Social Security Disability RC

How to file for disability, Filing for SSI
Disability Requirements, Disability Status
How long is the wait?, Disability Application
Social Security Disability list of impairments
How to Qualify for Disability, Mental Disability
Disability Lawyers FAQ, Disability Back Pay

What are the chances of winning a disability appeal in Texas?



 
Typically, on average, Social Security Disability and SSI disability applicants will stand about a 15-20 percent chance of winning benefits on their first disability appeal in Texas. This first appeal is known as a request for reconsideration appeal. The reconsideration is handled by a disability examiner at DDS (disability determination services) just as is the case with an initial claim.

The process involved on a reconsideration is identical to the disability application. Records are gathered from the medical treatment sources listed by the claimant and once these have been received, the examiner will determine if the claimant may be approved on a listing or approved under a med-voc allowance.

The majority of claims, it should be noted, are approved through the medical vocational decision process in which it is found that the individual lacks both the ability to return to their past work, but also lacks the ability to do some type of other work as well that, ordinarily, they would be suited for based on their age, education, and work skills.


Common questions about filing for disability in Texas
How long does the first appeal usually take?

It should be noted that reconsideration appeal decisions are often made very quickly. This is because most of the case development that was done on the initial application for disability is very recent. The medical records, as well, are also most likely very recent. And, in cases where the claimant has not been back to see one of their doctors it may be that there are no additional medical records to evaluate. So, while a decision on an initial claim will average 90-120 days, a reconsideration appeal decision is often completed in less than half that amount of time.

In cases where no additional medical treatment has been indicated by the claimant, and the evidence that was previously submitted for the application level is beginning to "age out" (become older than 60 days), it may be that the reconsideration examiner will need to schedule a consultative medical exam. In other cases, it may be that the reconsideration appeal will be done very quickly with no real purpose other than to verify that the first examiner who worked on the disability application made a valid decision that does not need to be overturned.

Regarding reconsideration approval-denial statistics, to be more specific, in a recent year (according to data provided by the Social Security Administration), approximately 16 percent of SSDI (Social Security Disability insurance) cases were approved at the reconsideration level, while only 11 percent of SSI disability cases were approved. Nationally, about 15 percent of reconsideration appeals are typically approved. In general, reconsiderations have a fairly low rate of approval. And it is for this reason that their primary utility value is in simply getting through this step so that a disability hearing may be requested.

Disability Hearing chances in Texas

What are the chances of being approved at a disability hearing in Texas? On average, a person who has been denied in Texas at the application level and on a reconsideration appeal, and who then files a request for a hearing, will have a 50-60 percent chance of being awarded benefits by a judge (and ALJ, or administrative law judge). In the majority of cases, the chances of approval will be enhanced when a claimant goes to such a hearing with a representative who may be a disability lawyer or non attorney advocate).

A disability lawyer or a non attorney advocate (many non-attorneys are former social security employees) will focus, prior to a hearing, on assembling as much medical information as possible on a claimant's behalf. This often includes contacting a claimant's doctors to see if they will provide statements which support a claimant's allegations of disability. However, even when an attorney is involved, a claimant will still need to be seen somewhere for medical treatment. This is because in order to be awarded benefits, medical evidence must be obtained that establishes A) how far back a disabling condition exists (to establish back pay amount and, in the case of SSD, to determine when medicare coverage begins) and B) whether or not the individual is currently disabled.

The chances of winning disability benefits via an appeal will always be subject to providing the Social Security Administration with sufficient medical record documentation. In other words, medical record updates and detailed statements from one's treating physicians. Unfortunately, the ability to provide this type of documentation is predicated on the abililty to receive continuing medical treatment and many claimants arrive at a point (while they are filing for disability) where they no longer have medical insurance.

Nevertheless, even claimants who no longer have health insurance should still try to be seen by a doctor every now and then for the purpose of keeping their medical condition documented. For many individuals, this will mean visiting a free clinic, health department, or a hospital's emergency room. Because even if your condition worsens as you fight to win your disability benefits, unless this is documented, your chances of winning an appeal will be less.








Essential Questions

What is the Social Security Disability SSI list of impairments?

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?




General information

Filing for disability in Texas
What are the qualifications for disability in Texas?
When do you file for Texas disability benefits? - when you become disabled
SSI vs Social Security Disability in Texas
Winning a Social Security Disability or SSI award in Texas
Disability for depression in Texas
Disability approval process - Getting disability in Texas
Resource links for Filing a Texas disability application
Can I apply for temporary and later permanent Disability in Texas?
How much can I get from Social Security Disability in Texas?
Eligibility and qualifying for disability in Texas
Social Security Disability Status in Texas


Disability appeals in Texas

What if you get denied disability in Texas?
Can you avoid a Social Security Disability Denial in Texas?
The Social Security Disability and SSI appeals process in Texas
Starting an appeal on a disability claim in Texas
What are the chances of winning a disability appeal in Texas?
How many disability appeals do you get in Texas?
Filing a Texas Disability Appeal


Disability Hearings in Texas

How long does it take to get a disability hearing decision in Texas?
Going to and getting ready for a disability hearing in Texas
Don't waste your Texas disability hearing - be prepared
Qualifying for disability at a hearing in Texas


Texas Disability Attorney questions

Get a qualified disability attorney, lawyer, advocate in Texas
Should you get help from a disability attorney in Texas if you have not filed yet?
What does a disability lawyer in Texas do to help you win benefits?
How Much Are The Fees For A Disability Lawyer In Texas?
How do Disability Lawyers in Texas get paid their fees?
Qualifying For Disability in Texas, will I qualify?





These pages provide answers to basic questions about pursuing disability benefits

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.