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Although there is only a 1 in 10 chance that you will win at reconsideration, it is a necessary step in the appeals process and, at the very least, sets the stage for an administrative hearing, where the approval rating increases to roughly 45%.
?Good cause? will be found when the enrollee establishes by a credible statement, not contradicted by any evidence available to the adjudicating office, that failure to pay premiums within the normal period resulted from conditions over which the enrollee had no control, or which they could not reasonably be expected ...
Learn More: Appealing After A Denial StateInitial Approval RateAlaska60.7%Arizona60.7%Arkansas72.2%California70.0%47 more rows
Here are some tips for writing an effective disability appeal letter: Indicate Your Name and Claim Number at the Top. ... Point Out Any Mistakes or Oversights. ... Supply Missing Medical Information. ... Attach Medical Records or Any Additional Evidence. ... Stick to the Point. ... Be as Detailed as Possible. ... Be Polite and Professional.
Good cause includes things like: A serious illness prevented you from contacting the appeals reviewer. You had a death or serious illness in your immediate family. Important records were destroyed or damaged by fire or other event, like a hurricane, earthquake or flood.
Writing the Disability Appeal Letter Indicate Your Name and Claim Number at the Top. ... Point Out Any Mistakes or Oversights. ... Supply Missing Medical Information. ... Attach Medical Records or Any Additional Evidence. ... Stick to the Point. ... Be as Detailed as Possible. ... Be Polite and Professional.
(b) Examples of circumstances where good cause may exist include, but are not limited to, the following situations: (1) You were seriously ill and were prevented from contacting us in person, in writing, or through a friend, relative, or other person. (2) There was a death or serious illness in your immediate family.
The fastest and easiest way to request an appeal is to submit a request online, but appeal forms are also available for download at .ssa.gov/forms. You can also call our toll-free number, 1-800-772-1213 (TTY 1-800-325-0778), or contact your local Social Security office to request appeal forms.