According to recent statistics from the Social Security Administration (SSA), nearly 53% of initial disability claims are rejected. While getting a denial letter can be discouraging and overwhelming, it’s important not to lose hope.
Understanding the disability claims process can be a daunting task for many individuals. It involves navigating complex legal jargon, filling out extensive paperwork, and providing sufficient evidence to prove your disability. Despite taking all necessary steps, it’s not uncommon for disability benefit claims to get denied.
Here are four common reasons why your disability benefit may get denied and what you can do about them.
1.Lack of Sufficient Medical Evidence
For a disability claim to be approved, it must be supported by medical evidence. This includes thorough documentation from your treating physicians, therapists, and other healthcare providers. With sufficient medical evidence, the SSA may have enough information to make a fair decision.
To avoid this issue, provide detailed and up-to-date medical records and test results. Following through with all recommended treatments and therapies for your condition is crucial. If you can’t afford medical care, free or low-cost options are available through community health clinics or state programs.
2.Failure to Meet Eligibility Requirements
The SSA sets strict eligibility standards for disability benefits. You must not engage in significant gainful activity (SGA) to be eligible for disability compensation.
Additionally, your condition must be severe enough to interfere with basic work-related activities.
If your claim is rejected due to failure to meet these requirements, reviewing the specific criteria and gathering evidence supporting your case is important. You may also want to seek the help of an experienced disability attorney who can assist in navigating the appeals process.
3.Insufficient Work Credits
In order to be eligible for Social Security Disability Insurance (SSDI), you must have accrued enough work credits through Social Security tax payments. The number of work credits required varies depending on your age, but most individuals need to earn at least 40 credits, 20 of which must have been earned in the last 10 years.
You may be eligible for Supplemental Security Income (SSI) if your claim is denied due to insufficient work credits. This program is designed for individuals with limited income and resources who cannot perform substantial gainful activity due to a disability.
4.Lack of Non-Medical Evidence
While medical evidence is crucial in proving your disability, it’s not the only factor the SSA considers. They also consider non-medical evidence, such as statements from friends, family members, and past employers. This evidence can provide insight into how your health state affects your daily life and ability to work.
If you feel that the SSA did not consider all relevant non-medical evidence in your case, you can submit an appeal and include this information. It’s important to provide specific details and examples of how your disability affects your ability to function daily.
Final Thoughts!
While receiving a denial letter for your disability claim can be disheartening, it’s important to remember that many claims are initially rejected. You can improve your chances of getting your appeals granted by being aware of the typical causes of denials and taking the appropriate action to resolve them.
Remember to provide sufficient medical evidence, meet eligibility requirements, ensure enough work credits, and include non-medical evidence when submitting an appeal. Seeking the help of a disability attorney may also greatly improve your chances of success.
