Applying for Social Security Disability Insurance (SSDI) can be a complex and often frustrating process. Many applicants face denials, even when they believe they meet all the necessary criteria. Avoiding SSDI denials requires understanding the process and addressing key issues effectively.
Understanding the common reasons for SSDI denials and how to avoid them can significantly improve your chances of a successful application.
At Disability Attorney Services, we’re here to guide you through this challenging journey.
Incomplete or Inaccurate Application
One of the most common reasons for SSDI denials is submitting an incomplete or inaccurate application. The Social Security Administration (SSA) requires detailed information about your medical condition, work history, and how your disability affects your daily life. Missing or incorrect information can lead to a quick denial.
To avoid common SSDI denials, it is essential to double-check your application for completeness and accuracy. Make sure to include all relevant medical records and supporting documents.
Consider seeking help from a disability attorney who can review your application to ensure it is thorough and precise.
Insufficient Medical Evidence
The SSA needs substantial medical evidence to verify your disability. This includes medical records, doctor’s notes, diagnostic test results, and treatment history. If your application lacks comprehensive medical documentation, it will likely be denied.
To avoid insufficient medical evidence, regularly visit your healthcare providers and follow their treatment plans. Keep detailed records of all your medical visits, treatments, and medications.
Request copies of your medical records and submit them with your application. Additionally, ask your doctors to provide detailed statements about your condition and how it limits your ability to work.
Failure to Follow Prescribed Treatment
If you fail to follow the treatment prescribed by your doctors, the SSA may deny your claim. They might assume that your condition isn’t severe if you aren’t adhering to medical advice.
Follow all treatment recommendations from your healthcare providers. If you are unable to follow a treatment plan due to side effects or financial reasons, inform your doctor and document these issues.
Make sure your doctor notes any legitimate reasons for not following a prescribed treatment.
Lack of Cooperation
Your cooperation with the SSA is crucial. This includes attending scheduled medical exams and providing additional information when requested. Failure to cooperate can result in a denial.
Respond promptly to all SSA requests for information or documentation, attend all scheduled medical exams and appointments, and stay in regular contact with the SSA and your disability attorney to ensure you’re meeting all requirements.
Earning Too Much Income
To qualify for SSDI, you must be unable to engage in substantial gainful activity (SGA). If you’re earning more than the SSA’s set limit for SGA, your application will be denied.
Ensure that your income does not exceed the SGA limit set by the SSA. If you’re working part-time, keep detailed records of your earnings. Additionally, consult with a disability attorney to understand the income limits and how they apply to your situation.
Condition Not Severe Enough or Not Expected to Last
The SSA requires that your disability be severe enough to prevent you from working and is expected to last at least 12 months or result in death. If your condition doesn’t meet these criteria, your claim will be denied.
Provide comprehensive medical documentation that demonstrates the severity and expected duration of your condition. Ensure that statements from your healthcare providers clearly describe how your disability impairs your ability to work. Also, emphasize any functional limitations and how they affect your daily activities.
Previous Denials and New Applications
Some applicants think that starting a new application after a denial is a good idea. However, filing a new application without addressing the issues from the previous denial can lead to repeated denials.
Rather than submitting a new application, consider appealing the denial decision. Collaborate with a disability attorney to pinpoint and address the reasons for the initial denial. Collect additional evidence or documentation to strengthen your claim.
Inadequate Representation
Navigating the SSDI application process can be overwhelming. Without adequate representation, you might miss critical details that can lead to a denial.
Consult with a disability attorney who specializes in SSDI claims. An experienced lawyer can assist you in gathering the necessary documentation, accurately completing your application, and representing you in appeals if required. They also offer valuable advice and support throughout the entire process.
Get Help with Avoiding SSDI Denials
Avoiding SSDI denials requires careful attention to detail, thorough documentation, and a clear understanding of the application process. By being proactive and seeking professional help, you can improve your chances of a successful application.
At Disability Attorney Services, we’re committed to helping you navigate the complexities of SSDI claims. Contact us today for expert guidance and support in securing the benefits you deserve.
