A Special Examination Is Needed For Your Disability Claim

What if I do not agree with the decision?

A Special Exam Is Needed For Your Disability Claim

After you apply for Social Security or Supplemental Security Income disability benefits, sometimes you need to have special medical examinations or tests before we can decide whether you qualify .

The Disability Determination Services in your state is currently reviewing your disability claim. The state agency makes the disability decisions for us. The employees there need more information before they can decide if you are disabled under Social Security law. So, they are asking you to have a special exam or medical test that we will pay for. We also will pay for certain related travel expenses.

If a doctor who is not your regular doctor performs your exam or test, we can send a copy of the results of the exam or test to your doctor if you ask us.

What should I do?

It is your responsibility to take the exam or test and cooperate with the doctor examining you. If you cannot keep the appointment we made for you, let the state agency know right away. (The phone number and address are provided with the letter you receive notifying you about the exam or test.)
If you do not let the state agency know that you cannot keep the appointment, it will make a decision based solely on the information already available in your case. This may result in a decision that you are not disabled.

What will the doctor do?

The doctor (or other medical person) who sees you will only conduct the exam or test and get specific information requested by the state agency. The doctor will not take part in deciding whether you are disabled, and he or she will not prescribe treatment or medication for you. The doctor will send a report of the exam or test to the state agency.

Things to remember

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 cannot keep the appointment, you must let the state agency know right away. If you do not, the state agency may decide that you are not disabled.

Contacting Social Security

Our website is a valuable resource for information about all of Social Security’s programs. There are a number of things you can do online.

In addition to using our website, you can call us toll-free at 1-800-772-1213. We can answer specific questions from 7 a.m. to 7 p.m., Monday through Friday. We can provide information by automated phone service 24 hours a day. (You can use our automated response system to tell us a new address or request a replacement Medicare card.) If you are deaf or hard of hearing, you may call our TTY number, 1-800-325-0778.

We treat all calls confidentially. We also want to make sure you receive accurate and courteous service. That is why we have a second Social Security representative monitor some telephone calls.