Skip to main content

HOW TO RESPOND TO A DENIED DISABILITY CLAIM

In 2024, the Social Security Administration will deny about 75 percent of new disability claims.  And they will deny around 85 percent of claims on Reconsideration (the first appeal). This is just what they do.  Denials are to be expected but not accepted.

I know, I know:  I've heard all the stories:  People get on disability benefits all the time who are healthy and have nothing wrong with them.  Just let me say:  I've heard all the stories and it may sometimes happen.  But I've never had a problem with individuals getting disability benefits who didn't deserve them.  What I experience is individuals who desperately deserve benefits but have to fight tooth and nail to get them.

  • So, if you are unfortunate enough to be denied for Social Security disability, how should you respond?  Here is the straight of it:

1.  Find out WHY you were denied.  Usually, it's because Social Security wasn't convinced that you have a severe impairment that qualifies under their rules.  There are both medical and non-medical reasons for denials.  If you get a medical denial, there's an excellent chance you could be approved on your second appeal (not much chance on your first appeal).

2.  Get a good disability advocate or lawyer to look at your case.  Being disabled is not enough to get benefits.  You must be "disabled according to our rules," says Social Security.  If you don't know those rules, then get someone who does. 

3.  Consider how to get your doctor involved in the process.  Your lawyer or advocate will advise you how to do this.  

Note:  There is a strict 60 day deadline to file a Social Security appeal.  If you miss the deadline, no matter what the reason, it will cost you time and money just to get back where you began.

More claims are approved at hearings than anywhere else.  The purpose of an appeal is to maneuver your way to a hearing before an Administrative Law Judge (ALJ).  This is where you really want to be.

So here are the steps and the likely outcomes:

Step 1:  Application.  25 percent chance of success. "Do you feel lucky?"

Step 2:  Reconsideration.  13 percent chance of success. (Waste of time but you gotta do it).

Step 3:  Hearing.  About a 30 percent percent chance of success without a lawyer, but 60 percent with one.

So:  Appeal.  Appeal.  Appeal.   And remember, the law only gives you 60 days to file an appeal.  No more. 

__________

 Confused, hurt, desperate messing with the awful Social Security disability process?  Call The Forsythe Firm in Huntsville for answers.  Free consultation and no pressure interview to help you move forward.  Never pay a legal fee until you win and recover your past due payments. We won't ask you for any money.  Call (256) 799-0297.

Comments

Popular posts from this blog

MUST YOU MEET A LISTING FOR SOCIAL SECURITY DISABILITY?

You hear talk of getting SSDI benefits by "meeting a Listing."  What are the Listings? The Blue Book listings are found in the regulations at 20 CFR 404, Subpart P, Appendix I. The Listings are divided into 12 body systems.  Each severe impairment is listed under its respective body system.  For example, Congestive Heart Failure is listed under Section 4.00 - Cardiovascular System. When you go there, there is a list of severe symptoms, and they are severe.   If you exactly meet or equal the list of very extreme symptoms you will be automatically approved for disability. Here's the problem:  Meeting one of the listings is about as likely as winning the Super Lotto.  It is very, very unlikely that you will do so. Thus, 99 percent of claimants do not and cannot get approved by meeting a listing.  The listings are only for catastrophic, extreme impairments that most claimants simply do not have--or do not have at the severity level demanded by the listings...

A DISABILITY DENIAL IS NOT THE END OF YOUR CASE

By Charles W. Forsythe The Forsythe Firm Social Security denies a lot of applications.  It's expected.  But it's not the end. The good news is:  You can probably win your case on appeal and get paid benefits.  It just takes a bit longer. About 8 out of 10 new disability claims will be routinely denied.  So, it's rather unusual to be approved just by filing an application. An appeal sounds like a last resort or tricky legal maneuver.  It's really quite common--almost  normal--in a Social Security disability case. 8 out 10 claims will be appealed at least once, often twice, before they are paid. The process that pays Social Security disability is not the application, it's the appeal process. Many claimants who don't understand the importance of appeals give up after the first denial.  A serious mistake.  You odds get better in appeals. TIME LIMIT ON APPEALS .  All unfavorable Social Security decisions must be appealed within 60 days ....

CAN A LAWYER / ADVOCATE HELP YOU IN DISABILITY HEARINGS?

 HOW A LAWYER INCREASES YOU ODDS     There are many things a trained disability advocate or lawyer can do for you in a disability claim.  The biggest reason to have a lawyer or advocate is that you are 3 times as likely to be approved when using one. As with all levels of applying for SSI and SSDI , it is not required that you have attorney representation. However, the hearing before an Administrative Law Judge is your BEST chance of being approved for Social Security benefits. During this stage your chances of being approved are highly improved by having an attorney that is skilled with disability law . Only an experienced lawyer or advocate will understand the difficult and confusing concepts discussed at the hearing.  If you don't have a lawyer you will probably understand very little of what goes on at your hearing. Before your hearing your attorney can prepare you for the questions you will be asked at the hearing. A vocational expert will be a...