How come I get disability from other sources but not Social Security Disability?
I know you’re fired up. You can’t seem to understand why you are applying for Social Security and your Long Term Disability or your VA benefits or your State Disability benefits or your Workers Compensation has already been approved. It’s an OUTRAGE! Right? Isn’t it??
Uhhhh, NO! But wait a minute, does it help? If my LTD carrier has approved me, shouldn’t I get Social Security right away?? What about the VA? They are federal, too. Shouldn’t that matter? Does it matter? Huh? What??
Uhhhh, NO!
Ok, now that I have done a thoroughly effective job of throwing water on the fire, let me give the ‘down and dirty’ about other disability programs and Social Security:
1) Getting Disability from another source does NOT guarantee approval for Social Security
It is important to know from the beginning that the Social Security Administration is not BOUND by any disability determination by another agency. In other words, just because someone has determined that you are disabled, doesn’t mean that Social Security has to make the same decision. Most people don’t realize that each agency uses a different standard to determine disability.
2) Getting disability from another source may be helpful to your Social Security case.
The nice thing about other disability sources is that they are usually very medical intensive. They go through a lot of steps to get doctors to complete forms, give opinions, or give assessments. This information can be beneficial to your case.
3) Getting disability from another source may be harmful to your Social Security case.
It’s also important to remember that any statements made against your interest. For instance, if a doctor completes a form for a Long Term Disability carrier saying that your condition will only last 9 months and you should return back to work, this goes against SSA’s requirement that your condition keeps you out of work for 12 months or more.
4) If you have the opportunity to apply for something else, IN ADDITION, to Social Security, you should.
However, if you have the opportunity to apply for LTD, STD, VA, WC, or any disability type program while you’re waiting for Social Security, you should. Why? For one, they tend to approve or deny faster. Two, if you get approved, you will have money coming in while you wait. Three, any paperwork used here can be forwarded to Social Security.
5) Make sure you let Social Security know that you are applying (or that you have been approved) for other disability programs.
I hate to say this so don’t think I’m being a smart ass but Social Security workers don’t have ESP and they can’t read minds. If you don’t tell them that you are applying for another disability program or that you got approved, they won’t know.
Remember, Social Security disability is a lengthy process so anything that you can provide to improve your opportunities may be helpful.
Tips for speeding up your Social Security Disability case
Ok, before I get started, let me dispel a couple of quick myths about what WON’T speed up your case. First, even if you hire a representative, this will not guarantee that your case will speed up. Hiring a representative is extremely helpful but it does not guarantee that your case will move forward any faster. Second, a letter from your doctor. If your doctor hasn’t been providing medical records but will give you a letter when you ask for it, you can’t be surprised if your case doesn’t move forward. Social Security relies on medical evidence and a one page letter (or script) from your doctor isn’t always going to help (it may in the long run but probably not immediately).
However, as I stated, I want to provide a few tips that may be helpful to you in getting your case moved forward:
1) When you apply, give them EVERYTHING they need right THEN!!
Social Security usually requires you to fill out a few forms in order to get your claim going. With the internet, you can do everything on line. Complete all of these documents
2) Confirm, copy, and communicate, part 1 (Make sure they have everything).
After you turn everything in, call SSA to make sure that they have what they need from you. The last thing you want to have is a situation where SSA doesn’t have everything that you THOUGHT you turned in to them.
3) Prepare your third parties for the forms and the calls. Third parties can make your life difficult
SSA is going to ask for you to provide the names of people who can tell them about your condition. They may call these people or send them forms. Make sure you let your people know that they should expect a call from SSA. Make sure you let your people know that they need to complete these forms and send them back as fast as possible.
4) Get your doctor right.
Remember, your doctors are very busy. It’s important that you take the time to let your doctor know that you’re applying for Social Security so they can be aware of any forms that may come in and records request.
5) When they (SSA, ODD) call you, LISTEN and DO what they say.
Nine times out of 10 when SSA leaves you a message, they will leave you a message SPECIFICALLY telling you what they want or need. So why are you deleting the message and spending the next 10 days repeatedly calling them back to ask them what they want?
6) Make EVERY appointment.
Remember, SSA may send you to see some of their doctors or have you come in to provide more information. DON’T MISS ONE appointment!
7) Confirm, copy, and communicate, part 2 (Find out what they need).
After a period of time, you may want to contact SSA to find out if there is anything additional that they need. If they are waiting on your doctors or your friends, you may be able to follow up on your behalf to speed up the process.
If your case becomes Critical, let them know.
If you are in a situation where you are in foreclosure or you have a pending eviction or you are unable to purchase food, let SSA know. It may help speed your case.
9) If your case becomes TERMINAL, let them know.
If you have a health condition that has been LIFE THREATENING, let SSA know immediately. Terminal cases tend to move to the front.
10) Do what your doctor says, PERIOD!
Remember, unless you’re a doctor, you didn’t go to med school. Follow your doctor’s recommendations and comply with their instructions.
11) If you move, let them know THAT day.
Also, don’t forget that the first person you should notify of any move you make is SSA. If they don’t know, they can’t be aware. They are going to need to know your whereabouts.
12) Go ON with your life.
Now, I know you are probably wondering how much time these things will shave off the process. Unfortunately, there is no way for me to provide you an accurate number. Just be aware that these things will go a long towards to helping your process move quickly and more effectively.
Why does it take so long to get a decision after a hearing for Social Security Disability?
The mystery of all great Social Security mysteries is WHY it takes so long to get a decision. Now, before you go and start blaming the government or your representative or your doctor, recognize a few things.
First, Social Security is in the process of going completely paperless. And let me tell you, this is going to shave a HUGE amount of time off of your case. Now, the local offices, the hearing office, and the medical determination offices all have the ability to look at your file for a variety of information. I don’t know how many of you have ever seen a file for someone who goes to the VA but WOW, back in the day, you could have a paper file that was HUGE (we’re talking 10 pounds easy). Now, everything you need can be put on a disk.
Second, with the processing being paperless, it is easier to transfer your file from place to place if need be. Back in the day, you had to literally MAIL the folder to the hearing office and then the office had to receipt the file. Imagine how long this process used to take.
Finally, Social Security is actively sharing the wealth. It used to be that one office would be responsible for an area and so, as you can imagine, some areas had smaller case loads than others. Now, Social Security is spreading the wealth to other offices and having hearings via video teleconference. You could live in Arkansas and have a judge from Washington (Trust me, the regulations are federal so they are world wide).
NOW, back to your question as to WHY it takes so long AFTER you have a hearing, here’s a few things to consider:
1) New records, not in evidence.
Remember, at the hearing level, YOU have the responsibility of providing records to the court. So you can imagine the number of times people get to court and either a) they bring in new records, b) they mention records that they need to get and the court to consider and/or c) they requested records and they are waiting for them. You have to remember that the courts want to make an informed decision. As such, the court may decide to allow you the opportunity to get those records. Now, I hope you don’t think that the judge has made their decision and will finish it up once you send them the records. The court has a duty to weigh ALL of your evidence so they have to look at what you provided and compare it to what’s in the file. This process may take a while.
2) CE
Follow me on this procedure. You’re in a hearing and the judge decides that you need to go to a Consultative Evaluation (don’t freak, this is usually in your best interest). SO, they order it in court. After the court hearing is over, one of their staff drafts the order. The judge signs it and tells you that you will be scheduled by a Medical Determination Service (this can take about 2 weeks to 3 weeks to get this letter). The Medical Determination Service gets this letter and then looks for the specific type of doctor that you need. They then schedule the appointment based on the doctor’s availability (This can take a few months) and then notify you. You go to the doctor. Within 30 days (usually), the doctor sends back a report to you (if you don’t have a rep) and the judge. You can either agree to it, contest it or ask for another one (you are usually given 10 days to respond). Then the judge has to consider this report with the other medical evidence. Now, in theory, from the time you had your court hearing to the appointment for the CE and the report to come back, at least 4 to 5 months have passed. And the court still has to review the findings. The judge could ask you to come back for another hearing.
3) Supplemental Hearing
Hear me when I say this “If the judge wants to have a SUPPLEMENTAL hearing, there’s not a DAMN THING you can do about it!”. People sometimes forget that the judges have a responsibility to ensure that the decisions properly weigh the evidence. As a result, the judge has the discretion to ask you to come back if he or she needs more info. TRUE STORY, I represented a client that had one hearing and two supplemental hearings after the first one. At the first hearing, the judge was reviewing the evidence and determined that we needed a vocational expert. At the second hearing, the judge determined we needed an additional psychiatric and neurological expert. I kid you NOT. It took a year and a half to go through all 3 hearings AND receive the decision. Now, that’s not a YEAR and A HALF from the start of claim. That’s just the hearing process from the date of the hearing. Supplemental hearings like this one are rare but they can happen.
4) Conflicting evidence
IT is AMAZING how people don’t realize that sometimes, the hardest part of the case is when there is evidence that is conflicting. What do I mean by “Conflicting”? For instance, you got one doctor that says you have bad breathing problems and that even if you stop smoking, you would be in bad shape. You got another doctor saying that you would be better if you stopped smoking. Two different doctors saying two different things. WHO do you believe? Now, that example was clear cut but there are many other times when your medical records provides conflicting information and the judge responsibility of trying to resolve this conflict. Unfortunately, you can’t do this quickly.
5) DAA
DAA - Drugs AND Alcohol. I’ve seen some GREAT cases drag out because somebody wouldn’t put the bottle down or get off the pipe. And just to let you know, Marijuana is only medicinal if it’s PRESCRIBED, not because the ganja makes you feel better about your conditions. As a result, people fail to recognize that anytime you are using Drugs and Alcohol, the court has to determine if this materially affects your ability to return to work. It’s one thing if you haven’t used drugs or alcohol in years. It’s another if you just got off the pipe last week and you want the court to consider that the fact that you’ve been clean for 7 days.
6) Large case load (the Judge to the Writer to the Editor to the Judge THEN to you)
Bottom LINE, my friends, Judges have a HUGE case load. As a result, it takes a while to receive a written decision. Here’s how it will go. The judge has to review the evidence and make a decision. The decision is sent to a decision writer. The decision writer is usually writing for several judges which means that they probably process their decision based on age (the oldest first). After the decision is written, the judge has to review. If it’s cool, it goes to the editor. Back to the judge for a signature and THEN, to you! See, I told it takes a while!
7)Once it’s in the judge’s hand, there is nothing your representative can do (most of the time).
If you have a representative, please recognize that there is probably nothing more than can do. They have gotten all of the evidence into the court. It’s in the court’s hands. More importantly, there is nothing YOU can do. So please don’t think that you calling the court every day or sending faxes to the court is going to make a difference. At the end of the day, the process must go through. Now, i know you noticed that I said there is nothing your representative can do (most of the time). If you have a critical situation (ie foreclosure or eviction), your representative may be able to ask the court to expedite the case. In some instances, the court may permit your representative to file a proposed decision (if it’s favorable). However, everything rides and falls with the court.
I know this process is a beast but it’s the only one we have so you need to be aware of the pitfalls and the perils of the process so you don’t get too overwhelmed.
Why employee manuals are so important
How many of you remember getting hired and being given some 10 to 100 page manual that you are suppose to read and then sign indicating that you understand what you read????
A lot of you should have raised your hands. I can confidently say that one of the single most boring activities has to be the reading employee manuals. Most of us when we start our jobs are so happy to be working that we barely even skim the pages and go RIGHT to the page where it says sign. In some cases, we don’t even know where the employee manual is after we signed it.
Unfortunately, in too many instances, when something crazy jumps off at our work place, the best tool for identifying your rights is that employee manual.
Now, that may do nothing for you if you are in a tough situation but here are a few things you should think about:
1) When you get hired
Read! Read! Read! I know it’s boring and I know you feel it’s a waste of your time but TAKE the opportunity to read the employee manual. This way, you are up to speed on what you are entitled and your job rights.
2) What should you be looking for?
You definitely want to focus on any grievance procedure and disciplinary protocol. You want to know what you need to do if you are contesting your discipline or what the grounds are for disciplining you.
3) What if they don’t have one?
Some employers may not have an employee handbook or policy manual. In some states, they may not be required to have one so don’t be surprised if they don’t.
4) While you’re working
Ask your employer if they have periodically updated the employee manual. If they don’t have one, ask if they intend produce one. More importantly, if you receive updates from your employer regarding Human Resource policies and procedures, READ! READ! READ!
5) When something goes bad
Here’s where most people are interested. And this situation can sometimes be delicate. If you are unsure about your rights, don’t be afraid to ask to review the employee manual. If you are still tentative about going to your supervisor, go speak to Human Resources and ask for a copy (Or at least a review).
The employee manual (if your employer has one) is a valuable tool that can be your best friend and ally in situations involving your employment. Don’t be school to check to see if your rights are violated. If you don’t, no one else will.
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