Top Reasons Why Most Disability Benefits Claims are Denied
Lack of Medical Evidence
Social Security Disability benefits are awarded to individuals who have a medical condition that prevents them from working. Therefore, having strong medical evidence that supports your disability claim is crucial. Many applicants are denied benefits because they don’t have enough medical evidence to prove their disability.
Failure to Follow Treatment
Social Security requires that applicants follow prescribed treatment plans in order to receive benefits. If you fail to follow your doctor’s recommended treatment plan or miss appointments, it could hurt your chances of being approved for benefits.
Not Meeting the Definition of Disability
To qualify for Social Security Disability benefits, you must have a medical condition that is severe enough to prevent you from working for at least 12 months. If your condition doesn’t meet this definition of disability, you may be denied benefits.
Earning Too Much Money
Social Security Disability benefits are only available to individuals who are unable to work and earn a substantial income. If you earn too much money, you may not be eligible for benefits.
Missed Deadlines or Incomplete Paperwork
Social Security has strict deadlines and requirements for submitting paperwork. If you miss a deadline or fail to provide all of the necessary information, your claim may be denied.
Why Are Most Applicants Declined?
While there are several reasons why an applicant may be denied Social Security Disability benefits, the severity and permanence of the disability are the most common reasons. In addition, Social Security uses a five-step evaluation process to determine if an applicant is eligible for benefits:
- Are you currently employed and earning more than $1,310 a month?
- Is your condition severe enough to limit your ability to do basic work activities?
- Is your condition on the list of disabling conditions?
- Can you do the work you did before your disabling injury?
- Can you do other kinds of work despite your disability?
If you answered “no” to questions 1 and 2, and “yes” to questions 3, 4, and 5, you may be eligible for SSDI benefits. However, the process of applying for and obtaining SSDI benefits can be complex and overwhelming. That’s why it’s important to have an experienced disability attorney or advocate on your side to help guide you through the process.
Other Factors That Can Affect Your SSDI Eligibility
Aside from the common reasons for SSDI denial, there are other factors that can affect your ability to collect benefits, such as:
- Your disability is not expected to last for at least one year.
- You have an outstanding warrant for your arrest.
- You have been convicted of a crime.
- You committed fraud to obtain SSDI or SSI benefits.
It’s important to note that just because you are initially denied Social Security Disability benefits, it doesn’t mean you can’t appeal the decision. An experienced disability attorney or advocate can help you navigate the appeals process and increase your chances of being approved for benefits.
If you’re struggling to get the benefits you deserve, we’re here to help. Contact us today for a Fast, Free, No Obligation Case Evaluation and let us help you get the support you need.