Social Security Disability: 8 Reasons You May Be Denied Benefits

Reasons Why You May Denied Social Security Benefits 

Among Social Security Disability claims initially filed, only about 30% are approved. There are many reasons for being denied benefits. The reason is sometimes as simple as making a mistake on the application, in which case a qualified attorney can identify and help to correct the error. A disabled person can apply for Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). The following eight reasons Social Security disability benefits may be denied could provide some helpful insights as to whether you qualify:

1. Your Income is Too High

Your income level doesn’t affect whether you might qualify for SSDI, but it can prevent you from qualifying for SSI. Only low-income individuals who haven’t earned enough to qualify for SSDI or who have never worked may qualify for SSI.

2. Insufficient Medical Evidence

To support a disability claim, you must have solid medical evidence. For example, there must be documentation showing that you received ongoing treatment for your injury and your doctor says the injury prevents you from working.

3. Previous Denials

When an application is being reviewed, if it is determined that you previously applied for Social Security Disability but your claim was denied, your new application will also be denied. This is one of the reasons it is very important to follow through with the entire appeals process, even if your claim is initially denied.

4. Your Disability Level isn’t Severe Enough

You must have a medical condition that causes severe limitations, to qualify for Social Security disability benefits. Also, except for blind SSI applicants, SSDI and SSI benefits can be denied if your impairment is not severe enough to either last a minimum of one year or result in your death.

5. Your Refusal to Cooperate

You must release your medical records, to be approved for disability benefits. In addition, you must comply if you are asked to be examined by one or more physicians with the Social Security Administration (SSA). Repeatedly failing to show up to scheduled consultative examinations (CEs) can cause your claim to be denied, as well.

6. You Didn’t Follow the Doctor’s Prescribed Treatment

Records must indicate that you received therapy treatments prescribed by your doctor. There are a few acceptable medical and nonmedical excuses for failing to follow your physician’s prescribed treatment. Otherwise, disability benefits may be denied for failing to get the prescribed treatment.

7. You have a Criminal Conviction

There are specific conditions related to being imprisoned or convicted of a crime that prevent an individual from receiving Social Security Disability insurance. For example, if your injury occurred while you were allegedly committing a felony, you do not qualify to receive disability benefits.

8. Alcoholism or Drug Addiction are Contributing Factors

If alcoholism or drug addiction is a contributing factor to your disability, the SSA will deny disability benefits. One of the guidelines is whether you would still be disabled if you were to stop using alcohol or drugs.

It’s best not to assume you will be denied benefits, even if your first attempt has been unsuccessful or you think any of the above may apply to you. Above information is abbreviated and does not touch on all circumstances that can potentially affect a person’s eligibility for disability benefits. The application process is often confusing and can also be lengthy and tedious. The Disability Champions will give you a free, no obligation evaluation. Contact us today at 407-601-3681 for experienced, skilled representation.