| Social
Security Disability Insurance (SSDI)
What Your Client Needs to Apply
Your clients may need to provide the following information
to apply for SSDI benefits:
- Social Security
number
(Social Security number cards and replacements can be requested through the
SSA Web site at
www.socialsecurity.gov/ssnumber/)
- Birth certificate or other
proof of age
(the SSA Web site can help you locate the appropriate
contact to obtain a copy of your client's birth
certificate at www.socialsecurity.gov/vitalstats.html)
- Names, addresses, and phone numbers
of doctors, hospitals, clinics, and institutions that provided treatment
and the dates of treatment
- Names of all medications being taken
Original documents or copies certified by the issuing
office must be provided. SSA will request the medical records if your
client is not able to obtain them.
Application
Process
Renewal
Process
Appeals
Process
Application
Process
Your clients can apply for SSDI at any Social Security
office as soon as they become disabled.
Social Security considers the application filing
date to be the day your client makes an appointment
to apply for SSDI. If your client fails to keep
this appointment, Social Security will send a
letter to your client notifying him/her that he/she
must apply within 60 days from the date on the
letter in order to use the date of the original
call as the application date.
To locate an office in your area
where your clients can apply, visit http://s3abaca.ssa.gov/pro/fol/fol-home.html.
Your clients can also apply online
at https://s3abaca.ssa.gov/pro/isba3/irib.cgi?WFORM=A.
If your client's application is approved, his/her first
SSDI benefit will be paid for the sixth full month
after the date the Social Security finds that
his/her disability began.
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Renewal Process
Social Security will periodically review your client's
case to see whether he/she is still disabled.
The frequency of the reviews depends on the expectation
of recovery.
- If medical improvement is "expected," the
case will be reviewed within six to 18 months.
- If medical improvement
is "possible," the case will
be reviewed in three years.
- If medical improvement is "not
expected," the case will
be reviewed in seven years.
During the review process, your client may be asked:
- To provide medical reports, treatments
and updates from physicians treating the disability.
- To undergo a special
examination or test at no cost.
- To provide information about any
work he/she may have done.
Your client may continue to receive SSDI benefits unless:
- New or improved medical tests show
your client is not as disabled as he/she was before and that he/she
now can work.
- Your client can now work due to vocational
training or advances in medical treatment.
- Social Security determines
a mistake in its earlier decision.
- Without a good reason, your client
is not following the prescribed treatment and could probably work
if the treatment was followed.
- Your client provided false information
when he/she was first determined disabled.
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Appeals Process
If your client is deemed ineligible to receive SSDI benefits,
a letter will be sent to your client explaining the decision and how
to appeal the decision. Your client has the right to appeal this decision
if he/she does not agree with it.
When appealing a decision made by Social Security, your
client should know there is a four-step appeal process:
- Reconsideration
- Hearing by an Administrative Law Judge (ALJ)
- Review by the Appeals Council
- Federal court review
(1) Reconsideration
Your client may request a review of the case if he/she disagrees with the first
decision. A different person will review the case and decide the case again.
(2) Hearing by Administrative
Law Judge (ALJ).
If your client disagrees with the reconsideration, he/she may request a hearing
before an ALJ.
(3) Appeals Council Review
If your client disagrees with the ALJ's action, he/she may request that the
Appeals Council review the case.
(4) Federal Court Review
Your client may request an appeal through the
United States court system, starting with the
United States District Court, if he/she disagrees
with the Appeals Council's decision or if his/her
request for a review is denied.
For more information regarding the appeals process, visit
www.socialsecurity.gov/oha
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