Q. How does Social Security define disability?
A. Social Security defines "disability" as the "inability
to engage in any substantial gainful activity by reason of any
medically determinable physical or mental impairment which can
be expected to result in death or has lasted or can be expected
to last for a continuous period of not less than 12 months."
Q. What is the difference between SSI and Social Security
Disability?
A. SSI stands for supplemental security income. It is a means
tested "welfare" program that is available for persons
who have limited income and resources and who meet the medical
and vocational criteria for disability. Social Security Disability
Insurance Benefits are payable based on the same medical and vocational
criteria, to a person who has "paid in" to the Social
Security system with enough work credits to be insured for this
program. Sometimes, based on a person’s earnings record,
they will be eligible for both programs.
Q. How much money will I get each month?
A. This is determined on a case-by-case basis based on your earnings
record and, in the case of SSI, any other household income.
Q. What is a non-attorney representative?
A. Social Security law and regulations provide that you can be
represented by an attorney or "a person who is capable of
giving valuable help in connection with your claim" [20 C.F.R.
404.1705 b (2)]. These persons are referred to by Social Security
as Non-Attorney Representatives. All representatives before SSA
are responsible to follow the same Rules of Conduct and Standards
of Responsibility found at 20 C.F.R. 404.1740. A Non-Attorney
may appear at all levels of administrative appeal before the Social
Security Administration.
As Non-Attorney representatives the advocates at MADAC continue
their education in Social Security matters with ongoing educational
seminars and are familiar with Social Security law, regulations
and rulings.
Q. My doctor says I have a 10% impairment rating; do I
get 10% of my Social Security?
A. Impairment ratings given by your doctor are very different
from a disability determination by Social Security. A disability
determination takes in to consideration your age, education, past
work experience as well as your physical and mental impairments.
In a Social Security determination, you are either found "disabled"
or found "not disabled". There are no percentages of
disability in the Social Security system. So although your doctor's
opinion on your impairment is important evidence in your claim
for Social Security, it does not mean the SSA will find you disabled.
Q. Is it hard to apply for Social Security disability
benefits?
A. No. There are several ways to apply for a Social Security disability
claim. The first is to go to your local Social Security District
Office and file the claim in person. The second way is to call
Social Security at 1-800-772-1213. They will arrange for a telephone
interview for you. Once the interview is finished they will send
necessary forms for you to fill out. All the basic information
will have been collected during the phone interview. Lastly, you
can also file a claim on the Internet using the www.ssa.gov website.
All of the forms and information are available "on-line".
Q. How long do I need to wait to file for Social Security
Disability or SSI Benefits?
A. You can file for Social Security disability and SSI benefits
on the day that you become disabled if you believe that you will
be out of work for one year or more. It is not necessary to wait.
It is the opinion of the Mid-Atlantic Disability Advocates Consortium
that it is best to hire a representative to help you as early
in the process as possible.
Q. How do I find a qualified representative to help me
with my Social Security disability claim?
A. You have come to the right website. The Mid-Atlantic Disability
Advocates Consortium have experienced and qualified representatives
to help you through the entire disability process. Additionally,
The National Association of Disability Representatives www.nadr.org
offers a referral service. You may call NADR at 1-800-747-6131.
As indicated above, both attorneys and non-attorneys practice
in this field. We recommend you ask any potential representative
about their experience in the Social Security field. How many
Social Security cases do they handle annually? How many Social
Security Hearings have they attended? What percentage of their
business is Social Security? At the Mid-Atlantic Disability Advocates
Consortium, Social Security is what we do! It is all we do. We
would be happy to discuss with you our success rates and how we
would plan to develop your case.
Q. How does the Mid-Atlantic Disability Advocates Consortium
get paid?
A. We handle cases on a contingency basis. We only get paid if
we win your case for you. The fee we charge is set by law at 25%
of the back benefits up to a maximum fee of $5,300.00. The Social
Security Administration must approve all fees in relation to a
Social Security claim. Additionally, if we have advanced costs
in the development of your claim, i.e., obtaining medical records,
expert testimony et cetera, you will be responsible for reimbursing
the Mid-Atlantic Disability Advocates Consortium the amount of
those costs at the successful conclusion of your claim.
Q. If I am found disabled will I get "back pay"?
A. The answer depends on when you became disabled and when you
filed for benefits. For Disability Insurance Benefits and for
Disabled Widow's and Widower's Benefits, the benefits begin five
months after the person becomes disabled. But, benefits cannot
be paid more than one year prior to the date of the claim.
For a Disabled Adult Child benefits begin as of the onset date,
but benefits cannot be paid more than six months prior to the
date of the claim or twelve months if the person whose account
is filed on qualifies for disability insurance benefits.
SSI benefits begin at the start of the month following the date
of the claim.
Q. My claim has been denied by Social Security
and I still can't work. What should I do?
A. Don't give up! You have a right to appeal your decision. Call
the Mid-Atlantic Disability Advocates Consortium and ask for help
with your appeal.
Q. How long does the whole process take?
A. Unfortunately it is a long process and time periods vary from
area to area. Commissioner of Social Security JoAnn Barnhart in
2001 found that from initial contact to final decision at the
Appeals Council level the average processing time was 1153 days.
However, with proper preparation and presentation of evidence
your claim can be won at any point in the process, thus shortening
this time frame.
Q. Is there a difference between Medicare and Medicaid?
A. Yes. Medicaid is associated with SSI and Medicare is associated
with Disability Insurance Benefits. Medicaid begins immediately
upon receipt of SSI. Medicaid pays for prescription medications.
Medicaid can be retroactive up to three months prior to the date
of a Medicaid claim. Medicare begins after you have been entitled
to Social Security disability benefits for two years. That includes
Disability Insurance Benefits, Disabled Widows or Widowers Benefits
or Disabled Adult Child Benefits.

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