaluation ends. If it does, your claim will be considered further, and we move on to Step 5. A Social Security Program Policy Statement talks about whether a person has the ability to engage in SGA. When your first apply for disability benefits, you complete an Initial application. Your Lawyer or representative can also file your application. The examiner will consider your condition, age, education, past work experience and any transferable skills you may have. Call us today at 855-702-9061 or just fill out the contact form on this page. This means that you have worked and earned money during the time prior to your disability. SGA or substantial gainful activity is a monetary amount of earnings the Social Security sets each year as a self-supporting wage amount. There is a “duration requirement” that says your impairment(s) 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. The Social Security Administration (SSA) uses a five-step Disability determination process to decide whether or not you qualify for benefits. If we aren’t successful, we don’t collect. 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. The judge told us the medical records were complete and my claim was allowed. Because the claims examiner is primarily basing their decision on information in your application and medical records, it’s not uncommon for claims to get denied due to mistakes, omissions or incomplete information. Don’t think you can afford an attorney? 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. 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 Social Security Disability claims process can have many steps depending on how many times your claim is rejected and you appeal. He worked with the nurse, social worker, and doctor’s offices, to obtain documentation of... Read more ». The disability claims process take you down the path of the 5 evaluation steps. ... 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. Social Security Disability is determined through a series of five steps. Your impairments must interfere with basic work-related activities for you to be considered disabled. To decide whether you are disabled, we use a five-step process. Let us handle the Disability process for you. 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. We file Disability claims every day. 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. Review All 4 Steps in the SSI Application Process Step 1: Initiating Your Claim. If for some reason your claim gets denied, we will take it to the next level and appeal the decision. 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. The kit contains a: Factsheet - The factsheet includes the definition of disability and answers questions about applying for disability benefits. One less thing to do and I can concentrate on getting myself better. Then, the DDS returns the case to the field office for appropriate action. 1. Next, a Disability claims examiner will evaluate your case to determine if your impairment interferes with basic work-related activities, such as walking, standing, lifting, pushing, carrying, or speaking. 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. What medical conditions qualify for Social Security Disability? 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. To answer the 5 questions, Social Security has to review the reports from all of the doctors, hospitals, and clinics that have treated you. Ensuring these steps are conducted properly and quickly will ensure your benefits are received as quickly as possible. Call (413) 567-5600 for a free case evaluation. 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. After completing its development of the evidence, trained staff at the DDS makes the initial disability determination. Applications are taken at the local Social Security Administration offices. 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. 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. 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. Instead, applying for Social Security disability can be confusing, time consuming and most definitely frustrating. The first step in this process is called making your “intent to file.”. 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. Ready to apply? These 5 evaluation steps are about you, your work history, and your disability. Need help filling out your Disability application? Social Security Disability 5-Step Qualification Process Philadelphia Area Social Security Disability Qualification Criteria. The 5 Stages of the Social Security Disability Process. 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. STEP 5: Can you do any other type of work? Information about any medication you are taking is also important. The treatment of my condition by a medical specialist had been interrupted, because I didn’t have health insurance. Each step is a question geared to determine the significance and measure of your impairment, as it affects your ability to work full time. 1200 Converse Street The decision combines your medical records and your work history with Social Security’s complex regulations and policies. Use the five-step sequential evaluation process detailed in DI 22001.001D in this section to determine if a claimant is entitled to disability benefits. 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 … 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. whether a person has the ability to engage in SGA. If your condition is severe, but not at the same or equal severity as an impairment on the list, then Social Security must determine if your disability interferes with your ability to do the work you did during the last 15 years. Links to Listings. I had already been denied twice and this was going to be my 3rd time. Don’t take Early Retirement if you are disabled. This can be filed at your local Social Security office, over the phone or online. 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). If it doesn’t (meaning you can still work at one of your old jobs), your claim will be denied. It’s a sequential method, meaning the steps are followed in order. 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. McDonald Law Firm has helped me when I needed it most. (This will open another browser window.) Consider each step in this process in numerical order except where policy specifically permits a deviation. 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 . Took a complicated case, followed through and won for us. My family member has cognition problems and physical health problems. If you are applying for Social Security disability (SSDI) you can apply by phone, mail, on-line or in person. I contacted Attorney Roberts, and he organized the Social Security case for us. These 5 evaluation steps are about you, your work history, and your disability. The process is used for both SSI and SSDI, and everyone gets the same consideration. To start, the Social Security Administration looks at an individual’s work activity. Think again. 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. 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. When you apply for Social Security disability benefits, the Social Security Administration (SSA) wants to know whether your medical disorder is severe enough for you to qualify for benefits. If the claims examiner agrees that your condition prohibits you from working past jobs, he or she will next consider whether you can adjust any other type of work. If your disability is described in the listing, that automatically means you are disabled. Social Security must look at the combined effects of every impairment. This field is for validation purposes and should be left unchanged. The field office is responsible for verifying any non-medical eligibility requirements, such as marital status, age, address, employment, or Social Security coverage information. 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. I recommend Attorney Roberts as thorough, and dedicated to helping the disabled workers he represents. He or she will compare the requirements of your past jobs with your current limitations to determine if you can return to a prior line of work. In 2016, 10.6 million Americans collected over $142 billion in government Social Security disability benefits. Step 1: Intent to File.

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