Social Security disability insurance is coverage that workers earn Social Security Disability Insurance (SSDI) is a social insurance program under which workers earn coverage for benefits, by working and paying Social Security taxes on their earnings. The program provides benefits to disabled workers and to their dependents. For those who can no longer work due to a disability, our disability program is there to replace some of their lost income. The Social Security Act defines disability very strictly Eligibility rules for Social Security's disability program differ from those of private plans or other government agencies. Social Security doesn't provide temporary or partial disability benefits, like workers' compensation or veterans' benefits do. To receive disability benefits, a person must meet the definition of disability under the Social Security Act (Act). A person is disabled under the Act if they can't work due to a severe medical condition that has lasted, or is expected to last, at least one year or result in death. The person's medical condition(s) must prevent them from doing work that they did in the past, and it must prevent them from adjusting to other work. Because the Act defines disability so strictly, Social Security disability beneficiaries are among the most severely impaired in the country. In fact, Social Security disability beneficiaries are more than three times as likely to die in a year as other people the same age. Among those who start receiving disability benefits at the age of 55, 1-in-6 men and 1-in-8 women die within five years of the onset of their disabilities. Disability is unpredictable and can happen to anyone at any age Disability is something many Americans, especially younger people, think can only affect the lives of other people. Tragically, thousands of young people are seriously injured or killed, often as the result of traumatic events. Many serious medical conditions, such as cancer or mental illness, can affect the young as well as the elderly. The sobering fact for 20-year-olds is that more than 1-in-4 of them becomes disabled before reaching retirement age. As a result, they may need to rely on the Social Security disability benefits for income support. Our disability benefits provide a critical source of financial support to people when they need it most. Social Security disability payments are modest At the beginning of 2019, Social Security paid an average monthly disability benefit of about $1,234 to all disabled workers. That is barely enough to keep a beneficiary above the 2018 poverty level ($12,140 annually). For many beneficiaries, their monthly disability payment represents most of their income. Even these modest payments can make a huge difference in the lives of people who can no longer work. They allow people to meet their basic needs and the needs of their families. The number of people qualifying for Social Security disability benefits has increased For almost 60 years, Social Security disability has helped increasing numbers of workers and their families replace lost income. Several factors have contributed to this increase, which the Social Security Trustees and our actuaries have projected for decades. For example, baby boomers have reached their most disability-prone years and more women have joined the workforce in the past few decades, working consistently enough to qualify for benefits if they become disabled. Despite the increase, the 9 million or so people getting Social Security disability benefits represent just a small subset of Americans living with disabilities. Social Security works aggressively to prevent, detect, and prosecute fraud Social Security, along with the Office of the Inspector General, identifies and aggressively prosecutes those who commit fraud. Our zero tolerance approach has resulted in a fraud incidence rate that is a fraction of one percent. One of our most effective measures to guard against fraud is the Cooperative Disability Investigations program. Under the program, we investigate suspicious disability claims early, before making a decision to award benefits. In effect, we proactively stop fraud before it happens. In fiscal year 2018, with the help of state and local law enforcement, the program reported nearly $188.5 million in projected savings to the disability programs. This resulted in a return on investment of $17 for each $1 spent. Eradicating fraud is a team effort. We need people who suspect something to say something. If you suspect fraud, please visit the Office of the Inspector General and select Report Fraud, Waste, or Abuse or call 1-800-269-0271. Social Security helps people work without losing benefits Often, people would like to re-enter the workforce but are afraid they might lose disability benefits if they try to get a job. If you are age 18 through 64 and receive Social Security disability benefits, you can participate in Social Security’s Ticket to Work program. The Ticket to Work program allows you to receive free employment support services and take advantage of work incentives that make it easier to work and still receive benefits such as health care. In some instances, you can receive cash benefits from Social Security, and you are protected if you have to stop working due to your disability.

You can have a representative, such as an attorney or non-attorney, to help you with your claim for Social Security Disability and SSI. Once you appoint a representative, he or she can act on your behalf before SSA by: Getting information from your Social Security file; Helping you get medical records or information to support your claim; Going with you, or for you, to any interview, conference, or hearing; Requesting a reconsideration, hearing, or Appeals Council review; and Helping you and your witnesses prepare for a hearing and questioning any witnesses. What a Representative May Charge You For your protection, in most situations, a representative can’t charge or collect a fee from you without first getting written approval from SSA. If you and your representative have a written fee agreement, your representative may ask SSA to approve it any time before we decide your claim. Usually, we’ll approve the agreement and tell you in writing how much your representative may charge as long as: The fee agreement is filed before SSA decides your case; Both parties sign the agreement; SSA approved your claim and you're getting past-due benefits, and The fee you agreed on with your representative isn't more than 25% of past-due benefits or $6,000, whichever is less. At Hogan Smith, our fee agreement is in compliance with SSA rules. You can rest assured that we do not charge or collect a fee without first receiving approval from SSA. In fact, our fees are generally withheld by SSA and paid separately. That way, your past-due benefits are paid directly to you and not through our office. And lastly, if you do not receive past-due benefits, you do not owe us a fee. We are here to help. If you have questions about how a representative can assist you with your claim or the fee agreement process, give us call at 407-377-0700.

Social Security and Supplemental Security Income (SSI) benefits for approximately 70 million Americans will increase 8.7 percent in 2023. The 8.7 percent cost-of-living adjustment (COLA) will begin with benefits payable to more than 65 million Social Security beneficiaries in January 2023. Increased payments to more than 7 million SSI beneficiaries will begin on December 30, 2022. (Note: some people receive both Social Security and SSI benefits). The maximum amount of earnings subject to the Social Security tax (taxable maximum) will increase to $160,200. The earnings limit for workers who are younger than "full" retirement age (see Full Retirement Age Chart ) will increase to $21,240. (We deduct $1 from benefits for each $2 earned over $21,240.) The earnings limit for people reaching their “full” retirement age in 2023 will increase to $56,520. (We deduct $1 from benefits for each $3 earned over $56,520 until the month the worker turns “full” retirement age.) There is no limit on earnings for workers who are "full" retirement age or older for the entire year.

What are “online video hearings”? An online video hearing is a secure hearing that is conducted by video, over the internet, using Microsoft Teams. You can appear in an online video hearing safely and securely from anywhere using a smartphone, tablet, or camera-enabled computer with a secure internet connection. What are the technology requirements to participate in an online video hearing? To participate in an online video hearing, you must have access to email. You may appear at the hearing using a personal desktop computer, laptop, or an Android/Apple tablet or phone with a secure internet connection. Your device must have a camera, microphone, and speakers. Before the date of your online video hearing, SSA will email you a link to a user guide that explains how to access and use Microsoft Teams on your personal device of choice. You can also visit www.ssa.gov/appeals/hearing_options.html to view the user guide. What happens during the online-video hearing? An Administrative Law Judge (ALJ) will conduct the online video hearing in the same manner as in-person and telephone hearings. The ALJ will ask you and any witness(es) to take an oath or affirm that your testimony is true. You will have a chance to testify and tell the ALJ about your case, and the ALJ may ask you and any witness(es) questions to help make a decision in your case. You also will have the opportunity to ask questions during the hearing. You will be able to see and hear the ALJ and your representative if you have one appointed. Other participants, such as a vocational expert, medical expert, or interpreter, may join the online video hearing by phone. Your Right to Representation. You can have a representative, such as an attorney or non-attorney, help you when you do business with Social Security. Please call us if you have any questions about your disability hearing. We are happy to help!

After you apply for Social Security Disability Insurance (SSDI) benefits or Supplemental Security Income (SSI) payments, SSA may need you to have a special medical examination or test before making a decision on your claim. The Disability Determination Services (DDS) reviews your disability claim and makes the disability decision for SSA. Sometimes, they need more information before they can decide if you have a disability under Social Security law. If so, they ask you to have a Consultative Evaluation (CE) that they will pay for. It’s your responsibility to take the exam or test and cooperate with the doctor examining you. If you can’t keep the appointment, let DDS know right away. The contact phone number and address are provided in the letter that you receive notifying you about the exam or test. If you don’t let DDS know that you can’t keep the appointment, DDS will make a decision based solely on the information already available in your case. You may be told that you do not have a disability as a result of this because DDS won’t have enough information to make a favorable decision. The doctor who sees you will only conduct the exam or test and get specific information requested by DDS. The doctor will not take part in deciding whether you have a disability and will not prescribe treatment or medication to you. The doctor will send a report of the exam or test to DDS. DDS will review the doctor’s report along with all of the other information in your case and make the decision on your case. Things to remember: Confirm that you will attend the appointment. The exam or test requested is intended to provide additional information needed to help the state agency make a decision in your case. If you can’t keep the appointment, you must let the state agency know right away. If you don’t, the state agency may decide that you no longer have a disability. If DDS asks you to attend a Consultative Evaluation, there are things that you do to prepare for your exam. We can help you get ready, know what questions to ask, and what you can expect during the exam. If you need help or have questions, call or text us at (407) 377-0700.

Completing a function report for Social Security can be an important step in the disability application process. The purpose of the report is to provide additional information about your daily activities, limitations, and ability to function. Here are some tips to keep in mind when completing the form: Be thorough: Take your time when completing the function report and provide as much detail as possible. The more information you provide, the better the chances are that Social Security will understand the full extent of your limitations. Be honest: Be honest and truthful when answering questions on the form. Don't exaggerate your symptoms, but also don't downplay them. Social Security will compare your answers to your medical records, so it's important to be accurate. Use examples: Use examples to illustrate how your condition affects your daily activities. For example, if you have difficulty walking, describe how far you can walk before needing to rest. Describe your symptoms: Describe your symptoms in detail, including their frequency and severity. For example, if you have chronic pain, describe how often you experience it and how severe it is. Focus on your limitations: The function report is primarily about your limitations, not your abilities. Be sure to focus on how your condition limits your ability to work, take care of yourself, and perform daily activities. Get help if you need it: If you have difficulty completing the form, don't be afraid to ask for help from a family member, friend, or medical professional. Remember, the function report is an important part of the disability application process. Taking the time to complete it thoroughly and accurately can help ensure that Social Security has a complete understanding of your limitations and can make an informed decision about your disability claim. Navigating the complexities of the Social Security Disability system can be overwhelming, but you don't have to go through it alone. Seeking professional representation can make a significant difference in the outcome of your disability claim. A knowledgeable and experienced Social Security Disability representative can guide you through the application process, gather relevant evidence, and effectively present your case to the Social Security Administration. Don't hesitate to reach out and explore your options for representation. Take a proactive step towards securing the benefits you deserve by seeking the support and expertise of a qualified Social Security Disability representative today. Your future financial security and well-being may depend on it. For a free consultation, please call us at (407) 377-0700.

The pain questionnaire from social security is designed to gather information about an individual's pain and how it affects their ability to perform daily activities. To complete the questionnaire, follow these steps: Read the questions carefully and answer them truthfully. Be as specific as possible in your answers and provide examples if necessary. Use descriptive words to describe the intensity of your pain, such as mild, moderate, severe, or unbearable. Be honest about how your pain affects your ability to perform daily activities, such as standing, walking, sitting, lifting, and carrying objects. Include any additional information that may be relevant, such as the frequency and duration of your pain, any treatments you have received, and any side effects of the treatments. Submit the completed questionnaire to the Social Security Administration as directed. It is important to be honest and thorough in your responses to the pain questionnaire, as this information will be used to determine your eligibility for disability benefits. If you have any questions or need assistance in completing the questionnaire, please feel free to contact me. However, please complete the questionnaire as well as you can before calling. In addition, you can send me a text message with any questions that you have. Navigating the complexities of the Social Security Disability system can be overwhelming, but you don't have to go through it alone. Seeking professional representation can make a significant difference in the outcome of your disability claim. A knowledgeable and experienced Social Security Disability representative can guide you through the application process, gather relevant evidence, and effectively present your case to the Social Security Administration. Don't hesitate to reach out and explore your options for representation. Take a proactive step towards securing the benefits you deserve by seeking the support and expertise of a qualified Social Security Disability representative today. Your future financial security and well-being may depend on it. For a free consultation, please call us at (407) 377-0700.

When you are scheduled to have a consultative exam with Social Security, it's likely because they need additional medical information to make a decision about your disability claim. Here are some tips to help you prepare for the exam: Review your medical records: Take some time to review your medical records and familiarize yourself with your medical history. Make a list of any conditions, symptoms, or medications you are currently taking. Bring necessary documents: Bring any medical records, x-rays, or test results related to your condition to the exam. Also, bring your Social Security number and a photo ID. Be prepared to discuss your condition: The examiner will likely ask you questions about your condition and how it affects your ability to work. Be honest and provide as much detail as possible. Dress comfortably: Wear comfortable clothing to the exam, but try to avoid clothing that makes it difficult for the examiner to see and evaluate your condition. Arrive early: Arrive early to the exam to allow yourself plenty of time to find the office, fill out any necessary paperwork, and relax before the exam. Be respectful and polite: Be polite and respectful to the examiner and staff. Remember that they are there to help you get the benefits you need. Overall, the most important thing to remember is to be honest and provide as much detail as possible about your condition.

It's always a good idea to consider hiring a representative to help you with your social security disability claim. While you can technically file the claim on your own, the process can be complex and difficult to navigate without the help of a professional. A representative can help you with the following: Gathering and organizing your medical records and other relevant documentation. Filing the claim paperwork and ensuring that all necessary information is included. Representing you at hearings or appeals if necessary. Providing you with guidance throughout the process and answering any questions you may have. It's important to note that not all representatives are created equal, so it's important to do your research and choose someone who has experience with social security disability claims and a track record of success. Additionally, while representatives are permitted to charge a fee for their services, their fees are regulated by the Social Security Administration, so be sure to ask about fees before hiring someone. Ultimately, the decision to hire a representative is up to you and your specific circumstances. If you feel confident in your ability to navigate the process on your own and have a good understanding of the requirements, you may be able to file your claim without a representative. However, if you're unsure or have any concerns, hiring a representative may be a good idea.

For individuals receiving Social Security Disability benefits, the question of whether to work or not can be a difficult one. On the one hand, there may be a desire to work and earn additional income, but on the other hand, there may be concerns about how working could impact their disability benefits. The good news is that it is possible to work while receiving Social Security Disability benefits. The Social Security Administration (SSA) has programs in place that allow individuals to test their ability to work while still receiving benefits. One such program is the Ticket to Work program, which is designed to help individuals receiving disability benefits find employment. The program provides a range of support services, including vocational rehabilitation, job training, and job placement assistance. Under the Ticket to Work program, individuals are able to test their ability to work without jeopardizing their disability benefits. If an individual is able to work and earn a certain amount of income, they may still be eligible for benefits. The SSA also has a program called the Trial Work Period (TWP). During the TWP, individuals receiving disability benefits can work and earn any amount of income without risking their benefits. The TWP lasts for nine months, and during this time, individuals can test their ability to work without losing their benefits. After the TWP, individuals enter what is known as the Extended Period of Eligibility (EPE). During the EPE, individuals can continue to work and earn income while still receiving benefits, but there are limits on how much they can earn. If an individual earns above a certain amount during the EPE, their benefits may be reduced or eliminated. It's important to note that working while receiving Social Security Disability benefits can be complicated, and individuals should seek guidance from the SSA or a qualified disability representative before starting work. Additionally, individuals should keep detailed records of their work and income to ensure they receive the correct benefits. In conclusion, it is possible to work while receiving Social Security Disability benefits. The Ticket to Work program and the Trial Work Period provide opportunities for individuals to test their ability to work while still receiving benefits. It's important to seek guidance and keep detailed records to ensure that you are receiving the correct benefits.

Waiting for Social Security Administration (SSA) disability benefits can be a challenging and frustrating experience. During this time, individuals may be struggling with health issues and financial difficulties, making it tempting to try and find work to make ends meet. However, working while waiting for SSA disability can be a complicated issue. One of the key considerations when working while waiting for SSA disability is whether or not the individual is able to work. The SSA defines disability as the inability to engage in substantial gainful activity (SGA), which is generally defined as earning more than a certain amount per month. If an individual is able to work and earn more than the SGA limit, their application for disability benefits may be denied. The SGA limit for 2023 is $1,470. It's important to note that the SSA does have a program in place called the Compassionate Allowances program, which is designed to expedite the disability application process for individuals with certain medical conditions. However, even with this program in place, the process can still take several months to complete. If an individual is considering working while waiting for SSA disability, they should consult with a qualified disability representative to discuss their options. In some cases, it may be possible to work and earn a limited amount of income without impacting the disability application. Additionally, the representative can help the individual navigate the application process and ensure that they are providing all the necessary information to the SSA. Another consideration when working while waiting for SSA disability is the impact on the individual's health. Many medical conditions can be exacerbated by the stress and physical demands of a job, which can further delay the disability application process. It's important for individuals to prioritize their health and discuss any concerns with their healthcare provider. Finally, it's important to keep in mind that working while waiting for SSA disability benefits can impact the amount of benefits an individual is eligible for. If an individual is approved for disability benefits, the amount they receive may be reduced based on their earnings during the waiting period. In conclusion, working while waiting for SSA disability benefits can be a complicated issue. It's important for individuals to consider their health, consult with a qualified disability representative, and understand the potential impact on their disability application and benefits. With careful planning and guidance, it may be possible to work while waiting for SSA disability without jeopardizing the application process. 

When applying for social security disability benefits, one of the crucial steps is completing a work history questionnaire. This questionnaire helps the Social Security Administration (SSA) understand your work history and how it may impact your eligibility for disability benefits. Here are some tips on how to complete a work history questionnaire for social security disability. Gather your work history information Before filling out the questionnaire, gather all the necessary information about your past work. This includes the names and addresses of your employers, the dates you worked for them, the type of work you did, and your earnings. You may also need to provide information about any vocational training or education you've received. Provide detailed information When completing the questionnaire, provide as much detail as possible about your work history. This information will help the SSA understand the type of work you did, how long you did it, and how it may have contributed to your disability. If you can't remember specific details, try to provide estimates or your best recollection. Be sure to include information about any tools you used and the heaviest amount of weight you had to life in your job, even if the lifting was only done occasionally. Be honest It's important to be honest when filling out the questionnaire. Don't try to hide any work history or earnings, as this may result in a denial of your disability claim. The SSA will verify the information you provide, so it's crucial to provide accurate and truthful information. Focus on the impact of your disability on your work The work history questionnaire will ask you to describe your past work, but it's essential to focus on how your disability has affected your ability to work. Be sure to provide information about any accommodations you needed or were provided at work, and how your disability affected your productivity and ability to complete job tasks. Seek help if needed  If you're struggling to complete the work history questionnaire or have any questions, don't hesitate to seek help. We are just a phone call or text message away. (see below)

When it comes to retirement planning, many people overlook the potential benefits they may be entitled to through their ex-spouse's Social Security record. If you were married for at least 10 years and are now divorced, you may be eligible to receive Social Security retirement benefits based on your ex-spouse's earnings history. This can be an important source of income in retirement, so it's worth understanding how these benefits work. Eligibility Requirements To be eligible for Social Security retirement benefits based on your ex-spouse's earnings record, you must meet the following requirements: You must have been married to your ex-spouse for at least 10 years You must be at least 62 years old You must be unmarried The benefit you would receive based on your ex-spouse's earnings record must be higher than the benefit you would receive based on your own earnings record If you remarry, you generally cannot collect benefits based on your ex-spouse's record unless your later marriage ends (whether by death, divorce, or annulment). Benefits Calculation The amount of your Social Security retirement benefit based on your ex-spouse's earnings record will depend on several factors, including your ex-spouse's earnings history, your age when you begin receiving benefits, and whether you have reached full retirement age or are claiming benefits early. If you claim benefits based on your ex-spouse's record at your full retirement age, you will be entitled to 50% of the amount your ex-spouse is entitled to receive at their full retirement age. If you claim benefits early (at age 62, for example), your benefit will be reduced. On the other hand, if you delay claiming benefits beyond your full retirement age, you may be entitled to delayed retirement credits that can increase your benefit amount. It's worth noting that claiming benefits based on your ex-spouse's record does not affect the amount of their benefit or the benefits of their current spouse or dependents. Additionally, if you are eligible for benefits based on your own earnings history as well as your ex-spouse's record, you can choose to claim whichever benefit is higher. Applying for Benefits To apply for Social Security retirement benefits based on your ex-spouse's earnings record, you will need to provide proof of your marriage and divorce, as well as your ex-spouse's Social Security number. You can apply for benefits online, by phone, or in person at your local Social Security office. It's important to note that Social Security retirement benefits based on your ex-spouse's earnings record are not automatic - you must apply to receive them. If you think you may be eligible for these benefits, it's a good idea to start planning early and gather the necessary documents to support your application. Conclusion Social Security retirement benefits based on an ex-spouse's earnings record can provide an important source of income in retirement for those who meet the eligibility requirements. If you are divorced and meet these requirements, it's worth exploring your options for claiming benefits based on your ex-spouse's record. With careful planning and timely application, you can maximize your retirement income and achieve greater financial security in your golden years.

A social security disability hearing is held to determine if an individual meets the requirements for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits. During the hearing, the administrative law judge will consider several types of evidence to determine the individual's eligibility for benefits. The following are some of the types of information that may be needed at a Social Security disability hearing: Medical Records: Medical records are one of the most critical pieces of evidence in a disability hearing. The judge will want to review all medical records related to the individual's condition, including hospital records, doctor's notes, lab test results, and any other medical documentation that may be relevant. Vocational Evidence: The judge will consider the individual's work history and educational background to determine if they are capable of performing any type of gainful employment. This may include vocational expert testimony, which is an evaluation of the individual's abilities and limitations. Witness Testimony: The judge may consider testimony from witnesses, such as family members, friends, or coworkers, who can provide information about the individual's condition and limitations. Function Reports: Function reports are forms completed by the individual and their family members or caregivers that provide details about the individual's daily activities, such as their ability to perform self-care tasks, complete household chores, or participate in social activities. Any other relevant information: The judge may consider any other relevant information related to the individual's disability, such as school records or other types of documentation that support the claim. It's important to note that the evidence needed may vary depending on the specific case, and the judge may request additional information as needed. It's always a good idea to work with an experienced Social Security disability representative to ensure that all necessary evidence is provided and presented effectively during the hearing.

Social Security is a federal program that provides financial support to people with disabilities, as well as those who have reached retirement age. The program is divided into two parts: Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI). SSI is a needs-based program that provides monthly payments to individuals who are disabled, blind, or over the age of 65, and who have limited income and resources. In contrast, SSDI is a program that provides benefits to individuals who have paid into the Social Security system through payroll taxes, and who become disabled before reaching retirement age. Calculating Entitlement to SSI Benefits: The calculation of SSI benefits is based on the individual's income, resources, and living arrangements. To qualify for SSI benefits, an individual must have limited income and resources. Social Security uses a complex formula to determine the amount of SSI benefits that an individual is entitled to receive, which takes into account the individual's living arrangements and other factors. The maximum monthly SSI payment for an individual is $914, as of 2023. However, the actual payment amount may be less, depending on the individual's income and resources. Social Security may also reduce the amount of SSI benefits if the individual is receiving other forms of assistance, such as food stamps. Offsetting Past-Due Benefits for SSDI:  When an individual is approved for SSDI benefits, they may be entitled to past-due benefits that accumulated between the date they became disabled and the date their application was approved. However, Social Security may offset the payment of past-due benefits by any SSI benefits that the individual received during the same period. This offset is known as the "windfall offset" provision. The windfall offset provision is designed to prevent individuals from receiving both SSI and SSDI benefits for the same period of time, which could result in an overpayment of benefits. To calculate the offset, Social Security subtracts the amount of SSI benefits that the individual received during the same period from the total amount of past-due SSDI benefits that they are entitled to receive. The individual receives the remaining balance of past-due benefits. In conclusion, Social Security calculates entitlement to SSI benefits based on an individual's income, resources, and living arrangements, and uses a complex formula to determine the payment amount. Social Security may also offset the payment of past-due SSDI benefits by any SSI benefits that the individual received during the same period, using the windfall offset provision. These calculations and offsets can be complex, and it's important to consult with a qualified Social Security representative if you have questions or concerns about your entitlement to benefits.

A physical examination by a doctor is an assessment of a patient's overall physical health and functioning. It involves a series of tests and observations to evaluate the patient's body systems and identify any abnormalities or potential health issues. Here are some of the things that a physical examination by a doctor can reveal: 1. Vital signs: The doctor will measure the patient's blood pressure, heart rate, respiratory rate, and temperature. Abnormalities in these vital signs can indicate underlying health problems. 2. General appearance: The doctor will assess the patient's overall appearance, including skin color, hydration, and level of consciousness. 3. Head and neck: The doctor will examine the patient's head, neck, and throat for any abnormalities, such as enlarged lymph nodes, masses, or deformities. 4. Heart and lungs: The doctor will listen to the patient's heart and lungs using a stethoscope to assess for any irregularities, such as murmurs or wheezing. 5. Abdomen: The doctor will palpate the patient's abdomen to check for any tenderness, swelling, or masses that could indicate digestive problems or other health issues. 6. Musculoskeletal system: The doctor will assess the patient's range of motion, strength, and flexibility, as well as evaluate the patient's posture and gait. 7. Neurological system: The doctor will evaluate the patient's reflexes, coordination, and sensory responses, as well as check for any signs of neurological disorders. Overall, a physical examination provides a comprehensive assessment of a patient's physical health and functioning, and can reveal a wide range of potential health issues. It is an essential tool for doctors in diagnosing and treating health problems, and can be especially important in determining eligibility for disability benefits. When filing for disability benefits with the Social Security Administration (SSA), it is crucial to have a thorough and detailed medical report from your doctor. One of the most important parts of this report is the physical examination. In this blog post, we will explore why the physical examination is so important in documenting your disability with the SSA. First and foremost, the physical examination provides objective evidence of your medical condition. This is important because the SSA requires medical evidence to support your claim for disability benefits. The physical examination allows your doctor to assess your physical limitations and determine how they affect your ability to work. This information can be used to support your claim for disability benefits. Secondly, the physical examination provides a baseline for future assessments. Disability claims can take a long time to process, and it is important to have a record of your medical condition at the time of your initial examination. Future assessments can be compared to this baseline to determine how your condition has changed over time. Additionally, the physical examination can help identify conditions that may not be apparent through other diagnostic tests. For example, a physical examination may reveal muscle weakness or decreased range of motion that cannot be detected through an X-ray or MRI. This information can be critical in determining the severity of your condition and your ability to work. Furthermore, the physical examination can help rule out other potential causes of your symptoms. For example, if you are experiencing back pain, a physical examination may reveal that your pain is caused by a herniated disc rather than a muscle strain. This information can be important in determining the appropriate course of treatment and assessing your ability to work. Lastly, the physical examination provides an opportunity for your doctor to assess your functional limitations. This includes your ability to stand, walk, sit, lift, and perform other activities that are required for work. This information can be used to determine your residual functional capacity (RFC), which is the maximum amount of work you are capable of performing given your physical limitations. In conclusion, the physical examination is an essential part of documenting your disability with the SSA. It provides objective evidence of your medical condition, a baseline for future assessments, identifies conditions that may not be apparent through other diagnostic tests, helps rule out other potential causes of your symptoms, and assesses your functional limitations. It is important to have a thorough and detailed medical report from your doctor, including a physical examination, when filing for disability benefits with the SSA.

Social Security Disability (SSD) benefits are available to individuals who are unable to work due to a disabling medical condition. However, the application process can be complex and time-consuming, and not all claims are approved. If your initial claim is denied, there are several levels of appeal available to you. In this blog post, we will discuss the different appeal levels for social security disability claims. 1. Reconsideration The first level of appeal is reconsideration. At this level, a different person from the Social Security Administration (SSA) will review your claim and any new evidence you have submitted. You have 60 days from the date of your denial letter to request reconsideration. 2. Administrative Law Judge Hearing If your reconsideration is also denied, you can request a hearing with an Administrative Law Judge (ALJ). The ALJ will review your claim, any new evidence you have submitted, and any testimony from you or your witnesses. The hearing is usually held within 75 miles of your home, and you have the right to have a representative present. 3. Appeals Council Review If the ALJ denies your claim, you can request a review by the Appeals Council. The Appeals Council will review your claim and any new evidence you have submitted. They may also decide to review the ALJ’s decision if they believe an error was made. The Appeals Council can either approve your claim, deny it, or send it back to the ALJ for further review. 4. Federal Court Review  If the Appeals Council denies your claim, you can file a lawsuit in federal court. The court will review your claim and any new evidence you have submitted. The court can either approve your claim, deny it, or send it back to the SSA for further review. It’s important to note that the appeal process can take a long time, sometimes years. However, if you believe you are entitled to SSD benefits, it’s worth pursuing all available options. In conclusion, if your initial social security disability claim is denied, there are several levels of appeal available to you. These include reconsideration, an administrative law judge hearing, an Appeals Council review, and a federal court review. It’s important to understand the appeal process and to have a representative who can help guide you through it. With persistence and the right support, you may be able to obtain the benefits you are entitled to.

Medicaid is a government-funded health insurance program that provides coverage to low-income individuals and families who meet certain eligibility criteria. In Florida, Medicaid is administered by the Agency for Health Care Administration (AHCA), and there are several eligibility requirements that individuals must meet in order to qualify for coverage. Here's what you need to know about how to be eligible for Medicaid in Florida: 1. Income requirements To be eligible for Medicaid in Florida, your income must be below a certain level. The income limit varies depending on the size of your household and other factors, such as whether you have a disability. For example, in 2023, the income limit for a family of three is $2,628 per month. 2. Asset requirements In addition to income limits, Medicaid in Florida also has asset limits that individuals must meet to be eligible for coverage. This means that you cannot have too many assets or savings. For example, the asset limit for an individual is $2,000, and for a couple, it is $3,000. 3. Citizenship or residency status To be eligible for Medicaid in Florida, you must be a U.S. citizen or a qualified alien who meets certain residency requirements. You must also provide proof of identity and residency in the state. 4. Health needs Medicaid in Florida provides coverage for certain health needs, including doctor visits, hospital care, prescription drugs, and long-term care services. You must have a medical need for these services to be eligible for coverage. 5. Category of eligibility Medicaid in Florida has different eligibility categories for different groups of people, such as pregnant women, children, and individuals with disabilities. You must meet the eligibility criteria for your specific category in order to qualify for coverage. 6. Enrollment process To apply for Medicaid in Florida, you can complete an application online, by mail, or in person at a local Department of Children and Families (DCF) office. You will need to provide information about your income, assets, and health needs, as well as proof of citizenship or residency status. In conclusion, Medicaid in Florida provides health insurance coverage to low-income individuals and families who meet certain eligibility requirements. If you think you may be eligible for Medicaid, it's important to review the income and asset limits, residency requirements, and health needs to determine if you qualify for coverage. You can apply for Medicaid through the DCF office or online, and if you have any questions about eligibility or the enrollment process, you can contact the Florida AHCA for assistance. If you have questions about how you can qualify for Medicaid because of a disability, please reach out to us by calling (407) 377-0700. At Hogan Smith, we help disabled people qualify for much-needed benefits.

A Medicaid Community Waiver is a program that allows individuals who would otherwise require institutionalization in a nursing home or other care facility to receive long-term care services and support in their own homes or in community-based settings. These services can include personal care, meal preparation, transportation, respite care, and home modifications. In Florida, there are several eligibility requirements that individuals must meet in order to qualify for a Community Waiver for Medicaid. Here's what you need to know about how to qualify for a Community Waiver for Florida Medicaid: 1. Medicaid eligibility To be eligible for a Community Waiver for Medicaid in Florida, you must first meet the eligibility requirements for Medicaid. This includes having limited income and assets and meeting certain citizenship or residency requirements. 2. Level of care You must have a level of care that would normally require placement in a nursing home or other institutional setting. This is determined through a standardized assessment called the Florida Assessment for Person-Centered Systems (FAPSC). 3. Functional need You must have a functional need for the services provided by the waiver, such as assistance with activities of daily living (ADLs) or instrumental activities of daily living (IADLs). 4. Availability of services The services and supports provided through the waiver must be available in your area and provided by qualified providers. 5. Prioritization Due to limited funding, there may be a waiting list for some waiver programs. Priority is given to individuals who have the greatest need for services and support. 6. Choose a waiver program Florida Medicaid offers several Community Waiver programs, each with its own eligibility requirements and services provided. You will need to choose a program that meets your needs and eligibility criteria. Some examples of Community Waiver programs in Florida include the Home and Community-Based Services (HCBS) Waiver for the Elderly, the HCBS Waiver for Persons with Developmental Disabilities, and the HCBS Waiver for Persons with Brain and Spinal Cord Injuries. 7. Apply for the waiver program To apply for a Community Waiver program, you can contact a Medicaid waiver program provider in your area or the Florida Medicaid office for assistance. You will need to provide information about your medical condition, level of care, and functional needs, as well as proof of eligibility for Medicaid. In conclusion, a Community Waiver for Florida Medicaid can provide long-term care services and support to individuals who would otherwise require institutionalization in a nursing home or other care facility. To qualify for a Community Waiver, you must meet the eligibility criteria for Medicaid, have a level of care that requires the waiver services, have a functional need for the services, and choose a program that meets your needs. If you have any questions about eligibility or the enrollment process, you can contact the Florida Medicaid office or a Medicaid waiver program provider in your area for assistance. If you think you might qualify for a Community Waiver, have questions, or need assistance, we have resources to help you. Please reach out to us at (407) 377-0700.

Florida Medicaid provides a program called the Consumer Directed Care Plus (CDC+) program that allows eligible Medicaid recipients to hire their own family members or friends to provide them with care and assistance in their homes. The program is designed to give people with disabilities greater control over their own care and the flexibility to choose their caregivers. In this blog post, we will discuss what Florida Medicaid pays to family members who provide care to a disabled member of their household and what they must do to apply for the CDC+ program. What Does Florida Medicaid Pay for Caregivers in the CDC+ Program? Florida Medicaid pays family members who provide care to a disabled member of their household a wage for their services. The amount of the wage depends on the level of care needed and the location of the recipient. As of September 2021, the hourly wage for caregivers in the CDC+ program ranges from $10.25 to $15.50 per hour. The exact wage rate is determined by the recipient's level of care, the county of residence, and the skill level of the caregiver. In addition to the hourly wage, caregivers may also be eligible for benefits such as health insurance, dental insurance, and paid time off. These benefits vary depending on the specific plan chosen by the recipient and the caregiver. How to Apply for the CDC+ Program? To apply for the CDC+ program, the recipient must be a Florida Medicaid beneficiary who meets the eligibility criteria for the program. The recipient must also have a need for in-home care and assistance. Once the recipient is determined to be eligible, they can apply for the CDC+ program by completing an application and submitting it to their local Area Agency on Aging. The application will ask for information about the recipient's medical condition, the level of care needed, and the caregiver they wish to hire. The recipient will also need to select a fiscal agent to manage their Medicaid funds. After the application is submitted, the recipient will be assessed to determine their level of care and the amount of funding they will receive from Medicaid. The recipient and their caregiver will then work together to develop a care plan that outlines the specific tasks and responsibilities of the caregiver. The caregiver will be trained to provide the necessary care, and the recipient will have the flexibility to adjust their care plan as needed. Conclusion The CDC+ program is a valuable resource for families who want to provide care for their disabled loved ones. It allows recipients to choose their own caregivers and have greater control over their own care. Florida Medicaid pays caregivers a wage for their services and provides additional benefits such as health insurance and paid time off. To apply for the program, the recipient must meet the eligibility criteria and complete an application with their local Area Agency on Aging. If you have questions about how you can qualify for Medicaid because of a disability, please reach out to us by calling (407) 377-0700. At Hogan Smith, we help disabled people qualify for much-needed benefits.