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What Do Social Security Doctors Look For

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If You Are Offered Services Under The Ticket To Work Program

What Do Social Security Doctors Look For? | Learning With Liebenhaut

Social Security may send you a Ticket that you can use to obtain services to help you go to work or earn more money. You may take the Ticket to your state vocational rehabilitation agency or to an Employment Network of your choice. Employment Networks are private organizations that have agreed to work with Social Security to provide employment services to beneficiaries with disabilities. Your participation in the Ticket Program is voluntary and the services are provided at no cost to you.

If You Get A Pension From Work

If you start receiving a pension from a job for which you did not pay Social Security taxesfor example, from the federal civil service system, some state or local pension systems, nonprofit organizations or a foreign government your Social Security benefit may be reduced. Also, tell Social Security if the amount of your pension changes.

Dealing With Medical Insurance Has Been Another Unexpected Roadblock

Filling out an application and having it approved in a timely manner would be the optimal way to go about this grueling and soul-stripping process. This process is like a huge fishing expedition into your unpleasant past. You have to gather all your medical records that detail your health journey from pre-diagnosis to after, any medical report summaries from every doctor youve ever seen, and anything else to build your case as if having a disabling medical condition means that you are guilty of something.

Newsflash: No one is at fault for getting sick, being in pain, and being unable to work like a normal person. Ive learned to accept that sometimes this just happens and its out of our control. Weve been through enough dealing with our medical conditions proving over and over again that were really disabled just adds to the burden and trauma of living with a disabling disease, especially at such a young age.

After you go through the entire process of sending in your life story, you are then told you must wait approximately two years to receive medical insurance. According to the SSA, everyone eligible for Social Security Disability Insurance benefits is also eligible for Medicare after a 24-month qualifying period. You might think of Medicare as government-issued insurance for people over age 65, but this kind of insurance can also be issued to people under 65 with disabilities. It includes two parts: hospital coverage and medical insurance.

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Corrected Card For A Foreign Born Us Citizen Child

If you legally change your child’s name because of adoption, court order or any other reason, you need to tell Social Security so that your child can get a corrected card. If your child is working, also tell your child’s employer. If you do not tell us when your child’s name changes, it may:

  • Delay your tax refund or your child’s refund and
  • Prevent your child’s wages from being posted correctly to your child’s Social Security record, which may lower the amount of your child’s future Social Security benefits.

Important

You must present original documents or copies certified by the agency that issued them. We cannot accept photocopies or notarized copies. All documents must be current . We cannot accept a receipt showing you applied for the document.

Who Decides If I Am Disabled If Both My Doctor And The Social Security Disability Doctors Say I Am Unable To Work Will I Be Approved

Doctors

Claims examiners in consultation with a physician decide whether you are disabled according to Social Security Disability rules. These employees of the Disability Determining Services called DDS for short, make the disability decision because they are trained in Social Security law and regulations including Social Securitys specific definition of disability. Neither your own doctors nor a doctor you might see in a consultative examination make the decision. If your claim has progressed to a hearing appeal, the administrative law judge who hears your case makes the decision.

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Is There Anything You Should Not Tell A Disability Doctor

by Guadalupe Ovalle | Nov 11, 2020 | SSD Application Process

Are you currently applying for Social Security Disability benefits, or was your application recently denied by the Social Security Administration ? On your journey to receiving benefits, you may be required to complete a Consultative Examination with an SSA-approved physician.

The consultative exam can be nerve-wracking, and knowing what not to tell a disability doctor could make a big difference in your claim. Furthermore, you can help your case by not lying, exaggerating statements about your condition, or sharing your personal opinions with the physician during your exam.

We highly recommended that you go to your disability exam prepared. Continue reading to find out more about what you should never say to a doctor during a CE.

Need immediate support with your disability claim? Contact Crest SSD at the number above to schedule a free consultation. You pay nothing upfront or out-of-pocket!

Social Security Disability Doctor Evaluation

As mentioned above, what you need from your physician is not just treatment but supporting information and opinions regarding your disability. Ideally, you have already visited with your doctor for your disabling condition before you initiated your disability application. If you applied with the SSA first before getting a doctors appointment, you run the risk of getting an unfavorable decision from the SSA before you even see your doctor.

To get ready for the disability consultation, gather the available facts and information relevant to your claim its wise not to assume that your physician knows everything. List all the limitations that you experience due to your condition. Write down even the effects of your medication and other treatment. Make a copy of this list that your doctor can keep.

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Social Security Disability Medical Exam: Six Things You Should Never Do

Many people who apply for Social Security Disability benefits will be required to undergo a Disability medical exam otherwise known as a consultative examination or CE. While this can be nerve-wracking, it is just part of the process.

It simply means the Social Security Administration needs more information about your condition or limitations to make a decision on your claim. Oftentimes, individuals are scheduled for a Disability medical exam because they havent been to a doctor recently, their medical records are thin, or a specific test needs to be performed.

Regardless of the reason , its important to understand that this one-time medical exam is a necessary part of the Disability process and should be taken seriously. Here are six things you should NOT do if you are scheduled for a Social Security Disability medical exam.

Panic

When people learn that they have been scheduled for a Disability medical exam, they often become anxious, nervous and worried. These are understandable reactions, but its important to keep things in perspective. Consultative examinations are just one piece of the Disability determination puzzle.

The exam will be performed by an independent medical professional who you probably have never seen before. He or she is being paid by the Social Security Administration to conduct an exam and give an unbiased opinion about your current condition and limitations. The exam is meant to provide a snap shot, not the complete picture.

Other Benefits You May Be Able To Get

Why Does Social Security Send Some People to a Doctor for an Examination?

Supplemental Security Income

If you have limited income and resources, you may be able to get SSI. SSI is a federal program that provides monthly payments to people age 65 or older and to people who are blind or disabled. If you get SSI, you also may be able to get other benefits, such as Medicaid and food stamps.

For more information about SSI, ask for Supplemental Security Income .

Medicare

After you receive disability benefits for 24 months, you will be eligible for Medicare. You will get information about Medicare several months before your coverage starts. If you have permanent kidney failure requiring regular dialysis or a transplant or you have amyotrophiclateral sclerosis , you may qualify for Medicare almost immediately.

Help for Low-Income Medicare Beneficiaries

If you get Medicare and have low income and few resources, your state may pay your Medicare premiums and, in some cases, other out-of-pocket medical expenses such as deductibles and coinsurance. Only your state can decide if you qualify. To find out if youdo, contact your state or local welfare office or Medicaid agency. Also, more information is available from the Centers for Medicare & Medicaid Services by calling the Medicare, toll-free number, . If you are deaf or hard of hearing, you may call TTY .

Supplemental Nutrition Assistance Program

Also Check: How And When To Sign Up For Social Security

What Happens If You Miss A Social Security Doctor’s Appointment

If you don’t go to the consultative exam that Social Security arranged for you, and you don’t reschedule it, your disability claim could be decided without medical evidence from the consultative exam. In all likelihood, this means you would be denied for failing to attend a consultative examination, and you would have to appeal to have your case looked at again. At that point, you would either have to pay to go to your own doctor or hope that the administrative law judge would send you to another consultative exam.

If you had a good reason for missing an appointment that you confirmed, the claims examiner will usually allow the exam to be rescheduled. A good reason would be illness, death in the family, or unexpected transportation problems.

To reschedule an appointment, call your disability claims examiner.The notice you received about the consultative examination should include the phone number to call. Write down the day and time you called and who you spoke to, in case Social Security later says that you didn’t reschedule the appointment.

This Is Where Your List Of Limitations Comes In

Don’t tell your doctor verbally about all your limitations and try to get your doctor to write them all down during an appointment. If you do, you will be disappointed. There will not be enough time, you may not remember everything, and the doctor will likely take skimpy or even no notes. Even when doctors listen well, they will not write down the detail you want. Instead, say you have made a list of the problems you have with doing certain things and hand it to the doctor. Ask your doctor to give that information it to Social Security when the agency request information about you. Some doctors may glance at it and try to hand it back. In that case say, “No, Doctor, I made that copy for you.”

After the doctor looks your limitations over, ask the doctor to discuss any limitations he or she disagrees with. Most doctors won’t contradict you, but if you exaggerate your limitations so much that they are out of line with what most doctors see in other patients with the same problems, you will get resistance from the doctor. You know the truth about your limitations, with some exceptions. Stick to that and you are most likely to get the help you need.

Also Check: Silverdale Social Security Office

Want To Get More Involved With Patient Advocacy

The 50-State Network is the grassroots advocacy arm of CreakyJoints and the Global Healthy Living Foundation. It is comprised of patients with chronic illness who are trained as health care activists to proactively connect with local, state, and federal health policy stakeholders to share their perspective and influence change. If you want to effect change and make health care more affordable and accessible to patients with chronic illness, learn more here.

Should My Doctor Write A Letter If I Am Applying For Disability Benefits

I don

While a doctors letter may be a deciding factor in a disability claim, it is not enough to state that you are completely disabled and unable to work. This type of statement can actually hinder your case. In any event, a doctors letter should not be included with the initial application.

If your claim goes to the appeal level, a doctors letter referred to as a medical source or residual functional capacity statement must specify why the doctor believes you are disabled and unable to work. To meet the Social Security Administrations requirements, the statement must indicate your diagnosed condition, the date of the diagnosis, as well as the prognosis of the condition. Generally, to be eligible, your medical condition must have lasted, or be expected to last, for 12 months or result in death.

In addition, the doctors statement should explain the ways in which you are functionally limited and how the condition limits your normal daily activities. In particular, the letter should address issues such as your:

  • Physical strength level
  • Limitations walking, bending, lifting, balancing
  • Sensory deficits sight, hearing, touch
  • Cognitive deficits trouble retaining information, learning information, concentrating
  • Any other physical limitations

It is important to note that the statement should be submitted by your treating physician who has an extended history of treating your condition.

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Mental Status Exams And Psychiatric Exams

There are several different types of mental examinations that SSA can order in a given case. For those with issues like depression, anxiety, or bipolar disorder, SSA will often schedule a mental status exam , which is meant to provide a snapshot of your current mental condition. In the typical MSE, you will be asked, for example, to name the current president, to count backwards by sevens from 100, to recall items from a list after several minutes, to explain a well-known proverb, and to talk about your family and your childhood.

A psychiatric exam will usually be scheduled for individuals with schizophrenia, schizoaffective disorder, or psychosis, and sometimes for those with mood disorders like anxiety and depression.

Who Completes The Consultative Examination

If you have a treating doctor and he or she has the required skills and equipment to perform the exam, the SSA will issue a request that your doctor complete it. However, your doctor may refuse to do so. If this happens, the DDS will arrange the exam with another doctor. In addition, if the DDS does not have confidence in your doctor or if the agency is attempting to clear up any confusion in the report issued by your treating doctor, or if you simply want to see another doctor for this appointment, you will be assigned another doctor.

Any individual performing the consultative examination must be a licensed physician in private practice, or operating under a licensed doctors supervision.

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Myth: If My Doctor Says I’m Disabled That Guarantees I Will Qualify

Not true, according to Proudian. The SSDI decision is a legal one, not a medical one a key point that people often misunderstand, she says. But the doctor who treats you and provides details about your condition must be a credible medical professional, and must provide honest, detailed information. Once that information and other details are filed, the decision is up to the Social Security Administration, she says.

Why Your Healthcare Provider Requests Your Social Security Number

When applying for disability benefits will I have to see a Social Security doctor?

Healthcare providers, hospitals, imaging facilities, and other medical testing sites ask for Social Security numbers for a number of reasons.

Health insurance: Your healthcare provider and your health insurer often communicate about patients using a Social Security number as an identifier, as this number remains the same regardless of your job, the hospital where you get care, or which healthcare provider you are seeing. Healthcare providers may include your social security number on the bill that they send to your health insurer, and your health insurer may request it as a requirement for payment.

Government payers: Government-sponsored payers, such as Medicare, Medicaid, the Veteran’s Administration, and TriCare all require Social Security numbers in order to process healthcare payment requests.

Guarantee of payment: Some people simply do not pay their bills, and hospitals and healthcare providers often have little recourse if they can’t contact you. As the one universal identifier of all Americans, Social Security numbers give healthcare providers the last-ditch means to collect on medical debt.

According to a report from the American Hospital Association, over $40 billion dollars in hospital bills are unpaid each year. This doesn’t include the unpaid bills to private practice physicians or other forms of non-hospital-based care. It is an enormous problem that only serves to drive up healthcare costs nationwide.

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Corrected Card For A Foreign Born Us Citizen Adult

If you legally change your name because of marriage, divorce, court order, or any other reason, you need to tell Social Security so that you can get a corrected card. If you are working, you also need to tell your employer. If you do not tell us when your name changes, it may:

  • Prevent your wages from being posted correctly to your Social Security record, which may lower the amount of your future Social Security benefits.
  • Cause delays when you file your taxes.

Important

You must present original documents or copies certified by the agency that issued them. We cannot accept photocopies or notarized copies. All documents must be current . We cannot accept a receipt showing you applied for the document.

We may use one document for two purposes. For example, we may use your U.S. passport as proof of both citizenship and identity.

Replacement Card For A Foreign Born Us Child

You can replace your child’s Social Security card for free if it is lost or stolen. However you may not need to get a replacement card, knowing your childâs Social Security number is what’s important. You are limited to three replacement cards in a year and 10 during a lifetime. Legal name changes do not count toward these limits. Also, you may not be affected by these limits if you can prove you need the card to prevent a significant hardship.

Important

You must present original documents or copies certified by the agency that issued them. We cannot accept photocopies or notarized copies. All documents must be current . We cannot accept a receipt showing you applied for the document.

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