Applying for Social Security Disability (SSD) benefits can be difficult, and many applications are denied. Knowing the reasons for denial can improve your chances of approval. If the SSA denies your claim, you can appeal, but understanding these reasons can help guide you.
Lack of medical evidence
A common reason for SSD denial is insufficient medical evidence. The Social Security Administration (SSA) needs detailed records to support your claim. If your doctor hasn’t documented your condition properly, or if you haven’t seen a doctor regularly, the SSA may reject your application. Submit all records showing how your condition limits your ability to work.
Failure to follow prescribed treatment
Not following prescribed treatments can result in denial. The SSA expects you to take steps to manage your condition. If you fail to follow your doctor’s instructions, the SSA may assume your condition isn’t severe enough for SSD benefits. Attend appointments, take medications, and follow your doctor’s advice.
Insufficient work history
To qualify for SSD benefits, you must have worked a specific number of years and earned enough work credits. If you don’t meet these requirements, the SSA will deny your claim. Typically, you need to have worked five out of the last ten years before becoming disabled. If you haven’t worked long enough, you may qualify for Supplemental Security Income (SSI), which has different requirements.
Not meeting the SSA’s definition of disability
The SSA’s definition of disability is strict. Your condition must prevent you from working for at least 12 months or result in death. If your condition isn’t severe enough or is expected to improve, the SSA will deny your claim. The SSA considers both the severity and duration of your condition.
Inconsistent information
Inconsistent information in your application can lead to denial. If you claim you can’t work due to a medical condition but provide evidence of doing activities that contradict your claim, the SSA may question your credibility. Ensure all your statements align with your supporting evidence.
Not cooperating with the SSA can result in denial. Missing appointments, not responding to requests, or failing to provide documents can lead to rejection. Stay on top of deadlines and respond promptly to SSA requests.
