Overview of Disability

Disability Back Pay

Disability Requirements

Disability Applications

Disability Advice Tips

How long do cases take?

How to win Disability

SSD Mistakes to avoid

Disability for Mental

What if you get denied?

How to file Appeals

Disability through SSA

SSI Disability Benefits

Disability for Children

How do I qualify for it?

Working and Disability

Disability Award Notice

Disability Lawyer Q&A

Disability Conditions List

What is a disability?

Your Medical Evidence

Filing for your Disability

Disability Eligibility

SSD SSI Definitions

Recent Questions

SSDRC Disability Blog

How can you win a case if you don't have health insurance and can't get seen by a doctor?

This really has to be one of the worst problems that claimants who are filing for social security disability and/or SSI disability benefits have to face.

The way the disability system is setup, a disability claims examiner or a disability judge will have difficulty approving a claim for ongoing benefits if a claimant or the claimant's representative cannot produce recent medical documentation.

How recent? This varies, per the adjudicator and often varies according to the types of impairments that a claimant presents with (i.e. the prognosis and outlook for some impairments is not likely to change).

Generally, though, the last dated records an adjudicator examines should probably not be older than 2 or 3 months. And, in actuality, if the "newest" evidence in the file is three months old, then a claimant will be required to go to a CE, or consultative medical exam, which will mainly be simply for the purpose of obtaining recent medical evidence.

However, this is a problem for a sizeable percentage of individuals who are pursuing social security disability and SSI claims. And this statement excerpt expresses the frustration that disability applicants feel:

"My lawyer told me it wasn't worth it, they'd go by what the judge said. Her advice was now that I live in California to get new doctors who document every little symptom even better. Of course with no insurance and the only way to get into the ability to pay neuro clinics, that is proving to be nearly impossible so far."

How do you go to a doctor on a regular basis when you no longer have health insurance? In most cases, you can't. True, sometimes a physician that you have a treatment history with will continue to see you, but, more and more, doctors are turning away patients who have lost their insurance.

This leaves disability claimants in the position of having to go to emergency rooms (which often provide a deplorable level of care), health departments, and free clinics (which often are very limited in their resources).

Return to:  Social Security Disability Resource Center, or read answers to Questions

Related pages:

When Social Security Disability Sends You To A Doctor
Can You Get Approved For Social Security Disability If You Do Not Take Medication Or Go To a Doctor?
How Do You Qualify For Disability If You Donít Have Money To Go To the Doctor?
How Can You Get Medical Records For A Disability Case If You Have No Insurance?

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 provide answers to basic questions about pursuing disability benefits

Disability qualifications - Who will qualify is based on functional limitations
What do you Need to Prove to Qualify for Disability Benefits?
How to file for disability and the information needed by Social Security
What conditions do they Award Disability Benefits for?
How does back pay for Social Security disability work?
What makes you eligible for Social Security Disability or SSI? Part I
To get a Social Security Disability or SSI Award do you have to have a Permanent Disability?
Social Security Disability Status - when should I call to check
Do Lawyers Improve The Chances of Winning Social Security Disability or SSI?
What is qualifying for disability based on?
How to qualify for disability - The Process of Qualifying for Benefits
Receiving a Social Security Disability Award Letter
How long does it take to get disability?
Filing and applying for disability in Texas