When applying for Social Security Disability, it is easy to focus on the big picture: your disabling condition. But often, it is the overlooked details that can lead to a denial. Many applicants are surprised to learn that seemingly minor issues can derail their entire claim.
Here are seven common reasons why Social Security Disability claims are denied:
1. Lack of medical evidence
Social Security requires extensive medical proof, such as doctors’ notes, lab results and imaging scans, to show your disability. Without sufficient medical records, Social Security cannot see the full picture of your condition. Make sure your doctors document all your symptoms and limitations clearly.
2. Failure to follow prescribed treatment
It is essential to follow your doctor’s orders. If you fail to go to appointments or take your medication, Social Security may believe your condition is not as severe, which can lead to denial. Adhering to treatment plans demonstrates your commitment to improving your health.
3. Engaging in Substantial Gainful Activity (SGA)
Social Security has rules about how much you can earn while applying for benefits. If you earn more than a certain amount each month, Social Security considers you able to perform substantial gainful activity. This means you are working at a level that disqualifies you from benefits.
4. Your condition is not severe enough
Your medical condition must significantly limit your ability to do basic work activities. This includes standing, walking, lifting and remembering instructions. If Social Security decides your condition does not limit you enough, they may deny your claim.
5. Failure to cooperate with Social Security
As part of the review process, Social Security may arrange medical exams for you to attend or ask you for additional information. It is best to respond to all requests. Failing to cooperate can cause delays and lead to a denial of your claim.
6. Prior denials without new information
If you apply again after a denial, you must provide new medical evidence or show that your condition has worsened. Simply reapplying without new information usually results in another denial. Each new application should present a stronger case.
7. Age, education, and work experience (medical-vocational allowance)
For some claims, Social Security considers your age, education and past work. If you are younger, have a higher education and adaptable work skills, Social Security may believe you can adjust to other types of work. This is part of a complex vocational assessment.
Obtain professional guidance
Dealing with a denied Social Security Disability claim can be discouraging. Many people find the most effective way to handle a denial is to seek legal help. An attorney who understands disability law can help you build a stronger appeal, increasing your chances of getting the benefits you deserve.