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If at any step in the process the SSA’s decision-makers decide you are disabled ― or not ― the evaluation ends. STEP 5: Can you do any other type of work? 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 field office is responsible for verifying any non-medical eligibility requirements, such as marital status, age, address, employment, or Social Security coverage information. 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. 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. 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. I missed a Disability appeal deadline. 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. equal severity to an impairment on the list. 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. See every step in the application process and claim review timeline below. Grant @KelliGrant.money @kelligrant Social Security must look at the combined effects of every impairment. To determine this, the SSA will send your file to the Disability Determination Service (DDS) agency in your state for a medical review. Based on these findings, an individual may or may not pass the first step of the approval process. 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. Social Security Disability Reconsideration. 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. —TD. The field office then sends the case to a DDS for evaluation of disability. If the determination is made that you can adjust to other work, your claim will be denied. What are the Social Security Disability requirements? Call us today at 855-702-9061 or just fill out the contact form on this page. Consider each step in this process in numerical order except where policy specifically permits a deviation. 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. Call (413) 567-5600 for a free case evaluation. Listed below are frequently asked questions about Step 4 and Step 5 of the process. SGA or substantial gainful activity is a monetary amount of earnings the Social Security sets each year as a self-supporting wage amount. Ready to apply? Step 1: Intent to File. “Substantial Gainful Activity” Monthly Earnings 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)? But all five steps may not be needed in your case. 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. If it is not, we go to the next step. 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. 1. Overall, there are five stages, each with its own format, rules, and decision makers. We know how to cut through the red tape to help get the benefits you need. If your condition is on the list and meets the criteria, you will be awarded 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). 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. Suite 230 . 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. I called Attorney Roberts. Here are the five steps: First, the SSA will check to see if you are working. Took a complicated case, followed through and won for us. What does “substantial gainful activity” (SGA) mean? Call 855-702-9061. Social Security Disability 5-Step Qualification Process Philadelphia Area Social Security Disability Qualification Criteria. 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 impairments must interfere with basic work-related activities for you to be considered disabled. We file Disability claims every day. 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. I contacted Attorney Roberts, and he organized the Social Security case for us. 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. © 2020 All Rights Reserved. The judge told us the medical records were complete and my claim was allowed. Social Security has a listing of impairments for each of the major body systems. A Social Security Program Policy Statement talks about whether a person has the ability to engage in SGA. It’s that simple. We know what the SSA is looking for and how to present the information in a way that will most benefit you. 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. The first step in this process is called making your “intent to file.”. By continuing to browse or by closing this banner, you indicate your agreement. The process is used for both SSI and SSDI, and everyone gets the same consideration. The Social Security Disability claims process can have many steps depending on how many times your claim is rejected and you appeal. 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. It’s a sequential method, meaning the steps are followed in order. Fort Worth Texas 76107, Disclaimer, Privacy Policy, Site Terms & SMS Opt-In, Surprising Mental Health Facts That’ll Get Your Attention. 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 … Don’t think you can afford an attorney? In a perfect world, applying for Social Security disability would be quick and painless, but we don’t live in a perfect world. In 2016, 10.6 million Americans collected over $142 billion in government Social Security disability benefits. I will explain to Social Security how the combined effects of your impairments prevent you from working. 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. 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. For a free Social Security Disability case evaluation. Disability benefits is what we do. FIVE Steps to Your Social Security Disability Determination 1. They may request medical evidence or other additional information. 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