Navigating Social Security Appeals: What to Do When Your Benefits Are Denied

What to do if Social Security benefits are denied: A Review of the Reconsideration Process

Failing to secure social security benefits is frustrating, but it does not spell the end of the road. The Social Security Administration (SSA) hue and cry-that is, somewhat unusual in social security-calls the process the Reconsideration. This process offers the client an opportunity to argue by appealing a second time, which further allows filing additional material or the correction of any mistakes that could have transpired during the first application on disability claims.

Here is a comprehensive guide to better understand what the reconsideration process entails and how to approach it to achieve successful results.

Understand the reason for denial

When the SSA denies your application, they send a Denial Notice. This document explains why the application was denied. Reasons may include:

Lack of sufficient medical evidence: Your condition may not meet SSA’s strict disability criteria.
Eligibility issues: You may not have enough work credits or you may not meet the financial criteria.
Incomplete or incorrect information: If any documents are missing or incorrect information is provided in your application, it may lead to a denial.

Read this notice carefully and understand what the main reason for the denial was. This information will help you prepare a strong reconsideration request.

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What is Reconsideration?

Reconsideration is the first process of challenging SSA’s denial. In this step SSA reviews your application again and considers any new or updated evidence you provide.

How to start the reconsideration process

You must submit a reconsideration request within 60 days of receiving the denial notice. Late submission may result in denial of your appeal, so act on time.

Options for submitting a request:

Online: Log into your my Social Security account on the SSA website and follow the instructions to request reconsideration.
Phone: Call SSA directly at 1-800-772-1213 and begin the appeal.
Form SSA-561: Download this “Reconsideration Request” form from the SSA website or order it over the phone. Complete it and mail it to your local SSA office.

Choose any method, but make sure you include new documents and information to strengthen your claim.

Role of Evidence

New and detailed evidence can play an important role in making your appeal successful. This may include the following:

Recent medical reports: Reports supporting your disability.
Doctors’ statements: from your doctor explaining how your condition affects your ability to work.
Work and income records: if there were any issues with your eligibility.

The more relevant and detailed your documentation is, the stronger your case will be.

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Re-review by SSA

After you submit a reconsideration request, the SSA will review your claim again. They will assess your original application, the denial notice, and new evidence.

In many cases, the SSA may ask for additional information to clarify your eligibility. Respond promptly to their requests and provide the necessary materials.

Time and Results

This process can take a few weeks, so it’s important to be patient.

Successful appeal: If your appeal is successful, you will receive details regarding approval and benefits.
The denial persists: If the denial persists after reconsideration, you have further options, such as requesting a hearing before an Administrative Law Judge.

Remember:

A denial doesn’t mean all is lost. Many applicants are successful at the reconsideration stage, especially when they present new evidence. By taking the right steps and acting in a timely manner, you can strengthen your appeal and receive your benefits.