People applying for Social Security Disability Insurance (SSDI) benefits are often in dire financial straits. They may have gone months without working. They may not have a realistic expectation of returning to gainful employment in the foreseeable future.
Those dealing with medical challenges so severe that they cannot continue working may be eligible for SSDI benefits. Provided that they cannot work at all and that their condition is likely to last a year or longer, they may be eligible. There are also requirements for work history that differ depending on the applicant’s age. Someone who believes they meet all of the standards may feel surprised when they receive a rejection notice. However, denied claims are relatively common.
How can those in need of SSDI benefits respond after receiving a denial notice instead of an approval?
Applicants have the right to appeal
The Social Security Administration (SSA) has to scrutinize every application carefully. In many cases, workers employed by the SSA err on the side of caution. They deny benefits if there is any uncertainty about an individual’s eligibility.
Small mistakes, including inadequate medical documentation or errors in paperwork, can lead to an unfair rejection. The appeals process gives an applicant the opportunity to correct mistakes and supplement their medical records.
There are several appeal stages available
When an applicant requests an appeal, the first stage is an internal process within the SSA. During reconsideration, a different SSA professional reviews the application, supplemental materials submitted with the appeal and any corrected documents. In some cases, they may approve the applicant for benefits.
Other times, the applicant needs to request a hearing in front of an administrative law judge. They can ask the courts to review the situation and rule on whether or not they are eligible for benefits. The applicant may even be eligible for backdated benefits based on when they initially became eligible.
If a judge does not rule in favor of the applicant, they may have the option of litigating in federal court or taking the matter to the Appeals Council. Applicants preparing for an SSDI benefits appeal may need help managing the process.
Getting support when applying for SSDI benefits or appealing an unfavorable decision can be beneficial for those struggling with medical challenges. Applicants who have professional guidance may be less likely to make mistakes and can more effectively navigate the appeals process.