Why Was My Disability Claim Denied?
Published on May 18th, 2023 by Eric Slepian
Facing a disability is one of the toughest challenges a person can experience. The loss of income and mounting medical expenses can be overwhelming, especially when an individual is unable to work. For these reasons, Social Security Disability insurance is essential for many people, as it’s meant to provide financial assistance for those who are unable to work due to injury, illness, or other qualifying factors.
However, even when an individual desperately needs assistance, disability applications can be denied. This can be devastating for someone who is already dealing with the stress of a disability. Here are some of the most common reasons Social Security Administration (SSA) disability claims are rejected, and what you can do if the SSA denies your claim.
Incomplete or Incorrect Documentation
When applying for Social Security disability benefits, it’s essential to provide all of the necessary documentation, including medical records, diagnoses, and treatment plans. An incomplete or incorrect application can lead to a claim denial. Be sure to double-check all paperwork to ensure it is accurate and complete.
Lack of Medical Evidence
When filing a SSA disability claim, it’s crucial to have enough medical evidence to support your claim. Medical records, test results, and doctors’ notes can all help substantiate your case. Without this evidence, your claim to receive disability benefits may be denied.
Earnings Are Too High
SSDI benefits are designed for individuals who are unable to engage in substantial gainful activity due to their disabilities. If an applicant earns above a certain threshold, it may render them ineligible for benefits as it suggests that they are able to work to some degree. It is important to note that there is a limit to the amount of wages that can be earned while receiving SSDI benefits. The income limit serves as evidence that the person is not fully disabled and capable of working to some extent.
Failing to Follow Treatment Protocol
If a person fails to comply with their doctor’s recommended treatment for their disability or if there are breaks in medical care, it is probable that their application will be rejected. The SSA examiner may argue that it is impossible to determine whether the person is disabled if they are not receiving necessary medical treatment.
What to Do If Your Disability Claim is Denied
If you are denied disability benefits, it can be tempting to give up. However, it’s important to remember that denial is not the end of the road. There are still steps you can take to appeal the decision.
First, review the denial letter carefully. It should provide information on why your claim was denied and what steps you can take to appeal the decision. It’s essential to understand the specific reasons for the denial so that you can address them effectively in your request for reconsideration.
Next, consider hiring an experienced disability attorney. A good attorney can help you navigate the appeals process and increase your odds of success. They can also ensure that you are following the proper procedures and meeting deadlines for filing an appeal.
In Conclusion
Having your SSDI claim denied can be discouraging, but it’s important to remember that there are steps you can take to appeal the decision. By understanding the common reasons for denial and taking appropriate action, you can increase your chances of getting the financial assistance you need. Hiring an experienced disability attorney can also help you navigate the application process, as well as the appeals process, ensuring you receive the support you deserve.
