Common Reasons for Social Security Disability Denials

Applying for Social Security Disability benefits can be a challenging and frustrating process. Many applicants are surprised to learn that the majority of initial claims are denied, even when they believe they meet the qualifications. Understanding the common reasons for Social Security Disability denials can help you avoid mistakes and increase your chances of approval.

At Thiry & Caddell, we have extensive experience helping clients secure the benefits they deserve.

Understanding Social Security Disability Benefits

The Social Security Administration (SSA) provides disability benefits to individuals who are unable to work due to a severe medical condition. There are two main types of disability benefits:

• Social Security Disability Insurance (SSDI): Available to individuals who have paid into the Social Security system through work credits.
• Supplemental Security Income (SSI): Available to individuals with limited income and resources who are disabled, regardless of their work history.

Common Reasons for Social Security Disability Denials

Most Social Security Disability claims are denied for specific, avoidable reasons. Knowing these pitfalls can help you prepare a stronger case and improve your chances of success.

1. Lack of Medical Evidence

One of the most common reasons for denial is insufficient medical evidence to support your claim. The SSA requires detailed documentation proving the severity of your condition and how it limits your ability to work.

• Missing medical records or test results.
• Lack of ongoing treatment or follow-up care.
• Failure to provide evidence from a specialist or treating physician.

2. Failure to Follow Prescribed Treatment

If you have been prescribed treatment by a doctor and fail to follow it without a valid reason, the SSA may deny your claim. The reasoning is that your condition might improve if you comply with treatment.

3. Income Exceeds the Limit (for SSI Claims)

For Supplemental Security Income (SSI), your income and resources must fall below a certain threshold. If your earnings exceed the limit, your claim will be denied.

4. Your Condition Is Not Severe Enough

To qualify for benefits, your condition must significantly limit your ability to work for at least 12 months or be expected to result in death. If the SSA determines that your condition is not severe enough, they will deny your claim.

5. Disability Not Expected to Last 12 Months

Social Security Disability benefits are intended for long-term disabilities. If your condition is expected to improve within 12 months, your claim may be denied.

6. Incomplete or Incorrect Application

Errors in the application process can lead to an automatic denial. Missing information, incomplete medical history, or incorrect personal details can delay or disqualify your claim.

7. Failure to Cooperate with the SSA

If the SSA requests additional information, such as medical records or a consultative exam, you must comply. Failure to provide requested information or attend a scheduled exam can lead to a denial.

8. Prior Denials Without Additional Evidence

If you’ve previously been denied benefits and you reapply without providing new evidence or additional documentation, the SSA is likely to deny your claim again.

Key Factors That Influence Approval Rates

Certain factors can improve or reduce your chances of approval. Understanding these can help you build a stronger case.

1. Age

Applicants over the age of 50 have a higher likelihood of approval due to the SSA’s grid rules, which take into account reduced work capacity with age.

2. Type of Medical Condition

Some medical conditions, such as terminal illnesses or those listed in the SSA’s “Blue Book,” may result in automatic approval.

3. Work History

A strong work history showing consistent contributions to the Social Security system can improve your chances of approval for SSDI.

Common Reasons for Social Security Disability Denials

How a Social Security Disability Attorney Can Help

Hiring an experienced Social Security Disability attorney can significantly improve your chances of approval. An attorney understands the complex requirements and processes involved in disability claims and can help you avoid common mistakes.

1. Review Your Case

A skilled attorney will review your medical records, work history, and personal information to identify weaknesses and strengthen your application.

2. Gather Supporting Evidence

Your attorney will work with doctors, specialists, and other healthcare providers to gather the necessary medical evidence to support your claim.

3. Handle All Communications with the SSA

An attorney will manage all communications with the SSA, ensuring that you meet deadlines and respond to requests for information promptly.

4. Represent You in Appeals

If your claim is denied, your attorney can represent you in hearings and appeals, presenting evidence and arguing your case before an administrative law judge.

5. Increase Your Chances of Success

Applicants represented by an attorney have a significantly higher approval rate than those who handle the process alone.

Tips to Improve Your Chances of Approval

Here are some tips to strengthen your Social Security Disability claim:

• Be honest and thorough about your medical condition and work limitations.
• Keep a detailed record of all medical treatments, medications, and doctor visits.
• Follow all prescribed treatments and attend follow-up appointments.
• Respond to SSA requests for information or exams promptly.
• Consider working with an experienced attorney to navigate the process.

Why Choose Thiry & Caddell?

Thiry & Caddell has a proven track record of helping clients secure Social Security Disability benefits. With years of experience in disability law, our attorneys understand the complexities of the SSA process and know how to build a strong case.

1. Personalized Legal Support

At Thiry & Caddell, we take the time to understand your unique situation and develop a strategy tailored to your specific needs.

2. Experience with Appeals

If your claim has been denied, we can handle your appeal and represent you before an administrative law judge to improve your chances of success.

3. No Upfront Fees

We work on a contingency basis, which means you don’t pay unless we win your case.

Contact Our Reputable Mobile, Alabama SSD Lawyers

Applying for Social Security Disability benefits can be a complex and frustrating process, but understanding the common reasons for denials can help you avoid mistakes and improve your chances of success. Working with an experienced attorney can make all the difference. Don’t face this process alone—reach out to Thiry & Caddell today at (251) 478-8880 for skilled legal guidance.