what are the chances of me getting ssdi with a lawyer

by Pamela Mayer 10 min read

DID YOU KNOW? In fact, research shows that only 34 percent of those who do not hire an attorney are ultimately approved for disability benefits, but 60 percent of those who do hire an attorney are ultimately approved.Feb 18, 2020

Full Answer

Are there any lawyers who work with Social Security disability?

There are thousands of attorneys and professional advocates across the U.S. with expertise in Social Security disability. Some advocates formerly worked for the SSA, as disability examiners or claims representatives.

How do I find a Social Security disability lawyer?

The National Organization of Social Security Claimants’ Representatives also has a referral service, and you can search online legal directories such as Avvo, FindLaw and Lawyers.com for attorneys in your area who specialize in disability claims. Once you've chosen someone to handle your case, you need to notify Social Security in writing.

Is it hard to get Social Security disability benefits?

Here's what we learned about the outcome of their disability claims, as well as some of the things that made a difference in their chances of success. As anyone who's been through the process will tell you, it isn't easy to get Social Security disability benefits.

How does a disability lawyer get paid?

Most disability lawyers and advocates work on a contingency basis, meaning they only get paid if your claim is approved. Any fee agreement between you and your representative must be authorized by Social Security.

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What are the odds of winning a Social Security disability hearing?

Unfortunately, your odds are even lower for getting your benefits approved on the first appeal—about 12%. If you move on to the next level of appeal, which involves a hearing before an administrative law judge (ALJ), your chances for approval increase significantly—more than 55%.

What is the most approved disability?

1. Arthritis. Arthritis and other musculoskeletal disabilities are the most commonly approved conditions for disability benefits. If you are unable to walk due to arthritis, or unable to perform dexterous movements like typing or writing, you will qualify.

How can I increase my chances of getting disability?

Tips to Improve Your Chances of Getting Disability BenefitsFile Your Claim as Soon as Possible. ... Make an Appeal within 60 Days. ... Provide Full Details of Medical Treatment. ... Provide Proof of Recent Treatment. ... Report your Symptoms Accurately. ... Provide Medical Evidence. ... Provide Details of your Work History.More items...•

Why are most SSDI claims denied?

The most basic fact of the SSA disability process is simply that most cases will be denied, often because there wasn't enough medical evidence to prove the case, forcing claimants to go through the disability appeal process. Disability claimants should never resign themselves to giving up on an SSDI or SSI claim.

What is the hardest state to get disability?

OklahomaOklahoma is the hardest state to get for Social Security disability. This state has an SSDI approval rate of only 33.4% in 2020 and also had the worst approval rate in 2019 with 34.6% of SSDI applications approved. Alaska had the second-worst approval rate, with 35.3% of applications approved in 2020 and 36.2% in 2019.

What conditions are automatically approved for disability?

What Conditions Automatically Qualify You for Disability?Musculoskeletal disorders (e.g., bone, joint injuries, skeletal spine injuries)Special senses and speech (e.g., visual disorders, blindness)Respiratory disorders (e.g., chronic bronchitis, emphysema, asthma)More items...

Is it hard to get disability for depression and anxiety?

It can be difficult to bring a claim for disability benefits on the basis of anxiety or depression because the evidence used to support the diagnosis is based on subjective criteria. Objective measures, like an X-ray or a blood test, cannot tell your doctor what you are thinking or feeling in your day-to-day life.

How is the amount of disability determined?

Your benefit amount is based on the quarter with your highest wages earned within the base period. A base period covers 12 months and is divided into four consecutive quarters. The base period includes wages subject to SDI tax that were paid about 5 to 18 months before your disability claim began.

Do most disability claims get denied the first time?

No, the Social Security Administration (SSA) does not deny everyone the first time they apply. However, it does initially deny nearly two-thirds of all Social Security disability applications.

What are 4 hidden disabilities?

The four most common types of hidden disabilities are:Autoimmune Diseases. In most people, the body's immune system protects them from invaders like bacteria and viruses. ... Mental Health Conditions. ... Neurological Disorders. ... Chronic Pain and Fatigue Disorders.

How many times can you be denied Social Security disability?

Even if you are denied social security disability 3 times you may be able to appeal or submit a new application.

Who makes the final decision on Social Security disability?

While the DDS office reviews applications and makes recommendations to the SSA, it is the SSA which makes the final decision to accept or reject claims for disability benefits.

How can a disability attorney help?

Experienced disability attorneys can help in several ways, including: gathering the proper medical evidence. recognizing when medical records need updating or more evidence is needed. recognizing when it would help to have a medical expert testify at the hearing, and knowing where to find appropriate experts.

What happens after SSDI is denied?

First, a bit on the procedure at this stage of the process: After an application is denied, most states require claimants to go through a reconsideration review before they can request a hearing. (For details, see our article on reconsideration of SSDI/SSI denials .) Almost all reconsideration reviews lead to another denial (87%, according to government statistics from 2019). But the picture changes significantly when applicants get to the hearing stage.

How to get a disability hearing?

These results aren't surprising. Experienced disability attorneys can help in several ways, including: 1 gathering the proper medical evidence 2 recognizing when medical records need updating or more evidence is needed 3 recognizing when it would help to have a medical expert testify at the hearing, and knowing where to find appropriate experts 4 preparing you for questioning at the hearing 5 anticipating what the administrative law judge may focus on (based on the attorney's familiarity with local judges who preside at Social Security disability hearings), and 6 knowing how to cross-examine the vocational expert in order to strengthen your case.

Does hiring a lawyer help SSDI?

Our survey showed that hiring a dis ability lawyer makes a big difference in the outcome of SSDI and SSI claims. When we looked at the outcomes for all readers who hired an attorney at some point in the process, the results showed that 60% were ultimately approved for benefits, compared to 34% of those who didn't have a lawyer's help. That means that, overall, having a lawyer nearly doubled applicants' chances of getting benefits. (A government report from 2017 backs up this data; the report found that disability applicants who used representatives were allowed benefits 2.9 times as often as those without.)

Is it easy to get disability?

It isn't easy to get Social Security disability benefits. As anyone who's been through it can tell you, it can be a long, exhausting process. But our survey reveals two important points that provide hope: Don't give up if your application is denied at first, because approval rates go up at the hearing stage.

Does the Type of Disability Make a Difference?

In contrast, SSI is a need-based program for disabled people with little or no income or assets, regardless of their work history. Our survey shows that SSI applicants generally have a more difficult time getting benefits than SSDI applicants. (For details, see our survey statistics on SSDI and SSI .) A lawyer's help makes a significant difference regardless of the program, but the attorney advantage is especially big for SSI applicants. Readers who applied for SSI and hired an attorney at some point in the process (usually for the hearing) were nearly three times as likely to win an approval as those who proceeded without a lawyer (68% compared to 25%).

How much will I earn in 2021 if I have SSDI?

You also need to prove that you are not meeting the Substantial Gainful Activity (SGA) of income per month. In 2021, that is $1,310. If you are earning more than that amount in a month, even if you have a disability, you are not eligible for SSDI benefits.

How long can I work with SSDI?

To be considered disabled for SSI benefits, you must meet the same conditions as SSDI benefits — you have not been able to work for the last 12 months or will be unable to work for the next 12 months or longer. SSI benefits provide cash to meet basic needs like food, clothing and housing.

What Are the Differences Between SSDI Benefits and SSI Benefits?

To qualify for SSDI benefits, you need to have a disability or a condition that satisfies the Social Security Administration’s (SSA) definition of disability:

When Is the Right Time in the Application Process to Hire an Attorney?

In many cases, people do not feel they need to hire an attorney to help them with the application process until they reach the third level — requesting a hearing before an ALJ.

What is the difference between SSI and Social Security?

There are some key differences in SSI benefits: SSI benefits are paid out of general tax revenue and not out of Social Security taxes. SSI benefits are designed to help individuals with a disability who have limited or no income and who have no assets above a certain level.

Why are SSDI applications denied?

Many applications for SSDI benefits or SSI benefits are denied because they do not have enough medical evidence to prove your disability claim. One of the main jobs of your attorney while preparing for the hearing with the ALJ is to gather all this necessary documentation.

What are the differences between SSDI and SSI?

There are some key differences in SSI benefits: 1 SSI benefits are paid out of general tax revenue and not out of Social Security taxes. 2 SSI benefits are designed to help individuals with a disability who have limited or no income and who have no assets above a certain level. 3 To be considered disabled for SSI benefits, you must meet the same conditions as SSDI benefits — you have not been able to work for the last 12 months or will be unable to work for the next 12 months or longer. 4 SSI benefits provide cash to meet basic needs like food, clothing and housing. 5 You can earn up to $750 a month on SSI benefits as an individual and up to $1,125 as a couple, but funds will be subtracted from your benefits if they meet the SSI definition of income. So if you were earning $200 a month in income as an individual, that amount would be subtracted from the $750 benefit total, and you would receive $550 in SSI benefits. 6 If you are eligible for SSI benefits, you may also be eligible for SSDI benefits. If you think you qualify for both benefits, this is an ideal situation where an attorney can help you determine how to proceed.

What can a disability lawyer do?

A disability lawyer can examine your initial application, determine why you were denied, and, if possible, make the necessary changes to get your application approved.

How to file for disability benefits?

If you hire an experienced Social Security disability lawyer before you apply for Social Security disability benefits, then you can be confident that your attorney will: 1 Collect all the information that you need to apply and know how to use this information to your advantage. 2 Make sure that all of the information supporting your application is submitted correctly and on time. 3 Protect your right to a fair hearing. 4 File any necessary appeals to challenge unfavorable decisions. 5 Act as your advocate should you have to go to court. 6 Help you to prepare yourself for any court proceedings. 7 Speed up the time it takes to begin receiving benefit checks.

What happens if my second claim is denied?

If your second claim is denied, your attorney can file for all hearings and appeals necessary to obtain benefits.

Can you find all the information required by the Social Security Administration?

You cannot locate all the information required by the Social Security Administration (SSA) disability program.

What is the best way to find a lawyer for disability?

Your local Social Security office can provide a list of legal referral services and nonprofit groups, such as bar associations and legal aid organizations, that can either provide or help you find representation. The National Organization of Social Security Claimants’ Representatives also has a referral service, and you can search online legal directories such as Avvo, FindLaw and Lawyers.com for attorneys in your area who specialize in disability claims.

What to do if you disagree with Social Security?

Having an attorney or advocate can be especially important if you disagree with Social Security's initial decision on your claim and file an appeal.

How much does Social Security pay a representative?

In a typical fee agreement, the representative's payment is capped by federal law at 25 percent of back pay or $6,000, whichever is less.

How to file SSA-1696?

Once you've chosen someone to handle your case, you need to notify Social Security in writing. Download an SSA-1696 form from the Social Security website and send the completed version to your local Social Security office. Alternatively, your representative can file it for you electronically. Both you and your representative will need to provide an electronic signature for verification.

Who can fill out the SSDI application?

A lawyer or advocate can fill out the SSDI or SSI application on your behalf and help gather medical records and other evidence for your claim. They can review your application for mistakes or omissions that could hurt your chances of success and can join you for meetings or conferences with Social Security officials.

Do disability lawyers get paid?

Most disability lawyers and advocates work on a contingency basis, meaning they only get paid if your claim is approved. Any fee agreement between you and your representative must be authorized by Social Security.

Can you verbally appoint a representative for Social Security?

During the COVID-19 pandemic, Social Security is also permitting claimants to verbally appoint a representative during a telephone hearing with an administrative law judge. You must still submit the written notice afterward.

Why do disability lawyers have a higher approval rate than disability applicants?

For example, not many average disability applicants know anything about disability impairment listing criteria, vocational guidelines, or past work, or how social security decides that a claimant has the ability to perform other types of work.

What is the benefit of having a disability attorney?

By obtaining a copy of the social security file and reviewing the prior decisions that were made at the disability application level and reconsideration appeal levels, a disability attorney can A) identify discrepancies and inadequacies in the development of the case and B) ascertain the strength of the medical record that was available to the disability examiners who previously handled the case .

How does a disability lawyer help an individual?

Frankly, in many instances, the only way a disability lawyer or representative helps an individual at these levels is by making make sure that the claimant files their appeal paperwork timely, respond to requests for information, and helps to make sure that their client remembers to attend consultative medical examinations. ...

Can a judge grant an on the record decision?

Finding errors in prior decisions can sometimes lead a representative to requesting an on-the-record decision from an administrative law judge. On-the-record bench decisions may be granted in cases where it is fairly obvious to the judge that the claim should be approved and benefits awarded , making the time-consuming process of scheduling and holding a hearing unnecessary (which can shave many months of time from a case).

Do I need a lawyer for Social Security Disability?

initial disability claim, reconsideration appeal, request for administrative law judge hearing, appeals council review request, and federal court), however claimants do not have to have a disability lawyer or representative during any of these disability claim levels. So why should a disability applicant consider a disability lawyer or Social Security Disability representative?

How long do you have to wait to get a disability hearing?

And if you don't want to wait upwards of two years for a hearing date, you might try to hire an attorney for help with the initial application.

What to do if denied Social Security disability?

If you're denied at the application level, it becomes more important to hire a lawyer. Disability lawyers know how to prepare a disability case for a hearing and they have the necessary expertise with Social Security rules and regulations to win at the hearing. Your lawyer may want to practice asking you questions that the judge might ask so that you aren't nervous at the hearing and so that you can testify (honestly) in a way that's helpful to your case.

What Are the Cons of Hiring a Lawyer?

The only real con of hiring a lawyer is that, if you win your claim, the lawyer will receive part of your back payments from Social Security. The lawyer can take up to 25% of your backpay, up to a maximum cap of $6,000 (but the fee has to be based on the amount of time the lawyer spends on your case). When we surveyed readers, we found that the average fee collected by Social Security lawyers was $3,750, much lower than the maximum (and even lower in SSI cases: $2,900).

How much does it cost to hire a lawyer for a hearing?

Is hiring a lawyer for your hearing worth the money? In the survey of readers we did, the average attorneys' fee for those who hired a lawyer for the hearing was $4,600 (though more than half paid the maximum fee of $6,000). But the hearing is the last good chance you have of getting approved for benefits, so you may decide it's worth part of your backpay to hire the lawyer (and you don't have to pay if you don't win).

How long do you have to wait to get a hearing?

If you don't want to wait upwards of two years for a hearing date, you might try to hire an attorney for help with the initial application.

Do disability attorneys get paid?

Generally, because disability attorneys get paid on contingency (only if you win), they are motivated to track down important medical records and test results and talk to your doctors, or at least obtain detailed statements from them. (Often, doctors are more likely to respond to an attorney’s request for a supportive statement than to a patient’s request.)

Can a lawyer help with a disability?

If your medical records are insufficient, your lawyer could also help you arrange for a breathing test or ejection fraction test before you apply, so that you have a better chance of winning disability at the initial application stage. If necessary, a disability attorney can request that Social Security schedule (and pay for) an exam with a doctor or psychologist.

How do I apply for SSDI?

First, some background on the procedure of applying for SSI or SSDI: After you submit an application, the Social Security Administration (SSA) will start out by deciding whether you meet the financial and/or work-history requirements. If you don't, you'll receive a nonmedical, or "technical," denial. If you advance to the next stage, a disability examiner will then put your application through a five-step medical evaluation. (For more details, see our articles on technical disability denials and the SSDI/SSI determination process .)

Can you prove you are disabled if you work?

Even if you're earning under the allowed amount, it can be much harder to prove that you're disabled if you're doing any work . But Social Security's claims examiners and judges also appreciate a long employment history, so being out of work for a long time might be a problem as well.

Is it harder to prove you are disabled if you are still working?

This isn't surprising, since applicants who are working over the limit that Social Security allows are instantly denied. Even if you're earning under the allowed amount, it can be much harder to prove that you're disabled if you're doing any work.

Is it easy to get disability?

As anyone who's been through the process will tell you, it isn't easy to get Social Security disability benefits. Our survey backed up that general impression. Overall, only about four in ten (42%) of our readers were ultimately approved for benefits.

Do you need to see a doctor before applying for disability?

Clearly, you should see a doctor or other medical professional in order to create that evidence. One-third of our readers said they had not seen a doctor or other medical professional in the year before they applied for disability.

Do women get SSI?

Finally, our female readers were somewhat more likely than the men to have applied for SSI—14% of women, compared to 11% of men. (Women are less likely than men to be insured for SSDI; almost 80% of men are insured for SSDI while only about 70% of women are insured, meaning they're more likely to have to apply for SSI.) As we've seen, SSI applications have lower approval rates than SSDI.

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Eligibility

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For starters, to determine whether you qualify to receive SSDI, it’s important that you meet certain eligibility requirements. These benefits are usually granted to people who have been unable to work for at least 12 months as a result of an incapacitating, long-term condition. The SSA establishes strict standards as far a…
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Reconsideration

  • If, like 70% of applicants, you’ve had your claim denied in the first stage, you can submit your claim for reconsideration. Here, a claim examiner at the Disability Determination Service (DDS) will review the application thoroughly, which can take several months. They will determine whether to reverse the initial decision if anything was missed, or for any other reason. The chances of appr…
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ALJ Hearing

  • This is when having competent legal representation comes in handy. If your claim was rejected a second time after reconsideration, you may request a hearing in front of an Administrative Law Judge(ALJ) at a state court. The judge will ask questions relating to the nature of your disability, whether it was worsened in time, and more to determine your eligibility for SSDI. Here, statistics …
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Appeals Council

  • In the event where your claim is yet again denied by an ALJ, the next stage involves filing for a review with the Appeals Council. This council consists of Administrative Appeal Judges (AAJ) whose job is to review the decision ruled by the ALJ. Chances of approval here are extremely low, 1% on average. That said, the council has the power to send your case back to the ALJ, should t…
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Federal Court

  • Lastly, as a last resort, you may file a lawsuit at the federal court. In practice, approval rates are barely even higher than the Appeal Council. The court will either approve the ALJ’s denial, reverse their ruling and award the claimant SSDI benefits (which only happens 2% of the time), or send the case back to them to fix any noted errors and/or procedural mistakes. While chances of obtainin…
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