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Benefit Representatives of America Inc. Helping You Get the Social Security Benefits You Deserve. Phone: 585-663-8071
Benefit Representatives of America Inc. ,[object Object],[object Object],[object Object]
SSA Benefits ,[object Object],[object Object],[object Object],[object Object],[object Object]
Social Security Disability Benefits ,[object Object],[object Object],[object Object]
How much work does a person need to qualify? ,[object Object],[object Object],[object Object]
Why is it so difficult to get approved for Social Security disability benefits? Answer:   It’s due to the complexity and subjective nature of the program and the laws that govern it.
Almost everyone is denied Social Security disability benefits when they first apply. “ From 1999-2008 the percentage of disability applicants awarded benefits at the initial level has averaged 28%.  The final award rate after  the appeals process  averaged 45%. Source: Chart 11 Annual Statistical Report on SSA Disability program
To Qualify for SSD or SSI disability benefits you must meet Social Securities definition of disability.
SSA’S Definition of Disability: “ For all individuals applying for disability benefits under Title II, and for adults applying under Title XVI, the definition of disability is the same.  The law defines disability as the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment(s) which can be expected to cause death or which has lasted or can be expected to last for a continuous period of not less than 12 months.  “
The disability application process and what is really involved. -Initial Application  (70% Denial  Rate) -Reconsideration -Hearing by Administrative Law  Judge  -Appeals Council Review -Federal District Court
5 Step Sequential Evaluation Process ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Appeals Process -Hearing  with Administrative Law Judge -Appeals Council Review -Federal District Court
The Hearing The average waiting time to get to a hearing in Upstate NY is 18 months. What’s involved at the hearing? The claimant, the judge, v.e.’s,  m.e.’s  witnesses, representative, sworn testimony, medical records, briefs, exhibits, claim file, etc. What should be done to prepare before the hearing?
You have a right to representation! Why should you have a representative? -Greatly increases your chance of approval. What will my representative do? -Complete all paperwork for you. -Help obtain medical records/documents.  -Prepare written hearing brief for the judge. -Attend hearing with you and represent you in front of the administrative law judge.
When do my SSD benefits begin? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medicare Health Insurance Who is eligible for Medicare? * 65 or older or * Receiving Social Security Disability benefits for 2 full years or * Permanent kidney failure (ESRD) or * Lou Gehrig’s Disease (ALS)
3  Parts to Medicare ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How do I apply for benefits? ,[object Object],[object Object],[object Object],[object Object]
Benefit Representatives of America Inc. Your Social Security Experts Phone:585-663-8071

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Social Security Disabilty

  • 1. Benefit Representatives of America Inc. Helping You Get the Social Security Benefits You Deserve. Phone: 585-663-8071
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  • 6. Why is it so difficult to get approved for Social Security disability benefits? Answer: It’s due to the complexity and subjective nature of the program and the laws that govern it.
  • 7. Almost everyone is denied Social Security disability benefits when they first apply. “ From 1999-2008 the percentage of disability applicants awarded benefits at the initial level has averaged 28%. The final award rate after the appeals process averaged 45%. Source: Chart 11 Annual Statistical Report on SSA Disability program
  • 8. To Qualify for SSD or SSI disability benefits you must meet Social Securities definition of disability.
  • 9. SSA’S Definition of Disability: “ For all individuals applying for disability benefits under Title II, and for adults applying under Title XVI, the definition of disability is the same. The law defines disability as the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment(s) which can be expected to cause death or which has lasted or can be expected to last for a continuous period of not less than 12 months. “
  • 10. The disability application process and what is really involved. -Initial Application (70% Denial Rate) -Reconsideration -Hearing by Administrative Law Judge -Appeals Council Review -Federal District Court
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  • 13. The Appeals Process -Hearing with Administrative Law Judge -Appeals Council Review -Federal District Court
  • 14. The Hearing The average waiting time to get to a hearing in Upstate NY is 18 months. What’s involved at the hearing? The claimant, the judge, v.e.’s, m.e.’s witnesses, representative, sworn testimony, medical records, briefs, exhibits, claim file, etc. What should be done to prepare before the hearing?
  • 15. You have a right to representation! Why should you have a representative? -Greatly increases your chance of approval. What will my representative do? -Complete all paperwork for you. -Help obtain medical records/documents. -Prepare written hearing brief for the judge. -Attend hearing with you and represent you in front of the administrative law judge.
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  • 17. Medicare Health Insurance Who is eligible for Medicare? * 65 or older or * Receiving Social Security Disability benefits for 2 full years or * Permanent kidney failure (ESRD) or * Lou Gehrig’s Disease (ALS)
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  • 20. Benefit Representatives of America Inc. Your Social Security Experts Phone:585-663-8071

Editor's Notes

  1. 4 credits max earned per year 2006- $970 in wages = 1 quarter of coverage so $3880 to earn
  2. What does this really mean: SSA not only looks at all your medical and psychological conditions but they also have to consider your age, education, and past work experience when deciding if you meet the criteria.