Disability Cases Explained: Fully Favorable Vs Partially Favorable

When you're claiming disability benefits, it's perfectly normal to feel overwhelmed. Read on to learn more about this ...

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May 19, 2020
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When you’re claiming disability benefits, it’s perfectly normal to feel overwhelmed. The jargon, the legalities and the uncertainty are all enough to prevent many people from putting forward a claim. When you find yourself disabled through illness, as a result of an accident that wasn’t your fault, or even through medical treatment gone wrong, it’s only natural to be concerned about your financial status and how you’re going to support yourself and your family.

This is usually when people reach out for help from the social security administration, who provide benefits to those who can no longer work due to a disability, whether that disability is a mental or physical one. The benefits you can claim include Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI).

What does fully favorable mean in a disability case?

The term fully favorable (in a disability case) means that a judge fully approves your disability claim and application from the date you say your disability took hold. In comparison, a partially favorable decision means that the judge will approve your application, but they disagree with the date you believe you became disabled. This decision can be appealed.

Why are claims denied so often?

The process is long and can prove incredibly stressful for those who are already struggling with their current health and their financial prospects. Many applicants find that their applications are denied for numerous reasons including:

A lack of medical evidence.

If you want these kinds of benefits, you need to be able to prove, without a doubt that you can no longer work because of your disability, something which is difficult to prove without the relevant medical evidence. Your injuries need to be well documented with your primary caregiver, including any subsequent time that you’ve taken off work e.g. doctors notes. Sadly, not everything is as well-documented as it should be.

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You’ve been denied before

Being previously denied is likely to play a part in being denied again for a second time. It’s much better to go through the appeals process rather than apply for the benefits again.

You haven’t followed your treatment plan

Failing to follow your treatment plan is also another reason to be denied. If you’ve proven that you’re unwilling to go through the treatment without good reason, then your claim is likely to be denied.

If you disagree with any decisions made regarding your application, then you can appeal through the correct process or consult an attorney.