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Ortiz Law Firm | National Disability Law Firm

Ortiz Law Firm is dedicated to helping people recover the disability benefits they deserve. We handle group Long Term Disability (LTD) claims, individual disability insurance policy claims, ERISA disability claims, and Social Security Disability claims.

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Home | Medical Eligibility for Long-Term Disability | Page 2

Medical Eligibility for Long-Term Disability

Benefit Limitations In Long-Term Disability Claims For Musculoskeletal Disorders

July 31, 2023 // by Nick Ortiz

Disability insurance can be a crucial lifeline for individuals who cannot work due to severe health conditions. One of the common health issues that lead to long-term disability claims is musculoskeletal disorders (MSDs). The impairments caused by these conditions are real and can significantly impact the ability to work. However, individuals …

Read moreBenefit Limitations In Long-Term Disability Claims For Musculoskeletal Disorders
Category: Medical Eligibility for Long-Term Disability

What Is An Attending Physician Statement?

June 26, 2023 // by Nick Ortiz

One of the most commonly requested documents by disability insurance carriers is an Attending Physician Statement (APS). Attending Physician Statement forms are provided by your insurance company to be completed by your doctor(s). The medical information your doctor provides on the Attending Physician Statement could make or break your claim. If …

Read moreWhat Is An Attending Physician Statement?
Category: Medical Eligibility for Long-Term Disability

Total vs. Residual Disability Insurance Claims

June 16, 2023 // by Nick Ortiz

When it comes to long-term disability (LTD) insurance, it’s important to understand the difference between total and residual disability. These two concepts can significantly impact your insurance benefits and coverage. In this article, we’ll take a closer look at what each term means and how they affect your insurance policy. What Is …

Read moreTotal vs. Residual Disability Insurance Claims
Category: Medical Eligibility for Long-Term Disability

Which Doctor Should You See To Claim Long-Term Disability Benefits?

May 1, 2023 // by Nick Ortiz

If you’re unable to work due to a disabling condition, you may be eligible for long-term disability (LTD) benefits. However, obtaining these benefits is often a complex and challenging process. One of the key factors that can affect your chances of getting approved for long-term disability benefits is the medical evidence that you submit with …

Read moreWhich Doctor Should You See To Claim Long-Term Disability Benefits?
Category: Medical Eligibility for Long-Term Disability

Can A Doctor Refuse To Fill Out Disability Forms?

October 12, 2021 // by Nick Ortiz

When applying for disability insurance benefits, one crucial requirement is having medical evidence to support your claim. Your doctor may need to complete specific paperwork to support your claim, such as an Attending Physician’s Statement (APS) or Residual Functional Capacity (RFC) form. These forms detail your diagnoses, treatment, and any …

Read moreCan A Doctor Refuse To Fill Out Disability Forms?
Category: Medical Eligibility for Long-Term Disability, Medical Eligibility for Social Security Disability

How Do I Ask My Doctor for Disability?

September 16, 2021 // by Nick Ortiz

According to the CDC, about 61 million adults in the United States have a disability. That means 1 in 4 adults have some disability, whether back problems, autoimmune disorders, heart diseases, vision impairment, or one of many other disabling medical conditions. Living with a disabling condition is tough enough on its own, but one of …

Read moreHow Do I Ask My Doctor for Disability?
Category: Medical Eligibility for Long-Term Disability, Medical Eligibility for Social Security Disability

Why Your Doctor Must Document Your Functional Limitations

July 5, 2021 // by Nick Ortiz

Your functional limitations are the most critical evidence for your long-term disability claim. Your insurance company is interested in how your disability affects your ability to work. The insurance claim examiner (and a judge if your claim goes to court) will look for you to provide detailed doctor’s notes on activity limitations. This …

Read moreWhy Your Doctor Must Document Your Functional Limitations
Category: Medical Eligibility for Long-Term Disability

Independent Medical Exams In Long-Term Disability Claims

January 5, 2021 // by Nick Ortiz

What Is an Independent Medical Examination? An independent medical examination (IME) is an exam performed by a medical professional not currently associated with your case. However, we don’t like using the term “independent” when referring to a medical examination ordered by a disability insurance company.  The word independent is …

Read moreIndependent Medical Exams In Long-Term Disability Claims
Category: Medical Eligibility for Long-Term Disability

What Is Doctor Shopping And How Can You Protect Yourself?

July 15, 2020 // by Nick Ortiz

Doctor shopping is the practice of seeking out multiple doctors – often to either: (1) obtain a specific diagnosis or medication or (2) find one that agrees with you on your disability or illness. Doctor shopping is not just for claimants; insurance carriers have also been known to doctor shop. Understanding Doctor Shopping When we …

Read moreWhat Is Doctor Shopping And How Can You Protect Yourself?
Category: Medical Eligibility for Long-Term Disability

Your Credibility And How The Insurance Company Assesses Your Complaints In Long-Term Disability Claims

July 14, 2020 // by Nick Ortiz

When applying for long-term disability (LTD) benefits, your credibility can be the linchpin of your case. Insurers scrutinize every detail, from medical records to personal statements, to ensure that claims are legitimate. Establishing and maintaining your credibility throughout the application process is crucial for securing the benefits you …

Read moreYour Credibility And How The Insurance Company Assesses Your Complaints In Long-Term Disability Claims
Category: Medical Eligibility for Long-Term Disability

Why Your Doctor (The Treating Physician) Is Important In A Long-Term Disability Claim

July 14, 2020 // by Nick Ortiz

What – or who – is a treating physician? A treating physician is a medical doctor who provides medical treatment for you and has or has had an ongoing relationship with you. There must be a history of treatment between the medical provider and the patient for the medical provider to be considered a treating …

Read moreWhy Your Doctor (The Treating Physician) Is Important In A Long-Term Disability Claim
Category: Medical Eligibility for Long-Term Disability

Can I Be Denied Long-Term Disability For Refusing Surgery?

July 14, 2020 // by Nick Ortiz

If you avoid following your doctor’s treatment plan as prescribed (like refusing to have surgery), the insurance company may claim that you are refusing to do what you need to do to get better so you can work and will deny your long-term disability claim for that. However, you should not be denied for failure to comply …

Read moreCan I Be Denied Long-Term Disability For Refusing Surgery?
Category: Medical Eligibility for Long-Term Disability

How Long Do You Have To Be Disabled To Get Long-Term Disability Insurance Benefits?

July 14, 2020 // by Nick Ortiz

Having your long-term disability insurance claim approved is a significant first step towards receiving benefits. The next stage is waiting to receive payment. In a disability insurance policy, this is called the elimination period. What Is the Elimination Period? The elimination period is the period of time that you must wait to receive your first …

Read moreHow Long Do You Have To Be Disabled To Get Long-Term Disability Insurance Benefits?
Category: Medical Eligibility for Long-Term Disability

How Do You Qualify Medically For Long-Term Disability Insurance Benefits?

July 14, 2020 // by Nick Ortiz

When applying for benefits, you must provide evidence to prove that you qualify medically for long-term disability (LTD) benefits. You must provide your insurance company with medical records from only the doctors treating you for your disability. Providing medical records that are not related to your disability is irrelevant and could hurt your …

Read moreHow Do You Qualify Medically For Long-Term Disability Insurance Benefits?
Category: Medical Eligibility for Long-Term Disability

When Is A Person Considered Disabled By A Long-Term Disability Insurance Company?

July 14, 2020 // by Nick Ortiz

If you have a long-term disability policy, either provided by your employer or through a policy you’ve acquired independently, you may qualify to receive disability benefits if you cannot work. The first step in determining your eligibility for benefits is to read your long-term disability (LTD) policy thoroughly. You can obtain a …

Read moreWhen Is A Person Considered Disabled By A Long-Term Disability Insurance Company?
Category: Medical Eligibility for Long-Term Disability

Long-Term Disability Claims and Pre-Existing Condition Exclusions

July 14, 2020 // by Nick Ortiz

If your long-term disability (LTD) insurance claim was denied due to a “pre-existing condition,” know that you’re not alone. Many claimants are in the same situation, often without a clear understanding of what the term means or how it applies to their case. This article will explain the concept of pre-existing condition exclusions in LTD …

Read moreLong-Term Disability Claims and Pre-Existing Condition Exclusions
Category: Medical Eligibility for Long-Term Disability
Tags: Pre-Existing Condition

Understanding Medical Requirements For Long-Term Disability Claims

July 14, 2020 // by Nick Ortiz

Filing a long-term disability (LTD) claim involves more than just filling out forms. It requires comprehensive medical documentation that meets your insurance company’s standards. To qualify for benefits, you must provide clear, convincing evidence that your physical or mental condition prevents you from working. This guide breaks down the medical …

Read moreUnderstanding Medical Requirements For Long-Term Disability Claims
Category: Medical Eligibility for Long-Term Disability

Long-Term Disability For Multiple Disabilities

July 14, 2020 // by Nick Ortiz

Are you suffering from multiple disabling conditions? You may think that if you are suffering from a set of combined ailments, your long-term disability claim should get approved even faster than if you only suffered from one ailment. But in fact, the opposite is true. When claimants file for long-term disability for multiple disabilities, the …

Read moreLong-Term Disability For Multiple Disabilities
Category: Medical Eligibility for Long-Term Disability
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