Do I Need An Attorney?

Although you can represent yourself, statistics have shown that people represented by attorneys have been successful more often than those without representation. The key to winning an SSD/SSi claim is the proper preparation of your application and the presentation of your medical evidence of disability. Our goal is always to know more about your diagnosis and disability than Social Security and Administrative Law Judges. That way we control the claims process so that Social Security cannot arbitrarily deny your claim.

During Congressional testimony, California congressman Robert T. Matsui stated: “Professional representation is a valuable, and indeed vital, service. The disability determination process is complex. Claimants without professional representation appear to be far less likely to receive the benefits to which they are entitle. For example, in 200, 64% of claimants’ represented by an attorney, but only 40% of those without one, were awarded benefits at the hearing level”.1 At the same hearing, Congressman E. Claw Saw, Jr. of Florida provided the following testimony: “As Many of you know, filing for Social Security benefits, especially disability benefits, is so complicated that many claimants must hire attorneys to guide them through the process.”.2


1 November 16, 2001 Congressional Record, Testimony of Honorable Robert T. Matsui of California, regarding the Attorney Fee Payment System Improvment Act 2001.

2. Novemeber 16, 2001 Congressional Record, Testimony of Honorable Clay Saw Jr. Of Florida, regarding the Attorney Fee Payment System Improvement Act 2001.

Can your family get disability benefits?

Certain members of your family may qualify for benefits based on your work. They include:

* Your spouse, if he or she is 62 or older;
* Your spouse, at any age if he or she is caring for a child of yours who is younger than age 16 or disabled;
* Your unmarried child, including an adopted child, or, in some cases, a stepchild or grandchild. The child must be younger than age 18 or younger than 19 if in elementary or secondary school full time; and
* Your unmarried child, age 18 or older, if he or she has a disability that started before age 22. (The child’s disability also must meet the definition of disability for adults.)

NOTE:
In some situations, a divorced spouse may qualify for benefits based on your earnings if he or she was married to you for at least 10 years, is not currently married and is at least age 62. The money paid to a divorced spouse does not reduce your benefit or any benefits due to your current spouse or children.

Who can get Social Security Disability?

Social Security pays benefits to people who cannot work because they have a medical condition that is expected to last at least one year or result in death. Federal law requires this very strict definition of disability. While some programs give money to people with partial disability or short-term disability, Social Security does not.

Certain family members of disabled workers also can receive money from Social Security. This is explained in “Can my family get benefits?”

How do I meet the earnings requirement for disability benefits?

In general, to get disability benefits, you must meet two different earnings tests:

  1. A “recent work” test based on your age at the time you became disabled; and
  2. A “duration of work” test to show that you worked long enough under Social Security.

Certain blind workers have to meet only the “duration of work” test.

The table below, shows the rules for how much work you need for the “recent work” test based on your age when your disability began. The rules in this table are based on the calendar quarter in which you turned or will turn a certain age.

The calendar quarters are:

First Quarter: January 1 through March 31
Second Quarter: April 1 through June 30
Third Quarter: July 1 through September 30
Fourth Quarter: October 1 through December 31

Rules for work needed for the “recent work test”
If you become disabled… Then you generally need:
In or before the quarter you turn age 24 1.5 years of work during the three-year period ending with the quarter your disability began.
In the quarter after you turn age 24 but before the quarter you turn age 31 Work during half the time for the period beginning with the quarter after you turned 21 and ending with the quarter you became disabled.
Example: If you become disabled in the quarter you turned age 27, then you would need three years of work out of the six-year period ending with the quarter you became disabled.
In the quarter you turn age 31 or later Work during five years out of the 10-year period ending with the quarter your disability began.

The following table shows examples of how much work you need to meet the “duration of work test” if you become disabled at various selected ages. For the “duration of work” test, your work does not have to fall within a certain period of time.

NOTE: This table does not cover all situations.

Examples of work needed for the “duration of work” test
If you become disabled… Then you generally need:
Before age 28 1.5 years of work
Age 30 2 years
Age 34 3 years
Age 38 4 years
Age 42 5 years
Age 44 5.5 years
Age 46 6 years
Age 48 6.5 years
Age 50 7 years
Age 52 7.5 years
Age 54 8 years
Age 56 8.5 years
Age 58 9 years
Age 60 9.5 years

 

 

taken from ssa.gov

Adult disabled before the Age of 22

An adult disabled before age 22 may be eligible for child’s benefits if a parent is deceased or starts receiving retirement or disability benefits. We consider this a “child’s” benefit because it is paid on a parent’s Social Security earnings record.

We make the disability decision using the disability rules for adults.

The “adult child”—including an adopted child, or, in some cases, a stepchild, grandchild, or step grandchild—must be unmarried, age 18 or older, and have a disability that started before age 22.

Frequently Asked Questions

What if the adult child never worked?

It is not necessary that the adult child ever worked because benefits are paid on the parent’s earnings record.

What if the adult child is currently working?

The adult child must not have substantial earnings. The amount of earnings we consider “substantial” increases each year. In 2011, this means working and earning more than $1,000 a month.

Certain expenses the adult child incurs in order to work may be excluded from these earnings. For more information about work and disability, refer to Working While Disabled–How We Can Help.

What if the adult child is already receiving SSI benefits?

An adult child already receiving SSI benefits should still check to see if benefits may be payable on a parent’s earnings record. Higher benefits might be payable, and entitlement to Medicare may be possible.

What if the adult child is already receiving disability benefits on his or her own record?

An adult child already receiving disability benefits should still check to see if benefits may be payable on a parent’s earnings record. It is possible for an individual disabled since childhood to attain insured status on his or her own record and be entitled to higher benefits on a parent’s record.

What if the parent never worked?

No benefits would be payable on the record of a parent who never worked.

Can an application be completed online for disabled adult child’s benefits?

At this time you cannot apply for child’s benefits online. If you wish to file for benefits for a child, contact Social Security immediately at 1-800-772-1213 (TTY number 1-800-325-0778) so that you do not lose any potential benefits.

Your disabled adult child cannot apply for benefits online, but he or she can get the process started by completing the online Adult Disability Report before contacting us.

How do we decide if an adult “child” is disabled for SSDI benefits?

If a child is age 18 or older, we will evaluate his or her disability the same way we would evaluate the disability for any adult. We send the application to the Disability Determination Services in your state that completes the disability decision for us. For detailed information about how we evaluate disability for adults, see Disability Benefits (Publication No. 05-10029).

 

taken from ssa.gov

5 Step Decision Critera for Disability

  1. Are you working?
    If you are working in 2010 and your earnings average more than $1,000 a month, we generally will not consider you disabled. The amount changes each year.

    If you are not working, or your monthly earnings average the current amount or less, the state agency then looks at your medical condition.

  2. Is your medical condition “severe?”
    For the state agency to decide that you are disabled, your medical condition must significantly limit your ability to do basic work activities—such as walking, sitting and remembering—for at least one year. If your medical condition is not that severe, the state agency will not consider you disabled. If your condition is that severe, the state agency goes on to step three.
  3. Is your medical condition on the List of Impairments?
    The state agency has a List of Impairments that describes medical conditions that are considered so severe they automatically mean that you are disabled as defined by law. If your condition (or combination of medical conditions) is not on this list, the state agency looks to see if your condition is as severe as a condition that is on the list. If the severity of your medical condition meets or equals that of a listed impairment, the state agency will decide that you are disabled. If it does not, the state agency goes on to step four.
  4. Can you do the work you did before?
    At this step, the state agency decides if your medical condition prevents you from being able to do the work you did before. If it does not, the state agency will decide that you are not disabled. If it does, the state agency goes on to step five.

    Additional information about Step 4.

  5. Can you do any other type of work?
    If you cannot do the work you did in the past, the state agency looks to see if you would be able to do other work. It evaluates your medical condition, your age, education, past work experience and any skills you may have that could be used to do other work. If you cannot do other work, the state agency will decide that you are disabled. If you can do other work, the state agency will decide that you are not disabled.

Disability Application Process

They will review your application to make sure you meet some basic requirements for disability benefits and evaluate any current work activities. If you meet these requirements, they will send your application to the Disability Determination Services office in your state.

The state agency completes the disability decision for them. Doctors and disability specialists in the state agency ask your doctors for information about your condition. They will consider all the facts in your case. They will use the medical evidence from your doctors and hospitals, clinics or institutions where you have been treated and all other information. They will ask your doctors:

  • What your medical condition is;
  • When your medical condition began;
  • How your medical condition limits your activities;
  • What the medical tests have shown; and
  • What treatment you have received.

They also will ask the doctors for information about your ability to do work-related activities, such as walking, sitting, lifting, carrying and remembering instructions. Your doctors are not asked to decide if you are disabled.

The state agency staff may need more medical information before they can decide if you are disabled. If more information is not available from your current medical sources, the state agency may ask you to go for a special examination. We prefer to ask your own doctor, but sometimes the exam may have to be done by someone else. Social Security will pay for the exam and for some of the related travel costs.

How we make the decision

We use a five-step process to decide if you are disabled.

Special rules for blind people

There are a number of special rules for people who are blind. For more information, ask for If You Are Blind Or Have Low Vision—How We Can Help (Publication No. 05-10052).

We will tell you our decision

When the state agency reaches a decision on your case, we will send you a letter. If your application is approved, the letter will show the amount of your benefit and when your payments start. If your application is not approved, the letter will explain why and tell you how to appeal the decision if you do not agree with it.

What if I disagree?

If you disagree with a decision made on your claim, you can appeal it. The steps you can take are explained in The Appeals Process (Publication No. 05-10041).

You have the right to be represented by an attorney or other qualified person of your choice when you do business with Social Security. More information about having a representative can be found in Your Right To Representation (Publication No. 05-10075).

Hiring Social Security Disability Lawyer in Pennsylvania

Why Hire A Lawyer?

Statistics show that your chances of getting benefits are better if your claim or appeal is handled by a professional with experience in SSDI and SSI claims and appeals.

  • We handle all the paperwork for you
  • We take care of the costs and handle getting all your medical records
    to the Social Security Administration
  • We don’t get paid until you do
  • We don’t drag out your case to get more fees – our goal is to get you
    awarded as quickly as possible

The role of a Social Security disability lawyer is to make filing your disability claim as painless as possible while ensuring that you receive the full amount of benefits to which you are entitled.

We have a team of lawyers with years of combined experience in dealing with the Social Security Administration and processing and filing disability claims.

Let us show you how truly easy we can make the entire process feel for you.

Have You Been Denied Social Security Benefits or Just Want to Know How to File For Social Security?

It’s hard for the average person to deal with the mountain of paperwork that comes with filing a Social Security disability claim.

The Social Security Administration is diligently working to prevent fraud in disability claims.

As a result the Social Security Administration’s rules and regulations on how to properly file a disability claim have grown increasingly strict.

Unfortunately, this also means it’s not uncommon for someone with a genuinely legitimate disability claim to be denied because of some minor clerical error in preparing their paperwork.

A misplaced form or improperly filled out paperwork can make the Social Security Administration incorrectly flag your disability claim as fraudulent and that means you get denied the benefits that you are entitled to.

It’s not your fault; you don’t deal with this sort of bureaucratic red tape everyday.

We do.

When will your Medicare card arrive?

Your Medicare card will arrive in the mail in about 30 days.

taken from ssa.gov

How does the Online Disability Report Work?

Completing the Report

The Online Adult Disability and Work History Report has seven sections: Overview, Identification, Medical, Work/Education, Remarks, Review, and Submit. In each section, we will give you instructions and examples to guide you.

The report does not have to be done all at once. After you fill in your name and address, you will get a Reentry Number. You can select the “Sign off and finish later” button at the bottom left of any page to stop working on the report , and then use the Reentry Number to come back to the section where you left off. Your Reentry Number can only be used for this report.

The Remarks section lets you provide us with additional information you may wish to include. If you do not have enough room, write the information on a separate sheet of paper and send it to us at the address we give you after you have completed the report.

Saving the Report

Your report is automatically saved each time you click Next, Previous, or Sign off and finish later.

  • When you have completed the report, you will see a Review of the information you entered. You can make any necessary changes at that time.
  • Once you submit your report, you will see a Receipt page that includes a copy of the entire disability report you submitted. You should print this Receipt for your records.

Time Limits

There are time limits for your work on each page. If you spend 25 minutes on a page, you will receive a warning and you will be able to extend your time on the page. After the third warning on a page, you must move to another page or your time will run out and your work on that page will be lost.

If your browser has JavaScript turned off, you will not receive any warnings. If you do not go to another page after 30 minutes, your disability report session will end and your work on the last page will be lost.

To being to fill out the online form go here.

 

 

Content from ssa.gov

Disability Benefits Checklist for Adults Applying on the Internet

DISABILITY APPLICATION

  • Military Service discharge information (Form DD 214) for all periods of active duty.
  • W-2 Form (or your IRS 1040 and Schedules C and SE if self-employed) from last year.
  • Social Security Number(s) for your spouse and minor children.
  • Checking or savings account number and bank routing number, if you want Direct Deposit for your benefit checks.

DISABILITY REPORT

  • Name, address and phone number of someone we can contact who knows about your medical conditions and can help with your claim.
  • Names, addresses, phone numbers, patient ID numbers, and dates of treatment for all doctors, hospitals, and clinics.
    NOTE: You may want to refer to any Medical Records you have.
  • Names of medicines you are taking and who prescribed them.
    NOTE: You may want to have your medicine bottles available.
  • Names and dates of medical tests you have had and who sent you for them.
  • Types of jobs and dates you worked for your last 5 jobs.
  • Information about any insurance or workers’ compensation claims you filed, such as claim number and name, address and phone number of insurance company.

 

taken from ssa.gov

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