Social Security Disability Resource Center

Will my doctor charge me for a letter for my social security disability claim?




 
Whether or not your doctor charges you for a letter or statement to help your disability claim...depends on the doctor.

There are some doctors who absolutely refuse to become involved in disability cases and others who will supply a statement in support of your claim, but only if you pay a fee. Some doctors charge hundreds of dollars--if you are a patient of one of these doctors, consider changing physicians before filing a disability claim, and certainly well in advance of a hearing before an administrative law judge.

Though no one wants to appear to be a “doctor shopper,” if your physician appears not to believe you are disabled, this will naturally provide the potential to hurt your chances of winning social security disability or SSI benefits.

It’s important to note that physician statements usually have little affect on your chances of winning a disability claim at the first two levels of consideration, the initial social security application and the reconsideration appeal. This is because the disability examiners in charge of deciding these claims, who are employed by the state disability determination services agency (DDS), typically make their decisions based on medical records and the opinion of the social security doctor assigned to their unit. There’s a lot of pressure within DDS for examiners to keep the number of approvals down.

However, if you are scheduled for a disability hearing you should do everything in your power to get a statement from your physician in support of your claim, even if it takes several attempts to do so.

The statement should address your residual functional capacity (RFC), spelling out the physical and mental activities or tasks you can or cannot perform due to your impairment. Doctor’s notes are usually not enough; they tend to include symptoms, diagnosis, record of medical treatment, and prognosis without going into detail about how the patient’s ability to participate in substantial gainful activity (earning a living) is affected.

The physician statement does not have to be lengthy, but should be clear regarding residual functional capacity. In fact, there are boilerplate RFC forms that are nothing more than 5- to 8-page check-off forms. They take very little time to complete (about 15 minutes including the time it takes to pull your chart). If you have a disability attorney, the chances are that your attorney will have RFC forms on hand and he or she will probably attempt to get RFC forms completed by your doctor, or doctors, in preparation for a disability hearing.

ALJs (administrative law judges) usually pay more attention to physician RFC statements that help them to decide if a claimant can perform past work, some “other work,” or is unable to work enough to participate in substantial gainful activity; i.e., eligible for disability benefits.

In all candor, at the hearing level a supportive letter or statement from your physician can mean the difference between winning or losing a claim for SSD or SSI. If you are being represented by a disability attorney at your hearing and he or she has not requested such documentation from your physician, you might want to consider your representative about this. It’s that important.

If you are representing yourself at your disability hearing (a bad idea for so many reasons) do not be like the other 90 percent of those who do not hire a disability lawyer and show up to your hearing without a residual functional capacity statement that bears the weight of your physician's opinion (as well as the weight of their signature as the M.D. who treats you).

There are some physicians who absolutely refuse to supply an RFC, be it on the request of a patient or a disability attorney. You can’t know if your physician is one of those unless you ask. Although it may be awkward, if you are filing for SSD or SSI you should ask your physician this question as soon as possible. You have a much better chance of winning benefits if your physician is supportive of your claim, particularly if the physician has been treating you since your symptoms first began.








  • Index of Social Security Disability SSI Questions and Answers

  • 56 Answers to Social Security Disability SSI Questions







  • SSDRC Homepage:

    Social Security Disability and SSI Resource Center



    The Most Basic questions about Getting Disability Benefits

    Social Security Disability and SSI Back Pay Benefits

    Social Security Disability SSI and whether or not you can work

    How long does it take for Social Security Disability or SSI?

    Social Security Disability SSI Awards and Award Notices




    Tips, Mistakes, How to Qualify, and How to Win Disability

    Tips and Advice for Social Security Disability and SSI Claims

    Common Mistakes to avoid after being denied for Disability

    Disability Qualifications and How to Qualify for Disability Benefits

    Winning Social Security Disability or SSI, How to Win




    Denials, Appeals, and Getting a Disability Lawyer or Representative

    What you should know about Social Security Disability and SSI Denials

    Social Security Disability and SSI Appeal Process - How to file appeals

    Questions about Disability Lawyers and Hiring a Disability Attorney




    Various Types of Benefits including SSI, Mental, and Child benefits

    SSI Disability Benefits, Questions and Answers

    Social Security and SSI based on Mental Disability

    Social Security Disability or SSI Benefits for Children

    Disability Benefits through Social Security




    Information to start with regarding Disability Claims

    An Overview of Social Security Disability and SSI

    What is considered a Disabling condition by Social Security?

    The Disability Requirements to be eligible for SSD and SSI Benefits




    Filing for Social Security Disability or SSI Benefits

    Social Security Disability and SSI Applications

    Social Security Disability SSI List of Conditions and Impairments

    Social Security Disability SSI: Medical Evidence and Records

    Filing your claim for disability benefits

    Eligibility for receiving disability benefits




    Resources on this site

    Social Security Disability, SSI Terms and Definitions

    Previously answered questions regarding SSD and SSI



    The SSDRC Disability Blog




    For Individuals living in North Carolina

    Disability in North Carolina

    North Carolina Disability Lawyer

    Getting disability in North Carolina








    Related pages:

    A "proper" statement from your doctor can have a dramatic effect on your disability case
    Should you get a Statement from a Personal Physician for your SSD or SSI Disability Case?
    Will my doctor charge me for a letter for my social security disability claim?
    Will Social Security Attempt To Get A Letter From Your Doctor To Help Your Case?
    Letters from doctors for Social Security Disability
    Social Security Disability Doctor, Supportive Statements
    Reopening of a prior waiver in my disability case



    Information on the following topics can be found here: Social Security Disability Questions and in these subsections:

    Frequently asked questions about getting Denied for Disability Benefits | FAQ on Disability Claim Representation | Info about Social Security Disability Approvals and Being Approved | FAQ on Social Security Disability SSI decisions | The SSD SSI Decision Process and what gets taken into consideration | Disability hearings before Judges | Medical exams for disability claims | Applying for Disability in various states | Selecting and hiring Disability Lawyers | Applying for Disability in North Carolina | Recent articles and answers to questions about SSD and SSI


    These pages answer some of the most basic questions for individuals who are considering filing a claim.

    Filing for disability - How to file for SSD or SSI and the Information that is needed by Social Security
    How to Apply for Disability - What medical conditions can you apply and qualify for?
    Applying for Disability - How long does it take to get Social Security Disability or SSI benefits?
    What happens if I file a disability application and it is denied by a disability examiner or Judge?
    How to Prove you are disabled and qualify to win disability benefits
    How do you prove your disability case if you have a mental condition or impairment?
    Social Security Disability Back pay and How Long it Takes to Qualify for it and receive it
    Social Security Disability SSI - Eligibility Requirements and Qualifications Criteria