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Social Security Disability benefits for those Suffering from Multiple Sclerosis

Published on: August 23, 2017 | Russell J. Goldsmith, Esq. (Law Offices of Russell J. Goldsmith)

When considering an application for Social Security disability benefits for Multiple Sclerosis (MS), there are a number of considerations one should keep in mind. Given the different types of MS and the manner in which the condition can progress differently for each individual, the advice will differ depending on the individual.

There are four major categories of Multiple Sclerosis: 1) Relapsing Remitting MS, 2) Primary Progressive MS, 3) Secondary Progressive MS and 4) Progressive Relapsing MS. The different categories are important to understand as, ultimately, in a Social Security disability claim, one needs to show that their condition will remain severe and disabling such that the individual will remain totally disabled from all forms of gainful employment for what will be a year or longer.

The most common form of Multiple Sclerosis is Relapsing Remitting MS, which affects the vast majority of individuals suffering from MS. This form of MS ordinarily presents the first signs of the disease to those in their early 20’s. The initial symptoms may or may not be severe, and many times those with this stage of the condition will find that by undertaking rehabilitation, such as physical therapy, they will recover from most if not all of any loss of function and will experience what is called a remission of their condition for what can be weeks, months or for that matter years. Continue Reading ›

How do my Issues with Sleep Affect my Social Security Disability Claim?

Published on: August 18, 2017 | Russell J. Goldsmith, Esq. (Law Offices of Russell J. Goldsmith)

When considering an application for Social Security disability benefits (or if you’ve started an initial application already), it is not always clearmay not be (or may not have been) apparent what types of issues should be presented to the Social Security Administration (SSA). One of the commonly overlooked problems that seem to impact our disability claimants, whether they are suffering from physical problems or mental health problems, is the issue of one’s sleep.

Issues with one’s sleep can creep on you. It may start off as simply as causing an occasional issue with falling. At first it may not be as pervasive and may only be an occasional day where it becomes a bit more difficult to fall asleep, or it may be an occasional getting up in the middle of the night. However, if such problems are causing an individual to lose sleep on any consistent basis (even a day per week), this can cause one difficulty getting up in the morning to get ready for work (or for that matter, may cause an individual difficulty with staying alert and being able to concentrate on the tasks at hand at a job setting.

There are a number of reasons one may have a sleep disorder, and it’s entirely appropriate (in fact, essential) that these types of issues be placed front and center of one’s application for Social Security disability benefits. One may be suffering from orthopedic problems (whether it be a low back problem that may involve issues including sciatica, or knee or hip problems stemming from arthritis that may or may not have required surgical intervention) or mental health issues (such as anxiety at night, causing one to have racing thoughts which may keep one up at night, or even nightmares resulting from issues involving Post Traumatic Stress Disorder, that is, PTSD). Likewise, we frequently represent clients who are experiencing problems with their sleep as a result of a sleep disorder such as Obstructive Sleep Apnea. All of these conditions can and many times do interrupt an individual’s sleep at night and cause them to feel exhausted in the morning. Likewise, we find that the side effects to certain medications (for example, steroids such as Prednisone) can have an adverse impact on one’s sleep. Continue Reading ›

Requesting a Residual Functional Capacity from your Treating Physician

Published on: August 7, 2017 | Russell J. Goldsmith, Esq. (Law Offices of Russell J. Goldsmith)

In our prior blog post we discussed how important it is to obtain supportive residual functional capacity questionnaires from one’s treating physicians. In this follow-up blog, we’ll advice you as to the best way to go about requesting these forms from your doctors.

First, and of primary importance, it’s important to understand that an ongoing, consistent and lengthy relationship with your provider should be established prior to requesting they provide you with a questionnaire. Your doctor is more interested in attempting to treat your condition and they want to see that this remains your priority as well.

In order to establish a claim for Social Security disability, one needs to show that they remain totally disabled from all forms of gainful employment, despite prescribed treatment, for what will be a year or longer. With this in mind, exhausting medical treatment avenues prior to seeking opinions from your physicians needs to remain one’s first priority. Continue Reading ›

How Substance Abuse can Adversely Impact one’s Social Security Disability Claim

Published on: July 25, 2017 | Russell J. Goldsmith, Esq. (Law Offices of Russell J. Goldsmith)

The issue of substance abuse can come up in a variety of ways as part of a Social Security disability claim. It might be a circumstance, very routine in this day and age, where somebody is taking too much of their narcotic medication. Or, one might be taking medications that their friend or relative has suggested they try. And then, there’s the very common scenario seen by our office where an individual is smoking marijuana or drinking alcohol in order to help them sleep at night.

Each of above scenarios can serve to derail a Social Security disability claim. Understanding Social Security’s rules can help avoid the pitfalls we many times see individuals face as a result of the use of substances either not prescribed or in a manner that was not provided for by their physician(s).

There are two (2) provisions to keep in mind when considering an application for Social Security disability benefits. 20. C.F.R. §404.1530 provides that the Social Security Administration (SSA) will not find a claimant disabled if they, without good reason, fail to follow prescribed treatment. Likewise, the Social Security Act additionally provides that one cannot be found entitled to benefits if in fact drug addiction or alcoholism is found to be a “contributing factor material to the determination of disability.”

Can you Collect Social Security Disability Benefits for Chronic Pain?

Published on: July 17, 2017 | Russell J. Goldsmith, Esq. (Law Offices of Russell J. Goldsmith)

It is extremely common for individuals applying for Social Security disability benefits to be experiencing problems with chronic pain, as one might imagine. There are a panoply of medical conditions that could the cause of such symptoms, whether it’s from a degenerative disk disease in one’s back or neck, or, for example, from diabetic neuropathy that might cause excruciating, burning nerve pain in one’s feet.

The problem arises, however, where an individual is continuing to experience chronic pain and there is no easy offender at which to point the finger. Chronic pain can arise from any one of a number of reasons and pointing to a diagnosed medical condition as the culprit may not be so easy. It is important to understand that the inability to point to a medical condition as causing the impairment may end up proving somewhat problematic with a potential Social Security disability claim.

The Social Security Administration is required to undertake a five (5) step sequential evaluation process, which process is set forth by the Social Security regulations. Step 1 requires that an individual is not gainfully employed. Step 2 requires that a disability claimant is suffering from what is deemed to be a severe medically determinable impairment: an impairment is deemed to be “non-severe” if it does not significantly impact one’s ability to undertake basic physical or mental ability to do basic work-related functions. Continue Reading ›

Collecting Social Security Disability Benefits and your Date Last Insured

Published on: July 10, 2017 | Russell J. Goldsmith, Esq. (Law Offices of Russell J. Goldsmith)

To those who do not practice Social Security disability law, the acronym DLI (which stands for “Date Last Insured”) does not mean much. However, if you are looking into applying for Social Security disability insurance (SSDI) benefits, understanding this term and knowing its importance can prove critical.

The Social Security regulations require, in order for one to collect a Social Security disability check that you be “insured” for benefits. Much like one needs to pay a premium for car or health insurance in order to be insured, in the event you are in an accident or incur a medical bill, one needs to be insured at the point in time one becomes disabled from working. One’s DLI is the last day a disability claimant (who is claiming a disability other than blindness) meets the “insured” requirement for the disability program.

The Social Security Administration (SSA) will look to see if you have earned sufficient “quarters of coverage” (QOC) much in the way an insurance carrier would look to see if you’ve paid a premium in order to have coverage. One earns a “quarter of coverage” or a “credit” based on ones Social Security taxed earnings in a particular year. In 2017, a quarter of coverage or a credit is earned for each $1300.00 in Social Security taxed earnings you have posted to your Social Security record. Thus, by working for an employer who has paid you $5200.00 (or by claiming a net profit of $5200.00 as a self-employed individual) during the course of 2017, you will accrue 4 quarters of coverage. Continue Reading ›

Preparing for your Maine, MA or NH Social Security Disability Hearing, Part II

Published on: July 5, 2017 | Russell J. Goldsmith, Esq. (Law Offices of Russell J. Goldsmith)

And so now you’ve been provided with your upcoming hearing date and time and you have no idea what to expect. In part II, we’ll attempt to make you feel comfortable about the hearing process itself and what you should expect on the day of your hearing.

You can expect you’ll be provided advanced notice of your hearing before an administrative law judge (ALJ) at least 75 days in advance. Ordinarily, 3-4 days prior to the hearing you’ll receive a recorded message explaining that you should show up to the hearing an hour in advance. It will be important to read carefully the notice of hearing you’ve been provided in the mail months in advance as it will contain important information such as where and when the hearing will be held, the items you should bring (such as a picture ID) and what issues will be addressed at hearing.

Upon arrival at the hearing office, you can expect to be met by a security guard who will check you in and will scan you for weapons. With this in mind, be sure not to bring with you anything that can be construed as a weapon: whether it be mace, a pocket knife or even needles you might require for your diabetes condition (leave this in your car, and should you need to test your sugars, plan on doing this outside of the hearing office location).

Preparing for your Maine, MA or NH Social Security Disability Hearing

Published on: June 26, 2017 | Russell J. Goldsmith, Esq. (Law Offices of Russell J. Goldsmith)

You’ve filed your Request for Hearing and now you’re playing the waiting game, wondering what to expect next in your Social Security disability claim. Whether you’re in Maine, Massachusetts or New Hampshire, the wait can be a long one. In part 1 of this blog entry we’ll fill you in as to what you can expect. In part 2, we’ll make sure you understand soup to nuts what to expect on the day of your hearing.

First and foremost, it’s important to understand that whether you request a hearing following an initial denial letter out of New Hampshire, or a reconsideration denial out of Maine or Massachusetts, the hearing itself will not take place soon. The likely wait for a hearing is in the neighborhood of what can be anywhere from 8 to 12 months with the Massachusetts and New Hampshire hearing offices (although some hearings out of the Portland, Maine hearing office are still taking up to 14 months). Soon after you file your request for hearing (within ordinarily 2-4 weeks of filing your request for hearing) , you will receive a letter from Office of Disability Adjudication and Review (ODAR) acknowledging the hearing office’s receipt of your file.

The initial letter from the hearing office will inform you that you will be notified as to the time and place of your hearing at least 75 days in advance of the hearing. Likewise, the letter will explain to you that in some circumstances your case can be heard more quickly and efficiently by way of videoteleconference or what is termed a VTC hearing. Should you agree to proceed by way of VTC, this will mean that your case will not be heard in person before an Administrative Law Judge (ALJ). Instead, you will appear in front of a judge by way of a video camera, much in the same way that those charged with a crime and held in jail, might make a preliminary appearance before a judge for purposes of bail. While this process may be an expeditious one for the Social Security Administration’s (SSA’s) purpose, as they can assign and schedule cases before judges that are in other parts of the country that might not be as busy and can hear the case more quickly, this process is quite impersonal as you can well imagine. This is not to mention the fact that if your attorney is being asked to prepare before a judge with whom he has no familiarity, this may put your attorney and you at a disadvantage. You will be provided with only twenty (20) days to Object to Proceeding by way of VTC and so you do not want to miss this deadline. Our office always objects. Continue Reading ›

Initiating a Social Security Disability Claim in Maine, MA & NH: the Duration Requirement

Published on: June 20, 2017 | Russell J. Goldsmith, Esq. (Law Offices of Russell J. Goldsmith)

One of the most typical misunderstood requirements for purposes of establishing a Social Security Disability claim is the duration requirement. The Social Security Act and its corresponding regulations require that one prove they are suffering from a severe medical impairment that has lasted or or expected to last 12 months or longer, or result in death. This provision has been interpreted quite strictly, and for anybody who is considering an application for Social Security disability benefits, it’s important to pay heed to this rule or a denial is very likely to follow.

The Social Security Act defines a “disability” as the “inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months.” 42 U.S.C. §(d)(1)(A). It is important to recognize that the language of the statute is meant to exclude from entitlement conditions those conditions which are of shorter term duration, and which will allow one to return to work within a matter of months. For example, while having back surgery (even a multilevel fusion) may constitute a severe impairment which will cause one to be out of work for a stretch of time, most such surgeries would not anticipate a recovery time of a year or longer.

The more difficult type of situation comes about with conditions that may have periods of remission (with, for example, periods of exacerbation) which require you to remain out of work for stretches of time but might allow for returns to work for stretches of time. In such a circumstance, one may still be able to reach the duration requirement of a year or longer by establishing that the attempts to return to work are what are deemed to be unsuccessful work attempts: this is something an experienced Social Security disability lawyer will be able to evaluate for you. Continue Reading ›

Following Approval of Your Social Security Disability Claim, Part II

Published on: June 5, 2017 | Russell J. Goldsmith, Esq. (Law Offices of Russell J. Goldsmith)

As we were discussing in part I, there are a multitude of considerations individuals need to take into account following the receipt of a favorable decision. One of the more important considerations is how one will be able to remain in treatment and what health insurance will be covering your treatment as you move forward.

Medicare insurance entitlement (just like a senior citizen who has reached retirement age) is available once one has been collecting Social Security Disability Insurance (SSDI) for a period of 24 months (in their 25th month of eligibility to a check). Accepting Medicare is not required (even though one may see the premium automatically taken out: this can be cancelled with a simple phone call). However, foregoing Medicare during this enrollment period can result in an increased cost should one choose to enroll at a later date. If one is already receiving state Medicaid (referred to as Mainecare in Maine, MassHealth in Massachusetts and simply Medicaid in New Hampshire), one may be entitled to apply with their local Department of Human Services office or, in Massachusetts, the Department of Transitional Assistance, so as to request that the State pay the Medicare premium. In this way, one can have both Medicare and Medicaid health insurance, with the state picking up the tab for both: in this way, Medicare pays first and Medicaid becomes secondary insurance.

Should, however, one lose their Medicaid upon receipt of a favorable decision (which happens if one’s monthly entitlement to SSDI is too high), another health insurance option available is through the Affordable Care Act (ACA), otherwise known as Obamacare. The discontinuance of Medicaid as a result of one’s SSDI income would be considered a qualifying event, allowing for enrollment at that time for ACA insurance.