Social Security Disability benefits provide financial support to individuals unable to work due to a disability.
The process of obtaining these benefits can be complex and challenging. Many applicants find themselves facing denials for various reasons. Understanding these reasons can help applicants navigate the system more effectively.
1. Lack of sufficient medical evidence
One common reason for SSD claim denials is a lack of sufficient medical evidence. The Social Security Administration requires detailed medical records documenting the nature and severity of the disability. If the medical evidence is incomplete or does not sufficiently demonstrate the extent of the impairment, SSA may deny the claim.
2. Failure to follow treatment plans
Another reason for denial is the failure to follow prescribed treatment plans. The SSA expects claimants to pursue appropriate medical treatment and follow the recommendations of their healthcare providers. Failure to do so can raise doubts about the severity of the disability or the individual’s willingness to improve their condition.
3. Income and work history
Income and work history play a significant role in determining eligibility for SSD benefits. Applicants must meet specific work requirements and pay enough Social Security taxes to qualify for benefits. If the SSA determines that the applicant is still capable of performing substantial gainful activity despite their disability, it may lead to a claim denial.
4. Lack of cooperation
Failure to cooperate with the SSA during the application process can also lead to denial. This includes not providing requested documentation, missing appointments or not responding to inquiries. Cooperation is necessary for the SSA to assess the claimant’s eligibility accurately.
Approximately 9 million people received SSD benefits in 2022. Receiving a denial can be discouraging. Applicants have options to get the support they need through an appeal process.