What Type of Examination is Needed to File Disability Benefits?

Posted by Scott Flexer on Sep 10 2019

DisabilityExperts_What Type of Examination is Needed to File Disability Benefits? 2

Has a medically disabling condition stopped you from working? If so, you may want to consider applying for Social Security disability benefits.

There are two types of Social Security benefits you may qualify for:

  • Social Security Disability Insurance (SSDI)
  • Supplemental Security Income (SSI)

Depending on your prior work history and income level, you may qualify for one or both programs.

SSDI is more applicable for insured workers. If you’ve paid into the program, have earned work credits, and can no longer work based on the severity of your condition, you are a good candidate. SSI, on the other hand, is more applicable if you have little or no income and are unable to work based on the severity of your condition.

Qualifying Examinations When Filing for Disability

Being eligible for either Social Security disability benefits program, SSDI or SSI, is based on a medical condition that prevents you from working. The Social Security Administration (SSA) has a process for determining what medical evaluations will qualify you for receiving Social Security disability benefits.

Initially, when you apply for disability benefits, your state’s disability agency will have experienced medical or vocational professionals who will review your records with your listed places of treatment and doctors.

However, sometimes the medical support you have provided isn’t detailed enough to qualify you for Social Security disability benefits. If this is the case, your state agency will usually send you forms to fill out and request a consultative examination.

If, for any reason, the SSA requests for you to have an examination performed again, they will pay for the exam along with any travel-related expenses you incur.

Upon your request, the SSA will forward any results from the exam to your primary doctor.

What to Expect from Your Examination

Sometimes your first consultative examination may not provide enough support of your disabling condition. In these cases, the medical professional appointed by the SSA will perform an examination designed to test for specific information your state agency has requested.

Once you have completed your exam, the medical professional will send a report of your exam to the state agency who will then decide if you are medically qualified to receive disability benefits.

What You Need to Do

If the Social Security Administration does request another medical exam,  it will be your responsibility to follow through with your physician to obtain the proper paperwork..

In the event of an emergency preventing you from keeping your examination appointment, you will need to contact your local state agency immediately and inform them that you won’t be able to make your scheduled appointment time. Failure to notify your state agency that you were unable to keep your appointment can lead them to decide on your case solely on the medical information already in your file.

If you are having difficulty applying for Social Security disability benefits, contact a compassionate disability advocate who is ready to fight for the benefits you deserve.

2019 COLA Social Security Benefits

Topics: disability benefits, medical examination, File Disability Benefits

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