Have you been denied Social Security Disability even though you can’t work? You’re not alone. Every year, the Social Security Administration (SSA) denies thousands of disability applications. Often, the reasons behind these denials are simple mistakes that could have been avoided.
Whether you file for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI), it’s important to know all you can about the application process. Understanding reasons for SSI and SSDI denial can help improve your chances of claim approval.
Top Signs You Will Be Denied Disability
1. Lack of Medical Evidence
One of the most common reasons claims are denied is insufficient medical records. When reviewing your claim, the SSA needs:
- A clear diagnosis from a qualified medical professional
- Evidence that your condition prevents you from working
- Proof your condition has lasted or will last at least 12 months
- Regular, ongoing medical treatment records
- Medical test results (such as imaging, blood tests, etc.)
2. Failure To Follow Prescribed Treatment
Many applicants who are denied disability are rejected because they did not follow a prescribed treatment plan. You cannot receive disability benefits if your condition improves with medical treatment and you are then able to work. You must show the SSA that your condition remains severe and disabling despite treatment.
Red flags include:
- Skipping medical appointments
- Not taking prescribed medications
- Refusing recommended procedures or therapy
- Inconsistent treatment history
- Limited or no records of previous treatment plans and your responses to them
3. Income Exceeds SSA Limits
A major reason why the SSA denies disability claims is that applicants earn too much money. If your income exceeds the Substantial Gainful Activity (SGA) limit, you are ineligible for benefits. Many people who can’t work full time make the mistake of earning just over these limits.
For SSI denial, reasons surrounding income are slightly different than they are for SSDI. SSI is a needs-based program, which means claimants can only qualify if they meet strict income and resource limits. Therefore, an SSI claimant cannot exceed these limits by working, through unearned income, or in assets they own. Resources and unearned income are not reasons for SSDI denial.
4. Incomplete or Incorrect Application
Being denied disability often stems from paperwork problems. Common issues include:
- Missing information on forms
- Incorrect personal or work history details
- Failure to provide requested documents
- Missing SSA deadlines
- Not responding to SSA requests for additional information
5. Previous Denials Without Appeals
If you’ve been denied Social Security Disability benefits before and did not appeal, starting a new application can lead to another denial. Going through the appeals process offers better chances for approval than filing a new claim.
How To Avoid Claim Denial
Maintain Detailed Medical Records
- Keep all medical appointments
- Follow prescribed treatments exactly
- Request and organize copies of your medical records
- Keep a detailed symptom diary
- Get written statements from your treating physicians
Provide Complete Information
- Answer all questions thoroughly
- Include all medical conditions and symptoms
- List all medications and treatments
- Document how your condition affects daily activities
- Respond promptly to SSA requests
Meet All Deadlines
- Submit applications on time
- Appeal denials within 60 days
- Keep copies of everything you submit
Choose Grundy When You’re Applying for Social Security Disability Benefits
When you’re denied disability and can’t work, you need experienced legal representation. Here’s why clients throughout Missouri and the Kansas City area trust Grundy Disability Group:
- Attorney Matthew R. Grundy is a fourth generation attorney. He is highly skilled and experienced in representing all types of disability claims. When you work with Grundy Disability Group, you’re working with a law firm that will fight to get you the benefits you deserve.
- We handle every aspect of disability cases, from your initial application to federal court appeals. Our deep understanding of the Social Security system allows us to help clients avoid common reasons for claim denial.
- We offer free case evaluations and work closely with each client to build the strongest possible case. Our team gathers crucial medical records, meets all deadlines, and helps you navigate the complex application process.
If you’re asking, “Why would disability be denied when I can’t work?” we can help shine some light on the problem. Many applicants who are initially denied disability benefits later get approved with proper legal representation.
At Grundy Disability Group, we understand the many reasons why the SSA may deny your claim. We also know how to help you avoid common pitfalls and can offer support when you’re ready to file an appeal.
Ready to improve your chances of securing benefits? Contact us to schedule a free consultation with our disability lawyer in Missouri. Let us help you develop the best strategy to get your claim approved.
