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How does the SSA determine continuing eligibility for SSD?

On Behalf of | Jun 27, 2023 | Disability Appeals |

Once your Social Security Disability (SSD) claim is approved and you begin receiving benefits, your work is not over. The Social Security Administration (SSA) periodically reviews SSD claims and medical conditions to ensure recipients remain eligible.

When it reviews a claim, the SSA looks at several factors to determine continuing eligibility. Knowing what these factors are can help you make sure you do not inadvertently do something to disrupt your SSD benefits.

Your words matter

During your review, the SSA will ask about your current medical condition, including whether you have seen any improvements in your disability. Do not be tempted to exaggerate your condition or symptoms because you fear your benefits will end. The SSA must treat claimants fairly but will not tolerate fraud.

Medical evidence is crucial

The SSA will probably ask you to bring some documentation to the review. Most of the requested information will center on your condition and may include doctor reports and copies of your official medical records. Even though they ask you to bring evidence, remember that they will also confirm this information with your medical providers.

Consultative exams might be used

If the SSA still has not determined eligibility after reviewing evidence, they may ask you to undergo a special exam (at no cost) to help them decide. They will look at the exam results (and other factors) to reach a final decision about your continuing eligibility.

If your review results in the end of your SSD claim, remember that you have a right to appeal the SSA’s decision. Guidance from a legal practitioner can help you make a case for why you continue to need your benefits.