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Are There Retroactive Benefits for Social Security Disability?


Q: Does everyone who files a social security disability claim have to do another medical examination?
A: Not everyone who applies for social security disability benefits has to undergo a consultative exam (CE.) There are usually two reasons for an exam. In some cases, medical records are not very comprehensive and an exam is requested to fill in some informational gaps. The other reason an exam will be required is to provide current medical information regarding the condition of the claimant. Do not panic if a consultative exam has been requested for your case. Make sure you attend the examination, as it is necessary in order to make a decision on your case. If you intentionally miss the consultative exam and do not try to reschedule, your social security disability claim could be denied due to your failure to cooperate. You will not have to cover the cost of the CE.
Q: Who will perform a CE requested by the Social Security Administration?
A; A consultative examination is almost never provided by the doctor who currently provides your care. The examination is normally conducted by a physician who has not treated you for the current injury or condition. If you have any concerns regarding the particular physician scheduled to provide your exam, you can contact your social security disability examiner. You may object, for example, if the physician has examined you before for an insurance or work related claim. The Social Security Administration does not necessarily have a staff of doctors on the payroll to handle consultative exams. Social Security has a contract with independent doctors who will perform the examinations.
Q: Who receives back pay for social security disability?
A: A fair number of applicants approved for social security disability benefits receive back payments. The approval process for cases can take months or years, which means that most claimants are awarded retroactive payments for benefits. It is possible to receive back pay from the date of application and, if the condition was present prior to application, from up to 12 months before. The 5 month waiting period after the date of onset will not be included in back pay.

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