Social Security Disability Resource Center

What kind of cases win disability benefits?




 
Unfortunately, there are no specific kinds of cases that win disability benefits, as each person who files for Social Security disability or SSI disability has unique conditions and limitations.

However, disability cases that involve paralysis of extremities, mental retardation (depending on severity), statutory blindness, total deafness, terminal disease processes such as cancer, ALS (also known as Lou Gehrigís disease), severe cardiovascular impairments, kidney failure requiring dialysis or transplant, and severe neurological impairments that cause significant disruption of function are likely candidates for approval of disability benefits at the initial disability claim level.

The reason that these types of conditions often win disability benefits at the initial disability claim level is that they often meet or equal the listing criteria of an impairment listing. Social Security has a disability handbook known as the blue book that contains a list of impairments of all of the body systems. Each of these impairment listings has the criteria needed to meet or equal the severity requirements of Social Security disability and SSI (since both programs are evaluated in the same way).

People who have cases that involve these conditions listed above and other severe conditions are more likely to win their disability benefits on their initial claim (disability application).

However, this does not mean that people who file for disability with other conditions will not win their disability cases at some point in the Social Security disability appeal process.

The Odds of Winning on the First Appeal

If an initial disability case does not win disability benefits, the disability applicant may still win benefits at one of the appeal levels. The first appeal level is a request for reconsideration appeal. Reconsideration appeals have the lowest chance of winning an applicant disability benefits (depending on one's state of residence, they may only have a 12-14 percent chance of being approved for disability at the reconsideration level).

Reconsiderations are just a review of the initial disability determination. If the disability examiner who made the initial disability decision was correct according to the criteria outlined in the blue book, there is very little chance of a disability caseís medical decision being changed.

The Increased Odds of Winning at a Hearing

However, the reconsideration appeal is still a necessary step toward a disability case winning disability benefits. This is because if a disability applicant sticks with the process they will file a second appeal. The second appeal is a request for hearing before an administrative law judge. Statistically, the odds are in favor of claimants who pursue their claim to the hearing level, particularly if their case is well prepared and well presented.

Claimants with representation typically have a better than sixty percent chance of winning benefits at a disability hearing conducted by a federal administrative law judge. And disability cases involving the following conditions have a very good chance of winning disability benefits at a hearing: Having said this, though, any disability case that involves a severe physical or mental impairment, or combination of impairments that have caused a person to be unable to work at a substantial gainful activity level for at least one full year could represent a case that will win disability benefits.

Social Security does not decide disability cases on the basis of a diagnosis, no matter what that diagnosis is.

SSA will award disability benefits based on how limiting an impairment is to a personís functional ability. If a claimant's medical records support the contention that a person is unable to perform the duties of their past work and also any other kind of job that their vocational work skills might possibly qualify them for, their case may win disability benefits.









  • Index of Social Security Disability SSI Questions and Answers

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  • 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:

    How can I win Social Security Disability benefits?
    How do you Win Benefits under Social Security Disability or SSI?
    What kind of cases win disability benefits?
    How Likely are You to Win Your Disability Case?
    Winning a Social Security Disability Appeal or SSI Appeal
    What Will a Disability Lawyer Do to Win a Social Security Case?
    What are the chances of winning a Social Security Disability Benefits hearing?
    Preparing for a Disability Hearing to Win Social Security or SSI Benefits
    Winning Social Security Disability Benefits For Mental Disorders



    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