How to file for disability, Filing for SSI
Disability Requirements, Disability Status
How long is the wait?, Disability Application
The Social Security List of Impairments
Qualifying for Disability, Mental Disability
Disability Lawyer Info, Disability Back Pay
How Will Social Security Decide a Disability Case that's filed?
All Social Security Disability (SSD) and Supplemental Security Income (SSI) cases are decided based on the medical evidence supplied, either by the claimant or the claimant’s legal representative, to the social security administration.
It can’t be stressed enough, really, how important it is for a claimant to take the time to put together a medical history that supplies all of the medical facilities at which he or she has received treatment, including names of treating physicians, addresses, and accurate phone numbers.
This may take some extra time and calling around before filing the initial claim, but putting down that you received treatment “at the cardiac treatment center on the west side” is not really all that helpful to a disability examiner when it comes to tracking down your records.
To reiterate: If you don’t provide accurate contact information to the examiner, you will delay your case for weeks, even months, or your treatment records may not be located at all, which could mean the difference between being awarded disability or being turned down altogether.
What types of medical evidence can help you win disability benefits? The answer to this question is, potentially anything and everything. Doctor’s notes, records of being admitted and discharged from hospitals and emergency rooms, and above all, any detailed statements from your treating physician that supply information as to your residual functional capacity (the actions you are able to perform despite your medical condition), will help a disability examiner or judge evaluate your claim.
This goes as well for any disability claims made on the basis of mental conditions as well—any psychiatric records, admittance and discharge from medical facilities, evaluations, and treatment summaries provided by your psychiatrist are very important to your case.
How does a disability examiner (an employee of the state disability determination services agency who makes SSD/SSI decisions for the federal social security administration) use medical evidence to evaluate a claim? The examiner will look over all of the medical records and make notes on any medical diagnoses, lab reports, x-rays, CT scans, spirometry (pulmonary functioning) tests, etc., and decide if the records support the claim of an impairment, and if that impairment meets the criteria of a listing in the blue book (a manual that lists medical conditions that the social security administration deems potentially disabling).
If the examiner determines that the claimant has a condition that is not listed in the blue book, or has a condition in the blue book but does not present with all of the symptoms required to be approved for that listing (it’s hard to meet all of the criteria necessary to qualify for a listing as they are very specific), then the examiner will decide if a medical vocational allowance should be granted to the claimant.
The medical vocational allowance, or Med-voc, is awarded to those with documented medical conditions that, although not specifically listed in the blue book, still prevent an individual from engaging in substantial gainful activity (SGA). SGA equates to a monthly gross income limit on how much a person can earn and still be eligible to receive, or apply, for disability benefits. So if your condition prevents you from earning more than that, you may qualify for a medical vocational allowance, i.e. a disability approval.
To see the current limit: SGA earnings limit.
Medical vocational allowances often hinge on statements from a treating physician regarding a patient’s residual functional capacity as well as the physician’s opinion about your chances of recovery in the future, or the likely progression of your illness.
If your physician backs up the claim that you cannot perform your current job, then the disability examiner, before awarding a medical vocational allowance, will try to determine if you could perform some past work, or other type of work. The examiner will use a vocational grid to make this determination, which is designed to ensure that examiners in all states take into consideration a claimant’s job skills, past work, education and age before suggesting other employment to which he or she may be suited.
When it comes to disability claims that are awarded on the basis of medical vocational allowances, a complete work history can be as important as complete medical history. Again, do not cut corners when you supply your work history with your initial application. List not only past jobs and any titles you have held, but also your specific duties, so that there is no guesswork on the part of the examiner as to what you are or are not capable of doing. Also, list good contact information for your past supervisors so that they can confirm your employment and the capacity in which you acted while in your position.
If at any point in the process you have new information that is relative to your case, be it new test results, medication, treatments, or diagnosis, be sure to supply it to your social security office immediately so that a disability examiner will consider it when deciding your case.
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Can you work while getting or applying for Disability?
How Often Does Social Security Approve Disability The First Time You Apply?
Tips for getting Social Security Disability or SSI benefits approved
What medical conditions will get you approved for disability?
What kind of Mental Problems Qualify for Disability?
Receiving a Disability Award Letter
Conditions Social Security will recognize as a disability
Previously answered questions regarding SSD and SSI
Applying for disability in your state
Most popular topics on SSDRC.com
Social Security Disability SSI Questions
The listings, list of disabling impairments
Can a mental illness qualify you for disability?
Disability Lawyers prevent unnecessary denials
How much Social Security Disability SSI back pay?
How to apply for disability for a child or children
Filing a Social Security Disability SSI application
Filing for disability - when to file
How to apply for disability - where to apply
Qualifications for disability benefits
How to Prove you are disabled and Win your Disability Benefits
Qualifying for Disability - The Process
How to get disability for depression
Getting disability for fibromyalgia
SSI disability for children with ADHD
What is the Application Process for Social Security Disability and SSI?
Common Mistakes to avoid after being denied for Disability
Social Security Disability SSI Exam tips
More Social Security Disability SSI Questions
Social Security Disability SSI definitions
What makes you eligible for Social Security Disability or SSI?
New and featured pages on SSDRC.com
Who can help me file for disability?
These pages answer some of the most basic questions for individuals who are considering filing a claim.
Can you get temporary Social Security Disability or SSI benefits?
Permanent Social Security Disability
What is the difference between Social Security Disability and SSI?
Who is eligible for SSI disability?
Can I Be Eligible For SSI And Social Security Disability At The Same Time?
What makes a person eligible to receive disability benefits?
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?
For the sake of clarity, SSDRC.com is not the Social Security Administration, nor is it associated or affiliated with SSA. This site is a personal, private website that is published, edited, and maintained by former caseworker and former disability claims examiner, Tim Moore, who was interviewed by the New York Times on the topic of Social Security Disability and SSI benefits in an article entitled "The Disability Mess" and also by the Los Angeles Times on the subject of political attempts to weaken the Social Security Disability system.
The goal of the site is to provide information about how Social Security Disability and SSI work, the idea being that qualified information may help claimants pursue their claims and appeals, potentially avoiding time-consuming mistakes. If you find the information on this site helpful and believe it would be helpful to others, feel free to share links to its homepage or other pages on website resource pages, blogs, or social media. Copying of this material, however, is prohibited.
To learn more about the author, please visit the SSDRC.com homepage and view the "about this site" link near the bottom of the page.