Navigating the Social Security Disability application process can be overwhelming. Denials are common, but by understanding why they happen, you can take proactive steps to strengthen your case and avoid setbacks. Here are the top 7 reasons disability applications get denied and tips to avoid these common pitfalls.
1. Insufficient Medical Evidence
One of the most critical reasons for denials is a lack of comprehensive medical records. The Social Security Administration (SSA) relies heavily on medical documentation to assess the severity of your condition. If your records do not clearly show the diagnosis, treatments, and limitations caused by your condition, the SSA may reject your claim.
How to Avoid It:
- Ensure all relevant medical history, tests, treatments, and their impact on daily life are included in your application.
- Maintain open communication with your healthcare providers and ensure your records are up-to-date and detailed.
2. Failure to Follow Prescribed Treatments
The SSA expects claimants to follow their doctor’s advice and prescribed treatments. If you refuse or fail to comply with treatment without a valid reason, it signals that your condition may not be as severe as claimed.
How to Avoid It:
- Follow your doctor’s recommendations carefully. If you have concerns or side effects with a treatment, discuss them with your healthcare provider and ensure any changes in treatment are documented in your medical records.
3. Inconsistent Statements in Your Application
If there are inconsistencies in your statements about your condition, work history, or daily limitations, it can raise red flags for the SSA. Discrepancies between your application and medical records, or between what you tell different doctors, can result in a denial.
How to Avoid It:
- Be consistent and honest when describing your condition and limitations. Keep a journal of your symptoms and limitations to ensure consistency when filling out forms or speaking with healthcare providers.
4. Earning Too Much Income
Working while applying for disability benefits can complicate your case. The SSA sets a threshold for what they consider substantial gainful activity (SGA). If you’re earning more than this limit, they may assume you’re capable of work, even if it’s part-time.
How to Avoid It:
- In 2024, the SGA limit is $1,550 per month for non-blind individuals and $2,590 for blind individuals. Ensure your earnings stay below these limits during your application process.
5. Lack of Compliance with the SSA’s Deadlines and Requirements
The disability application process involves numerous steps, including completing forms and attending evaluations. Missing deadlines or failing to provide requested documentation can lead to an automatic denial.
How to Avoid It:
- Stay organized and track all SSA deadlines. Respond promptly to any requests for additional information or evaluations.
6. Engaging in Activities Inconsistent with Your Claimed Disability
If you’re participating in activities such as full-time education or physically demanding tasks, the SSA may question the severity of your disability. Even non-work activities can sometimes be interpreted as evidence of your ability to work.
How to Avoid It:
- Be mindful of how your daily activities may be perceived. If you are involved in activities like school or physical hobbies, ensure you have documented accommodations or limitations that support your claim of disability.
7. Inaccurate or Incomplete Application Forms
Errors in your application, such as missing information or incorrect details, can lead to denial. The SSA requires detailed and accurate information to process your claim.
How to Avoid It:
- Double-check your application for accuracy and completeness. If possible, have someone review it before submission, such as a disability representative or advocate.
Introducing Michael Sexton: A New Voice in Disability Advocacy
At the Disability Digest, we strive to bring you insights from top professionals in the field. One such expert is Michael Sexton, a seasoned disability representative and the founder of Spartan Disability Advocates. Unlike many representatives who handle various types of legal cases, Michael has chosen to focus exclusively on Social Security Disability. His dedication to this field, combined with his personal experience of growing up with a disabled mother, makes him a powerful advocate for those seeking disability benefits.
Michael’s journey into disability law began at Michigan State, where he studied law and simultaneously started practicing disability law. Interestingly, he decided not to take the bar exam to become a traditional attorney. Instead, he took the Social Security EDPNA exam, which allows him to represent clients in disability cases with the same authority as an attorney, but with a specialized focus.
Conclusion
Securing Social Security Disability benefits can be a challenging process, but understanding the common reasons for denials gives you the power to take control of your application. By avoiding these common pitfalls, you can improve your chances of success and reduce the likelihood of facing a denial. Stay proactive, organized, and seek help from professionals when necessary to ensure a smoother path to receiving the benefits you deserve.
Remember, you’re not alone in this journey. Resources like the Disability Digest and dedicated professionals like Michael Sexton are here to help guide you through the complexities of the system. Whether you’re just starting your application or have already faced a denial, there is always a path forward.
For additional resources or to seek expert assistance with your disability claims, consider visiting the Disability Digest website or reaching out to Spartan Disability for professional guidance.
