Social Security Disability Insurance provides people who qualify with basic income when they are unable to work.
Securing benefits can be a challenging process, and unfortunately, many individuals find their initial applications denied. Understanding the common reasons for SSDI denials is important for those navigating this complex system.
1. Lack of sufficient medical evidence
One primary reason for SSDI denials is insufficient medical evidence. The Social Security Administration requires comprehensive documentation supporting the claimant’s medical condition. Inadequate or incomplete medical records may lead to a denial, as the SSA relies heavily on medical evidence to assess disability claims.
2. Failure to follow prescribed treatment
Applicants must demonstrate that they are actively pursuing the prescribed treatment for their condition. Failure to adhere to recommended medical treatments without valid reasons can result in a denial. The SSA expects individuals to make reasonable efforts to improve their health through appropriate medical interventions.
3. Engaging in substantial gainful activity
The government grants SSDI to individuals who are unable to engage in substantial gainful activity due to a disabling condition. If the SSA determines that an applicant is currently earning income at or above the SGA threshold, it may lead to a denial. The SSA evaluates both the nature of the work and the income earned to make this determination.
4. Lack of cooperation with the SSA
Applicants must cooperate fully with the SSA during the application process. Failure to provide requested information or attend medical evaluations can result in a denial. Cooperation is an important aspect of demonstrating the seriousness of one’s disability claim.
5. Disability duration considerations
To qualify for SSDI, the applicant must have a disabling condition expected to last at least 12 months or result in death. If the SSA determines that the disability is not of sufficient duration, it may lead to a denial. Providing clear evidence of the expected long-term impact of the condition is crucial.
Understanding these common reasons for SSDI denials can help applicants address potential issues early in the process.