The Social Security Disability Insurance (SSDI) program provides benefits to individuals who are unable to work due to a long-term disability. However, the application process can be complex, and many applicants find their initial claims denied.
Understanding common reasons for denial can help potential applicants better prepare for the process and potentially avoid pitfalls.
1. Insufficient medical evidence
The SSA (Social Security Administration) needs concrete medical evidence to approve an SSDI claim. If the applicant does not provide enough medical documentation or if the evidence does not clearly indicate a qualifying disability, the SSA may deny the application.
2. Short-term disability
SSDI benefits are for long-term disabilities expected to last at least one year or result in death. If SSA officials determine the disability is likely to improve within a year, they may deny the application.
3. Earning too much income
SSDI is for individuals who cannot work due to their disability. If an applicant is still able to engage in substantial gainful activity (SGA), meaning they earn over a certain amount per month, rejection of the application can occur.
4. Failure to follow prescribed treatment
Rejection can also occur if an applicant does not follow the treatment prescribed by their doctor without a valid reason, such as a severe side effect or a religious belief.
5. Lack of cooperation with the SSA
Applicants must cooperate with the SSA during the application process. This includes providing necessary documentation, attending scheduled medical exams and responding to SSA requests in a timely manner.
Being aware of common reasons for SSDI application denial can improve the chances of approval. By understanding and addressing these factors, applicants can enhance their chances of receiving the SSDI benefits they need.