A Social Security disability denial letter can feel final. But it’s not.
If you applied for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) and got denied, your first appeal step is called a reconsideration.
This guide explains what a reconsideration is, how to request reconsideration for Social Security disability on time, and what to change so your appeal packet is stronger than your initial application.
A reconsideration is the first appeal after an initial denial for SSDI or SSI. At reconsideration, your claim gets reviewed by different people, not the same reviewers who made the first decision.
Both the initial review and reconsideration are handled through your state’s Disability Determination Services (DDS).
The SSDI appeals process looks like this:
Reconsideration → Hearing with an Administrative Law Judge (ALJ) → Appeals Council → Federal court
Your claim could be denied again; that’s common. But it’s necessary to complete each appeal step in order.
You’ll have 60 days to request reconsideration after you receive your denial letter.
The Social Security Administration (SSA) presumes you received the letter within five days of the letter’s date. If you received it later, make a note of the day you got it.
Look at the date on your denial notice and add five days. Count 60 days from that date and mark the final day to file on your calendar.
For example: If your denial letter is dated January 2nd, the SSA assumes it was received by January 7th. Sixty days from January 7th is March 7th. That’s your file by date.
If you miss the deadline, you still can file and ask the SSA to accept it late if you have a good reason (good cause). Reasons the SSA may accept include:
Keep your explanation short and honest. For example: “I received the denial notice late because I was hospitalized from [date] to [date]. I filed as soon as I was able.”
This section is general information, not legal or medical advice. Social Security rules and screens can vary by case. If you are unsure what your claim needs, ask the SSA.
When requesting a reconsideration, you’ll need to file one or all of these forms:
Before you start the request for reconsideration, gather these:
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Get EvaluationYou can file a request for reconsideration online here. Select medical or non-medical reconsideration. Answer all the questions in the forms.
If you have new evidence like treatment notes or medical opinions you can’t submit online, say “I have additional evidence to submit that is not electronic” in the section My reasons are.
When you finish, save anything the system gives you: a confirmation screen, a re-entry number, or an email receipt.
You can file by mail or in person if you prefer. A typical paper packet includes the three forms above. Keep proof of what you filed with copies of every form. If you mail it, use a method with tracking and delivery confirmation. If you drop it off, ask for a stamped copy or a receipt. Keep a simple log of what you sent, how you filed, and the date.
Reconsideration is not a reset. It’s a chance to fix what led to the denial. Use your denial letter like a roadmap.
Denials have two categories, technical/non-medical and medical. A technical denial stems from non-medical reasons like work credits, income, resources, or missing paperwork. A medical denial stems from a lack of evidence showing you meet the SSA’s definition of disability.
Use the wording in your denial letter to decide your next step.
Some examples:
New evidence is not necessarily a new diagnosis. It often means providing records of treatments you’ve had since the first decision, records that were missing when you applied, or more details explaining how your condition limits your ability to work.
What helps most during reconsideration is evidence that explains how your condition causes limitations.
Examples:
When you write statements about functional limitations, be brief and specific. It’s harder for reviewers to read a long story.
Examples:
Many denials happen because of gaps or conflicting information.
Common errors include:
Dos:
Don'ts:
Use this checklist to guide you. Remember that your claim may not require everything on the checklist.
Required forms:
Medical evidence:
Work and function evidence:
Cover letter:
Proof of submission:
If you are mailing or dropping off a paper packet, use this order:
A one-page cover letter makes your packet easier to review.
It should:
It should not:
Template letter (fill-in-the-blank)
[Your name]
[Your address]
[City, State ZIP]
[Phone]
[Email, if used]
Date: [MM/DD/YYYY]
Social Security Administration
Re: Request for Reconsideration
Name: [Your name]
SSN (last 4): [XXXX]
Claim number (if shown): [________]
Denial notice date: [MM/DD/YYYY]
To whom it concerns,
I am requesting reconsideration of the denial dated [MM/DD/YYYY].
Since my initial decision, the information in my file has changed in the following ways:
I am including these documents with my request:
If filing late explain:
I am filing after the deadline because [brief reason]. I am submitting this as soon as I am able.
Thank you for your review.
Sincerely,
[Signature]
[Printed name]
For medical reconsiderations, DDS reviews your request and your original application, plus anything new you submit.
During reconsideration, DDS may request:
When you get a request, follow the instructions on the letter and meet the due date listed. Keep copies of what you send.
Reconsideration typically takes four to seven months. Processing time depends on how fast records arrive, whether an exam is scheduled, and the backlog of your local office.
While you wait, keep getting needed treatment and report any major changes like new diagnoses, new doctors, hospital stays, and address changes.
Only about 10 to 15% of cases are approved at reconsideration. But approval rates at ALJ hearings are higher and you must do this step first.
If you are denied again, you can request a hearing with an ALJ. A hearing is more formal than reconsideration. It will include your testimony and questions from the judge and sometimes a vocational expert. If you have a disability representative, they may also ask questions.
Sixty days can fly by. Deadlines and paperwork can pile up while you’re unwell.
You don’t have to do this alone. Advocate can help.
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Get EvaluationAt reconsideration, Advocate focuses on why you were denied and how to strengthen your case for the appeal.
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Some people work while appealing. The SSA looks at your work activity and earnings during disability decisions. If you work, keep clear records of your hours, job duties, and limitations.
You can file reconsideration on your own. A qualified representative can also help with forms, evidence, and deadlines. Disability experts can improve your chances of being approved because they know what the SSA needs to see.
Yes. If you have new diagnoses or worsening symptoms, include them in your appeal disability report and support them with medical records.
Report the change right away. Update your address and phone number or list new providers and dates of treatment so DDS can request records.
You can check status online or by contacting the SSA.
Go to the exam. If you can’t attend, call the number on the appointment notice right away to reschedule. Keep a note of who you spoke with and the date.
A non-medical denial often involves work credits, income, resources, or missing paperwork. Focus on the technical issue in your denial letter and provide documents that correct the record.
Yes. You can send paper or updated records after you file. In your cover letter, explain the paperwork that will be sent later. Use clear labels and keep copies of what you send.
Medicare is federal health insurance for people age 65 and older and people approved for SSDI. SSDI eligibility leads to Medicare coverage after required waiting times. Medicaid is state health insurance for people with limited income and resources. You may get Medicaid if you qualify for SSI.
The SSA presumes you received the notice within five days after the date on the letter. If you didn’t get a letter, contact the SSA. Then file your appeal with a short explanation.
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