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What if I need a special examination for my SSD benefits?

Ohio residents who are seeking disability benefits need to be aware of the possibility that the Social Security Administration will need more information before making a final decision to approve or deny the claim. This will come about when the state Disability Determination Services review the claim and decide that it does not meet the requirements to be approved without receiving more information. This does not automatically mean the claim will be denied. The claimant will be asked to go for a special examination or medical test. The SSA will pay for it as well as for certain expenses that come about due to the need to travel.

If the test is given by a doctor other than the claimant's regular doctor, the results can be sent to the regular doctor to have a look at them. The claimant is responsible to be cooperative with the doctor giving the special examination. In the event the claimant cannot keep the scheduled appointment, the state agency must be informed. Then the decision will be made based on the evidence that the SSA already has. Since there was a request for a special examination, there is a substantial chance that the claimant will be denied Social Security disability.

The doctor who is conducting the special examination will request certain information that the state agency wants. The doctor has no role in deciding whether the claimant is disabled or not - the role is to simply give the examination or take tests. This doctor will not give treatment advice, nor will there be medication prescribed. After the report is provided to the state agency, it will be reviewed along with other information in the case. Then a decision will be made regarding SSD benefits. If the claimant disagrees with the decision, there is a right to appeal.

People who have an illness, condition or injury that results in an inability to work might seek SSD benefits. However, it is possible that there will be a need for a special examination. From the beginning to the end of the case, claimants should be cognizant of the potential need for this special examination. When seeking benefits, it is important to discuss the matter with an attorney experienced in helping clients with Social Security disability.

Source: ssa.gov, "A Special Examination Is Needed For Your Disability Claim," accessed on March 15, 2017

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