When filing a long-term disability claim, it is essential to provide clear and consistent documentation of your medical history, including diagnoses, treatments, and the impact of your disability on your daily life. Your complaints should be supported by medical evidence, such as test results and physician’s reports, to validate the severity of your condition and its effects on your ability to work. The insurer is less likely to question your credibility when your condition is supported by objective medical evidence.
The Difficulty of Proving Subjective Complaints
However, not all medical conditions are diagnosed with “objective” test results, which can make establishing a claim for long-term disability with such conditions challenging. When dealing with subjective complaints in a long-term disability claim, your credibility is crucial.
Take fibromyalgia, for example. You cannot take an x-ray of fibromyalgia or otherwise prove it with objective medical testing. Yes, the “pressure point test” is a traditional method of testing for fibromyalgia, but this test is primarily subjective as it relies on the patient saying it hurts when the doctor presses a pressure point. Since someone with fibromyalgia may not be able to produce traditional objective medical evidence, a claimant applying for disability for fibromyalgia may have a more difficult time proving that his or her condition is totally disabling.
Another symptom that is difficult to prove with “objective” medical testing is impaired cognitive functioning. Most insurance companies will not accept a claimant’s self-reported memory loss or inability to concentrate. That is why the claimant needs to speak with his or her treating physicians about such symptoms and – if possible – undergo neurological testing, psychological testing, or a mental status examination. These types of tests can help provide the insurance company with evidence describing the severity of the claimant’s cognitive impairments.
Be honest and consistent in reporting your symptoms and limitations to medical professionals. Avoid exaggerating or downplaying your condition, as this can affect the credibility of your claim. Keep a detailed journal of your symptoms and how they affect your daily life, and make sure to communicate this information effectively to your healthcare providers. Providing thorough documentation and being forthright about your experiences can strengthen your case and help support your long-term disability claim.
The Challenges of Mental Illness Claims
If you’re seeking long-term disability benefits due to mental health conditions like bipolar disorder or generalized anxiety disorder, it’s essential to furnish the following documentation:
- Details of any in-patient treatments or psychiatric facilities you’ve attended.
- A comprehensive list of prescribed medications, their dosages, and any side effects you’ve encountered.
- Your psychiatric evaluation, as outlined in the Diagnostic and Statistical Manual of Mental Disorders.
- A testimonial from your medical treatment facility detailing your interactions with others during your admission.
- Statements from both your psychologist and psychiatrist explaining their professional opinion on why you should be eligible for long-term disability benefits.
- A completed mental residual functional capacity form by both your psychiatrist and psychologist.
The Difficulty of Proving Migraine Headache Disorders
A migraine headache disorder is another medical condition that may not appear on objective testing. However, this condition can be recorded in a symptom log. When a claimant experiences a migraine, it is not always feasible to see the doctor immediately or necessary to seek treatment in an emergency room. That’s why the claimant should keep a migraine headache log to document the frequency, severity, and duration of his or her migraine headaches. A migraine headache claimant should also provide this completed symptoms log to his or her treating physician and ask that the symptoms log be added to his or her medical records. This will allow the treating physician to view the claimant’s symptoms and understand the severity of his or her condition.
Nationwide Long-Term Disability Insurance Claims Representation
Providing a detailed and honest account of your symptoms and limitations is key to establishing the credibility of your disability claim. It is important to be forthright and detailed in your communication with your insurance provider to ensure a fair evaluation of your claim. However, even legitimate claims are sometimes denied.
If you suspect your LTD claim hasn’t been handled appropriately, call our office at (888) 321-8131 for a free case evaluation. Although headquartered in Florida, Ortiz Law Firm proudly serves clients facing unjust denials, delays, or terminations of their Long-Term Disability (LTD) claims anywhere in the U.S. We will assess your case and advise on the next steps to secure your rightful benefits.