Reconsideration is the first level of appeal in the Social Security Disability Insurance (SSDI) process. It reviews the applicant’s initial decision by a different disability examiner. A reconsideration can be requested if the applicant disagrees with the initial decision that denied their SSDI claim.
Why Request Reconsideration?
There are a few reasons why an applicant might want to request reconsideration of their SSDI claim:
- They believe that the disability examiner made a mistake in their decision.
- They have new medical evidence that supports their claim.
- They believe that the disability examiner did not fully consider their case.
How to Request Reconsideration?
The applicant must complete a Request for Reconsideration form (SSA-561) to request reconsideration. This form can be submitted online, by mail, or in person at a Social Security office.
When completing the form, the applicant must explain why they disagree with the initial decision. The applicant should include any new medical evidence or other information supporting their claim.
The Reconsideration Process
Once an applicant has submitted their request for reconsideration, a different disability examiner will be assigned to review their case. The disability examiner will then look at the medical evidence and other information on the file to determine whether the applicant meets the requirements for SSDI benefits.
If the disability examiner approves the claim, the applicant will begin receiving SSDI benefits. However, if the disability examiner denies the claim, the applicant can appeal to the next level of the SSDI appeals process.
Tips for Requesting Reconsideration
Here are a few tips for requesting reconsideration of the initially denied SSDI claim:
- The applicant must gather as much medical evidence as possible. This evidence should document their disability, its severity, and how it limits their ability to work.
- The applicant must present an honest and upfront status of their medical condition and work limitation on their SSDI application.
- The applicant must follow their doctor’s medical treatment advice.
- The applicant must cooperate with the SSA throughout the reconsideration process.
- If the applicant has a complex case or has been denied benefits, then they should consider hiring a disability attorney.
What to Expect During the Reconsideration Process
Once the applicant submits their request for reconsideration, then they will receive a letter from the SSA confirming that they have received the applicant. The SSA will then review the presented case and decide.
The reconsideration process can take several months. During this time, they may be asked to provide additional medical evidence or to attend a consultative examination.
If the SSA approves the claim, the applicant will receive a letter from the SSA explaining the decision and when the applicant will begin receiving benefits. If the SSA denies the claim, the applicant will then receive a letter from the SSA explaining their decision and any appeal rights.
Appealing a Reconsideration Decision
If the SSA denies an applicant’s claim at the reconsideration level, they can appeal to the next level of the SSDI appeals process. This level is called a hearing before an Administrative Law Judge (ALJ).
To appeal a reconsideration decision, the applicant must complete a Request for Hearing form (SSA-344). The applicant can submit this form online, by mail, or in person at a Social Security office.
The hearing process can take several months. During this time, the applicant will have the opportunity to present their case to the ALJ. The ALJ will then review the medical evidence and other information in the file and decide whether the applicant meet the requirements for SSDI benefits. If the ALJ approves the claim, the applicant will begin receiving SSDI benefits. However, if the ALJ denies the claim, the applicant can appeal to the next level of the SSDI appeals process.
Reconsideration is the first level of appeal in the SSDI process. If the applicant disagrees with the initial decision that denied the claim, the applicant can request reconsideration. Then, a different disability examiner will review the case and make a decision. If an applicant is refused at the reconsideration level, they will have the right to appeal to the next level of the appeals process.
If you or a loved one is eligible to claim Social Security Disability (SSD), you can count on us to assist you in filing your claim. At McKown and Myers, it’s our job to help Hoosiers like you get the compensation they need to get medical treatment and support their families. We’re here to answer your questions about your SSD application – call 765-668-7531 or complete our contact form here. There’s no obligation – we’re here to help.