When applying for disability benefits under Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI), there’s always the possibility of denial from the authorities. To avoid making a mistake and losing out on benefits, work with a disability lawyer and learn about some common reasons for rejection.
Why Do Disability Claims Get Rejected?
One of the most common causes of denial is technical issues. The Social Security Administration (SSA) receives countless applications, and the fastest way to ease the load is to remove those that don't meet eligibility requirements. For SSDI, those with income exceeding the substantial gainful activity limit of $1,220 monthly are automatically denied. You'll also be denied if you lack medical records or submit incomplete claim forms.
2. Insufficient Medical Evidence
The SSA has the final say in your eligibility for a disability claim, which means they'll need enough medical information to reach that decision. If your condition won't last for more than a year, that means you can get back to work afterward, and you'll no longer need benefits. Additionally, your chances for denial increase if your impairment resulted from alcoholism or substance abuse.
3. Failure to Follow Treatment
If the SSA determines you've refused prescribed treatment, your application will likely be denied. However, there are instances when such refusal is acceptable, such as if you have a mental illness or debilitating medical condition. Additionally, an inability to pay for treatment or denial due to religious beliefs are also acceptable. Ask your disability lawyer about possible grounds for refusing medical attention for more clarity regarding your situation.
4. Refusal to Cooperate
As a potential beneficiary, it's best to coordinate with SSA and comply with all of their requirements. For example, attend consultative examinations when your schedule allows, and ask for a more convenient time and place when it doesn't. It's also crucial to leave the correct contact details. When they find it hard to coordinate with you, they'll likely reject your claim.
5. Conviction of a Crime
The SSA will typically deny your application for SSDI benefits if your injuries happened in prison, after conviction, or while committing a crime. If you're on parole or probation, you can get benefits when you meet the terms of your release. Additionally, if you try to defraud the authority, you'll get denied and charged with a crime as well.
To avoid being denied for your benefits, work with a seasoned disability lawyer. Headquartered in Greensburg, PA, Stine & Associates, P.C. has provided top-notch legal counsel and representation to disabled clients for over two decades. Call (724) 837-0160 to set an appointment with a lawyer, or visit them online today to learn more about how they can help you.