When a serious injury prevents an individual from working, Social Security Disability (SSD) benefits provide important financial support. However, the application process can be complex, and errors can lead to denials. Understanding common pitfalls can improve the likelihood of approval.
Inaccurate or incomplete applications
The Social Security Administration (SSA) requires detailed information. Application errors can occur, such as omitting pertinent details about a medical condition or work history, or providing incorrect dates. These errors can result in delays or denials. Therefore, it is essential to verify the accuracy of all information prior to submitting the application.
Insufficient medical evidence
Medical records are of great importance, as they substantiate the extent of the injury and its effect on work capacity. A claim may be denied if sufficient medical evidence, including doctor’s reports, test results, and treatment records, is not provided. The SSA requires clear proof of the injury and its impact on the ability to work.
Failure to follow doctor’s orders
The SSA assesses adherence to a prescribed treatment plan. If prescribed medications are not taken or appointments are missed, it may suggest the injury is not as severe as claimed. Adhering to a doctor’s orders demonstrates an attempt to improve the condition, which strengthens an SSD application.
Working above substantial gainful activity (SGA) level
SSD benefits are for those who cannot work. The SSA establishes a limit on earnings for continued benefit eligibility, defined as substantial gainful activity (SGA). If earnings exceed the SGA limit, the SSA may deny the claim. A comprehensive understanding of the SGA rules is therefore essential.
Giving up too soon
The SSD application process can be lengthy. Initial applications are frequently denied, and applicants have a right to appeal these decisions. Discontinuing the process after an initial denial is ill-advised, as appealing a denial can potentially lead to approval.
Lack of legal representation
Applying for SSD can be confusing. A lawyer who is knowledgeable in SSD law can provide valuable assistance, ensuring the application is complete and accurate, and assisting with appeals. Engaging legal representation may enhance the chances of approval.
To obtain SSD benefits for an injury, applicants must avoid mistakes by completing applications with meticulous attention to detail, providing comprehensive medical proof, adhering to doctors’ instructions, and demonstrating an understanding of applicable work rules.
