when should i hire a disability lawyer after the first denial or the second

by Demarcus Glover 5 min read

If using an attorney to help with your initial application is a smart idea, hiring a lawyer after you've received an initial denial should be a no-brainer.

Hiring an attorney upon the first denial can help change those odds, especially if the denial was made over something as simple as an omission on the initial application. Once that first denial occurs, an attorney can help submit a reconsideration appeal.

Full Answer

When should I hire a disability lawyer?

Nov 12, 2021 · When Should I Hire a Disability Attorney? The earlier you hire a disability attorney, the better. If you have not filed for disability benefits yet, then you may want to consult with an attorney before beginning the filing process. A disability lawyer can help you evaluate if you have a strong case, or if there are areas for improvement before filing.

Do I need a lawyer if I’ve been denied SSDI?

The general rule is "the earlier, the better." If you're even considering filing for disability, you should call a disability attorney for a free consultation. Your attorney can help you evaluate the strength of your case and assist you with your initial application.

How to reopen a past disability denial?

Nov 08, 2021 · At What Stage in the Application Process Do You Need a Lawyer? Ideally, you should hire a disability lawyer during your initial application. If you get approved at this stage, your waiting will be over and you can enjoy your benefits a lot sooner. Sometimes, an initial application can get denied even with the help of a lawyer.

What happens if my disability application is denied twice?

The question becomes, should you get a disability lawyer before you even file for disability, ... it should be filed immediately after the first denial is received so that time can be saved. Reconsiderations are nearly always denied. However, going through the recon step allows a person to proceed to the next step. Reconsideration decisions are ...

What happens if you are denied disability twice?

Many applicants who are applying for SSDI are initially denied benefits. If this happens to you, you are able to file an appeal. if your claim is then denied a second time, you can request a hearing and continue the application process.Dec 29, 2020

How do I fight a disability denial?

If we recently denied your disability claim for medical reasons, you can request an appeal online. A reconsideration is a complete review of your claim by someone who did not take part in the first determination. We will look at all the evidence submitted used in the original determination, plus any new evidence.

Do most disability claims get denied the first time?

Home » Frequently Asked Questions » Does Social Security Disability Deny Everyone the First Time They Apply? No, the Social Security Administration (SSA) does not deny everyone the first time they apply.

What is the most a disability lawyer can charge?

$6,000First, the basics: Federal law generally limits the fees charged by Social Security disability attorneys to 25% of your backpay, or $6,000, whichever is lower. Back payments are benefits that accrued while you were waiting for Social Security to approve your case.

Why do disability claims get denied?

Here are some common leading reasons claims are often denied: Lack of medical evidence. Prior denials. Too much earnings.

Why do I keep getting denied for Social Security Disability?

You Earn Too Much Income For SSDI, which is the benefit program for workers who have paid into the Social Security system over multiple years, one of the most basic reasons you could be denied benefits is that, when you apply, you are working above the limit where it is considered "substantial gainful activity" (SGA).

How often are disability reviews denied?

The rate of denial of benefits during the initial review process is quite high—some estimates put it at about 70 percent. Some of the reasons that applications for Social Security disability benefits and/or Supplemental Security Income are denied include: Improperly completed claim forms.Aug 1, 2019

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...•Oct 20, 2019

Why is it so hard to get on disability?

#1: Lack of Hard Medical Evidence Many Social Security Disability claims are denied due to a lack of solid medical evidence. If you want to qualify for disability benefits you will need to prove that you are unable to work due to your disabling condition.Aug 10, 2018

How far does SSI back pay go?

Retroactive benefits might go back to the date you first suffered a disability—or up to a year before the day you applied for benefits. For SSI, back pay goes back to the date of your original application for benefits.

How does SSDI calculate back pay?

Calculating SSDI Back Payments Count the months between your EOD and application date to determine retroactive months. The number of months between the EOD and approval date, minus the five-month waiting period, plus the retroactive months, times your monthly payment equals the total amount of back pay due.

What is the monthly amount for Social Security disability?

Social Security disability payments are modest At the beginning of 2019, Social Security paid an average monthly disability benefit of about $1,234 to all disabled workers.

When you think you won't be able to work for a long time, have a free consultation with a disability lawyer

When you think you won't be able to work for a long time, have a free consultation with a disability lawyer.

Why Hire a Disability Attorney?

The most important reason to hire an attorney to help with your disability case is that your chances of being approved are significantly increased.

When Should I Call a Lawyer?

The general rule is "the earlier, the better." If you're even considering filing for disability, you should call a disability attorney for a free consultation. Your attorney can help you evaluate the strength of your case and assist you with your initial application.

What to do if your disability application is denied?

If your initial application got denied, you have the right to request a disability hearing. To skip the wait for the hearing, your lawyer can file for an on-the-record (ORD) decision. To help you get approval at this stage, your lawyer can: help you gather substantial medical evidence proving the extent of your disability.

How long does it take to get a disability claim?

According to the SSA, the average processing time for disability benefit claims is 103 days in 2018. But some disability reviews may take up to two years. Some factors that can affect the turnaround time include: A disability lawyer knows what the SSA wants to see and hear.

How to get disability approval?

To help you get approval at this stage, your lawyer can: 1 help you gather substantial medical evidence proving the extent of your disability 2 present a clear and concise argument as to why you deserve the benefits 3 negotiate your disability onset date 4 convince the Attorney Adjudicator on the specific merits of your case

Who is Judy Ponio?

Judy Ponio is a writer for Victor Malca Law P.A. and enjoys helping people with questions about social security, workers compensation, and other serious matters involving people’s livelihood. She is not an attorney and her writing should not be considered legal advice.

Who is Victor Malca?

Victor Malca P.A. has over 25 years of litigation experience in Workers Compensation and Social Security Disability lawsuits. His experience and continued success in fighting for his clients puts among the most trusted workers’ compensation lawyers in Florida. Our area of expertise is in representing injured workers on compensation benefit cases and disabled individuals claim social security disability benefits.

What can a disability lawyer do for you?

Having a disability lawyer or disability representative will do the following for you: 1. You probably won't miss deadlines, such as for filing an appeal or going to a consultative medical exam. This is because your representative will know about your appointments and remind you. 2.

How long does it take to get a disability?

1. Apply for disability - On average, a disability application filed with the social security administration will take 3-4 months for a decision. 2. File a reconsideration appeal - This is the first appeal in the social security system.

How long does it take to file a disability claim?

It can be filed within 60 days of the denial on the disability application, though, for the sake of common sense, it should be filed immediately after the first denial is received so that time can be saved. Reconsiderations are nearly always denied.

The Waiting Game

Filing for Social Security disability benefits is a three-step process:

Why Wait?

Why will a hearing change anything when you’ve already been rejected twice? There are a few reasons to stay positive through the rejections and press on toward the hearing:

What to do if your SSDI claim is denied?

If your claim for Social Security disability was denied the first time, our advice is to hire an experienced SSDI benefits attorney as soon as possible after you receive notice that your claim has been denied. They will be able to review your application and correct any errors or omissions that could cause your claim to be rejected the second time around. A Social Security lawyer can represent you at all stages of the appeals process, from reconsideration to a hearing before an administrative law judge, to an appeals council review or federal court review. It’s a fact that applicants who hire experienced disability attorneys to represent them have a much higher rate of success than those who don’t.

What can a social security lawyer do?

A Social Security lawyer can represent you at all stages of the appeals process, from reconsideration to a hearing before an administrative law judge, to an appeals council review or federal court review.

What is a reconsideration in SSA?

A reconsideration is a complete review of your claim by an SSA administrator who had no part in the original decision. They will look at all the evidence used to make the original decision, as well as any new evidence submitted. After reviewing the evidence carefully, the SSA will either approve your claim or let the earlier decision stand.

Who is Marc Whitehead?

Marc Whitehead is a board certified Social Security attorney who has assisted disabled workers all over the U.S. after their initial claims for disability benefits were denied by the SSA.

Can you appeal a disability claim if it is denied?

Fortunately, the law gives you the right to appeal when your claim for Social Security disability is denied the first time around.

First level

If you have filed your initial claim with social security and have been contacted via phone by a case worker, then you have so far been dealing with the “ Disability Determination Service ”, or “DDS” for short. First understand that DDS hardly ever approves claims on the first go-round, except for people who are very, very sick.

Second level

If you have received your first denial letter from DDS, then you will need to file what is called a “Reconsideration Request” with the Social Security Administration. For your convenience, we have included with this letter the form you need to file, SSA Form 561. You can also file this form online at https://www.ssa.gov/forms/ssa-561.html .

Third level: (or when should I hire an attorney?!)

After (and if) you get this second denial, then it’s time to “lawyer up”! Call our offices to help you file your next appeal, which is the “ODAR” or “OHO” level. This is the appeal level that is going to take you to see the Administrative Law Judge, and where having an attorney is absolutely necessary.

Fourth level, Appeals Council

If you have already seen the judge and received a “Notice of Decision – Unfavorable”, then your next step is to ask the Appeals Council to review your claim. Sometimes, this is a good idea, and sometimes you should just file anew claim. You really need to speak with a lawyer at this point, who can help you decide what your best course of action is.

Fifth level, Federal Court

If you have been denied by the Appeals Council, then your next step is to file your case with the United States Federal District Court. Like the third and fourth levels, you absolutely need an attorney’s help to do this. Again, you have 60 days to file the appeal, so get to an attorney ASAP!

Can I talk to Ms. Cook or one of your representatives before my Reconsideration Request is denied?

We know that even the first levels of the process can be nerve wracking, and Google doesn’t answer all your questions (that’s why we’re here)! So, if you are at the first two levels in the process, we offer one free 15-minute phone consult with an accredited representative or attorney who can answer your questions. No charge and no obligation!

What is the second appeal for disability?

This means you will likely have to file a second appeal. The second appeal is decided by a federal administrative law judge (ALJ) at a disability hearing, and before your hearing you should absolutely have legal counsel. (Here's how a lawyer will help you at the hearing .)

What to do if your Social Security disability is denied?

If your initial application for Social Security disability benefits has been denied, it may be a good time to talk to a lawyer. If your application for disability has been denied and you intend to appeal, you can either file a reconsideration appeal on your own, or find a claims representative to do this for you.

How long does it take to appeal a Social Security denial?

Social Security allows 60 days from the date of denial (plus 5 days grace for mailing time) for an appeal to be at the Social Security office.

How long does it take to get a reconsideration from Social Security?

A surprising number of disability claimants miss this deadline; they make the mistake of thinking the deadline is that their request for reconsideration has to be postmarked within 60 days from when they receive their notice of denial. It actually has to be in the Social Security office, not postmarked, within 65 days from the date stamped in ...

How long do you have to wait to reapply for disability?

There is no law or regulation that states you have to wait a specific number of days before reapplying. You can reapply for disability immediately. But whether you should do so is a different story. Before reapplying make sure you understand why you were denied on your last application.

What to do if your Social Security disability is denied?

If your Social Security Disability claim is denied you can either file an appeal or file a new application. You can also give up on your claim and do nothing. But if you are reading this article, I bet you are willing to keep fighting for the disability benefits you deserve. Your decision, therefore, is between reapplying for disability ...

How long do you have to appeal a disability claim?

You missed the deadline to file an appeal. You have 60 days to file an appeal at each stage of the disability process. Though the SSA will allow a late appeal if you show good cause for missing the deadline, these “good cause” motions are rarely granted in my experience and you are better off filing a new application.

What to do if Social Security denied my claim?

If the Social Security Administration denied your claim less than 12 months ago, you can use your new application to reopen your old claim. This is a good option if you did not submit the appropriate medical evidence or cooperate with the disability examiner during your first application.

What is new material evidence?

Usually the “new and material” evidence is medical in nature, but it can also relate to vocational and work history issues. Look into the rules for reopening a prior claim any time you file a new application for Social Security Disability. It could put thousands of dollars in your pocket.

Can I reapply for Social Security Disability?

No. There is no limit on the number of times you can reapply for Social Security Disability benefits or Supplemental Security Income. I have helped many disabled adults with two, three, and even four denied claims reapply and get approved for Social Security Disability.

What to do if your disability is denied?

Tips on filing your disability appeal. Without a doubt, if your disability claim is denied, you should appeal your disability denial. So many disability claimants give up and do not file an appeal only to find themselves starting the disability process all over again at a future date.

How long does it take to file an appeal for Social Security?

All disability claimants have sixty days, plus five days for mailing, to get their appeal submitted to Social Security. You can file your appeal online, or file a paper appeal. It really does not matter what method you use, the important thing is to file the appeal and file it timely. However, if you have a disability representative, ...

What happens if you don't file an appeal?

If you do not file your appeal timely, you may have to file a new disability claim if you cannot present an acceptable good cause reason for missing the appeal deadline. Do not be discouraged if your first appeal (reconsideration) is denied, because about eighty-five percent of those who file a reconsideration appeal are denied. ...

How old do you have to be to get medical records?

Current medical records are medical records that are no older than ninety days old. You will also help your chances of approval significantly if you have a treating physician (a doctor who has a history of treating your condition) who can provide medical treatment records for your disabling conditions.