Friday, December 13, 2013

Some Tips I Picked During My Disability Adventure and Since

I won’t pull any punches.  The disability process is long, daunting, and demoralizing.  Why people would go through this thinking it’s easy money is beyond me.  It took me over two years, and I lost my condo in the process, which also ruined my credit.  Believe me, I would not have done that if I didn’t have to, but heart surgery, rheumatic heart disease, diastolic heart failure, two strokes, asthma, Fibromyalgia, Lupus, COPD (thanks to pulmonary hypertension and not smoking), narcolepsy, and a few other things that are currently slipping my mind thanks to cognitive impairment, made it necessary in order for me to survive.  I miss my career, and I made far more money when I was able to work, but I do what I have to because of my health.

My disability adventure took almost three years from the time I first applied to when I was approved.  I learned a few things then, and I’ve picked up a few more as I’ve watched friends, support group members, and others travel that path as well.   Maybe some of that can help you.
If you can apply for Social Security disability first on your own, do so.  You can go online and do it anytime, at your own convenience.  If you wait to have an advocate or attorney do it, you have to wait until you can get an appointment, which can take a while this time of year.  It’s usually faster and easier to take this first step on your own.
There are areas on the application that require a lot of information, so try to compile as much of that up front as you can.  Have all of your doctors' info handy -- names, addresses, phone numbers, dates of treatment, etc.  Do the same for any hospitals where you may have been treated.  You’ll be asked for the names, addresses, and phone numbers of friends and relatives that can verify what you say.  Have that information at hand as well.  Believe me, it will make the application go a lot faster and not seem quite as mind boggling.
Share as many medical records on the application that you can.  Know dates of hospitalizations.  In my case, I had medical records going back 30 years, as my "mystery illness" was very well documented.  However, there was one point in 2006 where I was fairly healthy for about six months and only saw my doctors for my required follow-ups and such.  Guess which six months they used to determine that I was well enough to work?  The SSA folks look for gaps like that, and they will find them.  That was the ONLY time period for which they requested my medical records.  They did not request records for any of the 12 times I was hospitalized in 2007 or the 7 times the next year, and they didn’t request any doctors’ records from any of my doctors during either of those two years either.  Don’t take it personally if they do that to you.  It’s just how they work.
It seems like a daunting task to do this on your own, but it’s not really as difficult as the SSA likes to make it seem, or at least it shouldn’t be.  If you’re worried about your writing skills or anything like that, have a friend help you.  It will still be faster than it usually is going to through an attorney, and every day you can save yourself in this process is one less day of stress and worry.
Odds are that your application will be denied.  Don’t take that personally either.  If you’re under 50, you can pretty much count on it, and it simply is because of your age.  They probably won’t even consider anything else.  If you’re over 50, you have a better shot of getting disability on first application, but don’t count on it either. 
You can do the first appeal on your own as well.  It’s as simple as going online and saying you request to appeal their decision.  Once that appeal is denied, you need an attorney.
I originally went with a local attorney because he came highly recommended by an acquaintance.  From what I’ve seen in the years since, I now recommend everyone go with a local attorney or practice.  I’ve seen many people dropped by their attorney during the disability process -- one was dropped only 8 days before her hearing.  Another met her attorney about 10 minutes prior to her hearing, and her attorney didn’t have a clue who she was or why she was there.  (She was denied.)  In each of these cases the attorney was not local.  They were, for the most part, those big out-of-town firms that you see on television.  They advertise their high success rates to suck you in, but those rates aren’t exactly accurate from what I’ve been able to determine.
For an attorney to declare a “win” their client must obtain a positive outcome.  If they drop a case they aren’t sure about, then they don’t have to count it.  If they have a definite win conflicting on the schedule with a maybe, they’ll always go with the definite.  The numbers that way of doing business churns out look better in the ads.   Besides, when you get one of the “big box” firms, you rarely, if ever, get one of the names on the letterhead.  You usually get a junior attorney who’s probably just looking to make a name and move up.  Those attorneys get promotions by churning out cases as fast as they can turn them.  They don’t want a case that eats up too much time.  The profit margin is too low.
A local attorney has a reputation to uphold within the community.  If they say they’ll be there for you, they need to be, or word gets around, and that’s not good for business.  They’re willing to put in more time and effort, and they’ll know who you are.  They also know the judges you may be appearing before.  They’ll know what they’re looking for, how to approach them, what to say, and how to say it.  An out-of-towner won’t know those little things, and those little things can make or break your case.
Document everything.  Every time you see a doctor, ask for a print out with why you were there, what you discussed, any changes to your care, etc.  Many doctors automatically do that these days.  (Mine do.)  Keep those papers, along with all of your lab results and anything else you can think of in a big binder.  If it gets too big, start volume two.  It will help you should you need it for court, and it could also help your doctors.  When my medical team was trying to figure out what was going on with me, I started taking my binder to every appointment.    My PCP loved it and swears it’s one of the main reasons they finally figured out what was wrong with me.  Thankfully, my doctors are all now networked via computer and keep up with that by themselves, so I don’t have to carry my binder anymore, but it sure came in handy when I was seeing one specialist after another.  It could also come in handy when you take on the IRS.  If someone says you don’t have records for a certain date, visit, or procedure, check your binder.  You may have proof at your fingertips.
Fees – When an attorney takes your case, they do so on a contingency basis, which means they only get paid if you win your claim.  This fee, as set out by the Social Security Administration, is 25% of your back pay, up to a maximum of $6,000.  The attorney cannot ask for a retainer fee or money up front. 
You will be asked to sign a form that explains the payment method.  That paper will also explain who covers any incidental fees, such as copying costs, messaging fees, and things like that, and how they should be paid.  I was fortunate because my attorney absorbed those fees, and there are others out there that do that.  Some attorneys will pay those fees and then send you a bill for them after the case is decided.  Some, especially the big TV firms, will ask for money up front to cover these fees, or will bill you as they occur.  Be aware that this upfront fee is legal, but it should NEVER be more than $200-$250, as those fees normally don’t go over $100 or $200. 
One person agreed to about $1,000 in incidental fees without realizing it.  She went with a TV firm, signed the agreement because she thought they must know what they’re doing, never met her attorney, only spoke to a paralegal on the phone twice, was dropped by the firm about two weeks prior to her hearing, scrambled to find a new attorney, ended up losing the hearing because that poor guy didn’t have a clue about her or her case, and then received a bill from the big firm for $1,000.  When she asked for an itemized statement, she discovered that she was billed for numerous phone calls and things that she never saw evidence of.  She didn’t pay them, and the bill is now in collections.
Before you sign an agreement make sure it spells out who pays those incidental fees, how much they’re expected to be, and when they’re expected to be paid.  It’s important.
If you lose your appeals but are approved for a hearing, be patient.  When I was first approved for a hearing, the wait time to even have it scheduled was something like 21 months.  Once it was scheduled, I still had to wait a few months for the hearing to take place.  It was an agonizing wait, and that’s when I ended up losing my condo.  That sure didn’t help the stress.  New judges have been added since my adventure, though, so the wait is only like 13-15 months now. 
When it’s time for the hearing, make sure you show up early.  Sometimes hearings are cancelled or rescheduled, and they’ll move right on to yours if you and your attorney are there are there.  During the hearing, you’ll do a lot more listening than talking.  That’s okay.  You’ll be asked questions.  Answer honestly.  It’s okay to show emotion, but don’t lose your temper. 
Take with you any new health information, such as a new diagnosis with documentation, any new medical situations that have arisen, any developments, new medical records, letters from your doctors, and things like that.  You may be able to give further documentation to the judge for his/her consideration.  However, your attorney may handle this for you.  I kept my attorney updated with my appointments, procedures, and hospitalizations, and he requested the records so that my file was always current and up-to-date.
One thing you might take to your hearing is letters.  Have friends, relatives, loved ones, and maybe former employers write a letter telling how your disability has affected both you and them.  Let them tell how you’ve changed, what you can no longer do, etc.  Some judges will let you read one or two of them, and some judges will take the letters with them to consider.  Not all judges do though.  Your attorney may be able to tell you if the judge assigned to your case is one of those that does accept things like that.  Your attorney can give you other information about your judge as well, such as approval and disapproval rates.  You can also get that information from the internet.
After the hearing, you wait again.  I was fortunate in that I had my decision in about 10 days.  Some people wait the full 8 weeks to receive their decision, and that’s not a pleasant wait at all.  Just hang in there.  At this point, your adventure may nearly be over.
If any of this doesn’t make sense, I apologize.  It was written in one session, straight through, with very little editing.  Thank goodness for spell and grammar check!  Anyway, if you need some clarification, just ask.

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