What Is an SSI Appeal?

An SSI appeal is a formal request to the SSA to reconsider your denied claim. If your application was rejected due to missing information, insufficient medical evidence, or a determination that you don’t meet the income or disability requirements, you can file an appeal to have your case reviewed again.

There are four levels in the appeals process:

• Reconsideration – A different SSA representative reviews your original application and any new evidence.
• Hearing by an Administrative Law Judge (ALJ) – You can present your case in person, provide testimony, and submit additional documentation.
• Appeals Council Review – The Appeals Council examines your case and may uphold, reverse, or remand the judge’s decision.
• Federal Court Review – If you disagree with the SSA's final decision, you can take your case to federal court.

Are You Required to Have a Lawyer?

No, you are not legally required to hire a lawyer for your SSI appeal. You can represent yourself throughout the appeals process. However, the process is complex, and most people find it helpful to have someone experienced guiding them—especially as you move beyond the initial reconsideration stage.

Why a Lawyer Can Help Your SSI Appeal

Although it’s not mandatory, having a lawyer can make a significant difference in your appeal. Here’s why:

• Knowledge of SSA Procedures: Disability lawyers are familiar with SSA rules, forms, and deadlines. They know how to avoid common mistakes that can delay or weaken your case.
• Medical Evidence Review: An experienced lawyer can help gather strong medical documentation and ensure it directly supports the SSA’s criteria for disability.
• Legal Strategy: Your lawyer can build a compelling argument for your case, explaining how your condition meets the SSA’s definition of disability.
• Preparation for the Hearing: If your case goes to a hearing before an ALJ, a lawyer can prepare you for questions, represent you in court, and cross-examine any witnesses.
• Improved Success Rate: Applicants with legal representation during the appeals process statistically have higher approval rates, especially at the hearing stage.

When Should You Hire a Lawyer for an SSI Appeal?

While you can hire a lawyer at any stage, it’s especially beneficial to do so if:

• Your initial reconsideration has been denied.
• You're preparing for a hearing before an Administrative Law Judge.
• You’re unsure how to present medical or vocational evidence.
• Your case is complicated (e.g., multiple medical conditions, partial work history, or borderline income eligibility).

Waiting too long to seek legal help can limit your time to respond to SSA deadlines and make it harder to build a strong case quickly.

How Much Does a Disability Lawyer Cost?

Most disability lawyers work on a contingency fee basis, meaning they only get paid if you win your case. The fee is usually 25% of your back pay, up to a cap set by federal law (currently $7,200 as of 2024). You won’t owe anything upfront.



This makes hiring a lawyer accessible, even if you’re already struggling financially.