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Baton Rouge Social Security Disability Law Blog

Common questions regarding Social Security Disability benefits

If you are disabled and unable to work, you may be entitled to benefits under the Social Security Disability (SSD) system. However, some Louisiana residents do not know that even if you are visibly disabled, qualifying is not always easy. Furthermore, there are a few technicalities to the system. A recent article discusses two common questions associated with the SSD program.

First, is there a time limit on SSD benefits? In other words, do they expire or stop after a certain period? The article reports that your disability benefits will persist as long as your medical situation has not gotten better. Furthermore, individuals must be unable to work. Ultimately, Social Security will review SSD claims sporadically to verify whether you are still eligible for benefits. In addition, if you continue to receive disability benefits at your retirement age, the benefits will convert into retirement benefits.

Heart health and Social Security Disability

In Louisiana and elsewhere, February is American Heart Month. The Centers for Disease Control and Prevention uses the month of February to educate the public on heart disease, risks for heart disease and ways to prevent it. If you are someone with a heart condition and it prevents you from working, some heart diseases qualify for Social Security Disability benefits.

According to the Centers for Disease Control and Prevention, cardiovascular disease is the leading cause of death in the United States. Every day 2,200 people die from cardiovascular disease and one in every three deaths is from heart disease and stroke. Clearly, heart disease affects many people in Louisiana and prevents many from working. Under Social Security Disability's list of impairments some heart conditions may qualify for disability benefits.

Social Security Disability classifies heart conditions in its list of impairments under the cardiovascular system according to its website. Social Security Disability defines cardiovascular impairment by any disorder that affects the proper functioning of the heart or cardiovascular system. The cardiovascular system includes veins, arteries, capillaries and lymphatic drainage. Social Security Disability recognizes cardiovascular impairments whether they are acquired or if the impairment is congenital.

To reduce the impact cardiovascular disease has on Americans, the Department of Health and Human Services launched the Million Hearts program last year. The program aims to prevent 1 million heart attacks and strokes over the next five years. The HHS is using two strategies to complete its goal: help people make healthier choices and improve care for those who need it.

Military service members in Louisiana can apply for Social Security Disability

Military service members who live in Louisiana can apply for Social Security Disability benefits like other residents of the state. Unlike other residents, military service members will receive an expedited application process when they apply for disability benefits.

Social Security Disability benefits are different than benefits military service members receive from the Department of Veterans Affairs and therefore military service members need to complete a separate application with the Social Security Disability program. Military service members and certain family members are eligible to receive benefits from Social Security Disability insurance if a military service member has worked for a certain number of years and has paid Social Security taxes. To receive, disability benefits, military members must also meet Social Security's definition of disability.

Under Social Security's definition of disability, a military service member must not be able to complete substantial work because of a medical condition and the medical condition must have lasted or be expected to last at least one year. Social Security Disability does not provide benefits for partial or short-term disability. Military service members may also want to know how active duty status and military pay affect eligibility for disability benefits.

How workers' compensation may affect disability benefits

Workers often file for Social Security Disability after they suffer a traumatic workplace injury and are no longer able to work. People in Louisiana who are no longer able to work deserve the benefits they are entitled to, but sometimes there is an overlap in public benefits and the overlap may affect the amount in Social Security Disability benefits the worker receives.

Disability payments from private sources will not affect a worker's Social Security Disability benefits. Examples of private sources are private insurance benefits or a private pension. In comparison, workers' compensation and other forms of disability benefits provided by a public source may reduce a worker's Social Security Disability award.

Workers' compensation benefits are generally paid by federal or state workers' compensation agencies, insurance companies on the behalf of employers or employers. Disability payments for medical conditions that are not job-related may also impact a worker's Social Security Disability award if the disability payment is paid by a public source like a federal, state or local government. Examples of such benefits are state temporary disability benefits, state or local government retirement benefits based on disability and civil service disability benefits.

Some public benefits will not affect a worker's Social Security Disability award. If a worker receives public benefits like Veterans Administration benefits, state and local government benefits where Social Security taxes were deducted from earnings or Supplement Security Income, the Social Security Disability benefit amount may not be impacted.

SSDI's backlog too long for some with terminal illness

For years, the Social Security Administration has worked to reduce the backlog of appeals cases for Social Security Disability. The Social Security Administration has made progress but a backlog of applicants who are appealing their cases still exists. The backlog is a problem for folks in Louisiana and elsewhere who feel they have wrongly been denied and for the terminally ill. Sometimes, people who are terminally ill pass away before the disability benefits case is decided.

One man who applied for disability benefits in February 2009 after begin diagnosed with colon cancer unfortunately suffered such a fate. The man's initial Social Security Disability application was denied and so was his first appeal on the grounds that it lacked sufficient medical evidence.

The man a mason who did not have any experience with the bureaucratic and legal process turned to a local legal aid clinic for help. The 50-year-old man did not understand how terminal cancer did not qualify him for disability benefits. A legal aid lawyer helped the man collect additional records from multiple hospitals.

Seven months after his initial diagnosis, the man's cancer progressed to stage-four. He lay in the hospital with few resources. Meanwhile, the Social Security Administration was still trying to determine whether the man was healthy enough to work.

Understanding the appeals process for Social Security Disability

When a person in Louisiana applies for Social Security Disability but is denied, the applicant may appeal the decision and ask the Social Security Administration to review the case. The Social Security Administration reviews the entire decision during an appeal, and there are four general levels in the appeals process.

If an applicant wishes to appeal a decision, a written request for an appeal must be made within 60 days from the date the initial decision letter is received. The Social Security Administration assumes an applicant receives the letter five days after the date on the letter. If an applicant is denied for medical reasons, the applicant can request an appeal online.

After an appeal is requested, the applicant will go through the first level of the appeals process which is called reconsideration. During reconsideration an individual who was not a part of the applicant's first decision completely reviews the applicant's claim. All of the evidence from the original claim as well as any additional evidence is reviewed during the reconsideration. The majority of reconsiderations do not require the presence of the applicant. If the applicant disagrees with the reconsideration decision, the applicant may ask for a hearing.

Hearings are led by an administrative law judge who did not participate in the original decision or the reconsideration. The applicant is informed of the time and place of the hearing by the administrative law judge and the hearing will be held no more than 75 miles from the applicant's home.

Independent review of Social Security Disability may make decisions fairer

The Social Security Administration recently ordered an independent review of the Social Security Disability program regarding how the federal disability program awards benefits. Last year, an investigation conducted by The Wall Street Journal revealed inconsistencies in the method of awarding disability benefits. The independent review of the Social Security Disability program may lead to a fairer decision-making process for applicants in Louisiana and elsewhere.

The focus of the independent review will be the award decisions made by administrative law judges employed by the Social Security Administration. Administrative law judges hear an applicant's case after the applicant's case has been denied twice at the state level. Social Security judges have wide discretion in the award of benefits and are appointed for life.

The investigation conducted by The Wall Street Journal gathered evidence that some judges awarded disability benefits to applicants who should not have qualified and withheld the award of disability benefits to applicants who should have qualified. The investigation also brought to light the significant difference in the rate of awarded disability benefits among some judges. Some judges were found to award disability benefits in practically all of their cases and other judges rarely awarded benefits.

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